Inspection on 13/03/06 for Southview

This inspection was carried out on 13th March 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

Southview 26/02/10

Southview 09/07/09

Southview 08/08/08

Southview 09/08/07

Southview 11/09/06

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 Southview Woodside Lipson Plymouth Devon PL4 8QE Lead Inspector Antonia Reynolds Unannounced Inspection 13th March 2006 13:30 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 Southview DS0000064360.V287124.R01.S.doc Version 5.1 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. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Southview Address Woodside Lipson Plymouth Devon PL4 8QE 01752 667853 01752 667853 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) Ashley Residential Care Ltd Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (18) of places Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The categories of registration are OP and DE(E) The home may accommodate a maximum of 18 older people (over the age of 65) who may also have dementia. 10th June 2005 Date of last inspection Brief Description of the Service: Southview is a care home providing accommodation and personal care for 18 older people, aged over 65, who may also have dementia. Nursing care is not provided in this home. It is privately owned by Ashley Residential Care Ltd. The Responsible Individual is Mrs Anna Chapman. The present owners took over the running of the home on 7th March 2006. The home is a single storey detached property situated in the residential area of Lipson, Plymouth. It is close to local amenities and transport links. Southview offers 16 single bedrooms and one double bedroom: seven of the single bedrooms have en-suite toilet facilities. There are two bathrooms and four toilets for communal use. The home has two lounge rooms with dining areas. Accommodation is centred around an attractive courtyard and garden and all areas are accessible to the service users. There is on street parking available outside the home. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 1.30pm and 4.30pm on Monday, 13th March 2006. This was the first inspection with the new owners, Ashley Residential Care Ltd, and they had only taken over the running of the home on the 7th March 2006. The Manager, Clare Lowther, was present at the beginning of the inspection and the Responsible Individual, Anna Chapman, was present throughout the latter part. A tour of the premises took place and records relating to care, staff and the home were inspected. Nine of the sixteen service users were observed and/or spoken with during the visit, as well as a relative, all of who expressed satisfaction with the care provided. Staff on duty were observed and spoken with in the course of their daily duties. What the service does well: What has improved since the last inspection? 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. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 6 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 Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 7 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 and 3 Prospective service users and their representatives can be confident that they will be given clear information to help them make a choice about this home. EVIDENCE: A Statement of Purpose and Service User Guide were available for prospective service users and provided a description of the services offered. The Statement of Purpose has been revised and updated by the new owners. Discussions with service users, the Responsible Individual and the Manager, as well as observation, showed that staff were aware of the needs of the service users. The home did not provide intermediate care. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 8 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 and 10 Service users can feel confident that their personal and health care needs will be met. EVIDENCE: Service users’ files contained care plans that had recently been updated and were regularly reviewed. Discussion with service users and the management team, as well as observation, confirmed that personal care was maintained and service users were encouraged to be as independent as possible. Service users had access to health care service services such as doctors, district nurses and the mental health team. Service users were treated with dignity and privacy was respected. The new owners were arranging for a separate telephone line and pay ‘phone to be installed so that service users could use the telephone whenever they liked. Service users could also have private telephones installed in their bedrooms at their own expense. Service users spoken with said that they were well are cared for and that staff were kind and helpful. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 9 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 and 15 The routines in the home are relaxed. Service users can exercise choice and experience the variety of home cooked tasty food. EVIDENCE: Service users were very positive about the lifestyle in Southview. They said that they chose where they spent their day and the times they got up and went to bed. The quality of the food was praised and everyone said they enjoyed the traditional meals served in the dining rooms. Visitors were welcome at any time and were always offered a cup of tea on arrival. They were invited to join in any planned activities. Activities were planned on a daily basis although some service users said they did not always choose to join in. On the day of inspection, an external entertainer was playing music and singing in one of the lounges. Personal interests were encouraged and service users were able to keep pets in the home, subject to management agreement. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 10 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 and 18 Service users can feel confident that any complaints they have will be taken seriously and that their views are listened to and acted on. EVIDENCE: The home had a written complaints procedure and service users knew how, and to whom, to make a complaint should they need to. Neither the home nor the Commission for Social Care Inspection have received any complaints since the last inspection. Service users said they had no complaints about the home or the care they received. Those able to give an account said they felt confident to ask the staff to sort out any problems as they arose. The Manager confirmed that adult protection training is planned for all staff members. The home kept a visitors book to record dates, times and names of all visitors to the home. Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 11 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 and 26 The standard of the décor at Southview needs upgrading to make the home a bright attractive place throughout for service users. EVIDENCE: The home was clean and free from offensive odours, which the Manager and staff have worked hard to achieve. The previous owners did not maintain the home well and some areas looked shabby and unattractive. The new owners have already made many improvements and are commended for this as they were clearly putting a lot of work into the property. The Responsible Individual was in the process of devising a detailed programme of maintenance and refurbishment for the home and has many plans to improve the environment both for service users and staff. This includes a new call bell system as the existing system cannot be cancelled at the point of call and was not working properly. The home has two sitting rooms with dining areas and a conservatory. One lounge has patio doors opening onto the garden. Seven of the single bedrooms have en-suite facilities. All the bedrooms were comfortably furnished and the new owners intend to gradually refurbish every bedroom. The bedrooms that have already been redecorated have been totally Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 12 refurbished to a high standard and service users were very pleased with the result. There were two bathrooms, one with a mechanical bath chair to assist easy access into the bath. The service users were not using the other bathroom but the new owners have plans to make this bathroom more attractive and accessible. There was no sluicing facility in the home but there are plans to refurbish the laundry that include installing a washing machine with a sluice and commode cleaning equipment. Because the new owners had only taken over the running of the home six days prior to this inspection, and have plans in place to address the environmental issues, no requirements or recommendations have been made at this time. The improvements that have been made in those six days are remarkable and the management and staff team are commended for their efforts in achieving those changes, whilst continuing to provide a good level of care to the service users. Southview DS0000064360.V287124.R01.S.doc Version 5.1 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 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 and 30 Service users can be confident that the staff group will have a good understanding of their care needs. EVIDENCE: Observation and discussion with service users and staff confirmed that the staff team were respectful, polite, attentive and responsive to service users needs. The Responsible Individual confirmed that she was in the process of reviewing staffing levels, particularly as there were no suitable sleeping in facilities for staff. Service users confirmed that their needs were met and that staff came promptly if called. The Manager confirmed that a staff training programme has been introduced and that staff would be expected to attend various courses such as health and safety, manual handling, fire safety, food hygiene, protection of vulnerable adults, dementia awareness and National Vocational Qualifications. The Manager confirmed that recruitment processes were robust in that two written references were obtained as well as a Criminal Records Bureau (CRB) check and no staff were left unsupervised until a satisfactory CRB check was obtained. Southview DS0000064360.V287124.R01.S.doc Version 5.1 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 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, 33, 36, 38 The Manager has a good understanding of where the home needs to improve and will work closely with the owners to ensure the improvements take place. EVIDENCE: The Manager has been in post since November 2005 and has applied to be registered with the Commission for Social Care Inspection. She has several years experience of managing care homes and has achieved a level 4 National Vocational Qualification (NVQ) in Management and the Registered Manager’s Award. She has confirmed with the training provider that she has completed enough supplementary mandatory care units to cover the NVQ 4 in Care and a confirmation letter is awaited. The Manager and the Responsible Individual spoke to all the service users in a warm, friendly and courteous way. The Manager has carried out a survey asking the service users their views of the home and the quality of the services being provided. Issues arising from these questionnaires and from service users’ meetings have been, or will be, Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 15 addressed as soon as possible. The Manager confirmed that staff supervision has been implemented and records kept. The Manager and the new owners have identified various areas that need addressing in relation to health and safety issues and these had been, or were being, addressed in consultation with other relevant agencies, such as the fire service and environmental health department. Southview DS0000064360.V287124.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 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 X 3 X X 3 X 3 Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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. 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. Refer to Standard Good Practice Recommendations Southview DS0000064360.V287124.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Ashburton Office 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. 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