Inspection on 06/09/06 for Plantation View

This inspection was carried out on 6th September 2006.

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 15/12/05

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 Key Unannounced Inspection 6th September 2006 09:20 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.V309191.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. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plantation View Address 255 Goodison Boulevard Cantley Doncaster South Yorkshire DN4 6EJ 01302 539678 01302 533038 bron.sanders@doncaster.gov.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) 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.V309191.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 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. Fees range from £490 to £490:00per week, as at September 2006,and additional charges are made for hairdressing, Chiropody, toiletries, magazine, newspapers and transport/taxi. The Statement of Purpose and the Service User Guide, which is available on request, this as information about the services available to residents and their families. The home last published inspection report was also available on request. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 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 Key Inspection at Plantation View, which took place on the 6th of September 2006 for 7:00 hours. The home is registered for 27 beds; at the time of Inspection 26 residents were in the home this includes one on respite and one-day care, and with one resident in hospital. Pre-Inspection work was carried out for example, analysis of notifications and any other relevant documentation. During the Inspection various documentation and records were examined for example, medication records, staff rotas, staff training files and case tracking of Three residents care plans, which were cross-referenced with medication records and any other relevant documentation. This Inspection also included individual interviews with members of staff, talking to some of the residents within the home and feedback from relatives and visitors on the day. Tour of the premises and direct and indirect observation of staff interaction with residents throughout the visit and information was gathered from as many different individuals as possible that had contact with the residents in their environment. The Inspector would like to thank all the staff and residents for their cooperation in the Inspection process, and any issues or concerns that were raised were discussed with the manager at the end of the Inspection. What the service does well: The home has a good atmosphere and residents are able to wander around the home safely. 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. During the Inspection the staff team were observed to show consideration for the residents individual needs, and appeared to work effectively together. Comments received from relatives and visitors spoken to were positive about staff and the care within the home and stated that staff encourages their involvement within the home. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 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.V309191.R01.S.doc Version 5.2 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. Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to the service. All resident’s needs are met, with pre assessments being completed before they move into the home to ensure all needs will be met. EVIDENCE: The home has produced good information in their statement of purpose for service users and visitors, to provide prospective service users a clear guide to the home. All residents 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 residents 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, and a number of staff had completed dementia training, with the exception of any new staff. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 9 Scale of charges was discussed with the manager and any extras that residents pay for, which are documented on page 5 of this report. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 10 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): 7, 8, 9 and 10. Quality in this outcome area is Good. This judgement has been made using the available evidence in various documents and records including a visit to the service. Resident’s receives health and personal care based on their individual needs, the manager and her staff ensure that their health care needs are fully met, and that residents are treated with respect and their privacy upheld. EVIDENCE: Records show that each resident 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 residents likes and dislikes and the care they required, using different approaches depending on the situation and the individual. Staff at the home promote and maintain residents health and ensure they have access to health care services to meet their assessed needs. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 11 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 district nurses are involved in residents care, and records show that a number of other professionals come into the home to see residents; CPN, mental health liaison team, 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. 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. Medicines and records in the custody of the home were checked, with some issues raised, Mar sheets staff must sign when hand written and put a reason when medication is omitted. Stocks of medicines were checked and show large quantities of some medicines and that stock was not rotated on a regular basis. In past Inspection medication records have been have a good standard, therefore this was and discussion with the manager, who will be address this immediately. Controlled drugs were kept in accordance to policies and procedures; fridge temperatures were checked and recorded on a regular basis. All staff involved in the handling and administration of medications has completed accredited medications training. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 12 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 and 15. Quality in this outcome area is Good. This judgement has been made using the available evidence including observation at mealtime. Flexible choice in how residents spend their day and opportunities for residents to participate in variable activities if they wish. Residents to receive a wholesome and appealing balanced diet with a selection of choices for meals. EVIDENCE: Routines within the home appear flexible and varied, daily newspapers are available for general reading, activities was discussed with various members of staff, although the home do not employ an activities organiser they have members of staff who are very enthusiastic about providing residents with activities, and most staff do provide some form of activities either board games, singing or watching old movies. Evidence that the residents have had numerous trips out during the good weather for example barge trip, visit to the seaside. Staff that was interviewed state they encourage residents to make choices whenever possible and were able to give examples of how they ensure that residents rights are promoted and their privacy and dignity preserved, e.g. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 13 ensure that all personal care is given in private, make sure residents are appropriately dressed, call them by the name they prefer. 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. 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, evidence that the home has resident and relative meetings on a regular basis. Lunchtime was indirectly observed; food was plated before serving to residents, this is to ensure all residents received adequate portions. The meal looked appetising and residents stated food at the home was good and diner that day was very nice. Staff sat with residents and the meal was conducted in a quiet and unhurried manner. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 14 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 and 18. Quality in this outcome area is Adequate. This judgement has been made using the available evidence in various documents and records, speaking to staff and a visit to the service. The outcome is affected by a failure of the registered provider; not ensuring staff has received training and updates in adult protection, which could affect the residents. 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. 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 on the last Inspection a Requirement was issued to ensure that staff have training and updates, but this as not been addressed. This was discussed with the manager who said she was going to do some inhouse training for staff however staff shortages have prevent this happening. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 15 Therefore training and updates on adult protection must be addressed by DMBC. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 16 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, 20, 24 and 26. Quality in this outcome area is Good. This judgement has been made by a visit to the service and tour of the premises. Well-maintained and renewal of equipment ensures that residents live in a safe and comfortable environment, with private space that allows them to have their own possessions around them. EVIDENCE: Purpose built home and residents have choice of communal space, and single bedrooms. Tour of the premises found them to be clean and tidy with some new dining furniture since the last Inspection. Tour of random bedrooms found a number that had been decorated and new carpet in one of the rooms. One bedroom that as been allocated to a new resident, waiting to be admitted to the home, however this requires refurbishing as they have had a water leak in this bedroom. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 17 Other issues raised during the Inspection water temperatures in two of the bedrooms were hot and a further bedroom the tap would not stay on. The storage of toiletries was also discussed with the manager and if these are to be left in bedrooms they must risk assess each resident that they are not at risk of either drinking or eating any of the items. Laundry facilities were checked and found satisfactory, although at times they struggle with only two washing machines, given the client group. Message received from the manager to say that they are addressing the Issues raised during the Inspection regarding the premises. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 18 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, 29and 30. Quality in this outcome area is Adequate. This judgement has been made using the available evidence, talking to staff and includes a visit to the service. The home has a very stable staff group, who work very hard at providing care and fulfil their roles within the home. EVIDENCE: Staff rotas examined showed sufficient staff to meet the needs of service users, although issues have always been raised with regard to day care residents and no extra staff being allocated for these extra residents. The home is still running with long-term sickness and staff vacancies, therefore staff usually works extra shifts to ensure staffing levels remain satisfactory, and despite staffing shortages staff remain enthusiastic in their roles. 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 or 3 in care, this was discussed with the manager and records show out of the 34 care staff 11 have achieved NVQ level 2 and 6 more members of staff are working towards this, the home also have 4 NVQ assessors within the home. The home has a very stable staff group, who have the skills and knowledge to fulfil their roles within the home and work very hard at providing care and support to residents and relatives, they were observed to carry out their duties Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 19 in a professional manner and show consideration for the resident’s individual needs, and appear to work effectively together. Training records show that a number of staff has had updates in moving and handling, health and safety, and infection control since the last Inspection. 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, as the home have not had any new staff since the last Inspection. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38. Quality in this outcome area is Good. This judgement has been made using the available evidence in various documents and records, speaking to staff and a visit to the service. Residents live in a home that is managed to ensure their safety and welfare are promoted and protected, and records required by regulation and for their protection is maintained. EVIDENCE: The registered manager is competent and experienced to run the home; 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, however when water temperatures in some bedrooms were checked they were found to be hot. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 21 There is a variety of moving and handling equipment and various hoists in the home, and evidence was seen of the appropriate servicing of this equipment, was carried out with relevant certificates. The fitting of magna locks as improved residents safety within the communal areas of the home. Quality assurance was discussed with the manager and any records or audits available were checked. Resident’s finances were discussed with the homes manager and records checked, all of which was found satisfactory with appropriate records kept and secure facilities. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 22 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X X 2 X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13(2) Requirement The registered person must ensure that staff adheres to the policies and procedures for medication, 1) Hand written MAR sheets must be signed by two members of staff. 2) When medication is omitted staff must state the reason why. 3) Stocks of medication must be rotated. Protection procedures; The Registered person must ensure that staff has training in abuse policy and procedures to prevent service users being placed at risk. (Timescale of 01/02/06 not met). Assessment must be completed when toiletries are left in bedrooms, to state service users are not at risk of eating or drinking these. Timescale for action 01/10/06 2 OP18 13(6) 01/12/06 3 OP24 23 01/10/06 Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 24 4 OP27 18(1) Staffing; Must be appropriate to 01/12/06 meet service users needs and layout of the home in accordance with the guidance recommended by the department of health. (Timescale of 31/01/06 not met). Recruitment of staff to fill the vacancies within the home to ensure staffing numbers remains adequate. (Timescale of 31/03/06 not met). A minimum ratio of 50 of staff must be trained to NVQ Level 2 or equivalent as soon as possible. Water temperatures in bedrooms must be monitored on a regular basis. 01/12/06 5 OP27 18(1) 6 OP28 18(1) 01/01/07 7 OP38 13(4)(c) 01/10/06 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 OP20 Good Practice Recommendations DMBC should also look at refurbishing some areas has they have not been upgraded since the home opened in 1978. Plantation View DS0000032827.V309191.R01.S.doc Version 5.2 Page 25 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.V309191.R01.S.doc Version 5.2 Page 26 - 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. 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