Inspection on 30/06/05 for Perran Bay Home For The Elderly

This inspection was carried out on 30th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Perran Bay Home For The Elderly 07/12/06

Perran Bay Home For The Elderly 08/12/05

Perran Bay Home For The Elderly 02/12/04

Perran Bay Home For The Elderly 24/06/04

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 Perran Bay Home for the Elderly St Pirans Road Perranporth Cornwall TR6 0BH Lead Inspector Ian Wright Unannounced 30 June 2005 10:15 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. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Perran Bay Home for the Elderly Address St Pirans Road Perranporth Truro Cornwall TR6 0BH 01872 572275 01872 572275 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) Cornwall Old Peoples Housing Society Mrs Linda Whitford Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2.12.04 Brief Description of the Service: Perran Bay provides care for up to 34 elderly service users. The home provides spacious accommodation adjacent to the main street of Perranporth, with a variety of shops, which are readily accessible. There are uninterrupted views of Perranporth beach on one side of the home including from the main lounges. The accomodation is provided over three floors. There is a lift to the first floor. The home also has two pleasant gardens, and there is adequate parking for visitors. The registered provider is Cornwall Old Peoples Housing Society which is a registered charity. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over eight and a quarter hours. The inspection was carried out on an unannounced basis. The primary focus was regarding requirements from the previous inspection and other standards not inspected at that time. The inspector was able to speak to many service users, and some of the staff on duty. The inspector examined the medication system, staff and care records, and inspected the building. What the service does well: What has improved since the last inspection? A new manager has been recruited who appears to be professional and enthusiastic. She has improved some of the management and care systems in the home. A quality assurance system has been set up to ascertain levels of satisfaction of care given. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 6 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. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 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 Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 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) 1, 3, 4, The registered persons provide suitable information to enable prospective service users to make an informed choice regarding moving into the home. Service users are assessed appropriately before admission is arranged. There are appropriate links with external professionals so service users know the home can meet their needs. EVIDENCE: The inspector viewed a suitable statement of purpose. A copy of this is available in the hallway. Service users had a copy of a pre admission assessment on their files. Copies of assessments by social services and the healthcare trust are obtained where possible. The registered manager said good links have been developed between the home and external professionals such as GP’s, district nurses and community psychiatric nurses. Service users also have access to dentists, chiropodists etc. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 9 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 The registered persons provide suitable care plans for service users. There are appropriate links with external agencies so service users health care needs can be met. The home has a satisfactory medication system. The measures ensure service users health and personal care needs are met appropriately. Appropriate measures are in place so service users are treated with respect and dignity. The home has an appropriate policy so service users are treated with appropriate care when they are dying. EVIDENCE: The inspector viewed satisfactory care plans for each service user. Appropriate accident and daily records are maintained. The registered manager said suitable links are maintained with health professionals. She said no service users currently have pressure sores. Two staff have completed training courses in tissue viability. Hearing and sight tests are arranged regularly for service users. The inspector spoke to a visiting district nurse who said she was happy with the care provided. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 10 The inspector viewed an appropriate medication policy. The medication system was also inspected and this was satisfactory. The registered manager said staff who administer medication have received training from the pharmacist, and medication is administered appropriately. The registered manager said service users privacy is respected, and they are treated with respect and dignity. For example staff always knock on service users doors and personal care is carried out in private. Bedroom doors all have locks, and service users have a lockable box in their bedrooms for valuables. Service users were very positive about how staff work with them, and felt they were always treated with respect and dignity. The inspector viewed a suitable policy regarding death and dying. One member of staff has received training regarding palliative care, and a further two staff will be trained shortly. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 11 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, 15 Routines in the home are individualised so the home does not operate along institutionalised lines. Suitable activities are on offer so there are appropriate opportunities for entertainment and stimulation. Meals are to a high standard so service users can have a balanced and wholesome diet. EVIDENCE: Service users said routines are individualised; they are supported to get up and go to bed when they wish. The registered manager said a varied range of activities is offered such as bingo, exercise and arts/crafts. Other activities are also arranged on an ad hoc basis. There have been recent visits by singers, a story teller and the local museum. External trips are also arranged. An activities book is maintained. There are also regular residents meetings. The registered manager said visiting times are open. The inspector shared a meal with service users. This was to a high standard. Service users said the standard of catering was very high and a choice of meal was offered. The registered manager said the four weekly menu is regularly reviewed for example at resident’s meetings. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 12 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 The registered persons have developed satisfactory policies and procedures regarding complaints and adult protection. This assists the process of ensuring service users rights are protected. EVIDENCE: The inspector viewed appropriate complaints and adult protection policies. Copies of the policies are displayed in the hallway. A comments book is also available in the hallway where people can enter any concerns. The registered manager said two complaints had been received. After discussion the inspector concluded these appeared to have been dealt with appropriately. The registered manager said issues regarding the prevention of abuse are covered in the staff induction. Some staff have attended adult protection training. The registered provider is currently investigating an alleged theft of money from a service user. The registered provider will inform the Commission regarding the outcome of this investigation. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 13 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 The registered persons provide a suitable environment to meet the needs of service users. The building is homely, well maintained and clean. One bedroom, due to its location, would benefit from an en-suite facility- and the registered persons are considering this option. EVIDENCE: The inspector inspected the building. Service users said they found the home pleasant and homely. Bedrooms are suitable to meet service users needs. The carpet in the hallway needs to be cleaned or replaced. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 14 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) 27-30 Staffing levels are appropriate to meet the needs of the service user group, so service users have adequate support to meet their care needs. An appropriate recruitment, induction and training programme was outlined by the registered manager. However documentation must be improved so service users can be assured staff are appropriately recruited and trained to carry out their jobs. EVIDENCE: The registered manager said the following staffing is provided. At least: • 4 staff from 8-2 • 3 staff from 2-6 • 2 staff from 6-10 • 2 waking night staff and 1 sleep in member of staff • Kitchen and cleaning staff The inspector viewed staff rotas and staffing appeared to be satisfactory. Staff appear to have regular days off and the rota appeared to be fair and equitable. The registered manager outlined an appropriate recruitment procedure. The inspector examined staff files. Some gaps in information required by regulation was noted (e.g. staff must provide proof of identity). A copy of a staff induction checklist was viewed. Although it is evident staff receive an induction, the checklist is required to be more comprehensive. The registered manager said staff received appropriate training. The manager said the majority of staff either had or were enrolled on at least NVQ 2, and had received other training required by regulation (e.g. fire, infection control, Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 15 food hygiene, first aid and moving and handling). However records of training kept are not satisfactory, and the registered manager could not evidence training had been received. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 16 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) 31, 32, 33, 36, 38 The registered manager has suitable skills, experience and knowledge to manage the home and there appears to be a positive working culture. The registered persons have a satisfactory quality assurance and day to day supervision systems. These measures ensure the home is well managed, and run by competent staff. Some improvements are required regarding health and safety so service users can be assured they live in a safe environment. Policies must be more accessible to staff. EVIDENCE: The registered manager said she has received her NVQ 4 in care and has completed her registered manager’s award. She appears to have suitable experience and knowledge to manage a care home. For example until recently was Assistant Manager at a similar care home. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 17 There appears to be a positive working culture. Staff and resident meetings are held regularly, and suitable day to day supervision systems are in place. For example there is always a senior member of staff on duty. However no formal one to one supervision system is currently in place. The registered manager has set up a quality assurance system. There is evidence this has been implemented for example service users, staff, and visitors have been consulted regarding their views of care. Record keeping regarding care and the running of the home is satisfactory. However, although the registered persons have developed suitable policies and procedures, a condensed file containing policies required by regulation must be made more readily available to staff-e.g. in the staff office. Health and safety precautions are generally satisfactory. An external contractor tested the water in regard to the Legionella, and the test results were satisfactory. However the registered persons should liaise with the Environmental Health Officer to check no other precautions are necessary. Emergency lighting and fire alarms must be tested at a frequency recommended by the Fire Officer. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 18 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 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 2 2 Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 19 NO 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 OP28, OP30 Regulation 18 Requirement Appropriate documentation must be provided for training received by staff e.g. copies of certificates for NVQ, infection control, food hygiene, first aid, moving and handling. Fire training must also be documented. Satisfactory recruitment information must be provided for all staff recruited as outlined in schedule 4.6 of the Care Home Regulations 2002 (e.g. evidence confirming staff identity) A copy of policies required by regulation must be available to staff Testing of fire equipment must be completed at intervals agreed with the fire officer, and a record of this must be kept The staff induction checklist is required to be more comprehensive Timescale for action 1.10.05 2. OP29 19 1.10.05 3. 4. OP37 OP38 12, 18 13, 23 1.10.05 1.8.05 5. OP30, OP36 18 1.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 20 No. 1. 2. 3. 4. 5. Refer to Standard OP26 OP21 OP22 OP20 OP38 Good Practice Recommendations The Registered Provider should provide an ensuite toilet in room 31 The Registered Provider should audit the facilities with a view to improving wheelchair access and to the provision of a walk-in shower facility on the 1st floor. The Registered Provider should make arrangements for an assessment of the premises by a suitably qualified person, such as an Occupational Therapist. The carpet in the hallway should be cleaned or replaced. The registered manager should check with the Environmental Health Department that measures taken to prevent Legionella by the registered persons is satisfactory. Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection John keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Perran Bay Home for the Elderly D52-D04 S9126 Perran Bay V235186 300605 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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