Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/06/05 for Queen`s Court

Also see our care home review for Queen`s Court for more information

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Queens Court offers an excellent service to the people living there, with a good range of activities, and a great deal of thought to involving service users in all aspects of their day to day lives. The home is able to take service users views in to account and involves them in a variety of activities, and staff training was seen to be of a high standard, covering all mandatory training as well as some service user specific areas.

What has improved since the last inspection?

Since the last inspection, the planned refurbishment and expansion of the home has moved forward, and work may start later in the year, but in the meantime repairs and redecoration still take place. A number of aspects of the homes record keeping have been reviewed, and changed since the last inspection, providing better information in care plans.

What the care home could do better:

Records held on staff employed in the home do not meet the requirements in schedule 4 of the regulations, and should be updated, and the overall environment does need updating, but this work is in hand.

CARE HOMES FOR OLDER PEOPLE Queens Court 2 Downing Close Bottisham Cambridgeshire CB5 9DD Lead Inspector Alan Buttery Unannounced 14th June 2005 @ 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Queens Court Address 2 Downing Close, Bottisham. Cambridge CB5 9DD. 01223 811905 01223 812517 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) Methodist Homes for the Aged Mrs Rosalind May Wright Care Home 35 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (35) of places Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12th Novermber 2004 Brief Description of the Service: Queens Court is in the centre of Bottisham, a small village near Cambridge. It is a two-storey purpose built home, offering accommodation for thirty-five service users. The accommodation is arranged in five ‘self contained’ flats each with its own kitchenette and lounge area. The home operates a day centre from the premises which is available for use by the service users living in Queens Court, as well as being used by older people living in the local area.. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, and the first of the current year. The inspection lasted about three hours, during which time the homes administrator and the duty manager assisted the inspector, as the home’s manager was away at a planning meeting. The inspector spoke to the manager on the telephone after the inspection, addressing a couple of issues that had arisen during the inspection. The home currently has two vacancies, and prospective service users are being considered, A further two service users are in hospital, and the beds are currently held on their behalf. Staff vacancies exist for part time and weekend relief staff, otherwise a full complement of staff is in post. What the service does well: What has improved since the last inspection? Since the last inspection, the planned refurbishment and expansion of the home has moved forward, and work may start later in the year, but in the meantime repairs and redecoration still take place. A number of aspects of the homes record keeping have been reviewed, and changed since the last inspection, providing better information in care plans. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 6 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. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 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 Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 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) 3 and 6 Queens Court has a detailed admission procedure, including visits from service users, ensuring that the needs of service users moving into the home can be met. EVIDENCE: Before any new admission to the home, a detailed pre admission assessment is undertaken, involving the service user and their families where appropriate. The process includes gathering a detailed social history of the prospective service user, which gives the home much more background. Either the manager or one of the assistant managers carries out the assessment, and the relevant social services assessment is also used where appropriate. Four service user files were examined during this inspection, and all contained the assessment information detailed above. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 9 The home has one bed that is managed by the local GP practice, offering emergency care, and a respite unit but does not specifically offer intermediate care as defined in the regulations. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 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 standard(s) 7, 8, and 10 Care plans seen during the inspection give all staff sufficient information to meet the needs of the service users, and these needs are kept under review, ensuring any changes are dealt with. EVIDENCE: Following the assessment information gathered as part of the pre admission process, initial care plans are written, which are reviewed monthly, and evidence of the reviews was seen in the files examined. It was also apparent that the reviews are in sufficient detail, and not tokenistic as the files shoed evidence of care needs changing and care plans being updated accordingly, rather than the bland ‘no change’ often seen The home has a good relationship with the local GP surgery, and has one bed that is purchased and used by them for emergency short term or crisis admissions. From discussions with service users and comment cards received back, and from observations of staff during the inspection, it is clear that service users are treated with dignity and respect at all times. The inspector has suggested Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 11 to the home that he attends a future service user meeting, and the home agreed to provide dates of future meetings. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 14 Queens court offers a wide variety of social activity, and a varied and balanced diet, ensuring service users have a choice in all areas of their lives. EVIDENCE: The home continues to offer a variety of social and leisure activities, making use of the day service facility, which although on site does not form part of the inspection. This facility is used for religious services, and a variety of musical and leisure pursuits, and available for family occasions when not used as a day centre, for example at weekends. The homes administrator felt that staff now have more time to spend with service users, talking to them about the news and family events, and taking them out to local community events and to the local shops, and are supported in choosing activities they want to take part in. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Policies and procedures are in place to ensure that service users views are listened to at all times EVIDENCE: The homes have a complaints policy in line with the requirements of this standard. Since the last inspection, no complaints have been received either by the home of by the CSCI. Service user and relative comment cards filled in following the inspection all suggest that they are confident that any complaint would be listened to, and dealt with appropriately. The home also records compliments received, which give a very positive indication of the views of families in particular, who have, or have had, relatives living in the home. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Queens Court offers a clean and homely environment allowing service users to live in comfortable surroundings, although the planned redevelopment will improve facilities further. EVIDENCE: On the day of the inspection, the home was clean, with one of the flats having been very recently redecorated. New Garden furniture was also seen in the enclosed courtyard area, which is apparently popular with service users, giving them a nice area to sit in, with some shade if required. Plans have been submitted for the refurbishment and expansion of the home, but it is pleasing to note that maintenance and redecoration continue in the meantime. During a tour of the premises, no unpleasant odours were apparent, and service users rooms were observed being cleaned. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 15 Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30 A well qualified and trained staff team ensure that staff is competent in meeting the needs of the service users living in the home. EVIDENCE: During this inspection, staffing records were examined, which demonstrated evidence of a variety of training that is provided to staff, both mandatory such as moving and handling, first aid and food hygiene and more service users specific such as wound dressing and the use of pain patches, both of these being provided by the district nursing service. Staff records also indicated that the homes recruitment policy is satisfactory, and in accordance with regulations, although it as recommended that references should be verified either by an official stamp if from a company or by telephone follow up. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38 Management in the home ensure that the needs of service users are met, and that health and procedures offer staff and service users protection at all times, although some attention to records held in the home is needed. EVIDENCE: Queens Court has always been well managed, and the relationship between the manager and staff, and with service users remains very good. Since the last inspection, one of the home’s assistant managers has moved on, after several years in the service, and his duties have been shared by other senior staff. The home is operated by Methodist Homes for the aged, and follows their policies and procedures on health and safety, ensuring that all service users and staff remain safe while either living or working in the home. However staff records did not contain all the information required in the regulations, and this must be addressed. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 18 The home has its own maintenance person ensuring that day to day repairs are done quickly, and in spite of the plans to rebuild the property, it is pleasing to note that day to day repairs and redecoration continue. Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 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 x 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 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 3 x x x x 3 x x x x 3 Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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. 2. Refer to Standard OP30 OP24 Good Practice Recommendations The home should check and verify references received by telephone to ensure they are valid The home should continue to liase with the CSCI over planned redvelopment Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 Page 21 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Queens Court I53 I03 s15097 QUEENS COURT v231815 140605 - STAGE 4.doc Version 1.30 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!