Inspection on 09/10/06 for Purbeck House

This inspection was carried out on 9th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Purbeck House 08/10/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Purbeck House Purbeck House 135 London Road Waterlooville PO7 7SH Lead Inspector Mr Roy Bega Unannounced Inspection 9th October 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 Purbeck House DS0000066279.V312753.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. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Purbeck House Address Purbeck House 135 London Road Waterlooville PO7 7SH 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) 02392 637279 Robert Stephen Ms Denise Egginton Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Learning registration, with number disability (3), Learning disability over 65 years of places of age (15), Mental disorder, excluding learning disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (15) Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 Service: Purbeck House is a registered home for fifteen older people, most of whom have dementia. It is situated on the main road just north of the centre of Waterlooville. The shopping centre is within walking distance. Current weekly fees range from £420 to £450 per week with additional costs being made for hairdressing, newspapers, chiropody and sundries. 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 en-suite toilet facilities. Communal areas include, a lounge, a lounge/dining room, smoking lounge and a dining room. Bathrooms provide varied adaptations in meeting residents’ needs. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the service’s first inspection subsequent to change of registered provider 4 January 2006. This report is an assessment of how the National Minimum Key Standards for Care Homes for older persons were being met at the time of the inspection This inspection site visit took place over one day, on 9 October 2006, between 10 a.m. and 4 p.m. a total of six hours. Opportunity was taken to look around the home, view records and policies and talk with, residents, staff and relatives. There were not any requirements raised resulting from this inspection visit. What the service does well: The service promotes good pre admission procedures where prospective residents’ and their relatives/representative are fully involved in assessing whether needs can be fully met. Residents’ health, personal and social needs are set out in comprehensive individual’s care plans. Respecting residents’ privacy and dignity when delivering health and personal care is a key principle of the home’s aims, objectives and practice. The home has a well-maintained environment, which provides aids and equipment to meet the care needs of the residents. The service ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving outcomes for residents. A well organised quality assurance and monitoring system based on seeking the views of residents, relatives, staff and professional is in place. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 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. Purbeck House DS0000066279.V312753.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 Purbeck House DS0000066279.V312753.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents are fully assessed to ascertain whether their needs can be fully met within the home. Purbeck house does not provide intermediate care. EVIDENCE: A sample of two detailed pre admission assessments were seen. They included the following details – • Personal care and physical well-being. • Diet, weight, including dietary preferences. • Sight, hearing and communication. • Oral health. • Mobility. • Continence. • Medication usage. • Mental state and cognition. • Social interests, hobbies, religious and cultural needs. • Carer and family involvement. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 9 Staff spoken with informed the inspector that they are made aware of prospective new residents and their needs prior to them moving into the home. Information and discussion indicated that the member of management staff who completes the assessment is on duty on the day of the resident’s admission. Residents and relatives spoken with informed the inspector they were fully involved in the assessment process. They stated management and staff were so kind and helpful before, during and after the move. They and their family had opportunities to visit the home before making a decision. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this area is good. This judgement has been made using available evidence including a visit to the service Residents health, personal and social needs are set out in individual’s care plans ensuring the individual’s needs are fully met. Residents are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. Personal support within the home is offered in such a way as to promote and protect residents’ privacy and dignity. EVIDENCE: The home has adopted a person centred approach to care planning which focuses on individuals’ wishes and aspirations. A sample of four care plans covering all aspects of residents’ assessed needs and wishes were seen. For example one resident has maintained attending day services and views it as going to work, another has been enabled to participate in office work within the home and another enjoys spending time in local cafes using their own motorised buggy as transport. Plans also include detailed information with regards to personal health needs and daily, routines. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 11 Observations, discussions and available training records indicated that staff have the skills and experience to deliver care effectively. Staff were observed to inform residents what they were going to do with regards to care before carrying it out. Residents spoken with informed the inspector that staff are very kind when they are not feeling too well. (See also the section on Staffing of this report.) The need to respect residents’ privacy and dignity when delivering health and personal care is a key principle of the home’s aims and objectives. Staff spoken with were aware that this applies to all areas of residents lives. Staff were observed ensuring residents privacy and dignity were maintained. Comments received from residents and relatives included – “ Staff are very helpful”, “They are so kind”, “Staff work really hard”, and “They are brilliant here”. Staff promote residents rights of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure residents to ensure appointments are not missed. Records show that the home arranges for health professionals to visit residents as required. Staff keep regular check on health aids, making sure they are working effectively and that each resident has the necessary aids to improve their quality of life. Medication within the home is administered primarily through a monitored dosage system. Evidence was seen that staff who administer medication have completed appropriate training. Records seen were well maintained and up to date. Procedures for medication to be taken as required were in place. The staff member who assisted the inspector with the auditing of this standard also was able to demonstrate an understanding of the medication currently being used and appropriate storage. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ benefit from social, cultural and recreational activities that meet their expectations. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: The home encourages residents to take control of their lives and to be actively involved in the running of the home regardless of their mental ability. Residents spoken with told the inspector that they are not rushed and can move around the home when they want to. This was observed to be the case. Staff were also observed to spend time with residents either engaging them in meaningful group activities or one to one discussions. Residents spoken with informed the inspector that they like staff spending time with them. One resident told the inspector that staff come in on their day off to take those who want to, to the local pub. Monthly residents meetings are held (which form part of the home’s quality assurance audit) to discuss matters that affect them. Discussions and minutes seen indicated that credence is given to issues raised. This includes decisions in respect of recreational/entertainment activities. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 13 Visitors informed the inspector that they feel welcome and know they can visit the home at any time. Observations and discussions indicated that staff always make time to talk with visitors. The layout of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. An experienced cook is responsible for providing quality nutritional meals that meet residents cultural and dietary needs. The cook meets regularly with residents, listens to their choices and suggestions for the menu, and encourages them to be adventurous and try new tastes as well as traditional foods. This was reflected in conversations with residents’ observation and seen menus. Residents’ likes and dislikes and any variation of the main menu are kept in the kitchen. The daily menu was displayed along with possible alternatives. Care staff were observed to be sensitive to the needs of those residents who require assistance with feeding. It was seen that regular drinks are made available and staff take the opportunity to make this time a social occasion. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their representatives have access to an effective complaints procedure. Staff awareness policies and procedures protect residents from abuse. EVIDENCE: The service has developed a clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. The complaints procedure is provided to residents and relatives. Residents and visitors informed the inspector that they have been provided with a copy of the home’s complaints procedure, know what action to take but have not had the need to do so. The Commission has not received any concerns in respect of the service subsequent to change of ownership 4 January 2006. Policies and procedures are in a place with regards to the protection of vulnerable adults. Staff spoken with portrayed a good knowledge and understanding of what action to take if they had any concern. The home ensures through training and supervision that care staff comply with the policies and procedures provided in relation to protecting and safeguarding the rights of the residents. Evidence was seen that staff have completed adult protection training. Staff spoken with portrayed good knowledge and understanding of issues surrounding the protection of residents. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The home is accessible, safe, clean and well maintained. It meets residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: Ms Egginton showed the inspector around the home. The home has a wellmaintained environment, which provides aids and equipment to meet the care needs of the residents. Discussions and observations indicated It is a very pleasant, safe place to live with rooms that meet the National Minimum Standards. A contractor is employed to visit the service three days a week to ensure it is routinely maintained. Records of these visits were seen. The home’s programme for repair and redecoration (which forms part of the business plan) was seen. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 16 Where rooms are shared it is only by agreement and screens provided for privacy. All four shared rooms have en-suite toilet facilities. Residents are always given the choice to move into a single room when one becomes vacant. Observations and discussions indicated they have the choice to bring small personal items of furniture into the home. All the homes fixtures and fittings meet the needs of the residents and can be changed if their needs change. There is a choice of bathing facilities, both assisted and unassisted, showers and baths and there are a number of toilets strategically placed around the home. Residents say that there is plenty of hot water and the temperature in the home can be changed, on request, in their own rooms. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy. They seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes’ policy to reduce the risk of infection. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Staff in the home are trained, skilled and in sufficient numbers to meet the aims of the home and changing needs of residents. EVIDENCE: Rotas seen indicated the home is staffed efficiently. The service clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. Residents reported that staff working with them are very helpful, kind and seem to know what they are doing. This was reflected in discussions with visitors. The service has a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of residents. A sample of two staff records was seen that included all the required information and a structured comprehensive induction-training programme. The service ensures that all staff receive relevant training that is targeted and focussed on improving outcomes for residents. The service uses external providers to deliver this training if they have not got the appropriate skills within the organisation. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 18 Discussions and records indicated management encourage staff to complete external qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. Evidence was seen with regards to the following qualification training – Two staff have completed the National Vocation Qualification (NVQ) level three in care with one currently attending. Six staff have completed the NVQ level two in care with one currently attending. Staff spoken with stated that they feel well supported by management and the training provided is very helpful in assisting them to understand and carry out their work. Records seen and discussion showed the following specific training has been provided. – First aid, manual handling, infection control, dementia care, care of substances hazardous to health, health and safety, food hygiene, fire safety, management of medication and adult protection. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The manager is experience and competent to run the home. Management and administration of the home is based on openness and respect. An effective quality assurance system is in place. Safeguards are in place to protect the interests of the residents. As is reasonably practicable the health, safety and welfare of residents and staff is promoted. EVIDENCE: Ms Egginton has the required qualifications and experience and is competent to run the home. Discussions and records show she works continuously to improve services maintain a good quality of life for residents. Staff informed the inspector Ms Egginton has a strong ethos of being open in all areas of running the home and is resident focused. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 20 Records and observations showed Ms Egginton leads and supports a strong staff team who have been recruited and trained to a good standard. Discussions indicated she is aware of current developments both nationally and by the Commission and plans the service accordingly. The home has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice. Management processes ensure that they receive feedback on their work. A quality assurance and monitoring system based on seeking the views of residents, relatives, staff and professional is in place. As well as completing questionnaires, monthly resident and staff meetings respectively are held and considered as another source in obtaining views in monitoring the service. The home works to a clear health and safety policy, all staff are given a copy, and regular random checks take place to ensure they are working to it. The home has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. Discussion was held in seeking advice from Hampshire Fire and Rescue Service in respect of the fire protection status of the kitchen doors. Records seen and discussions showed that one resident manages their personal finances. Invoices/receipts were seen where the home had purchased goods on behalf of residents and requested the money from relatives/representatives. Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X 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 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 Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Purbeck House DS0000066279.V312753.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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