Inspection on 01/07/08 for Plane Tree Court Care Village

This inspection was carried out on 1st July 2008.

CSCI found this care home to be providing an Good service.

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

Plane Tree Court Care Village 04/11/09

Plane Tree Court Care Village 17/08/07

Plane Tree Court Care Village 12/03/07

Plane Tree Court Care Village 25/04/06

Plane Tree Court Care Village 15/11/05

Plane Tree Court Care Village 14/06/05

Plane Tree Court Care Village 16/12/04

Plane Tree Court Care Village 13/07/04

Plane Tree Court Care Village 19/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Plane Tree Court Care Village 11 St. Lesmo Road Edgeley Stockport Cheshire SK3 0TX Lead Inspector Michelle Haller Unannounced Inspection 1st July 2008 09:00 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 Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 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. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plane Tree Court Care Village Address 11 St. Lesmo Road Edgeley Stockport Cheshire SK3 0TX 0161 480 6919 0161 286 3175 richard.lake@opulenthomes.co.uk 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) Altruistic Care Limited Mrs Marguerite Wendy Thomas Care Home 66 Category(ies) of Old age, not falling within any other category registration, with number (66), Physical disability (66) of places Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with Nursing - code N, to people of the following gender:- Either; whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP; Physical disability - Code PD. The maximum number of people who can be accommodated is: 66. 17th August 2007 Date of last inspection Brief Description of the Service: Ross House is a large, detached building set in its own grounds in Edgeley, a suburb of Stockport. There are local amenities situated close by. Altruistic Care Limited owns the care home. The directors of the company are Mr and Mrs Jivraj. The care home has a passenger lift to assist service users to mobilise to the upper floors. Lounge and dining areas are situated on the ground floor with an additional lounge and dining rooms on the first floor. The home accommodate a maximum of 66 people. The CSCI inspection report is available on request. The fees for staying at the home were reported to be between £350 and £900 per week. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection that included an unannounced visit to the service. This means the manager did not know in advance that we were coming to do an inspection. During the visits we looked around the building, talked to residents, relatives and staff, including the deputy manager and registered provider. We observed the interactions between people living at Plane Tree Court Care Village and examined care plans, files and other records concerned with the care and support provided to people in the home. We also looked at all the information that we have received or asked for since the last inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service which we made use of during this inspection. We have looked at information we have about how Plane Tree Court Care Village has managed any complaints and any adult protection issues that may have arisen. What the manager has told us about things that have happened in the home through ‘notifications.’ We also received 16 Commission for Social Care Inspection (CSCI) surveys that were returned to us by people using the service and from other people with an interest in the service, such as staff and relatives. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Pressure area care and liaison with primary care health staff has been developed further to promote good health for all service users. Monitoring and accurate updating and review of care has been achieved through the introduction of a new care plan and assessment system. This assessment includes detailed information about people’s social histories and their interests and aspirations. A complaints record book has been introduced. This shows that complaints are listened to and acted on. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 8 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 Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The registered provider ensures that people moving into Plane Tree Court have their needs assessed prior to their admission; this ensures that the staff have the skills to meet residents’ needs, including rehabilitation. EVIDENCE: Six care files were examined and each held assessments that identified health and physical care needs had been assessed prior to or very soon after people moving into Plane Tree Court. These assessments were comprehensive and provided staff with a full picture of people’s level of independence in relation to general and specific health, social and emotional, and other aspects of daily living. Additional risk assessments were also completed if this was identified as necessary during the initial assessment stage. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 10 Intermediate care is also provided at Plane Tree Court. This is provided in dedicated accommodation. The deputy manager stated that the equipment available for this unit was been provided through discussion with the Occupational Therapists who assessed and worked with people admitted for rehabilitation or intermediate care. Staff working on the intermediate care provision work closely with and are guided by specialist workers, such as physiotherapist, occupational therapist, district nurses and others, employed by the Social Services department and primary care trust. The deputy manager stated that it was company policy that a qualified member of staff also completes an assessment of potential admissions before they are accepted. People who returned surveys all felt that they were given plenty of opportunity to get to know about the home before becoming a permanent resident. Their comments included: ‘I came and looked round spoke to the manager and I decided it was the place for me; the manager then spoke to my son who dealt with everything.’ Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The registered provider has made sure that people at Plane Tree Court have access to health, personal and emotional care that meets their needs and improves their lives. EVIDENCE: We found that all files contained detailed care plans that related closely to people’s assessed needs. Dated notes and other correspondence, relating to the progress people had made, confirmed that care was reviewed at least monthly. Care plans and risk assessments also provided staff with information about how needs were to be met and the outcomes that were expected. The management team are in the process of updating the assessment, care planning and monitoring system and this has resulted in each person having their needs re-assessed and the care plan rewritten in full. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 12 Part of the reorganisation of care plans is to rationalise the way information is gathered. The registered person must be make sure that important information, such as previous daily records, weights and professional visits, remains available. The registered person should ensure that the new documentation is well organised and easy to use. On the day of inspection documentary evidence, including prescriptions, letters and other correspondence, confirmed that people received routine and specialist health care, including: opticians, district nurses, podiatrist, dieticians, speech and language therapist and general practitioners, psychiatric and rehabilitation assessments. Specialist assessments, including falls risks, pressure area and skin integrity assessments, nutritional state and communication, had been completed. At the previous inspection it was noted that some records and assessments were particularly good and it is hoped that the new processes will also provide excellent information and enable all care and support to be offered according to individual need and preference. A district nurse who was attending Plane Tree Court was also interviewed. She was positive about the progress made by the home in dealing with pressure area care, nutrition and end of life care. She assessed that the management were more able to support staff in developing new skills and following health care instructions. She also stated that the staff were encouraged and enabled to attend health care training provided by relevant specialists from the Primary Care Trust. Monitoring of skin integrity is detailed and to a good standard and the district nurse felt that staff are now more consistent in recording when people have received pressure area care and reporting any changes. People who returned CSCI surveys felt that they always received the medical and health attention they required. The medication storage and administration systems were examined and short falls that were identified were dealt with at the time of this inspection and remedial steps, including a pharmacy audit, were completed quickly afterwards. Observations of the interactions between staff and people using the service confirmed that people were treated with dignity and respect, and their privacy respected. Staff appeared confident at all times about the approach they were to have with people. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 13 Staff were attentive in their approach and were concerned about meeting the needs of people diligently and with patience. Daily reports were read through and these were written in a respectful manner. The registered person needs to make sure that the information also provides a good picture of the health and personal support offered to individuals at Plane Tree Court. People who returned CSCI surveys were positive about staff attitude and felt that they were kept informed about the progress of their relative. Comments about health care and staff included: ‘My mum needs nursing, the operations manager goes out of the way to meet the medical needs of my relative, for example, getting in touch with specialist nurses or doctor to keep her pain in control. If they can’t meet the needs, it is done by a person who can. Staff who returned surveys felt that they were always given enough information about people to meet their needs. Their comments included: ‘We get detailed handovers for staff, good communication between management and care staff about residents.’; ‘I was a wreck when I came in – they saved my life and now I can move on.’ Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The registered provider makes sure that, where possible, the lifestyle and opportunities provided at Plane Tree Court promote independence and contentment so that people have as enjoyable a time as possible while there. EVIDENCE: Since the previous inspection there has been a change in activities organiser and a new activities calendar is under development. On the day of inspection the co-ordinator arranged a variety of activities in different areas of the Plane Tree Court which included completing jigsaws, supporting a group of people to attend a luncheon club run by the Salvation Army and organise a discussion group. The organiser stated that he had a timetable of activities, but this was flexible and not written down. Other activities provided include current affairs morning, which includes discussing newspaper articles, and completing the crossword, artwork, walks and visits to the local library. Discussion with the organiser confirmed that, in the main, it was people with similar strengths who had participated in the activities during the day. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 15 People who returned surveys said that there was ‘always’ an activity they could join in with and commented: ‘I take part in all the activities I can’ and those who were spoken to were satisfied with the activities currently on offer. However, the manager must be mindful that at the previous inspection there was more evidence that activities were varied enough to meet the diverse needs of people living at Plane Tree Court and this should continue to be the case. One person did comment that ‘There’s not enough to do,’ even though they were very satisfied with all other aspects of living at Plane Tree Court. It is important that the manager can demonstrate through the updated activities calendar - when it is produced, that activities are included that are diverse enough to be of interest and benefit to people who are less mobile or vocal, experiencing memory loss and other limitations due their condition. This could include hand and nail care, baking, floor basketball, giant floor games, armchair exercises and reminiscence sessions as evidenced at previous inspections. During the inspection a discussion group involving about five people was observed and people were enthusiastic about joining in. Since the previous inspection some work has been started to complete people’s social histories and past and present interests in more detail. The registered person should now make sure that activities can also be individualised and person centred. The activities co-ordinator has been provided with a designated activities room and is also aware that there are plans to employ an additional activities worker. The co-ordinator recognises the need to work flexibly and intends to work at Plane Tree Court during some weekends and evenings. The registered person should ensure that all care staff have a responsibility to ensure that people remain motivated and as active as possible. This is so that activities continue at times when the co-ordinator is unavailable, such as most weekends, evenings, holidays or periods of sickness. The routine in the home is flexible and people are able to choose what they wanted to do; comments included ‘I feel that Plane Tree Court gives people support to live in a contented, safe, friendly place. Carers help people to enjoy the life to the full.’ People are encouraged to receive guests at their leisure, and all respondents felt that they were always made welcome. During the inspection it was observed that relatives and friends could visit freely. People stated that they could choose what they did during the day and receive visitors when they wanted. Comments included: ‘I can have visitors when I like’. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 16 People are supported to keep in touch with relatives and friends they said: ‘I can ring my husband on a mobile phone- if I get stuck there’s always staff to do it.’ The lunchtime meal on the day of inspection was fish, chips and beans or corned beef hash with a crust and mash with peas. It looked delicious and was presented well on the plate by care staff. The mealtime was observed and was a pleasant experience for the people who were seen. Everything was explained to people and they were offered a choice of meal at lunchtime. People were spoken to gently and in a friendly manner. The dining areas were clean, newly decorated and chairs and tables were new. People who finished their meals were offered extra portions, and those with small appetites were given smaller plates. People were heard commenting about the quality of the lunch provided and said: ‘Oh I’m full of fish - I love fish’ and ‘That was very nice - I enjoyed it.’ Dishes on the menu included baked gammon, chillies, cheese and onion pie, fish fingers chips and beans; beef in ale casserole and country dumplings; sausage and onion; battered cod; spaghetti bolognaise; pork pie; chicken casserole; bacon, fried egg and chips; meat and potato pies; roasts and so forth. Desserts included chocolate sponge and custard; cherry scones; fresh fruit and yoghurt and cherry Bakewell tart. The teatime option on the day of inspection was homemade Cornish pasties or sandwiches and home made tomato soup. This meal also looked appetising and people were seen enjoying their meals. The deputy manager explained that drinks were served at least six times a day, as well as at meal times. The cook is a relatively new employee and was not interviewed on the day of inspection. Comments about the food were very positive – people said-‘Even when ... was too poorly to eats solid food, they pureed it and it was still lovely’; ‘The food is very nice - and yet I’m on a special diet - they give me different sometimes but it’s still very good’, ‘I can gave fish and vegetable dishes and they are nice’, ‘The food is lovely’ and ‘The food is beautiful.’ Nutritional assessment charts are in place for people at risk of weight loss or developing pressure areas. Food and fluid intake charts are also used and these were completed in sufficient detail to assess people’s diet intake. Correspondence and records also confirmed that people were referred to the dietician when necessary. The registered provider should make sure that staff understand the importance of highlighting and assessing all weight loss, even if the person has a good appetite. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The registered provider has made sure that people involved with Plane Tree Court know how to complain and are confident that concerns will be taken seriously. Effective systems are also in place to protect vulnerable adults. EVIDENCE: The complaints record was examined and this provided information confirming that complaints and concerns were dealt with fully, openly and fairly. It was also clear that people were informed about the outcome of any investigation into a complaint and the actions that would be taken to prevent a repeat of any incident if this was relevant. All who made a comment stated that they knew how to complain. One person said: ‘On admission the operations manager explained procedure’. Another said ‘I’ve no complaints but I would go to the manager.’ People confirmed that the complaints process was explained on admission to Plane Tree Court. They said: ‘On admission the operations manager explained the procedure.’ Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 18 Staff who were interviewed had received Protection of Vulnerable Adults (POVA) training and when interviewed were clear about the actions they should take to protect people from abuse and how to report suspicions. Training records and the training plan that was examined at the time of inspection confirmed that the majority of staff had received POVA training and by October 2008 all staff will have received this training. The training is provided through in-house training that includes watching a video and attendance to the Stockport Metropolitan Borough Training (SMBC) partnership course. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The internal environment and external surroundings at Plane Tree Court are very pleasant and fully accessible and adapted. EVIDENCE: A tour of the home was completed. Plane Tree Court has been totally refurbished and all bedrooms have been upgraded. The grounds are landscaped and extensive. All areas of the home were clean. The majority of fixtures, fittings and furniture were newly installed. The dining areas are large and bright, and there are different sized lounges that can be adapted for a variety of uses. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 20 Moving and handling equipment is readily available and there are adapted baths and shower rooms to make personal hygiene easier. Rooms are en-suite with a shower room. Each bedroom is nicely furnished and most people had personalised their room. Each room has a flat screen television installed. There is a cleaner established on each floor of the home each day of the week and another for extra jobs, such as the stairwells. People who were interviewed said that the home was a pleasant place to be. Comments included ‘The cleaning is excellent, if there’s an accident it is steam cleaned within half an hour’ and ‘I love my new room and I can’t wait for summer.’ The main problem with the environment is that moving from one room to another is confusing because all the corridors look the same. Although there is some signage on toilets and some bedrooms, it was observed that residents did become confused about where they going in the home On a number of occasions different people were heard to say that they were lost and needed assistance to find their bedrooms or a lounge area. One person asked ‘Can you help me, I can’t find where I live.’ This issue was discussed with deputy manager who agreed to look at ways of solving the problem. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29, and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. People living at Plane Tree Court have their needs met by staff employed through a robust recruitment and selection process, in sufficient numbers and with the skills and attitude to promote people’s physical, emotional and social wellbeing. EVIDENCE: On the day of inspection the manager stated that there were 35 people living at Plane Tree Court and ten members of staff, including the manager and four care assistants. Staff were observed taking time to talk with people and all residents who were spoken to or returned surveys felt that there were always sufficient staff to meet their needs. People living at Plane Tree Court also liked the staff and said: ‘Staff are lovely – wonderful.’ In the AQAA the manager confirmed that 24 of the 41 members of staff had achieved National Vocational Qualification NVQ level 2 in care. Six care staff are currently enrolled on to the course. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 22 The manager stated that training was provided by senior staff, by specialist training companies, SMBC training partnership and the local Primary Care Trust (health service). The training matrix confirmed this to be the case. Staff were, mainly, satisfied with the training made available. They said ‘There are many learning opportunities given, we get good encouragement to start and complete training’ and ‘Staff training plays a big part in the home. Everybody has to do mandatory training. But as staff, we’re also encouraged to do extra training which is relevant to our role, i.e., dementia, equality and diversity, rehabilitation.’ The district nurse who was interviewed confirmed that staff at Plane Tree Court were able to attend training. She said that the manager requested training both in relation to specific needs and from the Primary Care Trust (health service) training calendar. Certificates and the training records confirmed that staff training was varied and included: medication training, moving and handling; infection control; use of the hoist; POVA; introduction to the Mental Incapacity Act; fire safety; first aid; food handling; food hygiene; Motor Neurone Disease; continuing health care; falls prevention; wound care, diabetes awareness; health and safety awareness; dementia care levels 1 and 2; first aid, food hygiene, care for elderly with diabetes, control of substances hazardous to health (Coshh); Deaf awareness; visual impairment and continence promotion awareness. The POVA training need identified at the previous inspection has been addressed. Some senior staff are moving and handling facilitators, and staff who were interviewed confirmed that they received this training. Staff were enthusiastic about working at Plane Tree Court. One person said ‘I enjoy it, you can always go to management and they take on board suggestions. There’s normally good training and also a supervision period for any new skills’. Recruitment and employment records for five staff were examined. Each continued a copy of a Criminal Record Bureau (CRB) check completed by the company, two references and the completed application forms were also in place. Additional proof of identity was also on file. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The management system at Plane Tree Court is effective and ensures that the home is run efficiently and in the best interest of those involved with the service. EVIDENCE: On the day of this key inspection the Registered Manager was not available. The Deputy Manager, who has worked for the company for five years and at Plane Tree Court for 12 months, managed the service. The Operations Manager also attends the home each day to provide additional management support. The processes that were examined showed that the home is well managed and the service continues to improve and develop. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 24 The AQAA that was completed by the deputy manager showed that she is capable of identifying areas for improvement in most areas, even though a lot of improvements have already been made. The quality assurance process at Plane Tree Court includes a questionnaire that is sent out every three months. This requests people’s opinions about care, response to complaint, whether people are treated with dignity and respect, food, cleanliness, leisure activities and general satisfaction. These responses were read through and provided good information about people’s opinions. The management team should demonstrate how these results are used to influence developments in the home. Residents’ meetings are also held and notes showed that the topics discussed included new ideas for activities, such as darts, organising or attending tea dances. The way that people’s money is accounted for was examined and checks showed that an accurate record of expenditure and income was kept. The fire safety records were examined and this showed that all checks were carried out each month. The home has been recently refurbished and the information in the AQAA confirmed that all equipment, including gas appliances, lifts and hoists and electricity appliances had been serviced in 2008. Those who commented about the general running of Plane Tree Court were pleased with and satisfied with all aspects of the service and facilities provided. Residents said ‘I love my new room, I’m happy here’ and ‘I’ve found everything very nice. I couldn’t say anything else …’. The home continues to differentiate between accidents and incidents, however falls are now recorded in an accident book. Information recorded clearly showed the action that had been taken to assist the accident victim and the information was also written on daily records. The manager still needs to arrange for accidents to be analysed so that any patterns can be identified and remedial steps taken. The manager needs to make sure CSCI is provided with a report of all notifiable incidents. Although these have been sent, cross-referencing identified that CSCI had not been informed in instances where relevant. Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 25 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 26 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. 1 Refer to Standard OP9 Good Practice Recommendations The registered person should ensure that medication practice in Plane Tree Court is always in keeping with the guidelines and policies of the home and latest professional requirements. The registered person should find a way to make the corridors in the home less confusing so that residents can find their way from one place to another without becoming concerned or confused. 2 OP19 Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Area Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Plane Tree Court Care Village DS0000008587.V365560.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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