Inspection on 12/05/05 for Pymhurst

This inspection was carried out on 12th May 2005.

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

Pymhurst 27/06/07

Pymhurst 28/11/05

Pymhurst 28/09/04

Pymhurst 26/05/04

Pymhurst 12/01/04

Pymhurst 04/07/03

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOMES FOR OLDER PEOPLE Pymhurst 11 Semaphore Road Guildford Surrey GU1 3PS Lead Inspector Ms S Magnier Unannounced 12 May 2005 08.00 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. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Pymhurst Address 11 Semaphore Road, Guildford, Surrey, GU1 3PS 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) 01483 573318 Mrs Pamela Mary Eales Ms Christine Ann Scotson CRH Care Home 6 Category(ies) of LD(E) Learning Disability - over 65, 6 registration, with number SI(E) Sensory Impairment - over 65, 2 of places Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age of residents shall be over 65 years. 2. To include one named service user under the age of 65. Date of last inspection 28 September 2004 Brief Description of the Service: Pymhurst is a large detached property situated in a residential area a short distance from Guildford town centre. The home is part of Just Homes who operate a number of similar homes in the South East. Care and accomodation is provided to six older people who have learning disabilities. The home provides a communal lounge and dining area situated on the ground floor, which is furnished in a homely fashion. One residents bedroom accomodation is arranged on the ground floor and the first floor bedrooms comprise four single and one shared bedroom. The home has a large well established and maintained garden at the rear with an area for parking facilities. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Unannounced inspection took place over 5 hours. All the residents and staff were spoken to and a tour of the premises took place. Comment cards were left for residents and their friends, relatives and health care professionals to complete if they wished and comments received have been incorporated into the report. What the service does well: 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. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 6 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 Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 7 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) 1,2,3,4,5 The home provides proposed residents with adequate information prior to their stay. All documented assessments must be obtained by the Registered Manager prior to residents moving into the home. EVIDENCE: The home has developed a pictorial service users guide and terms and conditions of residency in the home both of which were evidenced as clear and easy to read and identify the pictures. One resident told the inspector ‘I’ve been here for 9 months and I’m very happy and have everything I need’. The Inspector sampled a residents records and no assessment was available from Social Services to indicate that a pre admission assessment of the suitability of the home had been carried out. A requirement has been made that the Registered Manager obtain a copy of the assessment and this is placed on the residents file for inspection. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 8 One resident told the inspector that since moving into the home they have invited friends to tea and have been able to visit their friends who live fairly locally. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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) 7,8,10, The care plans sampled were clear and informative and addressed residents needs. Staff must be more aware of the rights of residents to be treated with respect and privacy. EVIDENCE: The inspector sampled several residents care plans, which were clear and informative. The records detailed the residents personal care needs, risk assessments, participation in their home with tasks, social interests and activities and health care records of attendance to the G.P. dentist, chiropodist and dietician. The inspector met with an Agency member of staff on duty who explained that they had worked in the home before and told the inspector how they would support a resident who was to have a general bath which demonstrated competency. The inspector observed two instances where the staff attending to residents did not promote the rights of the resident to dignity and respect. This was Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 10 discussed with the Registered Manager during the inspection and requirements made that staff must be aware and support residents in a manner that reflects their rights. The inspector overheard a staff member stating that a resident’s clothes were too small yet on further investigation from the Manager following the inspection the reference to the clothing was regarding the short style of the residents pyjamas. A requirement was made that the Registered Manager ensure that all residents have clothes that are suitable, comfortable and well fitting. Comments received from relatives and friends included ‘the care at Pymhurst is excellent and I am always informed of any significant events which affect my relatives care’. ‘I am delighted with the care and attention that my sister receives at Pymhurst. It is such a relief to know that she is happy and getting all the support she requires. I know that she is content and there is no doubt she is happy. I really think she would be lost if she left Pymhurst for any reason, many thanks to everyone’. Comments received from a Care Manager included that a ‘client recently residing at the home had settled remarkably well. The home is always comfortable and cosy and welcoming. Staff obviously enjoy the contact with the residents and provide excellent care’. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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 The home encourages choice, independence and promotes residents contact with friends and family. EVIDENCE: Several residents told the inspector ‘I like it here’; ‘I’m happy here’ ‘I look after the cat he’s called Mickey and he knows who’s boss!’ The lounge at the front of the house is homely and equipped with books, ornaments, board games, television and music centre for the enjoyment of the residents. The dining area is well equipped with solid furniture to assist the residents during their meals. The dining area is also used by some of the residents as a lounge and has comfortable armchairs and items of leisure. The large kitchen is brightly decorated and offers space for residents to move around freely. The inspector noted that residents were offered choice in what they wanted for breakfast and were supported in a professional and caring manner. The fridge and freezers were well stocked with frozen and fresh foods and all items were stored in compliance with food safety regulations. Temperatures of the fridge and freezers were recorded and within the required limits. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 12 The daily menu was available to residents and displayed on the front of the fridge. The Manager explained that the residents ask about meals and are offered the choice of the meals. One resident told the inspector ‘I go to the friendship club and I’m going on holiday to Norfolk’. Comments received from relatives included ‘Pymhurst is always a welcoming and friendly environment. I have seen service users families receive a warm welcome too. Friends and families from previous placements have been encouraged to remain in touch’. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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 The home has a complaints procedure in place, which is in need of updating. EVIDENCE: The home has a complaints procedure, which has also been adapted in pictorial form for residents. A requirement has been made that the complaints procedures must be updated to include of the Commission for Social Care Inspection (CSCI) details in order that any person wishing to make a complaint directly to CSCI can do so. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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, 20,21,22,23,24,25,26. The home offers a safe, clean, and well-equipped environment for residents. EVIDENCE: One resident told the inspector ‘they keep my room tidy’; ‘I like my room as I can look out of the window and watch the school children’. The resident’s rooms were observed to be clean and bright with soft furnishings and personal possessions reflecting the lifestyles and preferences of the residents. The bedrooms also had leisure items e.g. televisions radios, music centres and videos. The home is clean and has a homely atmosphere. The front lounge area was currently being decorated and one resident’s room; toilet and bathroom have been redecorated and appropriately furnished. The home supports residents with various equipment including bath aids and a stair lift, which is regularly maintained. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 15 A requirement has been made that several other areas in the home are redecoration for example the ceiling in the office and front foyer. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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) 27,28,29,30 The staff on duty during the inspection demonstrated knowledge of their work and competency to meet the needs of the residents. EVIDENCE: The staff files sampled showed that the home undertakes a sound procedure for the recruitment and selection of staff. One staff member on duty was having their induction to the home having been recently recruited. Staff training files indicated that a rolling programme of training was in place within the home. The Registered Manager Award is currently undertaking the Registered Managers and their NVQ Assessor visited the home during the inspection. The inspector noted that the staff rota was displayed in the hallway of the home and in discussion with the Manager the inspector was advised this was for the benefit of one resident who likes to know who is coming into his home. The inspector has recommended that the rota be placed in their bedroom to reflect and enhance the homely atmosphere. The home has an Induction plan for all new staff including an overview of Pymhurst for Agency staff. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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) 31,32,33,34,35,38 The overall management of the home is efficient. Several areas of improvement regarding health and safety have been identified. EVIDENCE: The home has a relaxed and friendly atmosphere. One resident told the inspector ‘I get my money each week and I try to write my name’. The resident showed the inspector their purse, which was in their safekeeping. The inspector noted that the fire signs in the home would benefit from being updated in order that residents could become more involved in the health and safety of the home. A recommendation has been made that the use of pictorial Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 18 fire notices and larger print on the fire signs may assist residents to feel more involved in their own safety. The home has a Control of Substances Hazardous to Health file and the inspector has recommended that the Manager clarify with the manufacturers if the data needs to be updated as some documents were dated 1997. The staff record the bath water temperatures in the daily records and the inspector has recommended revising this and has suggested using a small discreet book in the bathroom which is readily accessible for staff to complete. The inspector has recommended that all topical creams stored in the fridge be kept in airtight containers and labelled clearly. The Inspector noted that staff supporting residents with personal care did not wear protective clothing e.g. disposable aprons and gloves. A requirement has been made that when supporting resident’s staff must wear protective clothing to avoid spread of infection in the home. The Inspector sampled a clinical waste bag left open containing soiled waste on the first floor hall area. A requirement has been made that the Registered Manager review and update the homes clinical waste procedure for the prevention of infection, toxic conditions and the spread of infection at the care home. A copy of the procedure must be sent to CSCI local office. Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 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. 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 3 3 2 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 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 Standard No 16 17 18 Score 2 x x 3 3 3 3 3 x x 2 Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 20 NO 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 3 Regulation 12.(1)(a)( 2)(3) Requirement The Registered Persons must make sure that suitable arrangements for the admission and assessment of residents is undertaken in order to promote and make provision for the health and welfare of residents. A copy of the homes admission and assessment procedure must be forwarded to CSCI local office. The Registered Persons must ensure that the home is conducted in a manner that respects the dignity and privacy of residents. The Registered Persons must ensure that all residents have comfortable and well fitting clothes. The Registered Persons must ensure that the complaints procedure is updated to include the CSCI details. The Registered Persons must ensure that all parts of the home are kept reasonably decorated. The Registered Persons must ensure that all staff wear protective clothing e.g. disposable aprons and gloves Timescale for action 17.7.05 2. 10 12.(4)(a) Immediate 17.5.05 3. 10 12.(4)(a) 26.5.05 4. 16 22.(7)(a) 13.6.05 5. 6. 19 38 23.(2)(d) 13.(3) 12.8.05 Immediate 12.5.05 Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 21 7. 38 13.(3) when supporting residents with personal care to avoid spread of infection in the home. The Registered Persons must review and update the homes clinical waste procedure for the prevention of infection, toxic conditions and the spread of infection at the care home. A copy of the procedure must be sent to CSCI local office. Immediate 12.5.05 8. 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 28 Good Practice Recommendations It is recommended that the staff rosta be placed in the residents bedroom rather than in the front foyer to reflect and enhance the homely atmosphere of the home. A recommendation has been made that the use of pictorial fire notices and larger print on the fire signs may assist residents to feel more involved in their own safety. The home has a Control of Substances Hazardous to Health file and the inspector has recommended that the Manager clarify with the manufacturers if the data needs to be updated as some documents were dated 1997. The staff record the bath water temperatures in the daily records and the inspector has recommended revising this and has suggested using a small discreet book in the bathroom which is readily accessible for staff to complete. The inspector has recommended that all topical creams stored in the fridge be kept in air tight containers and labelled clearly. 2. 3. 38 38 4. 38 5. 38 Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Pymhurst H58_s13753_Pymhurst_v225818_170505_stage 4.doc Version 1.30 Page 23 - 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!