Inspection on 20/04/05 for Puddavine Court

This inspection was carried out on 20th April 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

Puddavine Court 14/07/08

Puddavine Court 19/07/07

Puddavine Court 18/07/06

Puddavine Court 17/01/06

Puddavine Court 12/10/04

Puddavine Court 27/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Puddavine Court Ashburton Road Dartington Totnes TQ9 6EU Lead Inspector Judy Cooper Announced 20/04/05 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. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Puddavine Court Address Ashburton Road, Dartington, Totnes, Devon, TQ9 6EU 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) 01803 866366 01803 866366 Manor Collection Ltd Mrs Valerie Hilda Austin Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Old age, registration, with number not falling within any other category (38), of places Physical disability (38), Physical disability over 65 years of age (38) Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. PD Category is from age 55 yrs only Date of last inspection 05/10/05 Brief Description of the Service: Puddavine Court is a large detached house on the edge of Totnes, substantially extended a few years ago. Accommodation is provided over three floors and there are thirty-six single rooms (the majority of which are en-suite) and one double en-suite room.There are two lounges and the main dining room on the ground floor, and also lounge and dining areas on the other two floors. All floors are accessed via a shaft passenger lift. The garden is large, accessible and attractive. There is ample car parking space. The home is registered to care for people aged sixty-five years and over, who may or may not be, suffering from dementia. The home also provides care for service users from the age of fifty-five years who have some form of physical disability. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. Three written feedback forms were received prior to the inspection from residents, two residents’ relatives’ were spoken with as was a visiting G.P. Opportunity was taken to tour the premises, examine records and policies and talk with the owner (who was present throughout the inspection), manager, residents and staff on duty. Several of the residents were spoken with during the inspection. Staff on duty were also observed, whilst in the course of undertaking their daily duties, with some spoken with. What the service does well: What has improved since the last inspection? The home has been successful in obtaining “The Investors in People” award (January 2005). The manager has commenced working towards her the NVQ level 4 in care. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 6 The staff training programme has ensured that a high percentage of the care staff have successfully completed some form of NVQ training, in levels 2,3 or 4 as well as attending a variety of other appropriate in house and external training courses. Routine upgrading within the home, has continued. The home has rearranged its dining room and lounge, changing both around which has proved to be a popular change within the home and has provided more lounge space. The manager and staffs’ approach towards providing for residents recreational needs has changed. The staff now individually tailors recreational interests to each resident to ensure that those that may not want to join in with a communal activity, can alternatively have help/support with their individual interests. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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 Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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) 3 (6 is not applicable). The admission process continues to be well managed with residents’ needs explored and known prior to admission to the home. EVIDENCE: The owner and manager continue to maintain the home’s statement of purpose and service user’s guide appropriately, with updated details being forwarded to the Commission, for the home’s file as any changes occur. By looking at the records for a resident, who had recently been admitted to the home it was noted that a full and detailed admission procedure was undertaken, which had ensured that Puddavine Court was an appropriate home for the resident. The resident was able to confirm that they had been made to feel very comfortable, both on admission and since, and that their needs were being met. The home does not provide for intermediate care. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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. Residents are looked after well in respect of their health and personal care needs. The home’s medication systems are in order and the administration of medication appropriately accounted for. Staff are aware of residents’ needs and meet these needs satisfactorily. Staff respect residents’ individuality and maintain their privacy as well as their independence. Staff continued to feel supported in their caring role by the management of the home. EVIDENCE: Care plans contained all relevant details appertaining to providing for individual residents’ care. The care plans had been regularly reviewed with the resident and/or the resident’s relative/next of kin. It was recorded that either residents and/or their families were asked if they wished to be involved in this process when the resident was initially admitted to the home. (However two relatives did state that they had not been aware that they could become involved in this process if they wished to and if the resident agreed to it). The home liaises with other professionals as required. The home’s medication cupboard and medication records were satisfactory. The home’s accident reporting was seen to be in order. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 10 Some verbal comments received from residents during the inspection stated such things as “I am being looked after well”, the staff have been very kind to me”. One relative stated that the staff are brilliant and particularly commented on the care provided by a senior carer stating that, in their opinion, this carer always responds quickly and effectively. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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 standard(s) 12,13,14,15 Residents enjoy a varied life at the home, with visitors encouraged and welcomed and links encouraged and maintained with the local community. Various informal daily activities, tailored to individual residents’ needs, are made available and good meals are provided. Residents are enabled and encouraged to maintain as much independence as possible and residents’ individual choices/preferences known. EVIDENCE: Staff undertake activities with residents both individually and as a group. One staff member was reading a book out loud to a resident, whilst others were involved in taking several residents out for a day trip on the day of inspection. A regular, much liked volunteer continues to visit for two days every week to help residents with activities and provide an advocacy service if requested. The home operates an open visiting policy and during the day several visitors came and went, some of whom I spoke with, who confirmed that they were welcomed and felt comfortable visiting at Puddavine Court. The visitor’s book clearly showed that the residents had many visitors at varying times throughout the day. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 12 The routines within the home are flexible to ensure that residents can choose how they spend their time. One resident stated that Puddavine “is my home and I am happy to live here”. There are regular residents’ meetings held, which allow the residents to have a “voice” within the home. Residents either manage their own monies or families do this for them. The manager holds monies for some residents in a safe, as agreed with the resident/their family, and there were detailed receipts etc in respect of these, ensuring that those residents that do use this service can be reassured that their monies are being handled and kept appropriately and securely. The manager has recruited an experienced cook since the last inspection and many favourable comments were received in relation to the meals provided at the home with the meal on the day of inspection (roast chicken and all the trimmings) enjoyed by the residents. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: The home’s complaint procedure was clear and was displayed in a prominent communal area of the home. It included the Commission’s name and address. The manager has dealt appropriately with any complaint made (either through CSCI or internally) and had detailed records available as to what action had been taken which confirmed that the manager considers any complaint as a way of monitoring, and if necessary, improving the service. There are appropriate, updated adult protection policies which staff have easy access to. Staff training in this area is also provided during a staff member’s initial induction training within the home, followed by regular updated training sessions which ensures that staff are fully aware of how to identify and deal with any form of abuse. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 Puddavine Court is very comfortable, clean, warm and well maintained standard of accommodation for the residents. EVIDENCE: My tour of the building showed that the home maintains an upgrading programme that allows the home to provide a high standard of accommodation. The accommodation presented as comfortable, well maintained, clean and welcoming. Bedrooms have been personalised as desired and residents can bring in personal items with them if they wish to. The owner stated that the home would provide a suitable lock if requested by a resident, and has already done so for those that have requested this, but they are not provided as standard on admission. This is documented this within the home’s statement of purpose. The lounge and dining areas are both spacious and well appointed. The manager maintains the home’s fire precautions in line with the requirements of the local fire department. There is an infection control policy and all areas of the home were odour free. Resident feedback included the following comment “ the home is spotless and the beds are as well”. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 15 The laundering needs of the residents are met appropriately. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 16 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) 27,29,30 Staff at the home are well trained. They presented well in both appearance and manner. Staff are employed in sufficient numbers to meet the current resident groups’ needs. EVIDENCE: Staffing levels were seen to be in sufficient numbers to ensure that residents’ needs could be met during the day and night. Residents spoken to said that they felt well looked after and that staff were available if needed. Training continues to be well planned and supports the staff in providing for the varied needs of the residents. A high percentage of staff, within the home, hold an NVQ training award (level 2,3 or 4) and their experience is reflected in some of the positive comments received from residents during the inspection. The staff file, in respect of the last member of staff to be appointed at the home, was seen to contain a full and detailed staff recruitment programme which ensures that staff appointed are deemed suitable for the capacity they were employed within and residents therefore protected. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 17 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) 33,35,38 The home is managed efficiently and well. The home is providing a mostly safe environment for the residents, by ensuring the required health and safety standards are mostly met and maintained. All hot surfaces, to which a resident has access should be guarded to ensure that residents are fully protected from the risk of sustaining a burn from a hot surfaces. Hot water, provided to residents’ facilities, should be regulated to a safe temperature where a resident has been assessed as being at risk of scalding if using non regulated hot water. EVIDENCE: Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 18 The registered manager has been in post for several years. She is therefore well acquainted with the day to day running of Puddavine Court. She has recently commenced the NVQ level 4 in care. The home operates thorough internal quality monitoring systems with residents’ and relatives’ and visiting professionals’ feedback invited as part of the overall process. A representative from the management of the Court Group undertakes a monthly, in depth, quality audit visit where all aspects of the running of the home are examined and reported on, including consultations with the residents. This ensures that all practices within the home are regularly reviewed and that the care continues to be of a good standard and as residents would expect/want. The home had an annual development plan which had been made available to all staff and residents. The financial aspects of residents are, mostly, undertaken by either the resident or their families. The home therefore has very little involvement in dealing with residents’ financial affairs, other than looking after monies for some residents as agreed with their families. In depth records of these transactions ensure that residents who use this service have their finances protected. Routine health and safety issues are well managed within the home with the required records being made available and all being seen to be up to date, which confirms that residents are cared for in a mostly safe and secure environment. Hot water to residents’ hand washbasins is not regulated although risk assessments are in place. The home’s hot water supply is regulated where there is full submersion bathing facilities No hot surfaces have yet been protected throughout the home, although there are also risk assessments in place in relation to this. Although these measures ensure, to some extent, that current (less dependent) residents are free from the risk of scalding, the manager needs to continually risk assess for any newly identified risks as residents’ needs either change or increase. The owner has not yet minimised the risk of a resident sustaining a burn from a hot surface by covering such surfaces, although risk assessments are in place. The home is registered to be able to offer care for both physically and mentally frail residents, and this resident group could be considered to be at a high risk of sustaining a scald/burn from non regulated hot water or non protected hot surfaces. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 x 3 x x 2 Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 20 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 OP25 Regulation 15 Requirement The registered provider must continue to ensure that all pipe work and radiators to which service users have access must be risk assessed and guarded or have low temperature services to minimise the risk of a resident sustaining a burn.(This is a previous requirement with a previous timescale of 12/04/05). Timescale for action 20/04/06 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 OP25 Good Practice Recommendations The registered provider should continue to ensure that all water outlets, including hand basins within the home, are risk assessed and the hot water regulated to 43 degrees Centigrade as required to minimise the ris of residents sustaining a scald. Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 21 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 Puddavine Court D54-D07 S3783 Puddavine Court V210820 200405 Stage 4.doc Version 1.20 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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