Inspection on 23/08/05 for St Anne`s, Saltash

This inspection was carried out on 23rd 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, Saltash 30/04/07

St Anne`s, Saltash 26/01/06

St Anne`s, Saltash 03/02/05

St Anne`s, Saltash 03/06/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

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 St Annes Plougastel Drive Callington Road Saltash Cornwall PL12 6DX Lead Inspector Mike Stokes Announced 23 August 2005 10:00 rd 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 D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Annes Address Plougastel Drive Callington Road Saltash Cornwall PL12 6DX 01752 847001 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) Anchor Trust Mrs Georgina Mary Shiers CRH 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (3), Physical disability of places over 65 years of age (5) St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Total number of service users not to exceed a maximum of 28 Date of last inspection 3 February 2005 Brief Description of the Service: St Anne’s is a purpose built home belonging to the Anchor Trust Housing Association. It provides care and accommodation for elderly people in individual flats, which are equipped to promote independence whilst offering communal facilities, meals and activities. It is situated in a central residential area of Saltash, next to the Health Centre, library and leisure centre. Whilst too far for most service users to walk to the main shopping street in Saltash, there are small local shops and facilities near by. The home is next to a road and public transport services. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection of care standards at St. Annes. I arrived at 10.00 am and the inspection finished at 5.30 pm. During the inspection I was able to discuss what it is like to live at the home with individual service users and joining a group of service users for lunch. Mrs Shiers and staff assisted me in reviewing records kept to monitor care at the home and discussing issues regarding the welfare of service users. Comment cards were received from 10 service users and 1 relative that predominantly expressed approval of services received at the home. Mrs Shiers also completed a detailed pre inspection questionnaire to assist in the inspection process. 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. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 standard(s) 1, 3 and 5. The registered person has provided a statement of purpose and service users guide that details the facilities and services available within the home. The registered provider will assess all prospective service users prior to admission to ensure that the home can meet their care needs. EVIDENCE: A statement of purpose is available within the home and a service users guide has been issued to each service user. These documents explain the services and facilities available within the home as part of the contract and that hairdressing, chiropody and newspapers can be provided at the home and are at the service users expense. The registered manager visits prospective service users prior to admission to complete an assessment process. The process will include information received from other agencies to assist in appropriate admissions to the home. Prospective service users are invited to see the home and are involved in the completion of the dependency assessment documents. The management team at the home ensure the published inspection reports are available to service users, visitors and discussed at staff meetings. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10. The health care needs of service users are met with evidence of multi disciplinary working taking place on a regular basis. EVIDENCE: There are detailed care plans for all service users that are developed from assessments and used by all key staff to ensure appropriate care is given. This is done with reference to dependency and risk assessments that are reviewed regularly and monitored. 3 plans of care were inspected and these appropriately referred to the various needs of service users regarding medication, mobility, preferred assistance with personal care and nutrition. The plans detailed aids and adaptations to be used and action to be taken by staff to monitor service users at risk of falling. The homes accident book and procedures to report incidents in reference to regulation 37 are appropriately maintained. A range of pressure relieving equipment is provided for service users and liaison occurs with the community nursing service to provide for the welfare of service users. Service users are registered with local GP’s in the adjacent Heath Centre and Port View Surgery. Service users spoken to expressed approval of the care and attention received from staff. A service user comment card states,’ there is a high standard of respect and care given to all residents from the manager and care assistants’. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 15. Service users exercise their choice to enjoy the privacy of their own rooms or join other service users in communal areas for company or meals. Service users maintain contact with visiting relatives and friends at the home. Service users are predominantly dependent on these contacts to access community facilities and the registered provider will organise visiting entertainers and group activities at the home. The meals provided in the home are good with special diets catered for. EVIDENCE: Families and friends are actively encouraged to be part of their relative’s life at St Anne’s. There are frequent invitations to social events and an occasional evening meal that is well supported. Service users are offered a good range of choices on the menu and ‘healthy eating’ options are promoted. I accepted an invitation to have lunch with service users. A breakfast room allows people to breakfast at a time of their choosing and in addition they can request supplies to make themselves snacks and drinks during the day. The home provides opportunities for musical entertainment, hairdressing, church services and transport is provided to visit places of local interest. Service users were observed to use the communal lounge areas for the company of others or the privacy of their own rooms at various times of the day. Staff were observed to spend time with service users in activities such as board games and conversation, in addition to being available to respond to calls for general assistance. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 standard(s) 16 and 18. The registered manager uses the policy and procedures at the home to assist in the protection of service users. EVIDENCE: The complaints procedure containing the Commissions contact number and address was displayed in the home and is detailed in the service users guide. The registered manager stated that day-to-day control and regular contact with service users provided the opportunity to monitor standards. The registered manager has provided appropriate ‘Protection’ policy, training and procedures. There is a policy regarding staff accepting gifts from service users and precluding staff involvement in the making or benefiting from service users wills. The homes insurance provides for service users to make claims on personal items and for public liability. The home provides appropriate records regarding finances and items held on behalf of service users. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 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 standard(s) 20, 21, 23 and 24. The registered provider is providing a good standard of décor and maintenance to ensure service users live in a safe and comfortable environment. EVIDENCE: The location and design of the home is good, situated near some of the town’s facilities and on a level site. The home offers level access, a passenger lift, specialist bathing equipment, pressure relieving equipment, call bell system, moving and handling aids and a variety of grab rails are provided. There are en suite bedrooms with showers in all rooms with additional assisted bathing facilities and toilets as well. Building work to create 5 additional bedrooms is expected to begin soon. The communal space is well maintained and furnished. There is an well maintained garden for use in clement weather and an upstairs vantage point where service users like to sit and observe the ‘outside world’. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 12 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 and 30. The registered manager is providing suitably trained staff, in appropriate numbers to provide for the welfare of service users. EVIDENCE: The registered manager provided staff rotas and staffing details for care, administration and ancillary duties as part of the inspection process. The staffing levels provide by day and night are satisfactory. The registered person has a commitment to providing a trained workforce and individual staff files contain training schedules, 80 of staff have achieved an NVQ level 2 and above. Staff training has also been achieved in food hygiene, moving and handling, first aid, infection control, health and safety and associated topics to provide for the welfare of service users. The induction records for individual staff are signed and dated. There is a stable staff team that exhibit appropriate attitudes in their interactions with service users and a positive regard for service users welfare. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 13 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 and 38. The registered person is providing clear and effective leadership and management to maintain a safe and comfortable home for service users. EVIDENCE: The registered manager has appropriate experience and has completed the Registered Managers Award. The registered manager and management team are continuing to develop the processes at the home to comply with good practice, standards and regulations. St. Annes is one of a group of care homes owned by Anchor Housing and is supported by appropriate policy and administrative systems. A senior manager visits the home to provide independent monthly reports to this Commission, on the conduct of the home. St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 14 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 x 3 x 3 x 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 x 15 3 COMPLAINTS AND PROTECTION x 3 3 x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 3 x x x 3 St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 15 NO 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 Good Practice Recommendations St Annes D52-D04 S9223 St Annes V234251 230805 Stage 4.doc Version 1.30 Page 16 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. 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