Inspection on 30/05/07 for Plessington Court

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Plessington Court 17/07/06

Plessington Court 06/12/05

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Plessington Court The Chapel House Chapel House Lane Puddington Cheshire CH64 5SW Lead Inspector Mr Val Flannery Unannounced Inspection 30th May 2007 09:50 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 Plessington Court DS0000064346.V334092.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. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Plessington Court Address The Chapel House Chapel House Lane Puddington Cheshire CH64 5SW 0151 336 2323 0151 336 3833 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) Chapel House Care Limited Gaynor Benson Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (1) of places Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service is registered to accommodate a maximum of 19 service users in the category DE(E) (Dementia over 65 years of age) Within the 19 no more than one older service user (OP) may be accommodated to reside with their spouse/partner who has dementia Room 15 may only accommodate two service users that have made a positive choice to share and have an established relationship prior to admission, are married partners or are the same sex siblings/relatives Staffing must be provided to meet the dependency needs of service users at all times and shall comply with any guidance that may be issued by the Commission for Social Care Inspection 17th July 2006 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Plessington Court is a purpose built home for nineteen service users, aged over 65, who have dementia. It is on the outskirts of the village of Puddington and opened in August 2005. It is quite isolated and surrounded by countryside. It shares grounds with Chapel House Nursing Home that is owned by same organisation that runs Plessington Court. The home has 18 bedrooms on two floors. One room may be used as a shared room for siblings or a married couple. Plessington Court has enclosed gardens that can be used by the people who live there and their visitors in good weather. Fess range from £460.00 to £480.00 per week. The manager will give further information on fees and other costs. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 30 May 2007and lasted 6 hours. The visit was carried out by Val Flannery, Regulatory Inspector This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. People who live in the home, relatives and staff were spoken with and they gave their views about the service. What the service does well: There is information available about the home and the manager carries out assessments of people who wish to move in to make sure that their needs can be met there. Although the people who live in the home have limited communication, they are actively involved in making decisions on how they live their lives so they have some choice in what they do each day. Each person who lives at the home has a plan of care to make sure they get the level of care and support they need. Staff help the people who live at the home with the personal care they need to enable them to take part in their everyday lives. They receive the healthcare they need from doctors, nurses and others, such as chiropodists, so they stay well and healthy. The home is well looked after so that it’s comfortable and safe for the people who live there. Staff receive training and support so that they can give the best possible care to the residents. Plessington Court DS0000064346.V334092.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. The summary of this inspection report can be made available in other formats on request. Plessington Court DS0000064346.V334092.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 Plessington Court DS0000064346.V334092.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information available about the home and a thorough process used when new people move into the home so they know their needs can be met there. EVIDENCE: The copy of the service user guide seen during the visit contained information about the service offered by the home. Although it did not have all the information required by the Care Homes Regulations, the manager said the missing information would be included when the service user guide is updated. The files of two people who live in the home were seen during the visit. These contained assessments of need, one of which were carried out by staff from the home and the other was provided by the local authority that had arranged Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 9 for the person to live at the home. The assessments identified the people’s needs and care plans were in place to show how these needs were to be met. Three visitors were spoken with during the visit. They said their relatives who live at the home are very well cared for and that they knew from their first visit that ‘it was the right place for them’. They said they were given information about the home and had talked to the manager before their relative had come to live in the home. Copies of the contract of residency were seen on both people’s care files. These set out the terms and conditions for living in the home. These were signed by the relatives on behalf of the people who live in the home. Plessington Court DS0000064346.V334092.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are recorded in their plans of care. This ensures staff have information to help the people who live at the home get the care they need in the way they prefer. EVIDENCE: Two plans of care for people who live at the home were seen during the visit. These showed that visits by doctors, nurses and other healthcare professionals, for example continence advisor, are taken place and are recorded. A district nurse was spoken with during the visit. She said staff are ‘very good’ at contacting them for advice and guidance on healthcare issues. She also said staff act promptly to deal with any concerns or worries about the health of people who live at the home. The three relatives spoken with said they ‘have no worries about the residents healthcare’ and that staff are very good at informing them of any healthcare issues. One relative was very positive about the care her aunt, who is terminally ill, is receiving and felt ‘she would not be cared for better in hospital’. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 11 The senior care assistant was seen giving medication to residents. Two of the people who live in the home have difficulty in taken their prescribed medication. She said procedures have being agreed with the doctor and families to ensure they receive their medicines as prescribed. A sample of the record of medication given to people who live in the home by staff was seen during the visit. These were completed accurately. The senior care assistant said she has received training on the administration of medication. During the visit people who live in the home were seen receiving help from staff with a number of personal care tasks. This included eating their meal, using the bathroom and moving about the home. People who live in the home have a range of care needs; staff were seen offering individual care and were aware of their differing abilities. It was clear that staff knew how the people who live in the home wished to be cared for. The relatives and the district nurse said staff respect the privacy and dignity of the people who live in the home and ‘never force them to do anything’. Plessington Court DS0000064346.V334092.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. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and friends are able to visit the home at any reasonable time, which helps to make sure that the people who live in the home keep in touch with their families and the local community. EVIDENCE: The relatives spoken with said they are made to feel welcome by staff when they visit the home. They also said they are kept fully informed by staff of any incidents that affect their relatives who live in the home. Although visitors are welcome at any time the contract of residency asks that relatives do not visit at meal times or after six thirty pm. One relative was seen taking her husband to visit a local place of interest. She said she often takes him out and that staff are very good at ‘getting him ready’. A record was seen of activities that had happened during May 2007. These included Bubbly and Strawberries in the garden, morris dancers and crafts. The relatives spoken with said they have seen staff involved in various activities with the people who live in the home. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 13 Records were seen of food provided at the home. This showed that people are offered at least two choices. One of the relatives spoken with said she has seen the food offered to the people who live in the home and that it always ‘looks good’. The mealtime seen during the visit was relaxed and unrushed. A member of staff was seen helping one of the people who live in the home with her meal. This was done in a sensitive and caring manner. Two people who live in the home did not wish to have their meal in the dining room. Staff were seen taking their meal to them in the lounge. The assessed care needs of the majority of people who live in the home are such that they need staff to help them with the tasks of day-to-day living. Although communication can be difficult with some of the people who live at the home, staff were seen talking with them and providing personal care in a sensitive and caring manner. Plessington Court DS0000064346.V334092.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to deal with any complaints or adult protection issues that may arise. These ensure that the people who live at the home are listened to and protected from possible harm. EVIDENCE: The manager said the home not received any complaints since the last inspection in July 2006. Two relatives spoken with said they were made aware of the complaints procedure and whom to contact if they had any concerns or worries. One relative said the manager and staff are ‘very approachable’ and that she is able to discuss issues with them. The complaints record was seen and showed the last entry was made in March 2006. There is an adult protection procedure for the home that includes guidelines from the local authority and the Department of Healthy. Information included in the information that was sent to CSCI before this visit showed that this procedure was reviewed in March 2007. Staff spoken with knew what to do if they received a complaint or were concerned that abuse might be taking place. They said they would normally refer their concerns to the senior member of staff on duty. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 15 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, 20, 21, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well looked after so that residents continue to live in comfortable and safe surroundings. EVIDENCE: A tour of the building was carried out during the visit. The areas seen during the tour were clean, well maintained and free from unpleasant odours. The garden is secure and easy for the people who live at the home to get into. There is a large communal lounge on the ground floor. The separate dining room is next to the kitchen. Five of the eighteen bedrooms are on the ground floor. These all contain en-suite toilet and showers facilities. In addition there is a bathroom on the ground floor with a specialist bath for people who have difficulty in moving around. Access between the ground and first floor is by the passenger lift or stairs. There are eleven single and one double bedroom Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 16 on the first floor. These all have en-suite toilet and shower facilities. There is also a bathroom with a specialist bath on the first floor. A number of bedrooms were seen during the visit; these contained personal possessions of the people who were living in them. Two of the relatives spoken with were very positive in their comments about the standard of accommodation provided. They also said the home is always clean and tidy. Although the home is in a rural area, the towns of Chester and Ellesmere Port, which contain a wide range of shops and other community facilities, are a few minutes drive away. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Staff receive training and support to ensure they are able to meet the needs of the people who live in the home. Recruitment processes are in place that make sure that residents are protected from possible harm. EVIDENCE: The staffing rota seen during the visit showed that there is normally one senior care assistant and two care assistants on duty between eight am and eight pm. There are normally two care assistants on duty between eight pm and eight am. Also on duty were a cook and a housekeeper. The manager is in addition to the above numbers. Two members of the care staff team were spoken with during the visit. They confirmed they are able to go on training course such as dementia awareness, first aid and infection control and are encouraged to do their NVQ training. They also confirmed they receive support and supervision from senior staff in the home. Two staff personnel files were seen during the visit. These showed that thorough recruitment procedures are in place including two references for each member of staff and a Criminal Record Bureau Check. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 18 Three relatives were spoken with during the visit. They said staff are ‘caring and approachable’ and that they show a lot of understanding when caring for the people who live in the home. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 19 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is experienced at running services for older people and the way the home is managed ensures that it is run in the best interests of the people who live there. EVIDENCE: The manager has achieved an NVQ Level 4 and is in the process of completing her registered managers award. She has also attended a number of courses to update her knowledge on caring for people with dementia, for example, dementia awareness. Relatives and staff said the manager is supportive, approachable and will deal effectively with issues that may affect the health and well-being of the people who live in the home. During the visit she was seen reassuring and supporting the people who live in the home. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 20 Staff confirmed there is an ‘on-call’ system in place whereby a senior member of staff can be contacted for advice and guidance in the event of an emergency. A number of issues were discussed with the manager including caring for the people who live in the home, staffing and future plans, for example, improving the care planning records. The manager said it is the policy of the home that relatives manage the finances of the people who live in the home. Relatives are invoiced monthly for any expenditure people who live in the home may have incurred. The findings of a recent satisfaction survey on food that was carried out at the home were on display in the entrance hall. They showed overall satisfaction with the quality and quantity of the food provided. The manager said a survey had been carried out to find out if people were satisfied with the overall service offered by the home. However, this was sometime ago and that they were planning to carry out another one in the near future. During the visit a sample of service records were seen. These included • Passenger lift • Bath • Hoists • Portable Appliance Tests • Fire Alarm System These were satisfactory. Records were also seen of fire safety training, drills and checks on fire safety equipment and accident records. Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Plessington Court DS0000064346.V334092.R01.S.doc Version 5.2 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. 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