Inspection on 23/11/05 for St Davids Residential Care Home

This inspection was carried out on 23rd November 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 Davids Residential Care Home 18/03/09

St Davids Residential Care Home 11/12/07

St Davids Residential Care Home 06/03/07

St Davids Residential Care Home 11/04/05

St Davids Residential Care Home 24/11/04

St Davids Residential Care Home 21/06/04

Similar services:

Claremont House

Claremont House

Chesham House

Oak Ridge

Argyll House

Oliver Court

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

CARE HOMES FOR OLDER PEOPLE St Davids Residential Care Home 36-38 Nelson Road South Great Yarmouth Norfolk NR30 3JA Lead Inspector Hilda Stephenson Announced 23 November 2005 9.30am 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 Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Davids Residential Care Home Address 36-38 Nelson Road South Great Yarmouth Norfolk NR30 3JA 01493 842088 01493 842088 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) Dr Ajit Kumar Verma Mrs Gayatri Verma Mrs Toleen Hamlin Care Home 18 Category(ies) of Dementia - over 65 (2) registration, with number Mental Disorder - over 65 (1) of places Old Age (18) St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to eighteen (18) Older People, not falling into any other category, may be accommodated. 2. Up to two (2) Service Users, over the age of 65 years, who have dementia and are named in the Commissions records, may be accommodated. 3. One (1) Service User, over the age of 65 years who has a mental disorder and is named in the Commissions records, may be accommodated. 4. Total number accommodated not to exceed eighteen (1). Date of last inspection 11 April 2005 Brief Description of the Service: St David’s is registered as a care home providing personal care and accommodation for 18 older people. Dr and Mrs Verma own it. The home is located near to Great Yarmouth south coastline approximately 100 metres from the seafront. It is half a mile from the town centre where local shopping and amenities are found. The home is a three-storey building with access to the bedrooms by a shaft lift; only stairs can access two of the bedrooms. There are 12 single bedrooms and 3 shared bedrooms some of these have en-suite facilities. The communal rooms are situated on the ground and basement floors. The home has a small patio area at the front of the premises with off street parking. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home was conducted as an announced inspection during the day on 23rd November. The evidence was taken by speaking to seven residents, three staff, the manager and by examining care records, staff files and the certificates and records required by regulation. The home is a small residential well managed home and was found to be clean and tidy with the residents carrying on with their own daily routine, several residents went out for their daily walks. The minimum standards that were checked during this visit resulted in the home not being issued with any requirements. What the service does well: The home is a small residential care home that is managed by a competent manager who has worked at the home for several years. She is supported by a full compliment of staff, with the majority having also worked at the home for several years. This small, loyal, friendly staff team appear to know the residents’ needs and help them to remain independent as long as possible, offering support when required. The staff arrange a mix of social activities, either group events or on an individual basis, which includes games, discussion on past times, shopping, or time for personal hobbies. The home was clean and tidy and the residents looked well cared for. The cook offers the residents wholesome nutritious meals and the home celebrates individual special events such as birthdays or anniversaries. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 6 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 Davids Residential Care Home I55 S27444 St Davids V243481 231105 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 Davids Residential Care Home I55 S27444 St Davids V243481 231105 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) 1,3,4,5 Residents are given information prior to admission, are invited to visit and an assessment is completed by the manager to ensure the home can meet their needs. EVIDENCE: The home has a Service Users Guide including clear written details for both residents and their relatives. This is available prior to admission. The manager visits all residents to assess their personal needs and the written assessment is included with the care records. The manager organises a review meeting after the first month so each new resident can discuss whether he or she wishes to stay at the home. The social worker and relative are also invited to the review to ensure St David’s is the right place for the resident. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 9 One of the residents who has been recently moved in stated ‘I chose this home because it is near to where I live, and I am familiar with the area and the people’. Another resident stated ‘It was a hard decision to make to move into a home, but the staff are very kind and have made it easier’. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 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) 7,8,9,10,11 Residents are involved when the care plan is written and reviewed. The home organises other professionals to visit residents, when appropriate. Residents needs and preferences are catered for even in the event of their death. EVIDENCE: Each resident has a basic care plan that is reviewed at regular intervals. Two care plans were read and found to contain the current care needs and last review. The manager confirmed that the majority of residents continue to be included when the reviews are undertaken. The care plans have a risk assessment of the individual risks for each resident to enable them to live a fulfilling independent life within the home. A key worker system is in place and each resident is allocated a member of staff who will help with personal shopping, writing letters or general care to ensure that all aspects of care are catered for. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 11 The manager uses the same care plans plus a life history for the two residents who have a diagnosis of dementia. Additional advice is obtained from the CPNs who visit each month. One resident confirmed that they have a visit from the community psychiatric nurse (CPN) each month to help support them since they have lived in St Davids. The manager confirmed that the GP and other professionals visit when requested. The staff who administer medicines to residents have received training from Boots. The medicines are stored in an appropriate safe place. The manager has introduced photographs of each resident on the front of the records. A separate record book is used when medicines are not taken, to reduce the risk of mistakes, and is good practice. The manager and senior staff ensure that medicines are ordered and returned appropriately and that the stock is rotated according to the date, which is again good practice. The home has not experienced any deaths for several years, although care and support is in place when a residents condition deteriorates and the district nurse and clergy are called upon for support and advice at this sensitive time. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 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) 13,14,15 Social activities are well organised to include both group and individual interests including the two main mealtimes as a sociable event. EVIDENCE: The staff organise a selection of social activities during the week depending on the residents’ wishes. Several residents continue to go out for daily walks, while others rely on help from the staff. Several of the residents do not have any relatives or visitors and staff tend to spend more time with these residents. Past comments from relatives have indicated that they can visit anytime and are usually offered a cup of tea. Some residents confirmed that they continue to go out and do their own shopping, or that staff can take them to the shops. Several continue to go out with their family. The residents who do not wish to take part in organised activities have their wishes respected. Residents confirmed that the cook asks them if they wish for the main cooked meal or one of the alternatives for their lunch and tea. Breakfast and supper times are variable to suit the resident’s time when they get up or go to bed. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 13 The dining room is bright and comfortably furnished to ensure that residents can sit with their friends or on their own if they wish. Staff were assisting residents with their meal in a discreet and dignified manner to ensure that those who are frailer manage to eat and drink to their satisfaction. The manager organises snacks and drinks for those who have smaller appetites and caters for residents who are celebrating a birthday or special anniversary. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 14 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) EVIDENCE: None of these standards were checked during this inspection. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 15 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) 19,20,26 The home has limited outside space. Residents are offered a clean, tidy and homely environment to live in. EVIDENCE: St David’s consist of a three-storey town house with access from Nelson Road. There is a small patio at the front of the premises with pots containing flowers and seating for those who wish to sit outside. A partial tour of the communal rooms was undertaken. Stairs can only access two bedrooms; the manager considers the risk to residents when they move into these rooms confirming that if they become frail there would be a possibility that they may need to be moved to a more accessible room. This information is included in the information that is given on admission. Access to the upstairs is by a shaft lift. The dining room is bright and has adequate furnishing to provide a sociable area for residents to take their meals. The main lounge on the ground floor contains a television and music centre and has a variety of comfortable seating. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 16 There is a second lounge on the lower ground floor where residents are able to smoke which also contains a library of books and magazines. One resident stated’ they like the peaceful atmosphere this rooms provides’. The home washes all of the laundry and personal clothes of residents and this is currently done by both day and night staff, although the manager has recently advertised to employ a member of staff for this domestic chore. The home was clean, tidy and had no unpleasant aroma. The carpets within the lounge, hallway and stairs have recently been replaced and two bedrooms have recently been redecorated, with one bed being replaced. The maintenance and refurbishment plan for next year showed that other areas will be attended to, thus keeping the standard at a good level. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 17 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 Residents are cared for by adequate numbers of staff that are competent. EVIDENCE: During the working week the staffing levels are adequate with the Manager being supported by two care staff, one cleaner and one cook. This reduces to two care staff during the night. The manager or senior carer is on call to support the staff. Two care staff and one senior is on duty during the weekend when the manager is off duty. The most recently recruited member of staff’s records were seen and found to be satisfactory, ensuring the manager employs staff in an appropriate manner, following the recruitment procedure. Other staff files were also seen and the manager had the required checks such as CRB and employment records to ensure that residents are protected. The training records were seen, the manager uses the Croner’s induction programme for newly recruited staff. The manager invites professionals into the home to complete training such as fire, moving and handling, food hygiene, first aid, dementia awareness, infection control and continence, these were the latest courses that have been completed by the staff. By using this type of training the manager invites care staff from other care homes to join in with the training and should be commended for networking with other homes. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 18 The home has recently been monitored by the PCT on the use of continence products and was given a status of excellent as a result. Five of the staff have commenced the required NVQ level 2 training and two senior staff have nearly completed level 3. The level of care within the home was seen to have improved. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 19 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) 33,35,36,38 The level of management and record keeping has improved and residents are cared for in a safe environment. EVIDENCE: The manager now has care plans in separate folders containing individual risk assessments, to ensure that residents can access their records if requested. The staff files and other confidential records are kept in a secure place within the office. The training of staff has been consistent over the past year with the manager supervising the staff to enable her to plan for the future. The quality of the home is monitored through care plan reviews, training and supervision of staff, and by obtaining views from residents and relatives to ensure that any concerns results in the required action being taken. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 20 The proprietor visits on a weekly basis and rewards staff loyalty by organising a meal for them at Christmas. The required environmental checks such as fire records, lift, water and equipment were seen and have been satisfactorily maintained. The registration certificate and insurance are displayed in the main hallway. The home ensures that residents are cared for within a safe environment in St David’s with adequate risks being assessed beforehand to enable them to live as they wish. St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 21 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 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x 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 Standard No 16 17 18 Score x x x x x 3 x x 3 x 3 St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 22 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 None issued 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 None issued Good Practice Recommendations St Davids Residential Care Home I55 S27444 St Davids V243481 231105 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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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