Inspection on 15/12/05 for Plantation View

This inspection was carried out on 15th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Plantation View 24/09/07

Plantation View 06/09/06

Plantation View 05/05/05

Plantation View 11/01/05

Plantation View 17/06/04

Plantation View 27/01/04

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

CARE HOMES FOR OLDER PEOPLE Plantation View 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ Lead Inspector Janet McBride Unannounced Inspection 15th December 2005 10:30 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 Plantation View DS0000032827.V268991.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. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Plantation View Address 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ 01302 539678 01302 533038 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) Doncaster Metropolitan Borough Council Christine Elizabeth McKay Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th May 2005 Brief Description of the Service: Plantation View is owned and managed by Doncaster Metropolitan Borough Council, and is registered to provide care for elderly service users with a diagnosis of dementia. The home is situated in a residential area of Doncaster close to main access routes to the town centre. Accommodation is provided in a single storey purpose built facility, which as 27 single bedrooms. There are several lounges for service users linked to units of bedrooms and a reminiscence room furnished with memorabilia. The main dining area is situated at the entrance to the home, and also second smaller dining is available to the centre of the home, and there are interconnecting corridors that provide a circulatory route. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Plantation View, on the 15th December 2005, commencing at 10:30 and finished at 15:40. This was the home second Inspection since April 2005,any standards not covered in this inspection was covered in the unannounced inspection that was conducted early in the year. It may be the case that some standards will be covered twice in the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. During the Inspection we looked at chosen number of documents, sampling of records, tour of the premises and direct and indirect observation of staff interaction with residents, this Inspection also included individual and group discussions with residents, and feedback from relatives and visitors on the day. Any issues or concerns that were raised were discussed with the person in charge during and at the end of the Inspection. What the service does well: What has improved since the last inspection? Most of the requirements made on the last Inspection have been addressed and those improvements to the décor, and the replacing of the ceiling tiles within the home have made a vast improvement to the communal facilities within the home, it looks well maintained, homely and improved residents safety with the fitting of magna locks. Plantation View DS0000032827.V268991.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. Plantation View DS0000032827.V268991.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 Plantation View DS0000032827.V268991.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): These key standards were assessed on the last Inspection, standard 3 was fully met and standard 6 is not applicable EVIDENCE: Plantation View DS0000032827.V268991.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 10 Resident’s receives health and personal care based on their individual needs, ensuring that their health care needs are fully met, and that they are treated with respect and their privacy upheld. EVIDENCE: Staff at the home promote and maintain residents health and ensure they have access to health care services to meet their assessed needs. All residents are registered with a GP and have access to health care facilities, for example hearing and sight test, private chiropody is available and physiotherapist visits the home every week to offer residents the opportunity to do appropriate physical activity to music. District nurses are involved in residents care, and records show that a number of other professionals come into the home to see residents; CPN, continence adviser and dietician if required. Privacy and dignity was discussed with the staff that were interviewed, and observation of interaction between staff and residents on the day. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 10 Staff interviewed gave good examples of how they upheld residents privacy and dignity, e.g. always perform personal tasks in private, explain what you are doing and give a choice of who performs that task either male or female. One residents stated they receive their mail unopened, and can receive phone calls, there is a public phone for residents to use, and some residents have phones installed in their bedrooms. Visitors seen on the day feel that residents are treated with respect at all times. Plantation View DS0000032827.V268991.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 13 14 Atmosphere within the home appeared good and lots of verbal communication between staff, residents and visiting relatives, and staff were aware of promoting the interests of residents needs. EVIDENCE: Most residents within the home are diagnosed with dementia, and most lack the capacity to exercise personal choice, therefore part of the Inspection was to try and ascertain the quality of life within the home and speak to as many people as possible, including residents, staff and visitors on the day. The routines within the home are flexible and varied; evidence was seen that when residents are admitted they record what hobbies and interests they had in their life. The home do not employ an activities organiser, but information was available to state what activities have been organised for the Christmas period, there is a pantomime today and evidence was recorded in individual files to show that care staff do some activities with residents, for example board games, singalongs, knitting and watching films. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 12 Physiotherapist comes to the home every Thursday and gives residents the opportunity to exercise to music. Daily newspapers are available for general reading although some residents have their own newspaper delivered each day. Visiting is not restricted so family and friends are allowed at any time and can see residents either in their own bedrooms or in one of the homes lounges. The Inspector attended a resident/relatives meeting early in the year; this was a valuable experience and gave the Inspector time to receive comments from relatives and visitors. Comments received from relatives and visitors spoke positively about the support staff gave to maintain relationships and encourage visitors to the home, and that they were always made to feel welcome and that staff encouraged their involvement within the home. Plantation View DS0000032827.V268991.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): 18 Staff spoken to had knowledge and understanding of adult protection issues, this promotes protection of residents from abuse. EVIDENCE: The home has DMBC policy on Adult Protection and Whistle blowing, and therefore have the appropriate policies and procedures in place for dealing with adult protection. Discussion with staff confirmed they were aware of these polices and procedures, however some staff requires training and updates on adult protection, and this must be addressed by DMBC. Plantation View DS0000032827.V268991.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): 19 24 The home is clean and tidy and communal facilities within the home look well maintained and homely but parts of the home would benefit from being refurbished, although this does not affect residents wellbeing, it would provide a pleasant living environment. EVIDENCE: Improvements to the décor, and the replacing of the ceiling tiles within the home have made a vast improvement to the communal facilities within the home; it looks well maintained and homely. But the home has been opened over twenty-five years and some area have not been upgraded or refurbished since this time, for example all the bedrooms still have the same bedroom furniture and are showing signs of wear and tear. Good practice recommendations have requested that DMBC to provide a refurbishment plan for the home, but no evidence was seen that they have produced such a document. Although this does not affect resident’s wellbeing, Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 15 it does not provide residents with an environment that as been updated and refurbished on a regular basis. Random bedrooms seen most had been personalised, some of these had been redecorated which enhanced the look of these rooms, two bedrooms have recently become vacant were identified as requiring refurbishing re stains on carpet and marks on walls, this work must be done before they are allocated to any other resident. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 16 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 30 The home has a very stable staff group, who have the skills and knowledge to fulfil their roles within the home; this ensures that residents receive continuity of care. DMBC must fulfil the vacancies factor at the home, has this could have an affect of the wellbeing of residents and the staff group at the home. EVIDENCE: Staffing numbers were discussed with the staff and duty rotas examine. The duty rota clearly identifies who was in charge and their role and although it shows sufficient staff to meet resident’s needs; staff working extra shifts and days off, to ensure staffing levels remain satisfactory. The home still has staff vacancies that were identified in the previous Inspection in May2005. Other issues raised about staffing numbers the home provide day care places for three service users, no evidence was seen that the home allocate extra staff for this. Ancillary staff is employed in sufficient numbers to ensure that all standards relating to food, meals and nutrition are met, and that the home is maintained in a clean and hygienic state. Staff continue to develop their skills by attaining NVQ level 2 or 3 in care, this was discussed with the person in charge and records show that 7 care staff have completed their training and 4 other staff are on NVQ courses, the home Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 17 also have three NVQ assessors within the home. The staff team were observed to carry out their duties in a professional manner and show consideration for the residents individual needs, and appear to work effectively together. Staffs personal employments files are kept centrally by DMBC and have to be requested to examined in the past have always met the standards, and were not requested at this inspection. The home has a very stable staff group, who have the skills and knowledge to fulfil their roles within the home; however staff interviewed and records show that a number of staff require updates in moving and handling, health and safety, and infection control. Some of these difficulties are because staff shortage, also the amount of training courses they can access. This remains outstanding from the previous inspections and must be addressed by DMBC to ensure staff has the necessary training and updates to meet the needs of residents. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 18 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 38 The homes records show that resident’s financial interests are safeguarded and that residents health, safety and welfare is promoted and protected by staff, but DMBC must ensure that staff receive training updates to provide evidence that residents are safeguarded and protected. EVIDENCE: Resident’s finances were discussed with the homes administrator and records checked, all of which was found satisfactory with appropriate records kept and secure facilities. Safe working practice was observed on the day and records checked, records indicate that safe working practice within the home takes place, e.g. all aspects of fire safety and water temperatures are checked on a regular basis. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 19 The fitting of magna locks as improved residents safety within the communal areas of the home. There is a variety of moving and handling equipment in the home, and evidence was seen of the appropriate servicing of this equipment, but issues were raised as not all staff have had moving and handling training or updates in the last twelve months and this must be addressed as soon as possible. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 20 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X 2 X X STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP18 Regulation 13(6) Requirement Protection procedures; The Registered person must ensure that staff has training in abuse policy and procedures to prevent service users being placed at risk. Bedrooms must be refurbished before being allocated to other service users. Staffing; Must be appropriate to meet service users needs and layout of the home in accordance with the guidance recommended by the department of health. Recruitment of staff to fill the vacancies within the home to ensure staffing numbers remains adequate. Staff Training, The Registered provider must ensure that staff can access and receive training and updates, so they are trained and competent to do their job. Health and Safety, all staff must have training and updates in moving and handling. Timescale for action 01/02/06 2. 3. OP24 OP27 23 18(1) 01/02/06 31/01/06 4. OP27 18(1) 31/03/06 5. OP30 18(1) 01/02/06 6. OP38 12(1)(a) 13(4)(c) 31/01/06 Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 22 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. 2. Refer to Standard OP12 OP28 Good Practice Recommendations Service users must have the opportunity to satisfy their social and recreational interests. Re activities organiser being employed. 50 of care staff achieves a care NVQ 2 by 2005. Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Plantation View DS0000032827.V268991.R01.S.doc Version 5.0 Page 24 - 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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