Inspection on 29/12/05 for Portland House

This inspection was carried out on 29th December 2005.

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

Portland House 22/09/06

Portland House 02/09/05

Portland House 23/02/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Portland House Portland Road Kirby Muxloe Leicestershire LE9 2EH Lead Inspector Keith Charlton Unannounced Inspection 29th December 2005 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 Portland House DS0000061981.V275198.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. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Portland House Address Portland Road Kirby Muxloe Leicestershire LE9 2EH 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) 0116 2386444 T.Roundtoit@aol.com Ms Karen Stevenson Mrs Teresa Poynton Ms Karen Stevenson Care Home 19 Category(ies) of Dementia - over 65 years of age (7), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (7), Old age, not falling within any other category (19) Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers No person falling within categories MD(E) or DE(E) may be admitted to the home when seven persons in total of these categories/combined categories are already accommodated in the home. 2/9/2005 Date of last inspection Brief Description of the Service: Portland House is a long established home in the village of Kirby Muxloe and is situated in a quiet residential part of the village. The rooms in this home are a mixture of double and single occupancy and many have a pleasant view over the gardens. The home is generally well decorated and comfortably furnished. The home is continuing to upgrade redecoration in 2005.The gardens form an attractive area for service users to use if they wish to sit outside. There are a variety of lounges and service users can choose to sit in whichever one they choose. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Home’s Registered Manager and Deputy Manager were on duty. Planning for the Inspection included reading the notifications of significant events sent to the Commission for Social Care Inspection and the Requirements from the last Inspection Report. There have been no complaints regarding the service since it was taken over by the Registered Providers. The Inspection took place between 9.45 and 13.50 and included a tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke to five residents, three members of staff, one relative and the Registered Manager. What the service does well: Service users again said that the food was good, staff were friendly, activities were organised including the recent outing to the carol service, visitors are made welcome, that they liked their rooms, there is always a choice of food for each meal and they did not have any petty rules to observe. Staff were again observed to be friendly and respectful towards service users. The relative spoken to praised the service provided and said staff were always welcoming. Service users are encouraged to retain their independence and service users able to do so can self medicate – one service user undertakes this at present. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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 Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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): These National Standards were not inspected on this visit – please refer to the last Inspection Report. EVIDENCE: N/A Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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 Service users are treated with respect and have Care Plans that staff follow. EVIDENCE: Both of the tracked service users identified had a particular plan of care though there were some gaps regarding some health checks. The Registered Manager said that Care Plans would be reviewed and the format changed so that they were more comprehensive. The service users spoken with said staff were caring towards them: ‘You won’t get a better home than this’. ‘It doesn’t matter what you ask it will be done quickly’. ‘Staff could not be kinder to me’. ‘I didn’t think I would like it at first but its very homely and staff are lovely’. Staff were observed to be friendly and respectful in their dealings with service users. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 10 Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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): 14 Service users are assisted to have choice and control over their lives. EVIDENCE: Though there is a high level of service users with mental disabilities, the service users spoken with said there were no rules, that they could go to bed and get up when they wanted, request additional baths etc. One service user is able to keep and take his own eye drops. There are service user meetings and relatives are also invited. The suggestions from the October 2005 meeting were more pictures in the lounge, a request for tripe and onions and to attend outside carol service (which some service users recently went to. The cook and Registered Manager said action had been taken to change the fish supply to avoid bones in the fish, which could have posed a Health and Safety risk to service users. Portland House DS0000061981.V275198.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): 16 Service users/their representatives can be confident their concerns will be properly attended to. EVIDENCE: Service users said there was no need to complain about anything but if they did then they were confident the Registered Manager would follow this up. A relative spoken to said that if she mentioned anything then it was immediately put right and she felt able to mention anything as the staff provide such a good service. Portland House DS0000061981.V275198.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): 19,26 Facilities are odour free and generally attractive though in further need of improvement. EVIDENCE: Service users said they were satisfied with their bedrooms. The home was found to be clean and tidy and odour free. Facilities need to continue to be upgraded to ensure that repainting is carried out with regard to doorways, skirting, paintwork to some toilet en suites, the ground floor toilet and outside windows. There was no heating to a ground floor toilet. The Registered Manager said the roof has now been repaired. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 14 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): 27,30 Staffing levels meet service users needs and staff training is generally well planned. EVIDENCE: Staffing levels for the week beginning 26/12/05 were found to meet required levels – there are a minimum of three care staff on each daytime shift. The Registered Manager is to organise domestic cover seven days a week instead on the present four days a week so that care staff are free to carry out essential care duties. A number of care staff have just completed National Vocational Qualification level 2 courses and staff are encouraged to take level 2 and 3 courses. There is a training matrix, which identifies the training needs of staff. Training is needed on depression and strokes for staff. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 15 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): 35,38 Service users monies are kept securely and the Registered Manager ensures the Health and Safety of service users. EVIDENCE: Monies were checked for some service users and found to be correct. Records showed balances and receipts were properly kept. The Registered Manager is to ensure that there are two signatures for each transaction. There are Policies and Procedures regarding Health and Safety issues with Risk Assessments kept. The Registered Manager is to review these to ensure there are comprehensive, e.g. working with ladders, lifts etc. The hot water temperature was found to be within the National Standard. Most radiators have covers except low risk radiators. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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. 2. 3 Standard OP7 OP19 OP30 Regulation 15 16 18 Requirement Care Plans need to be reviewed so that they contain full details of service users needs. Repainting is needed to some areas of facilities and a ground floor WC needs heating installed. Some training on service users conditions for staff is needed. Timescale for action 29/03/06 29/04/06 29/03/06 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. 2. Refer to Standard OP19 OP19 Good Practice Recommendations Residents would benefit from having a floor draining shower on the first floor to make this facility more accessible. A loop system would assist residents with hearing difficulties. Portland House DS0000061981.V275198.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Portland House DS0000061981.V275198.R01.S.doc Version 5.1 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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