Inspection on 28/11/05 for Pymhurst

This inspection was carried out on 28th November 2005.

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

The inspector 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 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 Suzanne Magnier Announced Inspection 28th November 2005 09:00 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 Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 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.V249119.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pymhurst Address Pymhurst 11 Semaphore Road Guildford Surrey GU1 3PS 01483 573318 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.V249119.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age of residents shall be over 65 years To include one named service user under the age of 65 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. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over 4 hours with the Registered Manager and owner of the home. The main focus of the inspection was to ascertain that the previous requirements and standards not assessed during the unannounced inspection in May 2005 had been met. During a tour of the premises the inspector met with all the residents, members of staff and visiting health care professionals. Due to the complexity of some residents needs it was difficult to obtain feedback from all residents. Therefore, observations of behaviour and ways of communicating were noted during the inspection. One resident showed the inspector their talking books and magazines and said that they were really helpful and enjoyable and there were a lot of music tapes to listen to. A comment card received from a resident stated ‘we play good games like ludo and snakes and ladders. It’s a happy home and everyone gets on with me’. Another residents comments included ‘ the bed is comfortable; I have my own wireless and television. I can go out to places for cups of tea and art classes and can write my letters and post them.’ ‘I go to the bank every week and we have a nice cat who lives here’. The residents are central to the running of the home and one resident spoken with during the inspection told the inspector that they liked the home and they were very happy. Comments received from relatives and friends included ‘I’m very happy with the care given at Pymhurst’, ‘I always feel both well informed and able to participate in any decision making’. What the service does well: What has improved since the last inspection? Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 6 Several parts of the home have been redecorated and furnished. A new washing machine and dishwasher have been purchased. The home has recruited new care staff that have received appropriate training and induction. All chemicals were noted to be stored in compliance with the control of substances hazardous to health guidelines (COSHH). The home has updated the clinical waste procedure for the prevention of infection, toxic conditions and the spread of infection at the care home. The inspector noted that the fire signs in the home had been improved and included symbols and clear simple guidelines in order that residents could become more involved in the health and safety of the home. What they could do better: Requirements have been made regarding the decoration and repair of the toilet and some equipment in the downstairs bathroom. More robust checks regarding the policies and procedures regarding staff recruitment and selection and should include a check up on the employment rights of individuals to work in this country. The homes policy and procedure regarding residents finance is updated in order to reflect the current working practice. It is strongly recommended that each resident receive a receipt for all expenditure in order to ensure accurate accountability and a clear audit of their finances. It has been required that the residents rights to confidentiality of information be addressed. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 7 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 DS0000013753.V249119.R01.S.doc Version 5.0 Page 8 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.V249119.R01.S.doc Version 5.0 Page 9 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): 6. The home does not provide intermediate care. EVIDENCE: The home does not provide intermediate care. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 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): 9,10,11. The medication policy and procedure is robust. Residents are supported in a dignified and respectful manner and their final affairs and wishes taken into consideration. EVIDENCE: The home is has an updated medication policy and the inspector observed one staff member administer one resident’s medication. The medication is blister packed to promote safe administration. The administration sheets and medication storage was in compliance with current legislation. Throughout the inspection the inspector observed staff supporting residents in a manner, which reflected dignity and respect. The inspector sampled two policies related to the care and support for expected and unexpected deaths in the home. Where possible some residents had had their wishes documented regarding their final affairs. Comments received from relatives and friends included ‘I’m very happy with the care given at Pymhurst’, ‘I always feel both well informed and able to participate in any decision making’. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 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 the following standard(s): Not assessed on this occasion. EVIDENCE: Not assessed on this occasion. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 12 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): 16,18. The home has a complaints procedure in place, which has been updated following the previous inspection. Staff have received training in the protection of vulnerable adults. EVIDENCE: The home has an updated complaints procedure, which has also been adapted in pictorial form for residents. The training records sampled indicated that all staff had received training in awareness of the protection of vulnerable adults. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 13 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): 19,21,23,25,26. The home offers a clean, and well-equipped environment for residents. Some areas of the home have been tastefully redecorated. Several requirements have been made regarding further decoration and repairs in the home. EVIDENCE: The home is clean and has a homely atmosphere. The office area was noted as being more organised. The resident’s rooms were observed to be clean and bright with soft furnishings and personal possessions reflecting people’s lifestyles and preferences. Several residents were using the lounge areas during the inspection. The soft furnishings looked comfortable and gave a homely atmosphere to the lounge area. One resident showed the inspector their talking books and magazines and said that they were really helpful and enjoyable and there were a lot of music tapes to listen to. Another resident showed the inspector how they kept their leg up on a special stool, which helped when they were sitting in their chair. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 14 Two bedrooms, the dining room and front lounge area had been redecorated and all the downstairs woodwork had been painted. The inspector noted that the downstairs bathroom and a toilet upstairs had been refurbished. All the toilets in the home required some decoration due to damage for example peeling paint noted on the walls and damage to the floor in one toilet. The inspector noted in the downstairs bathroom that the base plate of the fixed bath hoist had rusted and was in a bad state of repair due to the plastic casing being broken. A requirement has been made that the Registered Person ensures that the defect is repaired in order to protect the residents and staff from injury. There was a great deal of excitement in the home regarding the refurbishment of the kitchen and one resident told the inspector that they were having new cupboards. A new dishwasher had been purchased in compliance with the new water board regulations. The refurbishment and redecoration are planned to commence in the New Year. The laundry area has been improved and redecorated. A new washing machine had been purchased and a tumble dryer available for drying clothes. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 15 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): 29,30. The staff on duty during the inspection demonstrated knowledge of their work and competency to meet the needs of the residents. It is required that some employment rights of individuals to work in this country must be clarified. EVIDENCE: The home has recruited several new care staff, which has reduced the use of agency care workers. Overall the staff files sampled showed that the home undertakes a sound procedure for the recruitment and selection of staff. One staff member’s file did not contain evidence a current visa and eligibility to work. A requirement has been made that The Registered Person must ensure that the policies and procedures regarding recruitment and selection are met: this should include a check up on the employment rights of individuals to work in this country. All staff have documented CRB clearance. Staff training files indicated that a rolling programme of training and induction was in place within the home. The Registered Manager is currently completing the Registered Managers Award and 3 care staff are undertaking their National Vocational Qualification (NVQ) Level 2 with the Deputy Manager undertaking the NVQ Level 3. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 16 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): 31,33,34,36,38. The home continues to be effectively managed. Staff continue to be well supervised and improvements have been noted with regard to health and safety in the home. It has been required that the residents finance policy is updated and residents rights to confidentiality of information be addressed. EVIDENCE: The overall management of the home is efficient, organised and the throughout the inspection the Registered Manager carried out her duties effectively. The residents are central to the running of the home and one resident spoken with during the inspection told the inspector that they liked the home and they were very happy. During the tour of the premises the inspector noted staff meeting minutes on a notice board in the hallway. The notes contained personal information regarding residents and it is required that these notes be Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 17 stored in more appropriate manner in order to uphold the rights of residents to confidentiality, privacy and respect. The inspector sampled the homes policy and procedure regarding resident’s money. The homes policy and procedure required updating in order to reflect the current working practice. The inspector noted some expenditure for one resident was not accounted for with a receipt for hairdressing at the day centre. It is strongly recommended that each resident receive a receipt for all expenditure in order to ensure accurate accountability and a clear audit of their finances. The staff files sampled evidenced that staff were receiving appropriate supervision of their work. All chemicals were noted to be stored in compliance with the control of substances hazardous to health guidelines (COSHH). The home has updated the clinical waste procedure for the prevention of infection, toxic conditions and the spread of infection at the care home. The inspector noted that the fire signs in the home had been improved and included symbols and clear simple guidelines in order that residents could become more involved in the health and safety of the home. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x 3 x 3 x 3 3 STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 2 x 3 x 3 Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 19 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. 1. Standard OP19 Regulation 23.(2)(d) Requirement The Registered Persons must ensure that all parts of the home, including the peeling paint on the toilet walls, are kept reasonably decorated. The Registered Persons must ensure that all parts of the home, including the damaged flooring in the toilet are kept in a good state of repair. The Registered Person must ensure that the casing of the base plate for the fixed bath hoist is repaired in order to protect the residents and staff from injury. The Registered Person must ensure that the policies and procedures regarding recruitment and selection are met; this should include a check up on the employment rights of individuals to work in this country. The Registered Person must ensure that personal information regarding residents is stored in an appropriate manner in order to uphold the rights of residents DS0000013753.V249119.R01.S.doc Timescale for action 28/02/06 2 OP19 23.(2)(d) 28/02/06 3 OP19 13.(4)(a) (c) 29/11/05 4 OP.29 19.(1) 28/01/06 5 OP.33 12.(4)(a) 29/11/05 Pymhurst Version 5.0 Page 20 5 OP.34 13.(6) to confidentiality, privacy and respect. The Registered Person must ensure that the homes policy and procedure regarding residents finance is updated order to reflect the current working practice. 28/12/05 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 OP.34 Good Practice Recommendations It is strongly recommended that each resident receive a receipt for all expenditure in order to ensure accurate accountability and a clear audit of their finances. Pymhurst DS0000013753.V249119.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office 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 DS0000013753.V249119.R01.S.doc Version 5.0 Page 22 - 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. 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