Inspection on 25/08/05 for St Anne`s (Holsworthy)

This inspection was carried out on 25th August 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 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

St Anne`s (Holsworthy) 17/07/07

St Anne`s (Holsworthy) 07/11/06

St Anne`s (Holsworthy) 24/01/06

St Anne`s (Holsworthy) 01/12/04

St Anne`s (Holsworthy) 23/06/04

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 St Annes (Holsworthy) Whitstone Holsworthy Cornwall EX22 6UA Lead Inspector Philippa Cutting Unannounced 25 August 2005 09:30am 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. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Annes (Holsworthy) Address Whitstone Holsworthy Cornwall EX22 6UA 01288 341355 01288 341355 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 Helen Medland Mr Herbert John Medland Mrs Dawn Parnell Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Two waking night care staff must be available on the premises Date of last inspection 1 December 2004 Brief Description of the Service: St Annes offers care and accommodation to people in need of care by reason of old age. It is situated in the village of Whitston which is midway between Launceston, Bude & Holsworthy. The home, which is privately owned, is relatively new having been created from redundant farm buildings. It provides rooms of a good size, all with ensuite facilities for the service users. There are large communal areas in different parts of the home for the use of all. Externally the courtyard around which the home is bult is tarmacd with a water feature, although at the time of this inspection, it was not working. There is good car parking available. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection between the hours of 9.15am and 1.15pm. The inspector looked at records, care plans and medication. Staff recruitment and training was discussed with the registered manager. The home had one vacancy. Nine service users were met and they commented positively on their experiences in the home. The environment was not inspected on this occasion. What the service does well: What has improved since the last inspection? What they could do better: The main area needing attention relates to staffing records. Training details need to be filed. Appraisals and supervision with staff need to start. The registered manager is aware of this and she needs to ensure that she has sufficient time set aside in her working week to deal with all administrative tasks. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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 St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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) 1,2,3,4,5 Service users are provided with information about the home and details are sought in advance to ensure that their needs can be met. EVIDENCE: The statement of purpose has been reviewed and felt still to reflect the services offered. All service users receive a copy of the home’s brochure, which includes the service users guide. The registered manager said that all service users are provided with a copy of the home’s contract setting out the terms and conditions of residency at St Anne’s. New service users are visited by the registered manager prior to offering accommodation to ensure that a person’s needs and the home’s abilities are compatible. Information is sought from other professionals and agencies, both before admission and where necessary, once a person is living in the home. The home offers limited day care to people living locally or others who are able to provide their own transport. Similarly respite could be offered if a vacancy was available. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 9 St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,11 Service users’ needs are identified and addressed. This is supported by documentation. EVIDENCE: All service users had full care plans in place noting problems and the action required to address these. Care plans were being reviewed regularly and complimented by daily entries from the care staff. Advice from health care professionals and other agencies is sought when required. Risk assessments and moving & handling assessments are in place as needed. Staff are about to start an infection control course. Medication is stored in a locked and secure trolley. Staff who administer it have received training (safe handling of medication) that adheres to the home’s written policies and procedures. A further course is being arranged. A new list of staff signatures of who may administer medication is needed, the present one being out of date. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 11 It was noted that the community nursing service from the Devon health centre has authorised carers to draw up insulin for a diabetic service user. This practice will be passed to the Pharmacy Inspector of the Commission for Social Care Inspection for comment. The way in which the home cares for people who are ill and dying was discussed. A member of staff will sit with the person if a family member is not available. The registered manager said that the home has received positive comments from families about the care their relative had received. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 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 standard(s) 12,14, The home provides opportunities to maximise service users’ choice and provide a varied programme of stimulation. EVIDENCE: The registered manager listed the activities that are available for service users to join in with if they choose. There are activities which all can join in, such as church services, bingo and quizzes etc and other more individual past times such as Scrabble or going out for a drive. A video afternoon and music/sing songs are arranged periodically. The registered person’s mother visits the home regularly and entertains on the piano. Service users are encouraged to exercise choice to the level that they are able. This may be choosing the clothes they wish to wear, where to sit and whether or not to join in activities. Food also offers opportunities for choice as service users can have an alternative to the main meal if they ask. The kitchen and menus were not inspected but service users said the food was good. The kitchen staff and some carers have got their basic food hygiene certificates. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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) 16,17,18 The home’s complaints and PoVA policies have not yet been needed. Service users’ can receive help in maintaining their legal rights. EVIDENCE: The complaints procedure is included in the service users guide. As many service users may not remember where they have put their copy, the home should consider displaying the complaints procedure in the home for reference. No complaints have been made to the home or received by the Commission for Social Care Inspection. How a complaint would be recorded was discussed. It is suggested that a book in which compliments, concerns and complaints are recorded should be kept. The registered manager said that carers had completed a module on abuse as part of their National Vocational Qualifications course. She herself had a good awareness of the procedure to be followed in a case of suspected abuse and she intends to go to one of the Social Service’s seminars on Whistle Blowing & PoVA. Postal votes were made available for all service users who wanted them. Age Concern would be approached for anyone needing advocacy help who did not have other suitable contacts. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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) EVIDENCE: The environment and premises were not inspected. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 15 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) 27,28,29,30 The service users are cared for by staff in sufficient numbers and who receive training appropriate for their work. The training that is received needs to be better documented. EVIDENCE: Staffing has improved with the employment of two non-UK nationals in the home. The rota indicated that there were sufficient staff on each shift at the time of this inspection. The registered manager said that the home employed juniors in the evenings who helped make tea, clear away dishes and generally tidy up. She was aware that they could not undertake caring duties. The home employs housekeeping staff to attend to cleaning and domestic jobs. Recruitment follows good practice with written references, Criminal Records Bureau & PoVA checks being obtained. National Vocational Qualifications are now held by 11 members of staff at level ll & lll. There was a discussion about training, both induction and on going. Induction is based on TOPSS recommendations. The registered manager said that new staff were undertaking this but staff files showed the check sheets were not being returned to indicate that these had been fully accomplished. A copy of the new standards was left for the registered manager’s information. The benefit of courses such as bereavement and Alzheimer’s Disease was discussed. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 16 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) 31,32,33,34,35,36,37,38 The registered manager is qualified and whilst she safeguards the service users’ interests, more time needs to be dedicated to administration tasks. EVIDENCE: The registered manager has achieved her National Vocational Qualifications level lV & registered manager’s award. She is about to start a further qualification relating to medication. Minuted staff meetings take place quarterly but these are not always well attended. At present the home has a system of ‘supervisors’ who are the more qualified and experienced staff who direct others. The registered manager said that as the supervisors achieve level lll National Vocational Qualifications, they may be designated as senior staff. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 17 St Anne’s is planning on giving service users and relatives a questionnaire to formally ascertain their views on the quality of services provided by the home. At present staff receive verbal comments from service users and families on a casual/ad hoc basis. With regard to finances, the home’s insurance certificate was displayed. The registered person will be asked to provide a statement from their auditor/accountant detailing the home’s financial viability (as per standard 34). The home does not involve itself with service users’ money, preferring that family or a trusted friend undertakes this. Any extra expenses are billed on a monthly account but savings can be held in safekeeping if needed. It is suggested that the home determines on admission whether or not a service user has appointed someone to act as Power of Attorney for them. Staff supervision and appraisals have not yet started. The registered manager is aware of the need to do this but has not, until recently, had time to address this as she has been involved in ‘hands on’ work due to the general staffing problems. She said that this had now eased and she knew that it was a priority. It is important the registered manager has sufficient dedicated time for administration in view of the increasing but essential recordkeeping and paper work. The records required by statute were seen. Staff have recently had fire training; the accident book complies with the requirements of the Data Protection Act 1998; the premises were inspected by the Environmental Health Officer (Health & Safety) in February 2005 and risk assessments on the property have been documented. Most carers have their first aid qualification and moving & handling training but some new staff have yet to do these courses. Compliance with hot water surfaces and outlets were incorporated into the home as it was built. Generally St Anne’s appeared to adhere to safe working practices. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 18 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x x 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 Standard No 16 17 18 Score 3 3 3 3 3 2 2 3 1 3 3 St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 19 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 OP36 Regulation 18(1)(2) Requirement The registered provider must provide the Commission with a detailed plan setting out the homes proposed timescales for the implementation of staff supervsion, appraisals and the completion of staff training records. Timescale for action 30.09.2005 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. Refer to Standard OP16 OP18 Good Practice Recommendations A copy of the homes complaints procedure should be displayed in the home. A copy of the Social Services procedure to be followed in the event of an allegation of abuse should be obtained. Where a person is funded by an authority other than Cornwall, a copy of that funding authoritys procedure should be sought. The registered manager should ensure that she has sufficient dedicated time to undertake all the administrative tasks associated with her duties. An objective assessment of the homes effectiveness and quaility should be undertaken. The registered providers may find it beneficial to seek advice from a consultant D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 20 3. 4. OP31 OP32 OP34 St Annes (Holsworthy) 5. OP34 regarding this. The registered provider is asked to provide confirmation from his auditor or accountant stating the homes financial viability. St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 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 St Annes (Holsworthy) D52-D04 S9221 St Annes (Whitstone) V236319 250805 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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