Inspection on 22/11/06 for Providence Court

This inspection was carried out on 22nd November 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

Providence Court 06/10/08

Providence Court 16/01/06

Providence Court 23/11/04

Providence Court 20/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Providence Court Providence Way Baldock Hertfordshire SG7 6TT Lead Inspector Mrs Alison Butler Unannounced Inspection 22nd November 2006 & 14 December 2006 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 Providence Court DS0000019502.V320893.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. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Providence Court Address Providence Way Baldock Hertfordshire SG7 6TT 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) 01462 490870 01462 499067 www.quantumcare.co.uk Quantum Care Limited Mrs Jackie Beaumont Care Home 61 Category(ies) of Dementia - over 65 years of age (61), Old age, registration, with number not falling within any other category (61), of places Physical disability over 65 years of age (61) Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: `The home was first registered under the Registered Homes Act 1984 with Hertfordshire County Council on 9th May 1995. The fees for the service range from £455.00- £535 per week (these were correct as of 22nd November 2006). Providence Court is a purpose built home for the elderly situated in a quiet culde-sac in a residential area of Baldock, within walking distance of all amenities. Accommodation is provided in four self-contained units, two on each floor and a passenger lift is fitted. Each unit comprises 15 single bedrooms (there is one that is located between two units) with en-suite toilet and wash hand basin facilities, kitchen and dining room, lounge and assisted bathroom. The ground floor also comprises a reception lobby, sun lounge, the administrator’s office, the manager’s office, the main kitchen and the laundry room. There is ample car parking to the front of the home and a very large garden. The aim of the home is to ensure that the residents are given care that respects their privacy, dignity and rights; it also encourages independence depending on the needs of the individuals. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written following a visit to the service and from information that has been gained from previous inspections or has been know to the Commission For Social Care Inspection. Questionnaires for residents were left at the home following the inspection with a return date of 14th December 2006. 18 responses were received. The majority of the time was spent observing and talking with residents and staff. Care records were also examined. What the service does well: What has improved since the last inspection? The medication system has changed since the last inspection and some of the requirements made at the last inspection have been addressed. Decorating has taken place improving the overall look of the home. Individual rooms have been decorated in consultation where possible before moving into the home. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 6 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. Providence Court DS0000019502.V320893.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 Providence Court DS0000019502.V320893.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): 1, 2 & 3 Standard 6 is not applicable to Providence Court. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to residents and their representatives to enable them to make an informed choice. Assessments are carried out on all residents prior to a place being offered or taken up. EVIDENCE: A comprehensive Statement of Purpose and Service User Guide is available to all prospective residents and their representatives. Pre- admission assessments are carried out prior to admission and this forms the basis of the care plan. Each resident is provided with the terms and conditions of admission etc. From the 18 questionnaires returned all but 1 stated they had receive a contract and they had been provided with enough information about the homes and its services. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality of information recorded is good. Residents receive a good quality of care and are supported by knowledgeable and experienced staff. EVIDENCE: Care plans examined showed that good information is recorded with the action recorded for staff to meet them. They are in the process of updating the care plans with a new organisational format that has been introduced. It is recommended that each page contain the individual name and date of birth to eliminate any mistakes, if pages are removed for additional information to be added and then being returned to the correct file. Risk assessments are in place although these are of an organisation generic format and the individuals name is added. They should be individualised and information removed which is not relevant to that person or the home. A discussion took place with the manager and a member of staff giving an explanation of good practise. The medication system has been changed and a monitored dosage system is in place, staff although found this difficult at the start they now feel it is better Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 10 overall and easier to manage. Examination of the administration sheets showed that whilst some improvements had been made, staff must remember to sign and date any changes and remember to include the amount received for additional medication received during the month. Care team managers carry out an audit, although it appears some errors had not picked up and dealt with, others had. Most residents spoken with were very happy with their care and felt that the staff always try their best. Although some felt that they would like the time to chat more and this is not always possible due to staff being busy. Information from the questionnaires returned were on the whole happy with the care provided and felt their medical needs are met and they receive the care required, although 6 residents felt that staff were not always available when needed. Staff were observed to knock and wait prior to entering a residents room and residents confirmed this was usually the case. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Contact with family and friends are maintained. Autonomy and choice is promoted within the home. EVIDENCE: There is a daily activity co-ordinator in post and unfortunately is due to leave. The manager has already advertised the post so that it can be filled as soon as possible. Residents were observed reading their newspapers, listening to the radio, watching TV and some were being encouraged to play skittles. Residents that were spoken to during the inspection stated whilst staff encouraged them to join in they could choose not to. Preparations are being carried out for the forthcoming festive season. A beetle drive with bring and buy has been organised for the beginning of December with other activities to follow. Residents felt their visitors were always made to feel welcome and their were no restrictions on visiting. Residents spoken to and from the information received from the questionnaires demonstrated on the whole they were complimentary about the food although some felt more choice could be offered. Lunch on the day was turkey/vegetable casserole with potatoes and vegetables followed by cherry Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 12 pie and custard this looked and smelt appetising. Menus examined showed there was always a choice and some residents said they are able to ask for alternatives if they did not like what was on the menu. Observation of the lunch showed that staff encouraged and provided assistance as appropriate. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust procedures are in place to ensure the protection of the residents. EVIDENCE: A copy of the complaints procedure is available. Residents spoken to and the information received from the questionnaires showed that they were clear about whom they could speak to if they were unhappy about any aspect of their care and felt confident that it would be dealt with. Only 1 questionnaire stated they did not know how to complain although a complaints procedure is displayed within the home. One resident assisted a newly admitted resident by informing staff that there room was cold, the staff immediately took action to deal with the situation. A resident had made an allegation against a member of staff and the manager took action by following the Hertfordshire County Council Adult Protection procedure and at the time of writing this report an outcome had not yet been reached. One complaint had been received at the home and this had been appropriately dealt with and the action and outcome recorded. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. Regular checks are carried out on services and equipment. EVIDENCE: A tour of the building showed that it was well maintained, clean and free from any odours. The decorators were in to paint the bathrooms as they had started to look a bit tired through general wear and tear. The laundry facilities are adequate to meet the needs of the residents and they all looked well kempt on the day of the inspection. Most residents spoken to were very pleased with the laundry facilities and felt they were quite efficient in returning their clothes to their rooms, although 1 resident felt that the ironing could be better. Policies and procedures are in place to prevent the spread of infection Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust procedures are in place to ensure that residents are protected at all times. The numbers and deployment of staff appear to meet the needs of the residents. EVIDENCE: Two staff files were examined and showed that all relevant checks had been carried out. It is recommended that where a decision has been made to employ a person whose criminal records check has been found not to be clear this should be recorded. The manager felt that adequate staffing levels were in place to meet the needs of the residents at the time of the inspection and this is kept under constant review as residents needs can change. Care team managers are usually around to provide additional cover if specific units require it, for example prior to lunch where residents personal needs require additional support of two staff and they may only be two staff allocated to that unit, they will support the other residents who may need it. Questionnaires returned stated that staff were usually around to provide support as necessary. Quantum Care provide an on-going training programme to ensure staff have regular updates on care practise and they are competent in their role.. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good management structure in place. The health welfare and safety of residents, staff and visitors to the home is protected at all times. EVIDENCE: The manager continues to ensure that staff receive appropriate training and also ensure she to updates her skills and competency. All statutory records were available for inspection and were well maintained with the exception of the medication records (see health and personal care section for further details). Good policies are in place cover health, safety and welfare of all residents, staff and visitors. Although a check was not carried out at this inspection previous inspection have shown that residents monies held is well managed and a company audit Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 17 is also carried out yearly. Policies and procedures are in place for the management of residents’ finances. The manager ensure that the Commission For Social Care Inspection is informed under regulation 37 any events that effect the well being of a resident. Although risk assessments are in place these are generic form created by the company and these should be individualised for each resident and include information that is relevant to them and their setting. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 19 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 OP9 Regulation 13 (2) Requirement The manager must ensure that medication procedures are followed: The author must sign all handwritten instructions. Amount received by the home must be recorded and signed in Timescale for action 30/11/06 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 OP7 Good Practice Recommendations Where generic risk assessments have been written these should be individualised for a specific residents and not just by adding their name. Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Providence Court DS0000019502.V320893.R01.S.doc Version 5.2 Page 21 - 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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