Inspection on 29/09/05 for Quintaville

This inspection was carried out on 29th September 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 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 02/07/07

Quintaville 09/01/07

Quintaville 20/12/05

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 Torquay Devon TQ1 3RJ Lead Inspector James Rose Announced 29 September 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. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Quintaville Address 1 Quinta Road, Torquay, Devon, TQ1 3RJ 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) 01803 328289 L Murphy & Co Ltd Mr John Francis Murphy Care Home 32 Category(ies) of Dementia - over 65 years of age (38), Learning registration, with number disability over 65 years of age (38), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (38), Old age, not falling within any other category (38), Physical disability over 65 years of age (38) Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 25/02/05 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 32 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. Four 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. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 6.25 hours on 29th September 2005. The management of the home had completed a pre inspection questionnaire. A complete tour of the home was undertaken during the inspection and a sample of care records were examined, four in all. Five residents were asked for their views of their experience of living at Quintaville, this was undertaken in private and three care staff were also consulted. The management of the home assisted throughout the inspection. What the service does well: What has improved since the last inspection? A substantial investment has been made in the home since the last inspection and a disabled access door has been provided at the side of the building that is accessed via a new ramp. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 6 The call system in the home has been extended and the whole of the building has been assessed by an independent occupational therapist. Complete personnel files have been provided and the staff training and development plan has continued. The registered manager has also introduced a more comprehensive questionnaire system to ensure that the residents in the home get the service that they want. 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. Quintaville D54-D07 S18414 Quintaville V224639 290905 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 Quintaville D54-D07 S18414 Quintaville V224639 290905 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) 3 and 6 The homes assessment process is comprehensive and fit for the purpose of recording all a persons needs to ensure that these can be met at the home. EVIDENCE: Three assessments were examined at this inspection; these were comprehensive and had been completed by the manger when he visited the prospective resident prior to them being offered a place at Quintaville. Five residents were consulted in private and they advised that they did not have any needs that were unmet at the home. Standard 6 refers to a service that is not provided at Quintaville. Quintaville D54-D07 S18414 Quintaville V224639 290905 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) 7,8,9 and 10 The care plans at the home were comprehensive in the areas of health and personal needs but needed the addition of all the social needs of residents. Residents are able to self medicate subject to a risk assessed approach; the homes administration of medication ensures that residents are safe. Residents were treated with respect and their privacy was maintained. EVIDENCE: Four care plans were examined at the inspection, these were found to be detailed concerning health needs and personal needs but lacked depth in the social needs element. This was discussed with the manager who has agreed to develop the area further. It is acknowledged that all residents do have an active social life at the home and their needs are well known, however, currently there is little recording in place. Health needs of residents are fully met with good access being available to healthcare professionals when required. All the residents consulted confirmed that they always had prompt treatment with health issues when it was needed. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 10 Residents who have the capacity and wish to self medicate are able to do so subject to a risk assessed approach. The administration of medication records undertaken by the home were examined and found to be clear, complete and up to date. Medication was booked in appropriately and a detailed returns record was available of all unused medication returned to the pharmacist. All medication held at the home has appropriate secure storage including medication subject to the controlled process. Five residents were consulted in private during the inspection and they were well able to express their views. They stated that they were always treated with respect and had a good relationship with their carers. The way care was delivered was observed during the inspection and it was clear that residents privacy was seen as important particularly when they were assisted with their toilet and bathing, staff were seen to knock on doors before entering a residents room. Appropriate integration was overheard between carers and residents with a good deal of friendly banter being evident. Residents were always seen to be treated with respect and were not hurried when assisted with their mobility. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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 and 15 Residents enjoy a lifestyle at the home that they prefer and are comfortable with. Social needs were met and visiting is unrestricted. Assistance and time is given to residents to enable them to exercise choice and have control over events that affect them. A wholesome diet is provided and is served in a dedicated dining room. EVIDENCE: Five residents were consulted individually and in private during the inspection, they advised that they were very happy at the home and felt they were well treated and got on well with their carers and the manager. They went on to say that the home has its own minibus and they go out on trips over the moors and go out for cream teas. I was also told that trips are arranged to the theatre for the pantomime and that entertainers come to the home on a regular basis. When asked no suggestions were made of other activities that residents would like to do. One residents said “I like it here, the foods very good and I can have my own privacy if I want or go to one of the lounges” another residents commented “You don’t have to have what’s being cooked you can ask for something else without causing upset”. A resident recently admitted said, “It feels like home”. Residents confirmed that they were able to have visitors at anytime and the home offered accommodation to any visitor who has travelled a long distance. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 12 Visitors were able to enjoy a meal with their relative/friend if they so wished. No charge was made by the home for visitors to have accommodation or for their meals. The way care was delivered was observed during the inspection, carers were seen to take time with residents to enable them to have time to reach decisions and to offer a resident space to change their mind. Residents confirmed that they felt they were in charge of their life, but were supported by the home. All the residents consulted advised that the meals served at the home were to their liking and said that they could always have something else if they wanted. A wholesome meal was served on the day of the inspection, which was clearly enjoyed by all. A menu system is used at the home and residents are given the choice about what foods they would like to consume. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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 and 18 Complaints were dealt with appropriately and were always taken seriously. Residents are protected from all forms of abuse. EVIDENCE: All the service users consulted were confident that if they raised an issue with the manager this would be taken seriously and resolved quickly to their satisfaction. Residents were aware of the home’s procedure but had not had occasion to use it. The home has a full policy and procedure that covers all types of abuse and training is given to carers to ensure they recognise abuse when they see it and take appropriate action. Three carers were interviewed during the inspection process and all were clear about what constituted abuse and what action they would take which was appropriate. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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 Quintaville is a safe and comfortable home. A further extension is required to the emergency call system, as some areas of the home are not covered. The home is clean and good standards of hygiene are evident. EVIDENCE: A complete tour of the home was undertaken during the inspection and it was clear that Quintaville provides a safe, well maintained environment for the people who live there. Since the last inspection a substantial investment has been made to provide a side entrance into the home via a large ramp, this has made a great improvement to the access for any person in a wheelchair or who has mobility issues. The home has a running programme for the thermostatic control of all hot water and radiator covers; currently any hazard is covered by a risk assessment approach to ensure residents are safe. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 15 Some toilets in the home do not have an operational emergency call system available, this was discussed with the manager who has agreed to ensure this is rectified within six weeks; a requirement has been raised for this purpose. As previously mentioned a complete tour of the home was undertaken and it was clean, pleasant and hygienic throughout. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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) 27,29 and 30 Residents’ needs were appropriately met by the care team at the home. The home has a safe comprehensive recruitment procedure and carers are trained and competent to do their jobs. EVIDENCE: The deployment and number of staff available throughout the day and night is sufficient to meet the needs of the residents. Residents confirmed that their call bells were answered promptly. Two personnel files were examined during the inspection, two references were available for each carer and appropriate checks had been completed to ensure residents were in safe hands The home has available clear job descriptions for all employees. Carers understood what their roles were and readily accepted training. A training and development programme is in place to ensure that appropriate care is offered. Three carers were interviewed individually and in private during the inspection, it was clear from answers given that they were experienced and knew the residents in the home very well and offered a good quality sensitive service to service users. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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) 33,35 and 38 Quintaville is run in the interest of the residents that live there, a good quality, caring service is provided and their financial interest are appropriately safeguarded. The health and safety of staff and residents is given priority and appropriate processes are undertaken. The emergency call system in the home needs to be extended to cover all rooms. EVIDENCE: The five residents consulted clearly stated that they received a good quality, flexible caring service at Quintaville. They further advised that they felt involved in all the decisions that affected them. One resident advised, “I can do what I like when I like”. The home supports eight residents with their pocket monies, they each have an individual bank account in their own name. Appropriate recording is Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 18 undertaken by the home to ensure residents are protected from abuse. Receipts are retained by the home for any purchases undertaken on a resident’s behalf. Health and safety issues are seen as important by the management of the home, an electrical installation certificate is in place and electrical appliances are regularly tested. The reporting of dangerous occurrences was well understood and appropriate storage is provided for storage of hazardous cleaning materials. All equipment in the home is appropriately serviced to ensure it is safe and appropriate fire precautions are undertaken. The emergency call system is going to be extended to ensure all areas of the home are covered to ensure the safety of residents. Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 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 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 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 3 x 3 x x 2 Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 20 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. Standard OP7 Regulation 15 Requirement The registered manager must ensure that the service user plan has a comprehensive social element. (previous date for completion not met 31.03.05) The registered manger must ensure that all rooms have a working emergency call system. Timescale for action 31/10/05 2. OP38 13 21/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 21 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 Quintaville D54-D07 S18414 Quintaville V224639 290905 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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