Inspection on 08/10/08 for Purbeck House

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Excellent service.

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

Purbeck House 09/10/06

Similar services:

Hillview Farm

St Vincents

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Newbeech House

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Purbeck House Purbeck House 135 London Road Waterlooville PO7 7SH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kathryn Emmons     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Purbeck House 135 London Road Purbeck House Waterlooville PO7 7SH 02392261307 Telephone number: Fax number: Email address: Provider web address: purbeckhouse@btinternet.com Name of registered provider(s): Name of registered manager (if applicable) Ms Denise Egginton Type of registration: Number of places registered: Robert Stephen care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: service users in the categories MD and lD are not to be admitted under the age of 55 years. Date of last inspection Brief description of the care home Purbeck House is a registered home for fifteen older people, most of whom have dementiatype condition. It is situated on the main road just north of the centre of Waterlooville. The shopping centre is within walking distance. The Registered Provider Is Mr Robert Stephen and the Registered Manager is Denise Egginton. Accommodation is provided in seven single and four double bedrooms. All four double bedrooms have Care Homes for Older People Page 4 of 25 Over 65 15 15 15 15 0 3 15 0 Brief description of the care home en-suite toilet facilities. Communal areas include, two lounges, and a dining room. Bathrooms provide varied adaptations to support residents to be as independent as possible. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The visit to the service was undertaken by one inspector who spent five hours at the home. The care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records a range of general records and staff details. This forms part of a key inspection and focused on the standards in the key areas that most effect the quality of life for the residents. Information already held such as a service history and the providers self -audit which is called an AQAA (Annual Quality Assessment Audit) were used to plan the visit. During the visit the inspector spoke to the responsible individual , manager and three staff , four staff and observed residents interactions with staff. We also sent comment cards for staff and residents to complete and we also considered the comments these contained when writing the report. Care Homes for Older People Page 6 of 25 The current weekly fees for the service start from #475 pounds to #575 per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Through pre admission assessments residents can be confident that their needs can be met by the service. Up to date information enables resident to make an informed choice regarding living at the service. Contracts ensure residents rights are upheld. Evidence: No new residents have been admitted admitted since the last key inspection. The manager told us that any new resident would be assessed before any offer of a place was made. The current residents living at the home have either a mild learning disability or a mental heath condition or a dementia type condition. The manager was aware that it would require a lot of assessment work to ensure any new residents were able to mix with the current resident group as their needs are so diverse. One resident told us they had a contract and another said their daughter had helped them with Paperwork to live here.The service user surveys we received back Care Homes for Older People Page 10 of 25 Evidence: indicated that residents have contracts in place and that they had received sufficient information to help them decide if they wanted to live at the service. The two documents in place are called the service user guide and the statement of purpose. We could see that these had been reviewed in November 2007 and contained pictures to make it easier for residents to gain an understanding of the service they could expect if they lived at the home. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments which are regularly reviewed give residents confidence that their individual needs are known and risks are kept to a minimum. Medication arrangements keep residents safe. Systems in place provide good access to health care professionals. Residents dignity and privacy is respected. Evidence: We case tracked three residents and looked at the daily care notes for a fourth resident. We could see that residents had been assessed before coming to live at the home and that regular reviews of their care plans were taking place. The manager has also completed risk assessments for those residents who require support with nutritional needs, mobility and if they are going into the community without staff support. We could see that due to their conditions some residents displayed behaviour which other residents did not like such as shouting and entering other residents bedrooms. We could see that plans were in place for these events and staff confirmed that they discussed each residents needs and best how to support them. One resident we spoke to seemed to be aware that there were records held about them but did they Care Homes for Older People Page 12 of 25 Evidence: did not remember seeing them. Currently none of the residents are able to self medicate their medications. Risk assessments are in place with clear information regarding why residents are not able to do this. Staff had received training in the administration of medication and the records we saw were clear and completed correctly. Residents are registered with a local GP surgery and a District nurse visits the service when needed. The manager confirmed that they have good links with the local mental health team and they attend the home when requested. We could see that a chiropodist visits the home every few weeks and residents are supported to have their eyes tested and attend dental appointments. We observed a lot of interactions between staff and residents as on the day of the visit not many of the residents verbally engaged with the inspector to express their views. We could see through the interactions that staff were very aware of each residents needs and how the resident communicated these. Residents were spoken to in a dignified way and their privacy was maintained even if the resident was not able to maintain it themselves. An example of this was a resident not shutting the toilet door but staff stopping what they were doing to close the door so the residents dignity was maintained. Currently one of the residents is receiving end of life care. The documentation surrounding this was in detail and we could see that the GP was involved in the care. Staff had received training in how to care for very poorly residents and the resident was seen to be attended to regularly and with sensitivity and respect. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to lead a lifestyle similar to what they had before living at the service. Appropriate activities are provided and individuality is respected. Dietary choices and preferences are catered for. Evidence: The staff are clear on the importance of maintaining the residents individuality and personal choices and opinions. We saw examples of this ranging from residents continuing with activities they did before living at the service to dressing how they chose to and sitting where they wanted to within the home. Residents told us they could chose when they got up when they took a bath and when they went into the local community. We could see that one of the residents attends a day centre and a couple of other residents are able to access the local shops and cafés without staff support. We could see that activities such as knitting ,quizzes, reminiscence and group games like bingo take place. During our visit a game of bingo was taking place and residents were showing their enjoyment. One resident was watching television, another reading a newspaper. One resident chose to spend the afternoon in their room and they confirmed to us they could spend Care Homes for Older People Page 14 of 25 Evidence: their time how they chose to. Since the last inspection the manager has been holding resident meetings and encouraging residents to voice their opinions on how the home should run.One resident told usIts good here because there arent really any rules. Residents confirmed that they could see visitors when they wanted to and we could see from the visitor book that residents were able to visit at most times of the day and evening. There are various areas around the home where visitors can see residents without residents having to use their bedrooms. The staff we spoke with had a good understanding of equalities and diversity and were able to give examples of how peoples rights were upheld to express themselves how they wanted to. Cultural needs were respected and we could see that residents either went out to various places of worship or could join in the religious services which took place at the home. Residents celebrated various festivals such as Easter, Christmas and Chinese New year. The service employs 2 chefs and on the day of the visit the head chef was preparing the lunch time meal. Residents were involved in preparing for lunch by laying tables. Residents told us The food is good here and I can chose what I have and I usually have the same for my breakfast and tea but thats because they always give me what I like. Specialized diets are catered for when needed and we saw that a soft diet was prepared for one of the residents who was cared for in bed. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A complaints policy enables residents and visitors to the service to raise any issues. They can be confident that their concerns will be listened to and dealt with. Staff receive safeguarding adult training and know how to deal with any complaints that are made. Evidence: There was a complaints policy on display and also contained within the service users guide. We spoke with a couple of residents who indicated that they were able to raise any issues with the manager or any member of staff. We saw in the concern file that an issue had been raised earlier in the year that a resident had mislaid some of their money. The service reimbursed this as it was thought that another resident or the resident themselves may have mislaid the money due to their mental health condition. We could see that the concern had been addressed in a very short space of time and to the relatives satisfaction. Staff told us they were aware of how to deal with a complaint and were able to contact the manager and responsible individual at any time. We spoke with residents regarding being safe at the service. All residents we spoke with said they felt that staff cared for them well and treated them correctly. Both of the staff we spoke with told us they had received training in safe guarding adults and we saw from training files that all staff receive this training. Additional work has been carried out regarding the Mental Capacity Act and how staff must be even more aware of upholding the rights of people who may not be always able to make Care Homes for Older People Page 16 of 25 Evidence: their own decisions without support. Staff were clear on what constituted abusive practice and were very clear on how they would deal with any practice they thought was unacceptable. There is an open and inclusive culture within the home and staff are able to raise issues without this being to their detriment. Residents told us that when they raised issues in the residents meetings these issues were addressed. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and pleasant service. Decor and furnishings are residents choice and residents make choices regarding the furnishings and decor. Infection control systems minimizes the risk of cross infection. Evidence: We looked around the home and with residents permission we looked at three bedrooms. We could see that these had been personalised with nameplates on the doors and each room was in a good decorative state. The home was clean and tidy and we saw from the rota that a cleaner works at the home five afternoons a week. The residents we spoke with said they were happy with their rooms. There are a couple of comfortable lounges and a dining room and since the last inspection a new television and new dining tables and chairs have been purchased. This means that residents have comfortable surroundings. We could see that staff had received training in infection control and were using plastic aprons and gloves when necessary.We noted no hazards around the home and the home smelt fresh throughout. We saw that residents clothes were well washed and clean . One resident told us I always have nice clean clothes and they are washed very quickly and given back to me.I think this is good. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An enthusiastic and trained care team cares for residents. The services recruitment procedures are robust and protect residents. Consistent sufficient staffing levels enable residents needs to be met. Evidence: We looked at the recruitment records for three of the staff . Two of these staff had been recruited since the last inspection. We saw that all the necessary paperwork was in place including references and criminal record bureau checks. This means that residents can be confident that the right people are supporting them. We were told by staff that there are sufficient staff on each shift. We saw that there are always at least two staff on each shift and the manager and responsible individual are always on call. The staff said there was very good team morale and shifts would normally be covered by the team members at short notice. This means that residents benefit from the people who know their needs, caring for them rather than using agency staff. We looked at training records and saw that staff received an in depth induction programme and were also required to attend ongoing training sessions which were relevant to the support they provided.These included Mental Capacity Act, dementia, basic food hygiene and first aid. A high number of staff had obtained the NVQ (National Vocational Qualification) in Health and Social care. This means that they may Care Homes for Older People Page 19 of 25 Evidence: have more skills and knowledge and be able to provide an improved quality of support. We could see that regular supervision seasons take place and staff are able to raise any issues they have and discuss training and development needs. Residents we spoke with made many positive comments about staff such as there are different people but they all look after me and i like it here and I get help and its good. We observed a lot of interactions between staff and residents and saw that staff had very good relationships with all of the residents.Staff understood that the service was the residents home and that they were there to provide support while still enabling the residents to be as independent as possible. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a service which is managed by a competent and trained manager. Quality assurance systems are in place to improve the quality of the service. Health and safety arrangements keep residents, staff and visitors to the service safe. Evidence: The registered manager has been working at the service for several years and has NVQ Four in Management and the Registered Managers Award. The manager was present on the day of the field work visit and we were able to discuss the improvements which have been made to the service since the last fieldwork visit for the key inspection. Staff we spoke with said they had a good relationship with the manager and comments included Its like one big family we all get on really well You can go to Denise for anything she will always listen and try and help. Staff said they felt confident to discuss any issues with the manager and felt their opinions and suggestions were heard by the manager and the responsible individual.The responsible individual visits the service most days and was present for part of the visit. We could Care Homes for Older People Page 21 of 25 Evidence: see that staff and residents have a very good rapport with both the manager and responsible individual. The AQAA provided us with information about the services quality assurance system. This included monthly reports from the responsible individual reporting on the conduct of the service. Also there are questionnaires sent to residents and their relatives,and resident and staff meetings. All of these systems enable us to confirm that the responsible individual and manager are striving towards providing a constantly evolving and improving service. The AQAA records that all polices and procedures have been recently updated. This means that staff are working to current care practices and residents benefit from this.Health and safety arrangements were good and staff confirmed they were involved in checking heath and safety arrangements such as looking out for any potential hazards around the home and being involved in fire drills. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!