Inspection on 06/07/05 for Plymbridge House

This inspection was carried out on 6th July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Plymbridge House 14/02/08

Plymbridge House 20/02/07

Plymbridge House 13/09/06

Plymbridge House 30/01/06

Plymbridge House 30/11/04

Plymbridge House 06/07/04

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Poldhu

Queensmount

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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 Plymouth Devon PL7 4LD Lead Inspector Jane Gurnell Announced 6 July 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Plymbridge House Address Plymbridge Road, Plympton, Plymouth, Devon, PL7 4LD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 345720 robinfrin@aol.com Peninsular 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 D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service Users from the age of 60 may be admitted to the home. Date of last inspection 30.11.04 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. Service Users 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 Service Users. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on 6th July 2005. The focus of the inspection was to consult with the residents and to review the care planning process. Mrs Kathleen Shopland, the Registered Manager, and Mrs Janet Henwood were present and they and her staff team assisted the inspector throughout the inspection. Mrs Anne Taggart, Care and Operations Manager for Peninsular Care Homes was also present. The inspector spoke to 21 residents and 3 relatives, toured the building and examined the care plans and documentation relating to the management of the care home. Resident and relative comment cards provided by the Commission for Social Care Inspection and completed prior to the inspection, independent from the staff at Plymbridge House, gave very positives comments about the home and the care and services provided. What the service does well: What has improved since the last inspection? What they could do better: Some bedroom doors do not have door locks due to the memory and confusion of the residents occupying these rooms at present: locks should be provided should new residents who could manage a lock be admitted. A copy of the electrical safety certificate must be send to the Commission. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 6 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 D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4, 5 The assessment process ensures that residents can be confident that care staff are aware of their needs prior to their admission and are able to meet those needs. Documentation provides clear information regarding the services provided. EVIDENCE: A new brochure detailing all the Peninsular Care Homes provides further information in addition to the Statement of Purpose and Service User Guide; these are available in the entrance hall. Residents and relatives are provided with clear descriptions of the services provided at Plymbridge House prior to making a decision to move in. Prospective residents are invited to visit the home to meet with the staff and other residents. Mrs Shopland and Mrs Henwood undertake pre-admission assessments and these were evident for 2 newly admitted residents. Staff receive training to ensure they have the skills necessary to care for older people and those with dementia. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11 Residents’ health, personal and social care needs are being met and residents are treated respectfully. The home’s practices relating to medication administration protect the residents from risk. EVIDENCE: Those residents able to comment said that they were very well looked after and that nothing was too much trouble for the staff. The inspector observed those residents with confusion being treated respectfully by the care staff. 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. Mrs Shopland described the additional steps being taken to ensure the safety of a newly admitted resident whilst respecting his choice and right to live as independently as possible. Mrs Shopland and the staff described the care offered to those residents who are terminally ill and letters of thanks had been recently received from a family whose relative had been cared for before her death at the home. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14,15 Social activities are managed well and provide daily interest for the residents. Meals are nutritious and varied. EVIDENCE: Residents commented how much they enjoy the daily activities organised by the care staff. A programme of activities was on the notice board and included in-house activities and trips to local places of interest and musical concerts. Many of the residents had significant memory loss and information relating to advocacy services for them and their families was provided in the main entrance. Three visitors said that they were made very welcome and that they felt their relatives received very good care. Residents said that the food was plentiful and very good. Drinks and snacks were available at all times. Records of diet and fluid intake were recorded for those residents with additional nutritional needs. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: Those residents able to comment said that they had confidence in the Registered Manager and her staff and felt safe and well cared for. No complaints had been received since the last inspection. The complaints procedure was available in the entrance hall allowing residents, relatives and visitors to comment upon the services and care provided. Care staff had received training relating to the protection of vulnerable adults. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25, 26 The residents live in a pleasant home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: Residents said that they found the home warm, spacious and comfortable. There are three lounge rooms and a dining room which provide ample communal space and a feeling of living in a much smaller home. The home was in a poor state of repair when purchased by Peninsular Care Homes Ltd and ongoing repairs and refurbishment are ensuring that the National Minimum Standards are being met. The home was found to be very clean and completely free from offensive odours. Infection control practices protect residents and staff from cross infection. Radiators are covered and hot water temperatures controlled protecting residents from the risk of burns and scalds. Bedrooms are of a good size and are nicely decorated: many provide en suite facilities. Door locks have not been fitted to the bedrooms of those residents with severe confusion who, Mrs Shopland felt, could not manage a lock. The garden is large and provides a pleasant, safe environment for residents. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 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 protect vulnerable residents. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. Care staff are supported by catering and domestic staff. Eighty-two percent of staff had an NVQ qualification and the remainder were in training. All care staff received dementia care training in April 2004 and a further distance-learning course is being planned for later in the year. Mrs Taggart said that the statuary courses, such as first aid, fire safety and food hygiene were organised centrally for all the staff of Peninsular Care Homes. Those staff files examined contained the required documentation. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, 37, 38 Residents live in a well managed home. The Registered Manager and the staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights. EVIDENCE: Residents said that they feel safe and secure in their home and that the home was well managed. Mrs Shopland and her staff team have worked hard over the past year to ensure the home meets the National Minimum Standards. Staff supervision is provided formally and informally and records of these were available. Staff meetings are held every 3 months and address issues relating to the care of the residents and the management of the home. Quality assurance surveys have recently been sent to residents and their families to ensure that the home continues to meet residents’ needs and allows comment upon any areas for improvement. Mrs Taggart, the Care and Operations Manager, undertakes unannounced visits to the home and meets with residents, relatives and staff as well as reviewing the care plans and other Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 15 documentation relating to the management of the home. Senior care staff meetings are held every week to ensure consistency with residents’ care. Inspection of the fire logbook indicated that the required weekly and monthly testing of the fire alarm system was being undertaken. Staff had received fire safety training in April 2005. Servicing records were available indicating that electrical equipment, the central heating and hot water boilers were being regularly serviced and maintained. Remedial work was being undertaken prior to an electrical safety certificate being issued. The kitchen was found to be clean and tidy and records of fridge and freezer temperatures were recorded daily indicating that regular cleaning and monitoring were being undertaken. Twenty-six staff are undertaking a certificated distance-learning Health and Safety course. Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 3 2 Plymbridge House D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 Requirement The Registered Provider must provide an electrical safety certificate. Timescale for action 31.10.05 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 D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 D52-D04 S41564 Plymbridge House V224173 060705 Stage 4.doc Version 1.30 Page 19 - 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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