Inspection on 24/05/06 for Qumran Rest Home

This inspection was carried out on 24th May 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Qumran Rest Home 01/05/08

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Qumran Rest Home 7 Trevose Avenue Newquay Cornwall TR7 1NJ Lead Inspector Philippa Cutting Key Unannounced Inspection 24th May 2006 09:30 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 Qumran Rest Home DS0000067500.V295984.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. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Qumran Rest Home Address 7 Trevose Avenue Newquay Cornwall TR7 1NJ 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) 01637 876699 01637 877060 Mrs Memuna Khanum Ahmad Care Home 10 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (10) Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named service user under the age of 65 years. Date of last inspection First inspection of a new registration Brief Description of the Service: Qumran is a small home in Newquay that provides care and accommodation for 10 older people, some of whom may have a history of mental disorder or dementia. Accommodation is provided on two floors which are linked by narrow stairs, one of which is fitted with a stairlift. The registered provider lives on the second floor. Most service users’ rooms are not ensuite but there are adequate numbers of bathing and toilet facilities throughout the home. The communal areas are on the ground floor and comprise a large dining room where people eat together, a sitting room and a sun room in front of the house. Car parking in the summer months can be difficult due to holiday traffic. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Qumran was the first inspection of a service that has been registered following a change in the service provider. It lasted 6.75 hours during which time the inspector spoke to the registered provider, service users and staff. Records were inspected and the premises viewed. There were nine (9) service users in residence at the time of the inspection. Qumran offers a smaller homely environment, which is what service users said attracted them to the home. The registered provider lives on the premises so is on hand if needed. She is more concerned with the administration of the business rather than ‘hands on’ care and she cooks regularly. Other members of her family live in the home as well; her son provides assistance with administrative tasks. Redecoration has taken place in some rooms and the inspector was told that a plan to redecorate and refurbish the rest of the home where necessary had been prepared. Records were organised with a system where staff can access those of service users but some minor alterations are planned to keep these more secure. The home is suitable for its present service user group although it is limited in its provision for people with severe mobility problems. What the service does well: What has improved since the last inspection? This was the first inspection of a new registration. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 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. Qumran Rest Home DS0000067500.V295984.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 Qumran Rest Home DS0000067500.V295984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Qumran meets service users’ aspirations because they chose the home having compared it with others. They are provided with information about the home and its terms and conditions. The registered provider must ensure that she always gets full information before offering accommodation. EVIDENCE: The service users had contracts detailing the terms and conditions of the services offered at Qumran. In discussion it was agreed that one other point needed clarification. People enquiring about services are provided with information in the statement of purpose but the registered provider said this was about to be revised to reflect the change in ownership. The registered provider needs to ensure that she always verifies information that is given about prospective service users before offering a room. This to ensure that people’s needs and Qumran’s services are compatible. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 9 Service users told the inspector that they or a family member had visited the home before deciding to live there and that they had liked the atmosphere and the friendliness. Qumran has a number of clients who stay for regular respite. The one who was resident at the time of this inspection said the home had been recommended to him and he was quite satisfied. Qumran Rest Home DS0000067500.V295984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care plans reflecting service users’ needs are generally satisfactory and demonstrate that thought has been put into the care provided. Other healthcare needs are identified and met via ancillary services. EVIDENCE: An individual care plan is in place for each service user. There was some discussion about additional information such as risk assessments that were indicated in certain instances and the prudence of recording conversations with other agencies where these were pertinent. The care plans have been reviewed on a monthly basis and are revised totally each year. Although there has been a change in registration, the care plans have continued as the permanent service users were in residence before the change. Advice is sought from professions ancillary to medicine and other agencies to address service users’ needs. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 11 The majority of medication is undertaken by staff for the service users’ with their consent. Staff have recently had a ‘refresher course’ from the pharmacist who supplies medication to the home. He stated that he was satisfied with the storage arrangements and procedures in place. The home’s medication policies ought to be reviewed and made easily available for staff. It would be sensible to display one detailing the action to be taken in the event of a medication error. People said their privacy was upheld and they were treated with respect by the staff. However one person said that he did not like the fact that records were kept and daily entries made about him. He was advised that he had the right to see what was written and if he disagreed with it, this should be noted. The registered provider is reminded that all care plans should be signed by the service user, or their representative if more appropriate. Qumran Rest Home DS0000067500.V295984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Qumran provides an environment where service users are able to carry on their preferred lifestyle as much as possible although safeguards are put in place to promote safety whilst maintaining independence. EVIDENCE: People can choose whether to socialise within the home or remain in their own rooms. Five service users said they go out regularly, some alone, others accompanied by a member of staff or friends. Visitors are welcomed to the home. A regular visitor is a local clergyman who offers mass to those who wish to partake; others have made arrangements to attend church/chapel. The service users were seen to have various items in their rooms (TVs, Radios, computers) that helped them continue with their interests. One person has a problem in storing the amount of equipment and general items he owns in the space available; staff are assisting this person to sort out the accumulation of goods. The menu provides a varied diet. Two people with a preference for vegetarian food said they were happy with the meals they received. They were not ‘vegetarians’ but preferred not to eat much meat. The inspector joined service users at lunchtime and took part in friendly conversation. Staff are tolerant Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 13 about meal times, knowing that some service users always come down very late for meals. Sandwiches can be provided if someone expresses a preference to be out at meal times and wants to take something to eat. Individual preferences in relation to personal diet, such as sweet food (chocolate etc) in preference to savoury, are noted discreetly and the service user encouraged to try a better diet. Qumran Rest Home DS0000067500.V295984.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Qumran has policies and procedures in place to address complaints and promote an awareness of any abusive situations. A better display of the complaints procedure is advised as service users may forget where they can find it if necessary. EVIDENCE: Arrangements are in hand for staff to attend training sessions on the protection of vulnerable adults (PoVA) & whistle blowing. The current staff group all have National Vocational Qualifications, which have included an awareness of abuse. The registered provider said she had not received any complaints. A copy of the home’s procedure is in the statement of purpose/service users guide but she is advised to make a copy available via the notice board. Qumran Rest Home DS0000067500.V295984.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 The accommodation provided at Qumran meets the current service users’ needs. Service users with limited mobility are likely to need assistance from the staff in accessing rooms on the first floor. EVIDENCE: The home was toured and rooms viewed with the service users’ permission. The premises were seen to be clean and tidy with rooms being personalised as the occupant chose. Service users said they liked to sit in the front porch/sun room during the day from whence they could watch any activity in the street. The registered provider confirmed that this was their choice in preference to the sitting room. The inspector noted that some of the more independent service users have a key to come and go as they please. The registered provider said she reminds service users not to open the front door to people they do not know but to call a member of staff. This meets with varying degrees of success but she thinks Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 16 the service users are becoming more aware of the need for caution in this respect. Service users’ rooms are sited on the ground and first floor. Two staircases, one of which is fitted with a stair lift, link them. The bathing facilities provided by the home include two bathrooms, one with a bath hoist, and a shower room. Toilets were seen to be clean with raised seats &/or rails to assist service users. Some service users had commodes provided for night use. The laundry has domestic size machines and is sited in a shed near the backdoor. The registered provider says all laundry is taken to the laundry room via a door next to the dining room thus avoiding passing through the kitchen. The registered provider said that the home has a system of different coloured baskets to keep clean & dirty laundry apart. Externally there is a small courtyard at the rear but, as mentioned, service users prefer to sit in the sun room at the front of the property. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The present staff group hold qualifications that indicate their knowledge in care. The home has, hopefully, achieved a period of stability with this staff group and is investing in further training for them. EVIDENCE: The present staff group all have relevant qualifications. One is a non-UK national with a nursing qualification. Others hold National Vocational Qualifications, some gained via Qumran, others had already achieved them. The staff with whom the inspector spoke said they enjoyed their work and felt they had time to spend with service users; for instance, they accompanied people who wanted to walk to the local Spar shop at the top of the road. Staff files indicated that the home’s recruitment procedure included taking up references, Criminal Records Bureau & PoVA checks. The home is reminded that a new, fuller induction programme for new staff as been introduced and will become mandatory from September 2006 A training programme is in place to cover identified topics for all staff, including the registered provider. There is one waking night staff, supported by the registered provider who sleeps on the premises. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,37,38 The registered provider has a proven record of dealing with service users and based on her previous record she provides good care. EVIDENCE: The registered provider holds a National Vocational Qualifications level lV, managerial qualifications. This includes health & care issues but not the administration component that would be included in a registered manager’s award. The home is particularly tolerant towards people who may exhibit eccentricities (rather than challenging behaviour) and manages these well. Service users in the home have always spoken well of their care. A business plan was submitted with the registered provider ‘s application. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 19 The records required by statute are maintained but supervision for the staff, on an individual basis to support their appraisals, has not yet been started. The home has invested in a sample set of policies and procedures that cover all areas of administration. The home was given a satisfactory report following an inspection by the Environmental Health Officer (Health & Safety) in March 2006. Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 18 3 3 3 3 3 3 3 3 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 3 3 X X 1 3 3 Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP36 Regulation 18(2) Requirement The registered provider must introduce regular recorded staff supervision. Timescale for action 14/07/06 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 OP7 Good Practice Recommendations The registered provider should provide service users with the opportunity to read and sign their care plans to demonstrate their agreement with the information they contain. Risk assessments and details of significant conversations regarding service users should be recorded. The medication procedures should be reviewed and kept readily available for the staff’s reference. A copy of the home’s complaints procedure should be displayed in the home. 2 3 4 OP8 OP9 OP16 Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Qumran Rest Home DS0000067500.V295984.R01.S.doc Version 5.2 Page 23 - 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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