Inspection on 05/05/05 for Plantation View

This inspection was carried out on 5th May 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 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 15/12/05

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 DN4 6EJ Lead Inspector Janet McBride Unannounced 05 May 2005 10.00. 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. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Plantation View Address 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ 01302 539678 None bron.sanders@doncaster.gov.uk Doncaster Metropolitan Borough Council 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) Mrs Christine Elizabeth McKay CRH Care Home 27 Category(ies) of DE(E) Dementia over 65 : 27 registration, with number of places PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 January 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 J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 that commenced at 10.00 and finished at 16.15. A number of standards were assessed and the Inspector looked for evidence that the facilities, policies and services offered lead to positive outcomes for service users. During this Inspection one-service users care plans were case tracked, and examination of a number of the homes records, including speaking to 3 service users, 5 relatives and 4 members of staff, including management. Partial tour of the building took place, direct and indirect observation of staff and services provided. One issues and concern that was raised with the management during the Inspection, this was assessed immediately by DMBC and action taken. An Immediate Requirement was left at the home regarding the ceiling and electrics in one of the homes lounge areas. Confirmation was received from DMBC that these areas had been repaired and made safe within the timescale given. What the service does well: The home has a good atmosphere and service users are able to wander around the home safely. The home have a very stable staff group, the registered manager provides leadership, guidance and direction to staff to ensure that service users receive consistent quality care. Staff spoken to on the day demonstrate good knowledge and demonstrates a keenness to develop or improve their practices with training. Occupancy levels at the home are good, and records show that service users care needs are fully assessed, and that the manager and her staff are advocate on behalf of some service users to influence a transfer to a more appropriate placement if they require nursing care. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 Service users are fully assessed and their care needs met, but prospective service users do not have a clear guide to the homes environmental standards has no evidence found that this has been updated. EVIDENCE: The home has produced good information in their statement of purpose for service users and visitors, but this requires updating referring to the homes environmental standards and which of these are not being met to provide prospective service users a clear guide to the home. All service users that are admitted to the home have been fully assessed and have a diagnosis of dementia keeping within the homes registration/statement of purpose. Evidence seen in care plans that service users had their individual needs assessed, with the relevant professionals involved. Staff spoken to on the day demonstrate good knowledge and demonstrates a keenness to improve their practices and develop a greater knowledge of this client group. Dementia training referred to in the last inspection has been addressed and evidence seen that staff are to commence Dementia training at Selby college, thereby giving staff greater knowledge of service users conditions. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 9 Each service users receives health and personal care based on their individual needs, and medication regime within the home adheres to policies and procedures set by DMBC. EVIDENCE: Records show that each service user has an individual care file, which are developed from assessment information, which includes activities of daily living, life history and preferences for care, also risk assessments relating to activities of daily living. On discussion with staff about care plans and care provided they had a great deal of knowledge about service users likes and dislikes and the care they required, using different approaches depending on the situation and the individual. Records show that the manager has been advocating on behalf of some service users to influence a transfer to a more appropriate placement where the service users needs can be best met, e.g (nursing care) PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 10 In the development and evaluation of their care plans, staff do try to involve families in service users reviews to provide a voice for those residents who are unable to advocate for themselves. Records show that Medicines in the custody of the home are handled safely in accordance to policies and procedures. All staff involved in the handling and administration of medications have completed accredited medications training, the homes recent pharmacy inspection was satisfactory, they also have a pharmacist to refer to for advice. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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) 15 The home ensures that service users receive a varied and nutritious diet, which is suited to each individual assessed need. EVIDENCE: Lunchtime was indirectly observed; Food was plated before serving to service users to ensure all residents received adequate portions. The meal looked appetising and service users stated it was very nice. Following the meal many of the service users said they had enjoyed it and had sufficient to eat. Staff sat with service users and the meal was conducted in a quiet and unhurried manner. A number of service users have been assessed by therapy staff to remain in wheelchairs when sitting at the table, to limit undue transfer which could be detrimental to the residents well being. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 Service user and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. EVIDENCE: The home has a complaints procedure, which includes contact details of the Commission for Social Care Inspection this is available in reception, along with social services viewpoint leaflet, giving residents the opportunity to express their rights. Relatives seen were aware of the complaints procedure; records examined show that the home has not received any complaints since the last Inspection. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 24 26 There have been some improvements to the decor, but some work remains outstanding and requires attention, to ensure that service users live in a wellmaintained environment. The home is clean and tidy and maintains good hygiene standards. EVIDENCE: The home has been opened over twenty-five years and some area have not been upgraded or refurbished since this time, and although this does not affect service users wellbeing, it does not provide a pleasant living environment. Tour of the premises found them to be clean and tidy. One of the homes lounge areas was found to have trailing electric wires from an area where ceiling tiles had been remove, this was an hazard and put service users safety at risk. An Immediate Requirement was made, DMBC did respond and address this issue very quickly, but a requirement made on the last Inspection for the replacement of ceiling tiles remains outstanding. The home did not have a refurbishment plan for the home. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 14 Random bedrooms seen most had been personalised and four of these had been redecorated which enhanced the look of these rooms, and one-service users delighted with the change. Laundry is well organised and provides an efficient personal service to service uses; the home had a good supply of clean bed linen and towels. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 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 28 The home has a very stable staff group, who have the skills and knowledge to fulfil their roles within the home; this ensures that service users receive continuity of care. DMBC must fulfil the vacancies factor at the home, has this could have an affect of the wellbeing of service users and the staff group at the home. EVIDENCE: Staff rotas examined showed sufficient staff to meet the needs of service users, although the home is running with a lot of long term sickness and do have staff vacancies, therefore staff usually work extra shifts to ensure staffing levels remain satisfactory. The duty rota clearly identifies who was in charge or what role staff had within the organisation giving a clear accountability of management. Staff continue to develop their skills by attaining NVQ level 2 in care. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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 33 37 38 The homes registered manager provides leadership, guidance and direction to staff to ensure that service users receive consistent quality care. Service users are put at risk by being able to access fire exits to unsupervised areas. EVIDENCE: The registered manager is competent and experienced to run the home, and during the Inspection she demonstrated a good understanding of the client group. Records indicated that safe working practice within the home takes place, e.g. all aspects of fire safety and water temperatures. The home has various hoists within the home, and records show these have the relevant certificates thereby providing mean to move people safely. During the Inspection one service user was attempting to leave the home via a fire exit door that only had a push bar. Although these doors lead to a secure PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 17 garden, which is ok in the warmer months, however in colder months these could potential put them a risk of exposure. Discussed security with the manger and staff, and it was noted that they had use a magna lock on another door within the home and would be useful on these doors if possible after consultation with the fire officer. Those records examined provide evidence that monitoring systems are in place based on seeking the views of service users to measure success in meeting the aims, objectives of the home. All other records seen were up to date and accurate with the exception of the statement of purpose giving a clear account of processes in the home. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 1 x x x x 3 x 3 STAFFING Standard No Score 27 2 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x 3 2 PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 schedule 1 Requirement The statement of purpose clearly sets out the physical environmental standards met by a home in relation to standards 20.1, 20.4, 21.3, 21.4, 22.2, 22.5, 23.3 and 23.10: a summary of this information appears in the homes service users guide. (Timescale of 31st March 2005 not met) Ceiling tiles throughout the home must be checked and replaced if necessary (Timescale of 31st March 2005 not met) Recruitment of staff to fill the vacancies within the home to ensure staffing numbers remains adequate. Identified risks to Service users safety must be eliminated,with reference to the fitting of magna locks to fire exit doors,after consultation with the fire officer. Timescale for action 1st July 2005 2. OP19 23(2)(b) 1st August 2005 3. OP27 18(1) 1st August 2005 1st August 2005 4. OP38 12(1)(a) 13(4)(c) PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 20 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 OP19 OP28 Good Practice Recommendations To provide a refubishment plan for the home. 50 of care staff achieves a care NVQ 2 by 2005. PLANTATION VIEW J55-J07 S32827 Plantation View V215943 050505 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 1st Floor, Barclay Court Heavens Walk 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. 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