Inspection on 02/07/07 for Quintaville

This inspection was carried out on 2nd July 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Quintaville 27/04/09

Quintaville 18/06/08

Quintaville 09/01/07

Quintaville 20/12/05

Quintaville 29/09/05

Quintaville 11/02/05

Quintaville 06/07/04

Quintaville 24/03/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Poldhu

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

CARE HOMES FOR OLDER PEOPLE Quintaville 1 Quinta Road Babbacombe Torquay Devon TQ1 3RJ Lead Inspector James Rose Unannounced Inspection 2nd July 2007 10:30 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 Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quintaville Address 1 Quinta Road Babbacombe Torquay Devon TQ1 3RJ 01803 328289 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) L Murphy & Co Ltd Mr John Francis Murphy Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Learning registration, with number disability over 65 years of age (25), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (25), Old age, not falling within any other category (25), Physical disability over 65 years of age (25) Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2007 Brief Description of the Service: Quintaville is a residential home that is registered for persons in the categories of: Dementia, Old Age, Learning disability, Mental Disorder and Physical Disability. The home has 25 beds in a range of single and double rooms many with on suite facilities. At the front of the building there is a small well tended garden and a courtyard area is found at the rear, which can be accessed by service users through a large patio door. On road parking is available at the front of the home. The home has three floors and a vertical lift is provided for service users who have mobility issues. A Parker bath is available for persons who need this facility. Three lounges are available which provides different environments in each. Meals are taken in a separate dining room at small tables seating up to four persons. Off the dining area there is a dedicated room provided for hairdressing. The home is within walking distance of local shops. The weekly cost of care at Quintaville is between the lowest at £313.00 to the highest £367.00. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site inspection was undertaken over six hours in July 2007, a sample of care records were examined and four residents were consulted individually others were seen in a group. Evidence was also taken from contacts with relatives and friends. Four carers were interviewed individually and healthcare professionals that provide a service to the home were also consulted. A complete tour of the building was undertaken and the way care was delivered was observed. The registered manager/proprietor assisted throughout the inspection process. What the service does well: What has improved since the last inspection? Since the last inspection the manager has introduced a new more comprehensive assessment process and this is being used for all residents, this will impact on the care planning process that is also being developed to cover all residents’ needs. Risk assessments are also in the process of being reviewed. A requirement was raised at the time of the last inspection concerning the administration of medication in the home. At this inspection the recording was complete and appropriate storage had been provided. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 6 The issues raised at the last inspection concerning the building have been resolved. A new stair carpet has been provided which has improved the environment for residents. Personnel records are now complete and contain all the information to meet the legislation. A new quality assurance system is currently in the process of being introduced in the home that will ensure that the management knows residents’ views. Work was being undertaken at the time of the this inspection to the electrical system which when complete will enable the home to have a current electrical installation certificate for the building which will ensure it is safe for residents. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. The new more detailed assessment process is successful and is being extended to existing residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four assessments were examined at this inspection, a new system had been introduced since the time of the last inspection, and it was clear these covered all the needs of the resident concerned in a detailed way. Some additional improvement could be made concerning the social care of residents and this was discussed and agreed with the manager at the time of the inspection. Assessments are usually undertaken by the manager prior to the resident being offered a service at the home to ensure that all the persons needs can be met by the service provided. If a person is admitted into the home on an emergency basis and no opportunity has been available for assessment this is undertaken by the manager as matter of priority. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 9 All the residents consulted during the inspection confirmed that all their needs were met by the service provided. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. The care planning processes in the home are currently being developed, once completed they will provide a comprehensive foundation for the service to be provided. Health needs are satisfactorily met and residents are able to self medicate. The administration of medication in the home ensures residents are safe. Residents are treated with respect and their privacy is maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the time of the last inspection the manager has begun to develop the care planning process to cover all the needs of a resident, however this process is not complete. Four service user plans were examined at this inspection. The need for development in the areas of personal and social needs was discussed with the manager particularly the movement to a more client centred approach. Four residents that were consulted individually and in private as part of the inspection process advised that they felt all their needs were well met by the service provided. Residents were also consulted in groups, one resident advised, “ I love it”…”Better than the other place I was in” another remarked Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 11 with a smile on her face, “They have opened a bank account in my name and I’m in charge”. Healthcare needs at the home were met appropriately and the healthcare professionals that were consulted expressed their confidence in the service provided and advised that they were always consulted appropriately. The recordings of the administration of medication undertaken by the home were examined; the recording was clear and up to date and appropriate secure storage was in place for most medication. Medication that required low temperature storage was held in a small fridge, which was understood to be having a locking mechanism fitted to ensure residents safety. The daily records written by carers are going to be undertaken on the basis of one sheet per resident to ensure confidentiality of recording is appropriate. This issue was raised in the last report and a start had been undertaken its importance was discussed with the manager who is going to ensure adoption. It was also clear from observations made during the inspection that residents’ were not rushed by staff and personal care was delivered in a sensitive way. When asked residents advised that they were always treated with respect and every care was taken to ensure their privacy. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Residents enjoyed the lifestyle in the home and the visiting arrangements were unrestricted. Carers help residents to have control over their lives and to exercise choice. The meals served in the home are wholesome and appealing and are served in a dedicated dining room that residents’ liked. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents were consulted individually and in private and others were seen as a group. They were all relaxed and well able to express their views. Everyone advised that they liked the life at Quintaville and felt that they had enough entertainments and interests made available to them. When asked no suggestions were made of any additions that persons would have liked added. There is an unrestricted visiting policy and procedure in place and the management of the home has always been prepared to offer additional support to visitors particularly if they have travelled a distance. Observations were made during the inspection of the way care was delivered. Examples were seen of staff providing assistance and encouragement to residents and giving them time and space for them to make their own decisions about matters that affected their lifestyle. Residents advised that Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 13 they felt in charge of their own life and made their own decisions about issues that affected them. Three relatives and friends of residents were contacted to ask for their views of the service provided at Quintaville. They were all very positive about the care provided and advised that their relative/friend had never been as happy and contented. Two stated that their relative/friend had been in other homes and the service they received there was not as good as it was in this home. The foods served in the home are produced in their own kitchens and fresh produce is used. The diet is appealing and varied and meals are served in the dedicated dining room that is equipped with small tables seating up to four persons. Additional snacks and drinks are available to residents on requests. All the residents consulted advised that they liked the meals provided in the home and could not think of anything they would like added to the menu. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Residents are confident that if they raised an issue it would be resolved quickly to their satisfaction and they are appropriately protected from all types of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents consulted were confident that if they raised and issue with carers it would be taken seriously and action would be taken to resolve it without delay. No complaints were received during the inspection process. The home has an adult abuse protection policy and procedure and carers and trained in its use. Three carers were interviewed individually and in private as part of the inspection process, they all understood the policy and procedure and recognised the different types of abuse and what action should be taken if they ever discovered abuse taking place. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. Quintaville provides a safe, comfortable environment for the residents, the home is clean throughout with good standards of hygiene apparent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the building was undertaken at this inspection and all rooms were seen. The matters raised in the last report have been dealt with and a new stair carpet has been provided which improves the environment for the residents. The environment provided for residents is safe and well maintained. The home was clean throughout with high standards of hygiene apparent. Residents were asked for their views about the facilities provided in the home and they were all very complimentary, particularly about their own rooms. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. There are sufficient numbers of experienced carers available to ensure residents’ needs are met. Residents are safe. The home’s recruitment practices ensure that residents are appropriately protected and carers are trained to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care hours available at the home are the same as at the last inspection. If more hours are required because a residents needs increase they are made available. The staff are skilled, competent and experienced and meet residents needs appropriately. All the residents consulted advised that they were well cared for and that they had a good relationship with their carers. Samples of the personnel files maintained by the home were examined and were found to be complete. The home has a training record available of the staff team and new carers are able to undertake training and are supported by the management of the home. Three carers were interviewed during the inspection they were confident and clear about their role in the home and were conversant with the home’s policies and procedures and had a detailed knowledge about residents needs. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. An experienced well-qualified person who is of good character and capable manages Quintaville. The home is run in the best interest of the residents and their financial interests are safeguarded. Health and safety issues are seen as important and are given priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has years of experience and is qualified in social care, management and is also a trained nurse. At the time of the inspection a new recorded quality assurance system was about to be introduced with all the requite administration in place. However, residents’ views were well known and understood as these had been collected verbally. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 18 The financial records of four residents were checked at this inspection, these were found to be correct in every respect including the cash available. Each residents has a bank account that requires support with the management of their pocket money, receipts are retained by the home for any purchases made on behalf of a resident. One new resident was very keen to tell me about her bank account as she said “this had never been an option at her last home”. The registered manager takes the health and safety and welfare of residents and staff seriously. The recordings of the fire precautions undertaken by the home were examined and found to be up to date. The electrical testing of appliances was available. Hazardous chemicals were stored appropriately and reports were made of any accident sustained in the home. The water testing for unwanted bacteria was up to date which ensured it was safe for use. At the time of the inspection two electricians were working in the home, when this work is completed the home will be provided with an electrical installation certificate which will demonstrate that the building is safe. Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 23(1) Requirement Subject to regulation 4(3), the registered person shall not use premises for the purposes of a care home unless the premises are suitable for the purpose of achieving the aims and objectives set out in the statement of purpose; The registered manager must ensure that there is a current electrical installation certificate available for the home. (Previous timescale of 28/02/07 not met) Timescale for action 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Quintaville DS0000018414.V341915.R01.S.doc Version 5.2 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. 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