Inspection on 06/12/05 for Plessington Court

This inspection was carried out on 6th December 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 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 30/05/07

Plessington Court 17/07/06

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 Jayne Telfer Unannounced Inspection 6th December 2005 10:45 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.V269742.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. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Plessington Court Address The Chapel House Chapel House Lane Puddington Cheshire CH64 5SW 0151 336 2123 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.V269742.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 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 Date of last inspection Brief Description of the Service: Plessington Court is a purpose built home for nineteen service users, aged over 65, with a diagnosis of dementia. The Home has eighteen bedrooms,over two floors. One room may be used as a double room for siblings or a married couple. Plessington Court opened in August 2005 and is located on the outskirts of the village of Puddington. It is quite isolated, surrounded by countryside. It shares grounds with Chapel House Nursing Home, which is owned by the same provider. Plessington Court has enclosed gardens which can be used by residents in good weather. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took 6 hours on 6th December 2005. Three members of staff and four residents were spoken with. All core standards were looked at together with several of the other standards. A tour of the Home was undertaken, 4 care plans read and a range of policies and procedures examined. Staff and residents were both observed and spoken with. What the service does well: Plessington Court provides potential residents and their families with a good range of information on which to base a decision about moving into the Home. Thorough assessments of individual need are undertaken prior to a placement being offered to ensure that the service will meet the need of the potential resident. These assessments are used to formulate detailed plans of care for each resident. Plessington Court offers daily activities, as well as trips and social events and residents visitors are welcomed. Meals are varied, nutritious and food is plentiful. Tables are set properly and food is presented well. A good range of policies and procedures are in place, including complaints and protection procedures. Plessington Court offers a safe, well maintained and comfortable environment. Bedrooms are spacious and personalised, and all have en-suite facilities. Staff numbers and skill mix meets requirements, and staff have a good rapport with residents. Plessington Court has a clear management structure with appropriate lines of accountability. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 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. Plessington Court DS0000064346.V269742.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 Plessington Court DS0000064346.V269742.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): 1, 3 and 6 Residents and their families are provided with information on which to make a decision about moving into Plessington Court. Before moving into the Home, each resident has their needs assessed and a plan of how to meet these needs is formed. All residents have a contract with the Home and this states the terms and conditions of residence. EVIDENCE: Plessington Court has both a Statement of Purpose and Service User Guide in place which provide a range of information for residents and their families. It is recommended that the Service User Guide is presented in a more user-friendly way. Contracts between residents and Plessington Court were seen and these contain clear information about terms and conditions of residence, including fees and top up payments. Detailed assessment of needs are undertaken prior to residents moving into Plessington Court, and the assessments and care plans from other professionals are used together with this to ensure a clear picture of need is gained. A seven day assessment is carried out following a resident moving in and this good practice helps to produce a detailed care plan. Recommendation 1 Plessington Court DS0000064346.V269742.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): 7, 8, 9, and 10 Care Plans are appropriately detailed and individual. Resident’s health needs are assessed and met appropriately. The procedures and practices regarding medication are in line with requirements. Overall, residents are treated with respect and dignity, although this could be improved. EVIDENCE: Each resident has a good, detailed plan of care and an assessment of risk, which sets out their individual needs and how these are to be addressed. These plans are reviewed and the manager states that reviews with residents and their relatives take place 6 weekly. It is recommended that review dates are noted on Care Plans and evidence of resident involvement is recorded. The manager and staff have a good knowledge of the detail in individual’s Care Plans, one staff member stated that at handover of each shift, the staff discuss each resident’s needs. The personal hygiene needs of residents are recorded in individual Care Plans. Residents are well-kempt and a discreet toileting programme was observed. Good health assessments are completed, including tissue viability, nutrition, Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 10 psychological and physical health. Residents are referred to appropriate professional services as required, and visiting professionals are encouraged to complete information sheets in individual’s files, so that all staff are aware of particular health needs as necessary. The procedures for medication are appropriate and medication is stored in a locked cabinet in a secure room. The manager and senior care staff are responsible for all medication practices and this was observed to be appropriate. Overall, records for medication are in good order, although it is recommended that a separate book for recording controlled drug practices is used, rather than recording on attached sheets of paper. It is also recommended that residents are given opportunities to self-medicate as appropriate. Staff interact well with residents, addressing them politely and meeting personal needs discreetly. Residents have access to a private telephone in their own bedroom and staff assist with calls as needed. The manager described how one resident’s daughter rings at 11pm each evening and staff facilitate this by helping ensure the resident is available by the phone. It is recommended that staff assisting residents with eating do so in a discreet manner, as one staff member was observed leaning over a table of diners in order to help. The manager must ensure that staff treat residents with respect at all times, one staff member was observed pulling the face of a resident into a ‘smile’. Requirement 1 Recommendations : 2, 3, 4, 5, and 6 Plessington Court DS0000064346.V269742.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 and 15 Plessington Court offers a range of informal activities for residents, as well as organising trips and social events. Residents have opportunities to make contact with the community and for individual religious needs to be met. Residents are supported to exercise choice in their daily life. Meals are nutritious, varied and appealing. EVIDENCE: Residents said that there are varied activities during the day and staff interact socially with residents. Staff said that activities include music, dancing, craft, armchair basketball and quizzes. The manager also stated that residents enjoy going for short walks with staff or their visitors. Both a local priest and vicar visit Plessington Court monthly and hold religious services. Individual religious needs are also catered for, an example was seen with a resident who is a Jehovah’s Witness and special arrangements have been made with regard to the Christmas holiday. Trips out have been arranged and social events at the Home have been organised. Community contact is limited due to the location of Plessington Court, however, where possible efforts have been made to encourage visits and Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 12 interaction with the local village. The Manager has asked the local villagers to include the Home in their carolling circuit, and some relatives have offered to use their own contacts to set up concerts at Plessington Court. A mobile library service is also utilised, and local news and events are displayed. The manager stated that visiting is flexible and one resident was observed to be enjoying the company of a friend during lunch. Staff made sure this resident was offered a meal at a later time. The Service User Guide does state that Plessington Court prefers visits not to happen on a Monday morning, and during mealtimes. It is recommended that the wording of this policy is changed to reflect practice. It is recommended that residents are given more visual information in the Home, examples such as an activity notice board, calendar and general home information were discussed. It is also recommended that the Manager look into accessing local advocacy services. Meal time is an unhurried and social event. Tables are set with matching tableware and residents are encouraged and supported to eat together. Meals are prepared on the premises and served to residents by staff. Food is plentiful and presented well. A choice of meal is available and the manager has prepared menus for residents to see what is on offer. Residents said that food is good and they are able to ask for alternatives if they wish. Recommendations 7, 8, and 9. Plessington Court DS0000064346.V269742.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): 16, 18 Plessington Court has a comprehensive complaint procedure and policies and practices were in place to protect residents from abuse. EVIDENCE: The complaints procedure is adequately detailed and is included in the Service User Guide, it states that the home welcomes both complaints and compliments. It is recommended that more visual, user-friendly information is available in Plessington Court so that residents can more easily access the complaints procedure. The procedure regarding the protection of vulnerable adults is good, giving staff a clear and straightforward procedure to follow. Both the manager and the staff have a good working knowledge of this procedure. Staff have a good knowledge of the whistle blowing policy. Plessington Court does not handle any resident’s monies and had appropriate procedures in place forbidding staff from accepting monies as gifts and from benefiting from wills. Recommendation 10 Plessington Court DS0000064346.V269742.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. 26 Premises are safe and well maintained, offering a more than adequate shared and private space. Plessington Court is clean and hygienic. EVIDENCE: Plessington Court is a newly purpose built home. The Home employs both maiontenance and domestic staff, ensuring that premises are well maintained, clean and hygienic. The manager is also able to access trades people responsible for the building as many things are still under warranty. Plessington Court has current certificates from both fire and environmental health. Staff are trained in infection control procedures and appropriate policies and procedures are available. Laundry facilities are shared with Chapel House Nursing Home, although clear procedures are in place in order to ensure each Home’s laundry is kept separate. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 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 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, 29, 30 Staff numbers are adequate and there is a good skill mix. Staff are engaged in training and are encouraged to gain qualifications. Staff are recruited following clear and robust procedures. EVIDENCE: A clear rota with adequate staffing numbers is in place and both staff and residents say that there are enough staff on duty. Staff say that they have enough time to fulfil care tasks and to interact socially with residents. Additional domestic staff are employed at Plessington Court, which ensures the cleanliness of the Home. This also frees up staff time to spend with residents. Staff are encouraged to engage in training, with several due to commence NVQ qualifications. Evidence of certificates and attendance at various courses was seen both in staff files and also on display in the Home. Newly employed staff have a formal induction procedure, although it is recommended that more evidence is presented of this. The Manager is in the process of producing a more formal staff training programme so that information about the skill base of staff, knowledge gaps and qualification can be easily accessed. Good recruitment procedures are in place and all staff have Criminal Record Bureau and Protection of Vulnerable Adult (POVA) checks. Work permits are in place for those staff employed from overseas. Staff have copies of the General Social Care Council Codes of Practice and have clear sets of terms and conditions. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 16 Recommendations 11 and 12 Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 17 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, 38 The management structure of Plessington Court is clear with appropriate lines of accountability. The Registered Manager has both experience and skills to carry out her role. Quality Assurance procedures are in place, although have yet to be implemented. Health and safety issues are dealt with appropriately. EVIDENCE: The Registered Manager is currently studying for both NVQ 4 and the Registered Manager Award. She has experience in the caring profession and her career history is included in the Service User Guide. Lines of accountability in the Home are clear and staff state that the manager is approachable and fair. Good support is offered via the provider, who also owns Chapel House Nursing Home next door to Plessington Court. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 18 Plessington Court has formulated a clear quality assurance procedure, although this has not yet been applied It is recommended that the Manager further develops the procedure in order to find appropriate ways of gathering information from residents, staff and other stakeholders, other than just via questionnaires. Resident’s monies are safeguarded in the Home as Plessington Court’s policy is not to handle any monies. Health and Safety issues at Plessington Court are prioritised via clear procedures and regular environmental reviews. An outside agency conducts annual health and safety inspections. The laundry area is situated at the back of the Home next door (Chapel House) and staff are isolated when working here. It was suggested that the two homes work together to provide a safe solution for example installation of a call bell system. Recommendations 13 and 14. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 19 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 3 3 X X X X X x 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.V269742.R01.S.doc Version 5.0 Page 20 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. 1 Standard OP10 Regulation 12(4)(a) Requirement The Registered Manager must ensure that staff treat residents with respect and dignity at all times. Timescale for action 01/01/06 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 2 3 4 5 6 7 8 Refer to Standard OP1 OP7 OP7 OP9 OP9 OP10 OP13 OP12 Good Practice Recommendations It is recommended that the Service User Guide is presented in a more user-friendly way. Review dates should be included on Care Plans. Evidence of both resident and relative involvement should be included in review documents. A separate register for recording controlled drugs should be used. Residents should be given opportunities to self-medicate as appropriate. Staff should assist residents to eat in a discreet manner. The wording of the visiting policy should be changed to reflect practice. Residents should be given more information in a clear, user-friendly format, for example an activity board. DS0000064346.V269742.R01.S.doc Version 5.0 Page 21 Plessington Court 9 10 11 12 13 14 OP14 OP16 OP30 OP30 OP33 OP38 The Registered Manager should look into accessing local advocacy services. The complaint procedure should be displayed in a userfriendly format. The manager should produce evidence of a formal induction procedure. A formal staff training programme should be produced. The quality assurance procedure should include ways of gathering information other than just questionnaires. The manager should look into a call system in the laundry. Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Plessington Court DS0000064346.V269742.R01.S.doc Version 5.0 Page 23 - 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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