Inspection on 09/08/05 for Rest Haven

This inspection was carried out on 9th August 2005.

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

The inspector 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

Rest Haven 29/11/06

Rest Haven 21/02/06

Rest Haven 13/12/04

Rest Haven 14/06/04

Rest Haven 26/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Rest Haven 15 Gussiford Lane Exmouth Devon EX8 2SD Lead Inspector Anita Sutcliffe Inspection 9 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rest Haven Address 15 Gussiford Lane, Exmouth, Devon, EX8 2SD 01395 272374 01395 278748 resthavenhome@tiscali.co.uk Rest Haven Charitable Home Trustees 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) Mrs Cheryl S Hocking Care Home 34 Category(ies) of OP Old Age [34] registration, with number of places Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13 December 2004 Brief Description of the Service: Rest Haven is registered to provide personal care for up to 34 older people. It is a Christian home of charitable status run by Rest Haven trustees and managed on a day to day basis by a registered manager. The property is a large Victorian detached house situated at the top of a sloping driveway close to the centre of Exmouth. There are gardens to the front and rear of the property. All bedrooms are single, and most are very spacious. One is slightly below 10 square metres. 12 bedrooms have en suite facilities. There is a passenger lift to the first floor and most rooms have level access. There are three large lounges (one of which is a music room), a dining room, 2 conservatories, a Chapel, a salon/therapy room, and a large entrance hallway with sitting areas. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit began at 4 pm and was concluded at 6 pm. Prior to the visit the home had completed a Commission for Social Care Inspection (CSCI) questionnaire. The manager, Mrs. Hocking, and assistant manager were available during the visit. The care of 3 residents was ‘tracked’. This involves meeting them, reading their records, visiting their room, and discussing their needs with themselves and staff. Many other residents were met during the visit. The majority of the home was visited. This included the kitchen and laundry. Staff were observed working, and some were interviewed. Complaint records, the whistle blowing policy and the staffing rota were examined. CSCI information and contact details were left in the home. What the service does well: What has improved since the last inspection? What they could do better: Staff could think of nothing the home could do better. One resident mentioned that access to the gardens could be improved, as currently there are steps causing difficulty for those with poor mobility. Plans for improved access are already being developed, and they believe that building will commence early in 2006. Staff are encouraged to undertake NVQ training in care, but the home has not yet achieved the 50 trained to NVQ (or equivalent) by 2005. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 6 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. Rest Haven D54-D06 S22014 V232730 RestHaven August05 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 Rest Haven D54-D06 S22014 V232730 RestHaven August05 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) 4 & 6 Residents’ needs are met in an individual manner by knowledgeable and informed staff. Rest Haven does not provide Intermediate Care and so this Standard does not apply. EVIDENCE: Residents said their needs were well met. There were numerous examples of how individual need is met. These included Braille hymn sheets provided for use in the Chapel. The only negative comment received was regarding steps leading into the garden, which cannot always be negotiated without staff assistance. Alterations to over come this are already planned. Rest Haven D54-D06 S22014 V232730 RestHaven August05 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) 10 Residents are treated with respect and with full regard for their privacy and dignity. EVIDENCE: Residents said that they were treated with dignity and respect and that their privacy was upheld. Each has the option of locking their door should they wish. Staff were observed knocking and waiting before entering a room. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Residents are supported to lead fulfilled lives. Residents receive a nutritious and varied diet, which meets individual choice and health care requirements. EVIDENCE: Residents talked of recent summer outings they have enjoyed. They confirmed that they have control over their daily lives and were very complimentary of the helpful approach of staff. Visitors are welcomed at any time. Much of the home’s activity and community contact is centred round its Christian ethos. There are also other regular visitors to the home, including the library service and donkey sanctuary. Rooms are very individual and, although an old and large building, there is much effort made to provide a homely and comfortable environment. These include colour coordinated fabrics and furnishings (including scented candles) in a bathroom. Some residents keep their own fridge and tea making equipment, and there is also a kitchenette available for resident or visitor use. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 11 Residents were very satisfied with the food provided. Comments included: “the salads are beautiful”. The dining room was attractive and the kitchen was very clean and orderly. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Residents’ benefit from the home’s complaints procedure, and they are protected from abuse. EVIDENCE: A complaints and compliments book was seen in the entrance hall. The manager signs each complaint when she has confirmed it has been handled correctly. Residents felt confident that complaints would be well received. The complaints procedure contained contact details for the organisation and the CSCI. This further protects residents. Staff were fully aware of how to protect the vulnerable adults in their care and how to ‘whistle blow’ if they saw abusive practice at the home. The whistle blowing policy was displayed in the staff room and contained contact details for the local authority Adult Protection team and the CSCI. This further protects residents. The manager was fully aware of appropriate actions to take in the event of concerns. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 13 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) 25 & 26 Residents live in safe comfortable surrounding in which infection control is correctly managed. EVIDENCE: Some areas of the home have previously been identified as lacking sufficient light. A resident felt that this was no longer a problem and the manager confirmed it had been corrected. The home deals with soiled laundry safely. Staff have hand-washing facilities in all areas and appropriate protective clothing. The home was clean and fresh throughout. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 28 The numbers, skill mix and competency of the staff meet residents’ needs. EVIDENCE: Residents said that their needs were well met and felt that there were usually sufficient staff on duty. Staff appeared unhurried and call bells were answered promptly. The home encourages staff to undertake NVQ care qualifications so that standards at the home remain high. 5 have already achieved it and 5 are currently working toward NVQ 2 or 3. Residents were very complimentary about the staff and have confidence in the care they provide. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards were not inspected on this occasion. EVIDENCE: Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 16 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 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 x x x x x x x x Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 17 NA 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 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. Refer to Standard 28 Good Practice Recommendations A minimum ratio of 50 trained members of care staff (NVQ level 2 or equivalent) should be achieved. Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 Rest Haven D54-D06 S22014 V232730 RestHaven August05 Stage 4.doc Version 1.40 Page 19 - 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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