Inspection on 24/08/05 for Quay Court Care Centre

This inspection was carried out on 24th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Quay Court Care Centre 17/12/08

Quay Court Care Centre 11/12/06

Quay Court Care Centre 15/02/06

Quay Court Care Centre 06/01/05

Quay Court Care Centre 24/08/04

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 Quay Court Care Centre Squares Quay Kingsbridge Devon TQ7 1HN Lead Inspector Margaret Crowley Announced 24 August 2005 th 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. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Quay Court Care Centre Address Squares Quay, Kingsbridge, Devon, TQ7 1HN 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) 01548 852540 01548 852540 Quay Court Care Centre Limited Mrs Susan Jaane Shute Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (30), Old age, not falling within any other category (30), Physical disability over 65 years of age (30) Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 06.01.2005 Brief Description of the Service: The Quay Court Centre is part of a group of homes known informally as The Court Group. It is registered to care for thirty older people who may also have a mental disorder, dementia, and /or a physical disability. Accommodation is provided in en suite rooms. There are spacious communal areas and a garden and patio area. There is a passenger lift and chair lifts. Aids and adaptations are provided to meet service users’ needs. The premises are situated adjacent to the quay in Kingsbridge and have pleasant views and access to local amenities. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over one day on 24th August 2005. A tour of the premises took place, and records were inspected. Service users and relatives were spoken with and completed questionnaires were received from service users and relatives. Staff on duty were observed in the course of their daily duties and 4 staff were spoken with. Discussions took place with Mrs Sally Brazier, Responsible Person and Mrs Susan Shute, Registered Manager. What the service does well: What has improved since the last inspection? What they could do better: The programme of installing covers to all radiators and pipe work accessible to service users should be completed to prevent the risk of service users sustaining a burn. A programme is to commence to provide temperature control devices to hot water outlets in hand basins accessible to service users, to prevent the risk of scalds. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 6 Signage within the building should be improved to assist service users’ orientation. 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. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 Prospective service users are provided with information to assist them in choosing to live at the Quay Court Care Centre. Admission procedures ensure that service users needs are assessed and known prior to their admission. EVIDENCE: A statement of purpose and service user guide are available which are reviewed regularly. Evidence was seen of assessments undertaken with service users admitted recently. Information from other agencies was also available in the records. Service users spoken with who had recently been admitted for both respite and long term care confirmed that they were satisfied that their needs could be met and were pleased with the level of care that they were receiving. The management is developing greater awareness of those service users for whom The Quay Court Care Centre would not be appropriate. For example, because of the layout and location of the home close to a busy car park, the premises are not suitable for those service users with dementia with high levels of needs who are known to wander. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 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) 7,9 Service users have care plans, which are reviewed and enable their needs to be met. The systems for the administration of medication are satisfactory, with arrangements in place to ensure that service users’ medication needs are met. EVIDENCE: Evidence was seen of comprehensive risk assessments and care plans, which are reviewed systematically and updated when necessary. Daily records showed that any concerns are recorded and addressed. There are clear systems for the storage and administration of medicines. Medication records were in order. Where a service user self- medicates this is subject to risk assessment, and the service user has appropriate storage for the medicines. Staff who administer medicines have received accredited training. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 10 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) 12,13,15 Service users are provided with a flexible life style, with activities provided for those who wish to participate. A balanced and varied selection of food is available that meets service users tastes and choices. EVIDENCE: The Quay Court Care Centre enjoys good links with the town of Kingsbridge and several relatives and friends of service users were visiting and seen to be made welcome during the inspection. Service users value the accessibility of the local community. They confirmed that can choose how they spend their time and that they are consulted regarding the choice of activities. New craft activities have been introduced recently. Service users have access to the company’s minibus for visits out. Some service users choose to spend time in their own room and enjoy informal time spent individually with staff for example in having their nails manicured. There is a varied rotating menu. The meals were seen to be of a good standard. All service users spoken with praised the quality and quantity of the meals. Individual choices can be catered for and visitors are welcome to stay for a meal by prior arrangement. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 11 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) 16,18 Service users can be confident that procedures are in place to enable them to complain and to protect them from abuse EVIDENCE: The complaints procedure is displayed so that it is accessible to service users. Two complaints have been received by the Commission for Social Care Inspection since the last inspection The first concerned a service user discharged from the care home and found subsequently to have two fractured bones of the right ankle. This complaint is unresolved. Medical opinion concerning his pre-existing physical medical conditions raised doubts regarding his ability to identify pain as emanating from his foot, should the injuries have occurred at the time of two falls, which occurred shortly before discharge. Records and interviews with care staff indicated that from their observations they were not of the opinion that he had sustained injury from the falls. The second complaint that the service user was given notice to leave the care home was not upheld. Quay Court Care Centre Limited acted within its powers if they felt unable to continue to meet the service user’s needs. There is an adult protection policy and procedure which is accessible to staff. Staff receive in-house training in adult protection. It is recommended that the manager and senior care staff attend the multi agency adult protection training. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 12 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) 19,25,26 Service users live in accommodation that is comfortable, attractive and clean. EVIDENCE: Quay Court Care Centre is very well maintained and furnished to a high standard. There is an ongoing programme of redecoration that ensures that the environment remains clean and attractive. Since the last inspection new carpets have been fitted. There is a good range of spacious communal facilities within the premises, and outside there is patio area where service users enjoy sitting. The patio, one of the lounges and several service user rooms have stimulating views of the Kingsbridge quay. Service users rooms are en suite and personalised. Since the last inspection two spacious en suite rooms have been created from three rooms that did not have en suite facilities. Only two service users rooms have door locks fitted. A suitable lock is provided if requested, but locks are not provided as standard on admission. This is documented within the home’s statement of purpose. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 13 A suitable fastening device must be fitted to the upstairs bathroom with a sliding door. The programme of installing covers to all radiators and pipe work accessible to service users to prevent the risk of service users sustaining a burn is in progress, but not yet complete. A programme is planned to commence to provide temperature control devices to hot water outlets in hand basins accessible to service users, to prevent the risk of scalds. Discussions took place regarding the need to improve the means of orientation within the home for new service users, or those people with dementia, through the use of signage. There is an infection control policy and all areas of the home were hygienic and odour free. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 14 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) 27,29,30 An adequate number of staff are employed to meet the care needs of the current service users. Staff are provided with training opportunities to enable them to develop their knowledge and skills in caring for service users. EVIDENCE: The responsible individual and the registered manager said that there are sufficient staff employed to meet service users needs by day and by night. Staff spoken with confirmed this. Staffing levels are kept under review dependent on the needs of the service users. There is a range of experience within the staff group. Six of the fifteen staff currently hold NVQ 2 and three staff are undergoing NVQ2 and three NVQ3 There is a staff training plan and staff have attended a range of in-house and external courses in the past year, which includes mandatory training in fire and health and safety matters. They have also received training in dementia care. Staff spoken with said that they are encouraged to undertake training. They felt well supported by the manager and said new staff are provided with a good induction to enable them to do their work. Records were inspected of staff recently employed and provided satisfactory evidence of the recruitment and the induction processes. CRB disclosures were not available for inspection as these are processed centrally and the manager informed when enquiries are complete. The management was informed that CRB disclosures should also be obtained for non-UK staff. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 15 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) 32,33,38 Quay Court Care Centre is well managed with clear efficient systems in place. Quality assurance systems ensure that the views of service users, relatives and staff are sought and acted upon. Service users live in an environment where most health and safety standards are met and maintained. EVIDENCE: The registered manager ensures that there is an open, positive and inclusive atmosphere within the home. This was evident during the inspection from the interaction of service users with the manager and with staff. Service users and relatives spoke highly of the quality of care and their confidence in the manager. Quality monitoring systems include regular feedback systems from service users, relatives and staff. Service users meetings and staff meetings are held and a staff newsletter produced and displayed. The responsible individual Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 16 undertakes informative monthly, quality audits to examine all aspects of the provision of the service to ensure that standards are maintained. Routine health and safety issues are managed well and records are maintained up to date and accurate. Fire and accident records were in order. It is recommended that all staff receive fire prevention training six-monthly, and more frequently for staff on duty at nighttimes. Two fire evacuation notices had been removed during the building alterations. This matter was addressed during the inspection. Risk assessments for the premises were seen and the registered manager confirmed that window restrictors are in place where required. Remedial action was arranged to avert a potential trip hazard on a slope in the dining room and has since been addressed. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 17 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 2 x x 2 2 3 STAFFING Standard No Score 27 3 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 3 x 3 x x 4 x 4 x x 3 Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 18 yes 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. 2. Standard OP25 OP25 Regulation 13 13 Requirement The programme to install covers to radiators and hot surfaces must be completed The registered provider must ensure that all hot water outlets, accessible to service users is regulated to 43 degrees Centigrade. Timescale for action 24/12/05 24/12/05 3. 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. 2. 3. Refer to Standard OP18 OP22 OP21 Good Practice Recommendations The manager and senior care staff should attend the multi agency adult protection training. The managment should review ways in which service users’ orientation within the home may be improved through the use of signage. A suitable fastening device must be fitted to the upstairs bathroom with a sliding door. Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Quay Court Care Centre D54-D07 S3784 Quay Court V231777 240805 Stage 4.doc Version 1.40 Page 20 - 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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