Inspection on 07/10/05 for Philadelphia House

This inspection was carried out on 7th October 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

Philadelphia House 27/11/06

Philadelphia House 11/05/05

Philadelphia House 17/01/05

Philadelphia House 29/07/04

Philadelphia House 13/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Philadelphia House Penn Grove Norwich Norfolk NR3 3JL Lead Inspector Mrs Dorothy Binns Unannounced Inspection 7th October 2005 01:15 X10015.doc Version 1.40 Page 1 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 Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 2 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. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Philadelphia House Address Penn Grove Norwich Norfolk NR3 3JL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01603 419175 01603 409636 Norfolk County Council-Community Care Mrs Jean Mary Reynolds Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Wheelchair users can only be admitted to bedrooms of at least 12sq metres i.e Rooms numbered 25 and 26 (as at 31 March 2002) Thirty five (35) Older People, not falling into any other category, may be accommodated. 11th May 2005 Date of last inspection Brief Description of the Service: Philadelphia House is a registered care home and can provide accommodation and care to 35 older people. The home is owned and managed by Norfolk County Council and has a registered manager. The accommodation consists of 35 single bedrooms situated on the ground and first floor. A number of the rooms have a view of a nearby park that is in walking distance. There are two rooms on the first floor that are the appropriate size to accommodate wheelchair users. Access to the first floor is by a shaft lift or stairs if the service users are able to negotiate them safely. There are a number of communal areas that service users can choose to access according to their preference and need. The home is situated in a residential area of Norwich and is a short bus ride to the city centre. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection lasting three hours. The manager was away on a training course at the time but a care coordinator in charge of the home ably assisted the inspector. The purpose of the inspection was to see how the home functioned on a normal day and to talk to some service users to see what they thought of the home. Some records and policies were examined and the requirements of the previous inspection were discussed. What the service does well: What has improved since the last inspection? The criminal record checks on staff are now appropriately carried out with tighter procedures in place. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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 the following standard(s): 3 Service users’ needs are assessed before coming into the home to ensure that staff can look after the person properly. EVIDENCE: The care plan of the newest service user was examined and found to contain a detailed pre admission assessment carried out by the manager. The assessment outlined the needs and abilities of the service user and there were risk assessments on aspects of her safety which staff would need to monitor, for instance when eating fish (risk of fish bones) and on mobility (risk of falling). This information then formed the basis for a care plan covering the areas where assistance was needed and what the service user’s preferences were on bedtimes, meals, routines etc. The service user had signed the plan to show agreement. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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 the following standard(s): 8 and 9 The health of service users is monitored and actions taken to see that they receive appropriate attention. Systems to deal with medication in a responsible way are in place to ensure service users are protected. EVIDENCE: Care records showed that the service users’ health was monitored and doctors’ visits, and visits from community nurses were noted. There was also reference to visits by dentists and chiropodists. Eye tests were also mentioned. A record of falls was seen for one service user where staff were monitoring particular difficulties. The evidence in the records showed staff to be reporting health worries and passing on concerns. A handover meeting at a change of shift seen during the inspection showed staff being kept informed about the health and welfare of the service users so they knew where particular attention needed to be directed. Whether service users had slept well or needed to see the nurse was also discussed. It was also mentioned that a service user had requested a doctor (which staff had done) and he was coming in. One service user seen in private confirmed that she could see the doctor when she wanted to (“They are very good in that way”). Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 10 Medication was stored in a locked cupboard and senior staff confirmed that they give out the medication. A pre packed Nomad system is used supplying a week’s drugs at a time. Stock control is carried out when the drugs arrive at the home and the record showed the amounts and dates. The administration records were correctly completed and were checked against the tablets held. Controlled drugs were seen to be in a double locked cupboard and are correctly administered by two staff both signing the book. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15 Service users are very happy with the home, finding the routines comfortable and flexible and enough opportunities for activities and stimulation. Service users receive a healthy and appealing diet which they enjoy. EVIDENCE: From the evidence of the service users spoken to at the inspection, all were happy with the routines and said there were no problems whatsoever. You could have a bath when you wanted, you could eat in your room and the “girls were lovely”. Comments made were “I like it here”, “this is a very nice place”, and “the staff are very good”. One relative confirmed she had no problems whatsoever and that she was always welcomed. She felt there was good management and the care was offered in an individual way. These comments were a ringing endorsement for the home. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 12 The Home provides a good selection of opportunities for stimulation. A notice board in the hall showed what was being offered in the week. Bingo, Holy communion, manicures and an entertainer were all listed and it advertised the shopping trolley and a fruit round. A Christian group was scheduled for the Sunday. The hairdresser comes twice a week. Exercise sessions are provided every fortnight. Staff also said there had recently been a harvest festival service in the home with gifts presented, and a minibus outing is arranged for next week. One staff member plays the home’s organ and said he regularly organised some singing. Other staff said they occasionally took service users out for a walk, for instance, if they needed something at the shops. One service user said she did not like group activities but enjoyed reading and walking round the grounds. Today an entertainer was in the lounge playing the piano with staff and service users joining in. Some service users did not want to join in which was accepted by staff. One group of service users sitting in a landing area were laughing and joking about not wanting to move into the main lounge to hear the entertainer and seemed to be having a happy time by themselves. Overall service users were animated and cheerful and it was clear that whether they took advantage of the activities or not, they helped to stimulate and enliven the home. One wonderful extra provided by the home is a regular newsletter which keeps service users informed about events and people in the Home. The menu for the day was seen written up on a board in the dining room. The day’s choices were fried plaice or lamb hotpot with vegetables. Fruit flan was to follow. Tea was to be egg and cress sandwiches or cheese on toast. The cook also confirmed that cakes and scones were baked on the premises for the service users. She had no special diets but provided soft food for those who had difficulty with chewing. The dining room was set out attractively with tables for four and bowls of fruit on display. Service users were unanimous in their views about the food saying it was very good. “Lovely food” and “food is very good with a choice” and “I eat ever so well” were comments made. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16 Procedures are in place to listen to service users concerns and to act upon them. EVIDENCE: The complaints procedure is in the service users guide and a leaflet about complaining was seen in the foyer. A record of complaints is kept with details of the outcome and whether actions were taken. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 14 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 the following standard(s): None of the standards were inspected. EVIDENCE: Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 15 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Service users’ needs are well met by the numbers of staff on duty and the skills mix of the staff. Staff training is very good enabling staff to be confident and competent and means the service users are in safe hands. Recruitment procedures are rigorous ensuring protection for the service users. EVIDENCE: The rota for the week of the inspection shows a consistent pattern in the provision of staff with usually four care staff on during the day and three on in the evening. In addition a care coordinator is on duty at all times with the manager on duty during office hours. This provides sufficient staff on duty and meets the Commission’s calculation for staff hours. Two staff files were examined to see what the recruitment procedure was. Both contained identity checks, references and criminal records checks and had not started work until these checks were completed. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 16 Staff training files were also checked. These contained a list of what training courses they had completed and the extent of their induction training. The manager had a training list for all staff showing the current situation for her staff group. This is good practice and allows the manager to monitor training needs. Two new staff were seen being instructed as part of their induction training. The current situation with regard to national vocational qualifications is that six care staff have completed their qualification and six are studying for it. Two senior staff have completed their NVQ3 and one their NVQ4.With 22 care staff the home is very nearly on target to have 50 of staff trained by this year. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 17 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 38 The financial interests of the service users are properly safeguarded with written records and secure facilities. Fire prevention procedures are in place to ensure a safe environment for service users. EVIDENCE: Several service users have their money looked after by the home and a relative was seen handing money in to the office for use by a service user. A receipt was provided and the amount was seen entered into the service users record and the money put away safely. All such money is locked away. Two records were checked at random against the cash held and were found to be correct. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 18 Only some of the health and safety issues relating to the home were seen. The fire record was examined and showed that drills and instructions to staff about fire prevention were up to date. Fire alarms were tested weekly, emergency lighting tests were up to date, and fire extinguishers had been recently checked. Accident records were appropriately kept. Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 19 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Philadelphia House DS0000035164.V257283.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!