Inspection on 14/04/05 for St Georges House

This inspection was carried out on 14th April 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 Georges House 10/05/07

St Georges House 18/11/05

St Georges House 22/11/04

St Georges House 17/05/04

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 St Georges House Park Road Tiverton Devon EX16 6AU Lead Inspector Annie Foot Unannounced 14th April 2005 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 Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service St Georges House Address Park Road, Tiverton, Devon, EX16 6AU 01884 252436 01884 252436 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 Brian Lindley and Mrs Maureen Lindley Mrs Maureen Lindley Care Home 19 Category(ies) of MD(E) Mental disability over 65 [19] registration, with number PD(E) Physical disability over 65 [19] of places OP Old Age [19] St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22/11/2004 Brief Description of the Service: St Georges House is a care home providing personal care and accommodation for up to 19 older people.The home is privately owned and managed by Mr and Mrs Lindley, who purchased the property in 1982. The home is located a short distance from the centre of Tiverton, a market town offering a full range of amenities and facilities. The home is situated next to a large public park, which is enjoyed by service users.The home, originally a small hotel, comprises a large detached Georgian two-storey building, surrounded by attractive and well-maintained gardens. There is ample parking to the front of the property.There are 16 bedrooms in the home, 13 single and 3 double, although all bedrooms are used as singles. There are 10 bedrooms with ensuite facilities. The shared communal rooms are spacious, comfortable and cosy. The home is best suited to service users who are ambulant and able to manage stairs. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours during a day in April. The majority of inspection time was taken speaking with the residents, both in the lounge and in their private rooms. 9 of the 16 residents talked with the inspector about their lives and the home. The proprietor (Mrs Lindley) and the deputy manager were present throughout the inspection. All of the staff took part in the inspection, and also 2 visitors from the local church. A tour of the building was made, but not all service user rooms were seen on this occasion. A variety of records were inspected including, care plans, service user files, the menu diary, staff records and rota, medication records/procedures, accident and fire records. What the service does well: What has improved since the last inspection? Care plans continue to improve with clearer concise records. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 6 Since the last inspection, a number of bedrooms have been refurbished and redecorated, as has the dining room. Full information of agency staff is now properly recorded. A new induction programme for staff has been introduced. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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 Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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) 3 The homes assessment process is thorough and ensures that it is able to meet residents’ needs. EVIDENCE: The provider and deputy manager undertake a considered assessment of individual need, which assure prospective residents of the homes ability to meet their needs. The provider is aware of the need to balance the needs of the current residents with those of a prospective resident to ensure that everyone’s needs are met. Where there is a doubt a refusal is made. Written details of assessments are contained within resident’s files. A care plan is written once a person has moved into the home. Residents are involved in the process, although many said they are disinterested in what is recorded. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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 The staff have a good understanding of the health and personal care needs of residents, which is documented clearly in care plans. EVIDENCE: There is a consistent care planning system in place to provide staff with the information they need to meet the needs of service users. Care plans are well informed and are consistent. Care plans records are up to date and are reviewed monthly with the involvement of residents’. Residents’ confirmed that their health care needs were promptly met. Residents thought that the staff were respectful and provided individuals with their privacy. This was evident in the interaction between staff and residents. Staff have a good understanding of the health and personal care needs of each resident. The systems for the administration of medication are well managed ensuring that service users medication needs are met. Some residents self medicate and store their medication in their rooms. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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) 12,13,14,15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Residents are encouraged to maintain their independence, exercising choice and taking control of their lives. EVIDENCE: The majority of residents spoken with said how good the food was and how much they looked forward to meals. Residents said there is a choice at every meal and that times of meals are flexible. Food is freshly prepared and home cooked. The menu diary showed the variety of foods offered in providing a balanced wholesome menu. Daily menus are displayed on dining tables. Activities are arranged during the afternoons. Some of the residents are able to attend community events maintaining previous interests and contact. There is an exceptionally good track record of involvement and contact with the local community. Several of the residents said they liked to walk in the nearby park. Residents share their crosswords from the daily newspaper (Daily Telegraph), in the lounge. They said it helped to “keep the little grey cells working!” Residents are encouraged to maintain their independence in whatever way or manner is meaningful to them. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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 The home has a robust complaints procedure and residents feel that they can raise any issue of concern which will be listened to and acted upon. EVIDENCE: There is a detailed complaints procedure with timescales, which is displayed in the entrance hall of the home. Residents said they have no complaints but if they have any issue or concern would have no hesitation raising issues with the proprietor or one of the staff. Anyone who has raised an issue in the past said it had been dealt with promptly, usually on the same day. Although all residents are aware of the complaints procedure one resident said they would not wish to make a fuss by complaining. Care staff said that they would report any concern or complaint to the deputy manager or provider. They also confirmed that any issue raised by residents or themselves is always acted addressed promptly by the provider. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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) 19,26 The standard of the environment is high, providing residents with attractive, safe and clean surroundings. EVIDENCE: The standard of accommodation is high. Rooms have high ceilings and large windows. Considerable thought is given to attaining the right décor and furnishings to suit the premises. Attention is paid to the small details too (e.g. complimentary colour schemes, vases of fresh flowers) to make the home comfortable and homely. Since the last inspection several residents’ rooms have been redecorated. Residents and staff commented on the tasteful decoration of rooms. Rooms are routinely refurbished as they become vacant. The dining room has recently been completely refurbished and a new carpet fitted. The gardens are very attractive and are well maintained. The home is kept exceptionally clean which is greatly appreciated by residents. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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 Arrangements for the induction and training of staff are good with staff demonstrating a clear understanding of their role and responsibilities. EVIDENCE: Many of the staff have been employed at the home for several years and work well together. Staff are able to explain their role and responsibilities. All of the staff spoken to enjoy working at the home and are committed to providing a high standard of care for residents. A number of staff have been employed at the home for several years. Staff said they were “a good stable team with good bosses”. Staff support each other in times of pressure or absence. Staff like working for a “family business” and consider that they receive good training and support in doing their jobs. Sufficient staff are on duty to meet the needs of service users. A rota is displayed indicating who is on duty and in which capacity. Care, domestic and catering staff said they work together well as a team and are supported at all times. Regular supervision is provided. A robust recruitment procedure in place with systems in place to ensure all essential information is contained in each staff members file. Agency staff records show that the home receives their full details before a shift is worked. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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) 33,38 The management of the home ensures clear leadership and direction, giving staff guidance and support to meet the needs of residents. There are reliable systems in place to ensure the good health safety and welfare of residents and staff. EVIDENCE: The provider and deputy manager give a clear lead and direction to staff. Residents feel the provider and deputy manager are approachable and seek to ensure all their needs are met. The systems for service user consultation are good with evidence that indicates residents’ views are both sought and acted on. Safe working practices are employed and risk assessments undertaken. Records should that regular fire drills and staff undertake training. Fire alarms and safety lighting are regularly checked. St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x 3 St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 16 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. 2. 3. 4. 5. Refer to Standard OP7 OP9 OP33 OP33 OP38 Good Practice Recommendations To develop a system which will enable staff to develop care planning skills through delegating some tasks currently undertaken by the deputy manager. To provide a suitable box or container that is lockable for residents to store medication held in their rooms. To involve residents in choosing decorations or changes planned for the home. To free up time to enable the deputy manager to spend more time with residents on an individual basis. To remove the notice stuck to the fire door along the ground floor corridor (next to the bathroom). St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 Page 17 Commission for Social Care Inspection Exeter Office, 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 St Georges House D54-D06 S22037 St Georges House V216987 140405 Stage 4.doc Version 1.20 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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