Inspection on 14/06/05 for Quarry Mount Residential Care Home

This inspection was carried out on 14th June 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

Quarry Mount Residential Care... 02/12/08

Quarry Mount Residential Care... 10/10/08

Quarry Mount Residential Care... 12/12/07

Quarry Mount Residential Care... 25/10/06

Quarry Mount Residential Care... 24/11/05

Quarry Mount Residential Care... 18/01/05

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Quarry Mount Residential Care Home 83 Bath Road Swindon Wiltshire SN1 4AX Lead Inspector John Hurley Unannounced 14 June 2005 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. Quarry Mount Residential Care Home Inspection report OP.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Quarry Mount Residential Care Home Address 83 Bath Road Swindon Wiltshire SN1 4AX 01793 527715 01793 616130 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) Quarry Mount Care Ltd Mrs Karen Meadowcroft PC Care Home only 32 25 32 4 Category(ies) of DE Dementia - over 65 registration, with number OP Old Age of places PE Physical disability - over 65 Quarry Mount Residential Care Home Inspection report OP.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users who may be accommodated in the home at any one time is 32 2 3 No more than 25 service users aged 65 years and over with dementia may be accommodated at any one time No more than 4 service users aged 65 years and over with a physical disability may be accommodated at any one time Date of last inspection 18th January 2005 Brief Description of the Service: Quarry Mount is a large detached house in the Old Town area of Swindon offering accommodation and care to 32 older persons, some of whom have dementia. The home is a short walk from local shops, post offices, bus stops and churches.The home is arranged on three floors. There is bedroom accommodation on all three floors. The communal space is arranged on the ground floor and consists of a large lounge, a dining room and a further lounge and dining room. There is also some seating accommodation in the hallway. There are two semi-detached bungalows in the rear garden accommodating four residents. A large garden at the rear with seats and tables is provided in the summer so that residents can sit out. A people carrier is provided for outings and for shopping. The accommodation is appointed to a high standard. Quarry Mount Residential Care Home Inspection report OP.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over three hours. The inspector spoke with five service users, four visiting relatives, visiting health care professionals and members of staff and management. The inspector toured the premises when first entering the home and looked at most areas of the main building but not the bungalows in the grounds. These were inspected at the last visit in January 2005. 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. Quarry Mount Residential Care Home Inspection report OP.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 Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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) 1,3,4,6 The assessment documentation is clear and concise and evidences the involvement of the service user, their family, advocates and other stake holders. EVIDENCE: The inspector spoke with visiting relatives of a service user who had just taken up residency. They informed the inspector that they were pleased with the placement and the arrangements that were made to take their family member into the home. They confirmed they had been involved with and agreed with the short term plans that had been made. They discussed their understanding of what the home could offer and confirmed they had seen the service user guide. They also discussed how they were unhappy with one issue relating to the behaviour of another service user but acknowledged that the manager and staff would work with them to resolve their concerns. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 8 The service users assessment documentation was clear and concise. It gave an assessment of need and how the home would meet that need. The documentation also included health care needs, likes and dislikes and a commentary on how the individual likes to live. For example when the person likes to get up, where they like to have breakfast, their dietary considerations and sleep patterns. Intermediate care is not a feature of this service. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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 service user care plans reflect the assessment of need and provide a good framework for the staff to provide care in a consistent manner. EVIDENCE: The care plans observed have been generated from the pre admission assessment documentation. They are reviewed after the first month and amendments made. The plans note health care needs and how these should be met. The inspector spoke with a district nurse who was visiting at the time of the inspection. The told the inspector they are impressed with the staffs “can do“ attitude. They feel that the staff and management have a proactive approach to finding solutions to problems. The district nurse explained that in the preceding week they had made an assessment that a service user on the first floor required a ground floor room due to mobility problems. Following a meeting with the management of the home a room which had been due to be converted into an office was made available and the service user moved. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 10 A service user told the inspector that they knew what was in their care plan and had been consulted about its content. They said that they had sat down with a member of staff and told them how they wanted to be helped. Another service user further said that they liked the staff and that they are always treated nicely. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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 daily rhythm of life at the home appears to meet most of the service users’ needs most of the time. The issue relating to the use of the television needs to be further explored between the management, service users and relatives affected by this, and some form of workable solution found. EVIDENCE: Planned activities are “bought in” and provide extra stimulation to the service user group. These range from singing and bingo to gentle exercise and ball type games. Several service users told the inspector that they knew what activities were taking place, some they liked, others they did not. Given that the home provides two good sized communal areas those who choose not to participate do not have to. Visiting relatives confirmed that they could visit at any reasonable time. One relative raised the issue that they wished they could sit in the main dining room and talk with their relative. The inspector raised this with the manager. They explained that due to the lack of a staff meeting room they (staff) use this area at designated times of the day to take their breaks and to record daily events in the service user files. The manager told the inspector that the dining room was available outside of these designated times. Whilst they felt that this issue had been previously resolved they agreed to talk again with the Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 12 relative and inform them of the times the dining room was available for general use. Another relative brought up the issue of the television being on whilst visiting their relatives in the rear communal area, in particular how loud the volume was. The inspector observed that none of the eight service users appeared to be watching it. The remote control for the television was not in sight and so the volume could neither be turned down or the television turned off. (A member of staff later found it in the drawer under the television.) The relatives did not feel they had permission to alter the settings or turn it off even if the controller was available. The inspector discussed the mealtime arrangements with a group of service users and two visiting relatives. There was a general consensus that there was sufficient food on offer at varying times of the day. They felt that they had a degree of choice of what to have and when to have it. When the inspector asked what was for dinner no one knew for certain. They did however know where they could find the planned menu or considered they could just ask the staff. One service user said that it did not matter that they did not know what was for dinner as it was always good. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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) These standards were not assessed during this visit. EVIDENCE: Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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) 19,20,22,23,24,25,26 The home continues to provide a good standard of accommodation which has retained a degree of domestic character. EVIDENCE: The home was being cleaned when the inspector toured the premises at 8.45am. One communal area had all the tables and chairs moved to the centre of the room to allow the staff to clean the floors and damp dust all of the window ledges. All toilets observed were in a good clean condition. The risk assessment documentation relating to the home has been updated in line with the comments made during the previous inspection. All communal areas are well lit and ventilated. All furnishing have a domestic look to them and strip lighting is avoided where possible. The service users’ rooms are comfortable and well maintained. A service user told the inspector that they had brought in some of their own photos and keepsakes. They said that they liked their room and felt it was furnished to Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 15 their liking. The home has recently purchased a number of outside tables, chairs and sunshades, enabling those who wish to, to use the large gardens. The home has a number of aids including hoists and associated slings, wheelchairs, pressure relieving mattresses and other aids relating to personal care. These aids were observed as being in good clean, serviceable condition. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.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) 29,30 The homes management continues to ensure that training and individual learning is ongoing and informs care practice. Recruitment procedures are in line with current good practice. EVIDENCE: The inspector had the opportunity to talk with a member of staff who had just taken up employment that week. They confirmed that they had filled in an application form and attended a formal interview before being offered a job at the home. They further confirmed that they had been required to provide documents to prove identity. They told the inspector that this week they were shadowing members of staff and getting to know the residents. They were able to inform the inspector of some of the objectives of the care plans, going on to explain the ethos of the home. The training records confirm that all staff are given opportunities to learn and attend training courses both internally and externally. The new member of staff was undertaking induction training. A senior member of staff confirmed to the inspector that they had undergone specialist training in dementia care and how to deal with death and dying of a service user. The manager, who has many years experience in the caring industry and is suitably qualified to undertake the role they are appointed for, informed that they have enough access to training courses for themselves, the main focus being on management issues. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 17 The district nurse commented that they felt the staff team were well trained and that they were especially impressed with the team’s knowledge of tissue viability and how to approach small clinical issues under their guidance. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 18 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 The home is well run and managed effectively. EVIDENCE: The owners of the home play an active role in the management of it. One owner takes responsibility for training and personal development of the staff, the other taking responsibility for the business arrangements at the home. The registered manager takes responsibility for the care issues. This model appears to work well as the home continues to meet all of the standards assessed at this inspection. The management team have introduced a relatives/service user group who put forward their comments and observations to the management team. They also produce quarterly newsletters and circulate them to service users, relatives and stakeholders. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 19 They have a quality assurance programme that further seeks the views of all interested parties. The outcome of the quality assurance audit is circulated to all interested parties, where appropriate some of the findings are incorporated into the home’s annual development plan. Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 20 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 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 3 x x x x x Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 21 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 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. 1. Refer to Standard op12 Good Practice Recommendations In consultation with the service users their families and friends the manager considers how and when the television is used in the rear communal lounge Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 22 Commission for Social Care Inspection Suite C, Avonbridge House Bath Road Chippenham Wiltshire SN15 2BB 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 Quarry Mount Residential Care Home v233520 d51 d01 s62385 quarrymount v233520 140605 stage4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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