Inspection on 06/05/05 for Overleat

This inspection was carried out on 6th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Overleat 01/10/07

Overleat 05/10/06

Overleat 07/10/05

Overleat 21/09/04

Overleat 04/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Overleat Derby Road Kingsbridge Devon TQ7 1JL Lead Inspector Judy Cooper Announced 6 May 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Overleat Address Derby Road, Kingsbridge, Devon, TQ7 1JL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01548 852603 01548 852603 tcm@overleat.fsbusiness.co.uk Mrs Sharon Angela Hard Mr Richard Hard Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10), of places Physical disability over 65 years of age (10) Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21/09/05 Brief Description of the Service: Overleat is a small family run home situated near the centre of Kingsbridge.The home is a period property, and is set next to a small park on the level to the Quayside walk and the town centre.The home provides accommodation on two storeys, serviced by a chair lift, for up to 10 older service users with or without physical disabilities and/or with or without mild confusion. Accommodation is in single rooms, which vary in size, and some have en suite facilities. The home also has level easily accessible gardens and plenty of parking facilities. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. Several standard written feedback forms were received prior to the inspection from residents as well as residents’ relatives, families/friends. Opportunity was taken to tour the premises, examine records and policies and talk with the owners, residents and staff on duty. All residents were spoken with during the inspection. Staff on duty were both observed and spoken with, whilst in the course of undertaking their daily duties. The home’s volunteer activities organiser and her helper were also invited to give verbal feedback, during this inspection, as to their thoughts regarding the care made available. What the service does well: Overleat provides a comfortable, secure and caring environment, where residents’ individuality is encouraged and upheld. Basic residents’ rights, such as dignity, respect and privacy are also firmly upheld and this was confirmed verbally by the residents themselves, and in written feedback to the Commission, received prior to the inspection. The residents receive excellent meals, visitors are always welcomed, various informal activities are made available and the local community is invited to visit the home when appropriate/desired. The homes real strength is the high value the owner placing on staff training with the provision of appropriate training being constantly ongoing. Therefore the staff team are both well trained and enabled to identify, and subsequently meet, the needs of the residents at the home. The manager and the staff strive to maintain a good individual quality of life for each resident. The residents confirmed that they felt able to be involved in the day to day running of the home, as much as they wished to be, and that their opinions are sought in all sorts of aspects involved with the home. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 (6 is not applicable). The admission process continues to be well managed and residents are given clear information regarding the service prior to admission so that they and their relatives can make an informed decision. EVIDENCE: The home continues to maintain its statement of purpose and service user’s guide appropriately. Since the last inspection the home has admitted three new residents (one on a respite stay) and it was noted, by observing the resident’s records, that a full and detailed admission procedure was undertaken, which ensured that Overleat was considered an appropriate home, by all parties including the home’s staff, other professionals and the prospective residents themselves. The residents confirmed that they had been made to feel welcome, and had been given clear information about the home and the two new permanent residents had now begun to feel very settled at the home. One had only just taken the decision to remain at Overleat, and stated that they had felt that sufficient time and help had been made available for them to reach this decision themselves, without any undue pressure. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 9 Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 All residents are looked after well in respect of their health and personal care needs. Residents are treated with dignity and respect and their individuality and independence maintained. EVIDENCE: Care plans contain all relevant details appertaining to providing for individual residents’ care. The care plans had been regularly reviewed with the resident and/or the resident’s relative or next of kin. The care plans contained full details of any medical needs of the resident, as well as any visits made by District Nurses, G.P’s or any other health professional. The owners and staff liaise with other professionals as required. Each resident has an account of their life undertaken with a member of staff, so that any past history can be shared/made known if the resident desires. The home’s medication systems were noted as being administered correctly and the storage and recording of medications is in order. The home has recently provided full care for a frail resident, whilst being supported by visiting professionals including G.P’s and District Nurses. A relative and a friend of the resident, who recently died at the home, were present at the inspection and spent some time saying how wonderfully their Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 11 relative/friend had been cared for, how involved all the staff had been and how supported they themselves had been by the owner and staff during a difficult time. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Residents enjoy a peaceful, pleasant yet varied life within a very homely environment. Residents are treated with respect and dignity, and excellent meals are provided. . EVIDENCE: Staff enable and encourage residents to undertake activities wherever possible. The home also has the services of a volunteer activities organiser and her helper and several of the residents are currently enjoying making crafts for their annual entry in the “Age Concern Skilled Hands” craft exhibition. Many residents used the words “excellent, kind and satisfied” to describe the staff and the overall standard of their daily life. A comment received back from a resident stated the following “ I am very happy at Overleat. We all receive a first class service and the staff and management are very kind and caring”. The home operates an open visiting policy and the visitor’s book clearly showed that the residents had many visitors at varying times throughout the day whilst residents confirmed that their visitors came and went as they wished/were able. During the day some residents chose to spend time in their own rooms whilst others enjoyed the communal lounge and conservatory. All were able to Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 13 choose how they spent their time and staff facilitated these choices, by taking teas, meals etc to individual rooms. One resident was trying out a new rocking chair that she had ordered for her room and staff were clearly interested in her purchase and were helping her decide if the chair was the right choice for her. Residents commented on the food and said how good it is. The home’s full time cook has been at the home for several years and is very valued and appreciated by all the residents for the high quality of her meals. The meal on the day of inspection was also excellent, being well presented, hot and visually appealing, although this had been prepared by another staff member due to it being the cook’s day off the day of inspection. All residents were noted as having enjoyed it. Menus continue to be balanced and interesting, and flexible enough to accommodate individual preferences. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Arrangements for protecting residents and responding to their concerns are satisfactory and residents and their families are aware of how to make a complaint if necessary. EVIDENCE: Residents confirmed that they felt able to discuss any concerns they may have with the owners and/or staff. The home’s complaint policy remains in order with all residents having received a copy of the complaints procedure, which is contained in the home’s service user guide, whilst the home also displays its complaint policy in a prominent communal area of the home. The home continues to maintain appropriate, updated adult protection policies as well as a “Whistle Blowing policy” which staff have easy access to. There have not been any complaints, within the past twelve months, either internally or made directly to the CSCI. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 Overleat provides comfortable, clean and well maintained accommodation for the residents. EVIDENCE: The accommodation presented as comfortable, well maintained, clean and welcoming. Bedrooms have been personalised as desired and residents can bring in personal items with them if they wish to. All rooms are for single occupancy. The owner stated that the home would provide a suitable lock if requested by a resident, and have done so in some cases but they are not provided as standard on admission. The lounge, conservatory and dining room are all inviting, suitably furnished and comfortable. The owners maintain the home’s fire precautions in line with the requirements of the local fire department. There is an infection control policy and all areas of the home were odour free. The home has an infection control policy and all the staff are encouraged to use anti-bacterial hand wash on a frequent basis to prevent cross infection within the home. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 16 The home’s laundry room was clean and tidy, having appropriate laundry equipment to ensure that the home can cater for the laundering needs of the residents. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Staff at the home are very well supported, in their role, by the owners and are well trained and employed in sufficient numbers to meet the residents’ needs. EVIDENCE: There are ten residents currently living at Overleat. Staffing levels were seen to be in sufficient numbers to ensure that residents’ needs could be met at all times of the day and night. Residents said that they felt well looked after and that staff were always available if needed. Positive feedback was received from the residents as to the standard of care received, and the manner the care was delivered. There was sufficient rotered time for staff to spend periods with residents in a personal individual manner i.e. talking to them, escorting them etc. Training continues to be very well planned and supports the staff in providing for the varied needs of the residents with 60 of the staff holding recognised relevant qualifications in care. The owners have appointed a new “head of care” who was spoken with during the inspection and was noted as being confident, caring and capable and who is currently undertaking the Registered Manager’s award which will further increase her awareness of how to manage staff effectively in a care setting. The owners have maintained their “Investors in People” award and the recent report from the assessor included the following statement “your staff are a credit to you. Training and development are undertaken whenever necessary”. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 18 The staff file, in respect of the last member of staff to be appointed at the home, evidenced that a full and detailed staff recruitment programme operates within the home, ensuring that staff appointed are deemed suitable to work with the residents and therefore residents are protected. Residents stating that they were happy at Overleat and were benefiting from the care they received. Staff stated that they continued to feel supported in their caring role and it was evident, from watching the verbal communications that took place during the day, that the staff and residents are easily able to approach the owners of the home if necessary. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,38 The home is managed efficiently and well. To ensure that residents are fully protected from the risk of sustaining a burn from hot surfaces, the programme already in place to cover all such surfaces, needs to be completed. To ensure that residents are fully protected from the risk of sustaining a scald hot water, provided to residents’ facilities, should be regulated to a safe temperature, where full body immersion takes place, and where any resident has been assessed as being at risk of scalding if using non regulated hot water. EVIDENCE: Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 20 The home operates thorough internal quality monitoring systems with residents’ and relatives’ feedback invited as part of the overall process. The home has recently been re-awarded its “Investors in People” status. A statement from the report, regarding the owners’ approach their role was as follows “ Your energy and commitment to the residents is valued. You set a good example, which is copied by staff.” The owners will look after monies for some residents, as agreed with the residents or their families. In depth records of these transactions ensure that residents who use this service have their finances protected. Routine health and safety issues are well managed within the home with the required records being made available and all being seen to be up to date, which confirms that residents are cared for in a mostly safe and secure environment. Residents’ hot water to their washbasins is not yet regulated to a safe temperature throughout the home and also not to one bath, where full submersion takes place (although the water temperature is taken and recorded before use). Some, but not all, hot surfaces have been protected throughout the home, although there are risk assessments in place in relation to those that have not yet been protected. Although these measures help ensure that residents are free from the risk of scalding or sustaining burns from hot surfaces, the home is registered to care for both physically and mentally frail older residents, who could be considered to be at a higher risk of sustaining a scald/burn from non regulated hot water or non protected hot surfaces. All facilities where full body immersion takes place must have a regulated hot water temperature to prevent scalding. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 x 3 x x 2 Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 25 Regulation 15 Requirement The registered providers must continue to ensure that all pipe work and radiators to which service users have access must be risk assessed and guarded or have low temperature services The registered providers must ensure that any water outlet, where full body immersion takes place, has hot water regulated to 43 degrees Centigrade. (This is a previous requirement with a past timescale of 21/03/05). Timescale for action 06/05/06 2. 25 15 06/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 24 Good Practice Recommendations The registered providers should continue to ensure that all other water outlets, to which residents have access, including residents hand wash basins are risk assessed and fitted with valves to provide hot water to 43 degrees Centigrade as deemed necessary. Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Overleat D54-D07 S3768 Overleat V214726 060505 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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