Inspection on 03/05/05 for South Garth

This inspection was carried out on 3rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

South Garth 24/07/08

South Garth 25/07/07

South Garth 16/08/06

South Garth 07/11/05

South Garth 14/01/05

South Garth 11/08/04

South Garth 03/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE South Garth 1 Elwyn Road Exmouth Devon EX8 2EL Lead Inspector Michelle Oliver Announced 3 May 2005 09:30 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. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service South Garth Address 1 Elwyn Road Exmouth Devon EX8 2EL 01395 265422 01395 227474 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) Mr Reginald Neville Greaves Woodland Health Care Ltd [Responsible Person: Mr Jeremy Davies] Mrs Sharon Lesley Beech Care Home 25 Category(ies) of OP Old age (25) registration, with number PD(E) Physical dis - over 65 (25) of places South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 January 2005 Brief Description of the Service: South Garth provides personal care for up to 25 older people who may also have physical disabilities. The property is a detached converted house with a modern extension in a suburb of Exmouth. Accommodation is arranged over the ground and first floors. There is a passenger lift. There are two lounge areas plus a large conservatory that is used as a dining room. There is a small car parking area, but in practice people tend to park on the road. There are pleasant level gardens that are sunny and sheltered. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 7 hours on 3rd May 2005. The Registered Manager,Sharon Beech, was present during the inspection. All residents and members of staff on duty also took part in the inspection. The inspector looked around the home. A number of records were inspected, which included pre inspection questionnaire, comment cards, thank you letters from relatives, staff files and a recent service user survey and results. What the service does well: What has improved since the last inspection? The home has recruited one care staff member,a domestic and a cook. This has made a significant improvement in staff morale, activities and in the quality of care given to residents. The staff and management have worked hard to meet the requirements and recommendations made at the last inspection report. The staff team manage the daily activities well. The majority of the residents spoken with were pleased with the choice and variety available. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 &,4, Care needs are well met in an individual manner by caring and informed staff. EVIDENCE: The home has a comprehensive Statement of Purpose which ensures that residents or their relatives have access to relevant information about the home at all times. Care needs are well met through a full assessment process that is carried out before a resident decides to live at the home. Care plans are completed from this information. The assessment includes all the elements listed in the standard. Residents are given a Statement of Terms and Conditions or a Contract when they move into South Garth. A comprehensive assessment was seen for a resident recently admitted to the home. The resident said ‘I am well looked after”. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 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) 7,8,9,10,&11 Resident’s health and social care needs are well met and promoted by good planning arrangements. Good practice needs to be extended to encompass all areas of risk. EVIDENCE: Records are properly kept for each resident. They include good guidance on help needed with mobility and risk of falls, and in relation to other hazards. The guidance is written in a way that promotes independence as well as ensures protection, and encompasses all health and social care needs. Risks of scalding from basin hot taps have not been assessed however. Medication records were correct. No residents currently wish to look after their own medicines. Staff showed clear respect for residents’ privacy, for example they knocked on bedroom doors and waited to be asked in before entering. Residents said that “ the staff are very kind” Care plans confirm that residents wishes concerning arrangements after death are sought. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 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, 15 Social activities and meals are well managed, creative and provide daily variation and interest for people living in the home. Opportunities are not available for residents to take part in appropriate exercise or physical activity Residents are encouraged to maintain contact with their families or friends as they wish. EVIDENCE: Staff and management have worked hard to gain information about individual residents social and leisure needs and this is included in care plans. On the afternoon of the inspection residents were enjoying singing along to tunes being played on an organ by a member of staff. Some residents confirmed that they were asked what they would like to do daily but often they did not want to take part and enjoyed watching TV or listening to the radio. Many were looking forward to the summer when they will be able to go on outings. Visitors are encouraged to visit whenever they wish. Residents confirmed that visitors are always made welcome at their home. A variable, nutritious diet is provided at the home. This was confirmed by residents and from the meal on the day of the visit. A menu is not given to residents so they are unaware of what they are having until it is served. Many said they would like to know beforehand so that they may make a choice. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 11 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) 16,17&18 Residents are confident that they are listened to and their requests actioned. Arrangements for protecting service users and responding to their concerns are satisfactory. EVIDENCE: Relatives confirmed that their views are taken seriously, that their concerns are fully taken on board and that action is taken where needed. A relative said that “ if there are any problems or anything I am not happy with I would feel comfortable speaking to any of the staff”. A copy of the home’s complaint procedure is prominently displayed in the entrance hall for residents and visitors information. Staff have recentlly attended training in the protection of vulnerable adults and are aware of the procedure for responding to allegations of abuse at South Garth. Staff said they had never seen any signs of abuse or poor practice in the home and demonstrated a good understanding of what constituted abuse. Residents said they felt very safe with the staff. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 12 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) 19,22,24,25&26 The standard of the environment within the home is good providing the service users with an attractive and homely place to live. In general residents’ rooms suit their needs and have been personalised. Attention has been made to the safety of residents and staff needs to be extended to encompass all hazards. Although the policy at the home is for residents not to keep valuables at the home thought should be given to provide a safe place for storage of items which may not be valuable but nonetheless precious to them. EVIDENCE: Locks have not been fitted to bedroom doors as previously recommended.Service users have been asked whether they would like a lock fitted and care plans include their signed refusal of the offer.Lockable storage space is not provided for residents medication, money or valuables. All areas of the home smelled pleasant and were cleaned to a good standard. Environmental risk assessments and fire safety measures are in place. These need to be expanded to include the management of risks of scalding to residents from basin hot taps. Staff wear disposable gloves and aprons and they confirmed that these were available all the time. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 13 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&30 Staff are employed in sufficient numbers to meet the needs of service users The procedures for the recruitment of staff are consistent and provide the safeguards for the protection of people living in the home. EVIDENCE: The allocation of staff on each shift was adequate to meet the need of the residents. Residents said that staff were kind and caring and always there to help. During the visit staff spent time with residents and call bells were answered quickly. New staff have recently been employed at the home. Staff files showed consistency of Criminal Records Bureau (CRB) checks, references and proof of identity. All staff have received first aid and fire safety training recently. Staff said that there was lots of training and records seen showed attendance at a variety of relevant training sessions. Staff spoke of regular supervision and assistance in gaining NVQ qualifications. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 14 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) 32,33,36 &38 There is clear leadership and guidance to staff to ensure residents receive consistent care in a reasonably safe environment. EVIDENCE: Staff benefit from clear leadership, guidance and direction from the manager. Residents feel the manager is approachable and seeks to make sure all their needs are met. Quality assurance measures ensure the monitoring of standards and that the residents have a say in the running of the home. A recent survey shows that all of the residents felt the home is satisfactory. Residents praised the staff and said they liked living at the home. Records indicated regular safety and fire checks are carried out. Staff confirmed that regular fire instruction and drills are carried out at the home. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 15 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 3 3 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x 3 x 2 3 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 3 3 x 3 3 x x 3 x 3 South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 16 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 13 Requirement Unnecessary risks to the safety of service users are identified and so far as possible eliminated.[ this relates to risk assessments of risks of scalding] Timescale for action 03.05.05 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. 2. 3. 4. Refer to Standard op15 op24 op24 op8 Good Practice Recommendations The registered person ensures that a menu is given, read or explained to service users. Each service user should have a lockable srorage space for medication, money or valuables. Doors to service usersprivate accommodation to be fitted with locks suited to their capabilities and accessible to staff in emergencies. Opportunities should be given to service users for appropriate exercise and physical activity. South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Suites 1 & 7 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 South Garth D54 D06_s22033_southgarth_v216598_030505 stage 4.doc Version 1.30 Page 18 - 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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