Inspection on 27/06/07 for Pymhurst

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Pymhurst 28/11/05

Pymhurst 12/05/05

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 Pymhurst 11 Semaphore Road Guildford Surrey GU1 3PS Lead Inspector Lesley Garrett Unannounced Inspection 10:00 27th June 2007 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 Pymhurst DS0000013753.V335324.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. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pymhurst Address Pymhurst 11 Semaphore Road Guildford Surrey GU1 3PS 01483 573318 F/P 01483 573718 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) Mrs Pamela Mary Eales Ms Christine Ann Scotson Care Home 6 Category(ies) of Learning disability over 65 years of age (6), registration, with number Sensory Impairment over 65 years of age (2) of places Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. From time to time the home may admit people with learning disabilities under the age of 65 years. 28th November 2005 Date of last inspection 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 accommodation 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 accommodation is arranged on the ground floor and the first floor bedrooms comprise four single and one shared bedroom. The home has a large wellestablished and maintained garden at the rear with an area for parking facilities. The fees for the rooms are between £840 and £1,593 per week. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 0945 and was in the service for three hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. We looked at the home’s records and completed a tour of the building. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. What the service does well: What has improved since the last inspection? Five requirements wee made following the inspection in October 2006 and they have all been met. The toilet has been painted, the damaged floor replaced and the hoist in the bathroom repaired. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 6 The requirement regarding employment check had been met but we were unable to check employment folders at this site visit but the hoe has only employed one new member of staff. All personal information regarding the service users is now stored appropriately and the finance policy has also been updated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pymhurst DS0000013753.V335324.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 Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have a pre-admission assessment prior to moving into the home to ensure their needs can be met. EVIDENCE: The managers told us that the home manager does all pre-admission assessments. Profiles and assessments supplied by social services are also used. All prospective service users have the opportunity to visit the home to meet all the other service users. We were told that the admission is a very gradual process with written guidelines in place that we were shown. The service user will visit the home with support from someone they know until they are then confident to visit unaccompanied. The home does not provide intermediate care beds. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 9 Pymhurst DS0000013753.V335324.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have individual plans, which reflect the care and support they require and their health care needs are fully met. The medication policies and procedures that are in place and implemented by staff protect service users. The privacy and dignity of the service users is respected. EVIDENCE: All service users were on holiday on the day of the site visit therefore no care plans were available, as the staff had taken them. The two managers assisting with the site visit explained the process for the group. The group of homes uses the same system for care plans, which is based on an assessment process, and care plans are then generated from this. All care plans include the involvement of the serviced users. The plans are reviewed every three months with the service user, the manager and the keyworker. Every six months there is a more formal review. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 11 All service users are registered with a local General Practitioner (G.P.) and the home has a good relationship with them. A survey returned to us from a G.P. stated ‘an excellent establishment where all occupants are cared for with supreme care, professionalism and humanity’. Service users visit the practice but in emergencies the G.P. will always visit the home. The district nurse will come to the home when necessary but all service users can visit their own optician, chiropodist or dentist with the assistance of the staff. One service user said on the survey form ‘ I always tell someone if I have a problem with my feet or ears and I see the doctor’. Another healthcare professional that visits the home stated on a survey form ‘ provides a caring and homely environment for people who are elderly and have learning disabilities’. Medication is supplied to the home in blister packs, which is delivered every month. All staff that administers the medicines has had current training, which is delivered by the pharmacy, and then staff are individually assessed to ensure they are safe and competent. The pharmacy also visits every year to do a medication audit. The managers stated that the home does maintain the privacy and dignity of all the service users however this was not witnessed during this site visit. Privacy and dignity is always a subject covered in any new staff induction. A survey form returned to us said ‘they treat individuals with respect, humour and patience’. Another comment received said ‘ it provides a homely home where residents are treated as individuals’. Pymhurst DS0000013753.V335324.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social and recreational activities meet the service users expectations and they receive a varied diet according to their requirements and choice. EVIDENCE: The home has many and varied activities that service users can join in and there is a programme for each service user in their individual folder. The group of homes run a friendship club, which service users attend, from all the homes. Picnics. Bar B Q’s, Christmas and birthday parties are all celebrated here. Service users have access to a local church and can attend services on a Sunday if they choose to. Service users have regular shopping trips and one service user enjoys helping with the food shopping for the home. On the day of the site visit all service users were away on holiday with five members of staff. A survey form returned by a representative said ‘ individual tastes about activities and hobbies were encouraged’. A service user said in a survey form ‘I go out to the bank and I am going to a show on Saturday. I also visit my friend once a Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 13 month’. Another survey form from a service user said ‘ I go to the day centre and I go for regular walks. I have been bowling a couple of times’. All rooms have been personalised but as the service users were on holiday it was not appropriate to look into all the bedrooms. All service users have meetings with their keyworker every month where their social life is discussed and they can choose the activities they would like to attend. One service user has chosen to help with the gardening and he has planted most of the pots in the back garden. Staff does the cooking in the home and menus are discussed with the service users. The menu for that day is displayed in the hall and on the fridge in the kitchen service users can see what is planed for the week. Pymhurst DS0000013753.V335324.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes complaints policies and safeguarding procedures. EVIDENCE: The home has a written and pictorial complaints procedure. The complaints procedure is discussed at keyworker meetings with the service users twice a month. Every month there is also a resident meeting and at this meeting service users are reminded how they can make a complaint. A complaints log is kept and a record of any complaint made is also recorded in each individual service user folder and it is documented how the concerns were resolved. There has been no recent complaint investigation and no complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. One survey returned to us by a service user said ‘if I have a problem (complaint) I’m happy to tell anyone. I’ve got no complaints. I’m satisfied. If I wasn’t I’d complain’. We observed that the home has the local authorities procedures for safeguarding adults and we was told that the home follows these procedures. The home has had no referrals under these procedures since the last Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 15 inspection. Documentation observed by us demonstrated that staff has had training in safeguarding adults and this takes place regularly. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service live in a well-maintained environment, which was clean and hygienic. EVIDENCE: During the last site visit in November 2005 requirements were made concerning the environment and we observed at this visit that they had now been completed. The bathrooms have been re-decorated, repairs have been carried out and a new shower has been installed on the first floor. The home has also installed a new kitchen and the lounge has been decorated. We were shown during this visit the planed maintenance programme up until 2010. The outside of the house is due for painting next year. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 17 We observed that the home has a large garden to the rear and we was told that one of the service users enjoys helping to do the planting of the patio pots and he was supported by the staff to do this. The home has a good-sized laundry room and we were told that the staff does all of the washing. Although the service users were on holiday on the day of the site visit the home was left clean and tidy. A member of staff goes in every day to feed the homes cat and to check the premises. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of people who use the service. EVIDENCE: We looked at the rotas, which demonstrated that adequate staff was on duty to care for the assessed needs of the current service users. It was stated that skill mix of staff is always taken into consideration, as there always need to be a driver on each day to enable service users to attend the various activities. There is always two members of staff on at night on waking and one sleeping. The home also provides placements for student nurses who are always supernumerary. A very complimentary letter was observed from this student, which detailed the good training and experience she had received in the home. The recruitment folders were located in a locked draw therefore it was not possible to look at these documents during this site visit. The pre-inspection questionnaire demonstrated that the home has only recruited one member of staff since November 2005. The process used by the other homes in the group was explained to us, which demonstrated good procedures were in place. The pre-inspection questionnaire and training programme in the home demonstrated that induction training and mandatory training all takes place Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 19 regularly. The homes induction is linked to national induction programme. Mandatory training has taken place and this includes manual handling, fire awareness, food hygiene and safeguarding adults. Staff at the home have also benefited from health and safety and infection control training so far this year. A survey form returned to us said ‘they are all well trained and many of the staff have been employed at the home for years which speaks for itself’. Another survey form stated ‘ provides the residents with a good home that is well run and client focussed’ and ‘the manager and her senior staff are very skilful and experienced. I have always had a great confidence in the manager and her staff’. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is appropriately qualified and fit to be in charge of the home and is run in the best interests of the service users. Service user’s financial interests are safeguarded, and the health and safety arrangements in the home ensure that service users are protected. EVIDENCE: On the day of the site visit the manager was on holiday with the service users. One question on the survey form asks do you know who to speak to if you are unhappy? And a service user stated ‘I always speak to people like you (manager)’. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 21 We were told that regular quality audits in the home take place and the home has monthly visits from the responsible individual and these visits are documented and available for inspectors. Visitor observation records are available in the hall to enable any visitor the home to make comments on what they observe during their visit. Monthly service user meetings take place and these are documented and survey forms are sent to relatives or representatives every year. During the last site visit a requirement was made that the homes policy and procedure on service user finance was to be updated and this has been completed. All service users were on holiday and their personal allowance had been taken with them. During a tour of the building no health and safety issues were identified and the pre-inspection questionnaire demonstrated that all necessary checks had taken place and certificates were in place, which included a current gas and electrical certificate. Temperature recording were documented in each bathroom for water temperatures prior to bathing. We observed fire equipment and they had been checked and dated in January 2007. Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 22 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 Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pymhurst DS0000013753.V335324.R01.S.doc Version 5.2 Page 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. 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