Inspection on 30/01/06 for Plymbridge House

This inspection was carried out on 30th January 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 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

Plymbridge House 14/02/08

Plymbridge House 20/02/07

Plymbridge House 13/09/06

Plymbridge House 06/07/05

Plymbridge House 30/11/04

Plymbridge House 06/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Plymbridge House Plymbridge Road Plympton Plymouth Devon PL7 4LD Lead Inspector Graham Thomas Unannounced Inspection 30th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 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. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Plymbridge House Address Plymbridge Road Plympton Plymouth Devon PL7 4LD 01752 345720 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) www.peninsularcarehomes.co.uk Peninsula Care Homes Ltd Kathleen Shopland Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (32) Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users from the age of 60 may be admitted to the home. Date of last inspection 6th July 2005 Brief Description of the Service: Plymbridge House is a detached property situated in the residential area of Plympton. The Home is registered to provide residential accommodation and personal care, for a maximum of 32 persons over the age of 65 for reasons of old age who may also have dementia or physical disability. The home has 32 single bedrooms, 16 of which have en-suite facilities: 7 of these have en suite baths. There are 3 bathrooms, all fitted with bath hoists and one with a shower cubicle. On the ground floor there are 3 lounge rooms and a dining room. A stair lift provides access from the ground floor to both 1st and 2nd floor levels. There is a call bell system throughout the home. Residents are enabled to access any health or social care services they require and various social activities are arranged by the home. The garden is attractive, spacious and accessible to the Residents. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this unannounced inspection was to complete the inspection of key standards for this inspection year and monitor progress made in respect of previous requirements and recommendations. During the inspection, the Inspector spoke individually with six residents and four staff. Various issues were discussed with the Registered Manager. A sample of care plan files was examined and a number of other documents concerning the running of the home. What the service does well: 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. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 6 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 Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 7 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 Prospective residents can feel confident that appropriate assessments will be made to ascertain if the home can meet their needs. EVIDENCE: The care plans of recently admitted residents contained pre-admission assessments of need. These are undertaken by Mrs Shopland the Registered Manager, and Mrs Henwood. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 8 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, 10 Residents are treated with appropriate respect and their health, personal and social care needs are being adequately met. EVIDENCE: Findings in respect of plans of care remain unchanged since the last inspection. Those care plans sampled, detailed the care needs of the residents as well as any risks related to residents’ memory loss and poor mobility. Risk assessments regarding nutrition and skin care identified additional needs. The care plans had been reviewed and updated regularly. Specialist advice is sought when necessary from Community Mental Health Nurses, District Nurses and the continence advisor. Residents commented that they had ready access to the medical care they required and that this was promptly sought if necessary. One resident discussed recent treatment for cataracts and others confirmed regular chiropody treatment. Staff were observed treating residents with respect. Those with whom the inspector spoke all felt that their dignity was upheld in matters of personal Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 9 care. Residents confirmed that medical and other consultations took place in private. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 10 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): 13, 14, 15 Contact with relatives and friends is well supported by the home. Choice is promoted for individuals and dietary needs are well catered for. EVIDENCE: Residents all confirmed that their visitors were routinely made welcome by staff and that visiting arrangements were flexible. All felt that they would be able to decline to receive a person whom they did not wish to see. Facilities are in place to enable residents to maintain telephone contact with friends and relatives as they wish. During the course of the inspection, choices made available to residents became evident. The daily routines of individuals were understood by staff and respected. Some chose to spend time in their rooms while others joined fellow residents in the home’s lounges. Some residents commented favourably on the variety and choice in their diet and others discussed with the Inspector their individual and group interests. Food was described by residents as plentiful and varied. Discussion with kitchen staff confirmed that choice was available and that individual dietary and nutritional needs were understood. The care plans examined contained evidence of detailed dietary and fluid monitoring for individuals with specific needs. Records are kept of meals actually taken by residents. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 11 Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 21, 24 and 26 Plymbridge House provides a homely, clean and comfortable environment for its residents. EVIDENCE: The communal accommodation at Plymbridge House is spacious and furnished and decorated in a comfortable, domestic style. All areas were found to be well lit, heated and ventilated. On inspection, the home was found to be clean and commendably free from offensive odours. Cleaning was taking place during the inspection. Since the last inspection, the bathroom and toilet on the ground floor have been refurbished. A maintenance file as well as observation provided evidence of ongoing refurbishment and maintenance. Those residents’ rooms visited were clean and comfortable. Personal possessions were in evidence including items of furniture which individuals had brought to the home. At the last inspection it was recommended that newly admitted residents should be offered locks to their rooms where these were not already fitted. At this inspection no new locks had been fitted. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 14 Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 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): 29 and 30 Residents are cared for by trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices are generally sound. EVIDENCE: Very favourable comments were made by residents about the attitude and approach of the home’s staff who were described as kind and respectful. Each resident has a key worker with specific responsibilities in relation to their care. The workers interviewed demonstrated an understanding of the needs of the individuals for whom they were responsible The staff interviewed were all either qualified to at least NVQ level 2 or commencing this training. All described additional short courses they had attended. These included health and safety topics as well as subjects relevant to residents’ needs such as dementia, and the protection of vulnerable adults from abuse. The Registered Manager stated that examinations were imminent for staff who had recently undertaken food hygiene training. At the time of inspection, the home was running efficiently and residents needs were being met, indicating adequate staffing levels. Staff had recently been recruited from abroad. Though documentation was available, not all the required checks were available in the home for inspection. Other staff files contained all the required documentation. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 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 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): 38 The health and safety of residents is appropriately safeguarded by the home’s procedures and practices. EVIDENCE: Standard 38 was not inspected in full. However, in compliance with a requirement made at the last inspection, an electrical safety certificate was produced, dated 6th September 2005. Observational evidence suggested that the home was being well maintained. This was further confirmed by records in the home’s maintenance file. Risk assessments were seen both for individuals and environmental risks. A fire risk assessment was also seen. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 17 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 X 17 X 18 X 3 3 3 X X 3 X 4 STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 18 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 29 Regulation 17 Requirement Copies of all documents relating to the recruitment of staff, including Police checks, must be available for inspection in the home Timescale for action 31/03/06 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 OP24 Good Practice Recommendations Door locks should offered to newly admitted residents who occupy rooms where these are not already fitted. Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Plymbridge House DS0000041564.V262487.R01.S.doc Version 5.1 Page 20 - 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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