Inspection on 29/10/07 for Portelet House Residential Care Home

This inspection was carried out on 29th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Portelet House Residential Care... 26/01/07

Portelet House Residential Care... 09/01/06

Portelet House Residential Care... 27/06/05

Portelet House Residential Care... 26/08/04

Portelet House Residential Care... 23/04/04

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

CARE HOMES FOR OLDER PEOPLE Portelet House Residential Care Home 22 Grand Avenue Southbourne Bournemouth Dorset BH6 3SY Lead Inspector Jo Palmer Key Unannounced Inspection 29th October 2007 10:00 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 Portelet House Residential Care Home DS0000003973.V353223.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. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Portelet House Residential Care Home Address 22 Grand Avenue Southbourne Bournemouth Dorset BH6 3SY 01202 422005 01202 433362 portelet@gmail.com 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) Portelet Care Limited Mr Jean Alain Henri Moocarme Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14) Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. In addition to registered places a day care service of up to 7 hours per day may be provided for one person in the categories MD(E) DE(E). 26th January 2007 Date of last inspection Brief Description of the Service: Portelet House is a care home for up to 14 older people with dementia or mental disorders over sixty five years of age who also have need of personal care. The home also offers respite care and day care. Portelet House is part of Portelet Care Ltd. The Proprietors are Jean Alain Henri Moocarme and David Lallana. Mr Moocarme takes an active role in the running of Portelet House and is registered as the manager. Portelet House is located in the centre of the Southbourne area of Bournemouth. It is a short walk to the cliff top, sea views and also to the shops and local community facilities. Portelet House is a double fronted detached converted property. There is a paved area to the front of the house and off street parking is available. At the rear of the home there is an enclosed courtyard / garden. Service user accommodation is over 3 floors with a 2-person passenger lift that enables easy access around the home. There are 10 single rooms and 2 double rooms available. Eight of the single rooms and both double rooms have en suite facilities. The home has a comfortable lounge, adjoining dining area and conservatory, overlooking the rear garden. Current fees are £485 to £550. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_c hoos.aspx Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 29th October 2007 between 11.00 and 14.00. Mr Henri Moocarme, joint owner of Portelet Care Ltd and registered Manager for Portelet House was not available, the assistant manager assisted competently throughout the inspection. The main purpose of this key inspection was to check that the residents living in the home were safe and properly cared for and to review progress in meeting requirements and recommendations made at the previous inspection. The inspector was made to feel welcome in the home throughout the visit. Three service users and two members of staff were spoken with, the inspector took a tour of the premises and examined relevant records. The Commission for Social Care Inspection sends questionnaires to service users, their relatives, staff and visiting professionals in order to obtain feedback about the services provided, an Annual Quality Assurance Assessment (AQAA) is also sent for completion by the manager/responsible person, the completed AQAA was used to inform parts of this inspection visit. What the service does well: Portelet House ensures that any resident who wants to move into the home has a thorough assessment of need prior to doing so in order that they can be assured that the home is able to meet those needs. Following assessment, a care plan is written which provides staff with clear detail and instructions on how needs are to be met, resident’s needs are met in a respectful manner which upholds their dignity. Social care arrangements are organised in a way that ensures residents individual and collective social, cultural and recreational needs are met and residents are encouraged to make choices and maintain contact with their friends, families and the local community. Mealtimes offer residents a time for social interaction with each other and with staff and food is provided that generally meet resident’s dietary requirements. Portelet House has in place policies and procedures to ensure residents protection whilst living at the home. The home is well maintained and decorated and equipped to an acceptable standard, resident’s rooms meet their needs and they are able to personalise their own space. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 6 Portelet House employs sufficient numbers of staff who receive training in areas needed to maintain the resident’s and premises in terms of health and safety There are good systems in place to ensure the smooth running of the home, the registered manager is supported by a competent, well informed assistant manager. 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. Portelet House Residential Care Home DS0000003973.V353223.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 Portelet House Residential Care Home DS0000003973.V353223.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): 3 (standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed pre admission procedure is in place and assessments are consistently undertaken to ensure that only residents whose needs can be met by the home are offered places there. EVIDENCE: Recently completed pre admission assessments were seen for residents. Before agreeing to move into to the home a person’s needs are fully assessed. The needs of the resident are assessed using a set format that has been developed to take into consideration their health and welfare needs. The records indicated that the needs and circumstances of the people had been properly taken into account. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 9 Where residents have assistance with their funding arrangements by a local authority, a copy of the local authority assessment and care plan is also held and available for staff reference. Portelet House Residential Care Home DS0000003973.V353223.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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A structured system of care planning is in place to provide staff with the information they need to meet the health and personal care needs of residents although assessments need to be in place to ensure these care plans remain current and records need to be held consistently The principles of respect, dignity and privacy are put into practice. EVIDENCE: Information obtained from pre-admission assessments, local authority assessments and on-going assessments within the home are used to inform the care planning system to ensure that all a resident’s health and welfare needs are addressed. A structured care planning approach was seen which demonstrates use by staff and collaboration with, where appropriate, other health and social care professionals and the resident’s representative. The result is that care documentation provides staff with detail of how to meet each Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 11 residents needs in their daily routine and approach to care. Residents spoken with who were able to comment, confirmed that they were well cared for by a caring and respectful staff team. Daily records are held for each resident which, in the main, detail any significant events, care received and social and emotional welfare. One anomaly was noted where there was no entry in the resident’s daily record for 20 days, an entry stating that the resident had been seen by their GP and prescribed anti-biotics was not concluded, the next entry, 20 days later, discussed part of the daily routine. The resident had, it was evident from discussion with staff, been confined to bed due to general frailty although there was no indication of the care provided for a significant period of time. A requirement of the previous inspection is repeated regarding nutritional assessments. One care file examined evidenced from general assessment, that the resident had recently experienced some weight loss, the assessment concluded that a nutritional assessment should be undertaken, this had not occurred. Examination of medication storage and records indicated that a safe system of medication management is in operation. Records of medicines received into the home, those given to residents and those disposed of when no longer required were in accordance with stocks held. Most medicines are issued from the supplying pharmacist in blister packs (MDS), those that are not suitable for this type of dispensing are issued in their original containers, the container is dated when opened to ensure an accurate audit trail can be maintained. Portelet House Residential Care Home DS0000003973.V353223.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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning arrangements incorporate people’s social, emotional and religious welfare and activities are provided accordingly. Resident’s family and friends are able to visit freely and residents can go out into the local area if able, residents are encouraged to make choices regarding their care and social arrangements. Meals in the home are generally well accepted by residents. EVIDENCE: Portelet House offers its residents a range of activities to suit their individual tastes and preferences, assessments include social, cultural and recreational needs and evidence that these are addressed is held in daily reports and records. Some of the residents are able to go out and enjoy activities in the local area, two attend local tea dances and mini-bus trips are arranged three times each week to take residents to local places of interest such as the New Forest, Poole Park etc. Residents spoken with confirmed that there was sufficient activity and they were able to make choices; it was evident that for those less able to participate or make independent choices, there was a buzz of activity in the lounge area with a constant staff presence. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 13 Records indicated that friends and family are able to visit and join in some of the social events including staying for meals at the home. Residents variously commented that the food provided was ‘good’, ‘ok’ and ‘not like you have at home’, all however confirmed that there was sufficient food available in three meals each day and with snacks available in between meals if they wanted. There is a set menu which, at the time of inspection was being reviewed, the menu does not offer a choice of dishes to residents although the cook, and residents confirmed, that if they did not like a particular meal that was being served, alternatives were easily prepared. Portelet House Residential Care Home DS0000003973.V353223.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training programmes are in place to protect the residents living at the home; residents and the home can be reassured that they can express any concerns they may have. EVIDENCE: A complaints procedure is in place that details the action to take should any resident, relative or other person with an interest in the home raise any concerns. The assistant manager confirmed that no complaints had been received although was aware of the need to keep records of any complaint along with a documented response. Adult protection policies are held in line with local authority guidance and provide staff with information to follow should any incidents or allegations be made; All staff have attended appropriate training regarding adult protection issues. No incidents have been reported. Portelet House Residential Care Home DS0000003973.V353223.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, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at Portelet House live in safe, clean, well maintained surroundings. EVIDENCE: A tour of the premises confirmed that Portelet House is generally well maintained. The home provides a warm and informal environment. It is well decorated throughout. Lounges and dining areas are comfortably furnished and provide a sociable meeting place for residents. Bedrooms are comfortably furnished and residents are able to bring some of their personal items to furnish and decorate their rooms; there are communal bathrooms and toilets around the home. There is a passenger lift in the home, enabling easy access between the floors. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 16 There are emergency alarm bells throughout the home, in bedrooms, bathrooms and communal areas. The home was appropriately ventilated and a reasonable temperature, Since a requirement of the last inspection, radiators and exposed pipe-work that pose risk have been guarded to prevent accidental scalding and risk assessments are in place for individual residents to identify any additional control measures needed to secure against this risk. A laundry facility is available which includes a domestic and commercial style washing machine and a tumble dryer. A requirement of the last inspection has been partially addressed, the door to the laundry has been repaired and the home’s annual quality assurance and development plan identifies that the laundry room will receive attention in the next 12 months. The specific issues are to ensure there is a non-permeable covering to the floor and walls to prevent cross infection. The home has an infection control policy. They have obtained the most up to date guidance from the Department of Health e.g. Essential Steps to Safe Clean Care but are yet to check that their policy is consistent with the guidance. Portelet House Residential Care Home DS0000003973.V353223.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient, well-trained care staff are employed and deployed to meet the care needs of residents. EVIDENCE: Staffing rosters are in place that show there are four staff on duty each morning and afternoon and two each night. Mr Moocarme, registered manager is not shown on the rota. One member of staff employed has attained NVQ level 2 in care, two more are booked to start this training. Two staff have attained level 3 NVQ and one is currently undertaking this award, two staff have nursing qualifications obtained overseas which are to be confirmed as NVQ level 3 equivalent. The assistant manager has attained NVQ level 4 in care. Staff personnel files examined evidenced that safe recruitment practice is undertaken; an application is completed, interview held and recorded, references obtained and Criminal Records Bureau and POVA checks are undertaken. Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 18 Staff training files examined evidenced that all staff have either attended or are booked to attend, statutory training events including food hygiene, infection control, first aid, moving and handling, health and safety and medication and adult protection. Portelet House Residential Care Home DS0000003973.V353223.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 and 38 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 organised and the daily management and running of the home centres round the care of residents. Management practices and records kept, confirm the health and safety of people in the home. EVIDENCE: Henri Moocarme is joint owner of Portelet Care Ltd and also registered manager; there is also an assistant manager in post. Effective administrative processes evidence the good organisation of the home. Mr Moocarme needs to evidence however, the time spent in the home in his role as registered manager (see standard 27) Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 20 The Commission for Social Care Inspection send all care homes an AQAA (Annual Quality Assurance Assessment) to complete prior to inspection. A completed AQAA which provided detail of the home’s intention to continue to monitor and evaluate quality of service provided was submitted which identifies what the home feels they do well and sets out their plans for improvement over the next twelve months. In order to protect residents, it is the policy of the home not to have any involvement in their personal finances. Therefore, any resident unable or not wishing to handle their own affairs has a relative or other representative to deal with their finances etc. The home’s fire exits were not obstructed and fire fighting appliances were in place and evidenced regular servicing, staff have received training. The homes up to date fire risk assessment was seen, the registered persons are reminded that since a change in the legislation in October 2006, it is their responsibility to ensure that a reviewed fire risk assessment is available for inspection by the local fire authority Appropriate notifications about incidents and accidents are made to the Commission as required by law. Portelet House Residential Care Home DS0000003973.V353223.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 3 STAFFING Standard No Score 27 1 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 yes Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 14 Requirement Records relating to residents care must be up to date, relevant and reviewed and detail all aspects of care provided. The registered person shall ensure that residents’ health and welfare is promoted and any risks to the health of residents are identified and as far as possible are either eliminated or minimised. A formal nutritional and manual handling risk assessment needs to be carried out for all residents, so that the home ensures that it has assessed and identified any presenting risks and how to minimise them. Where necessary there must be regular monitoring of weights and individual recording of food and fluid intake. This requirement is repeated for the second time. 3. OP27 17 The hours worked by the registered manager must be shown on the staff rota to evidence time spent in the home and in what capacity. 31/12/07 Timescale for action 31/12/07 2. OP8 13 and 15 31/12/07 Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 23 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 Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Portelet House Residential Care Home DS0000003973.V353223.R01.S.doc Version 5.2 Page 25 - 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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