Inspection on 18/04/05 for St Hilary

This inspection was carried out on 18th 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 Hilary 21/10/08

St Hilary 13/11/07

St Hilary 12/12/06

St Hilary 18/08/05

St Hilary 18/10/04

St Hilary 14/04/04

Similar services:

Fairfields Country Rest Home

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Trevaylor Manor

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

CARE HOMES FOR OLDER PEOPLE St Hilary Bramble Hill Bude Cornwall EX23 8DG Lead Inspector Mike Dennis Announced 18 April 2005 09:30 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 Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Hilary Address Bramble Hill Bude Cornwall EX23 8DG 01288 352754 01288 359099 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) Cornwall Care Limited CRH 38 Category(ies) of 0P 8, DE(E)) 28, registration, with number MD(E)) 28 of places St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Total number of service users not to exceed 38 Date of last inspection 18/10/04 Brief Description of the Service: St Hilary’s Care Home is run by Cornwall Care Ltd. which is a registered and charitable organisation, whose management team offer support regarding the running of the home. Members of the company visit regularly.St Hilary’s Care Home provides accommodation and care for thirty-eight people in need of care due to dementia, mental disorder or old age. There is also a busy day care centre on the premises.St Hilary’s is a purpose built home close to the town centre and amenities of Bude. The accommodation is offered on three floors, with wide staircases and lift access to each floor.The home is split into four units, known within the home as wings, with each wing having a personalised name. Each wing has a kitchenette – which allows simple food and drink preparation – dining area, sitting room and adequate bathing and toilet facilities.Main meals are prepared in the central main kitchen, located within the day centre, and are transported to each wing by a heated food trolley. For social events, involving all service users, the large day room situated within the day centre can be used. Activities are arranged within the home and service users can also partake of activities and functions arranged by the day centre if they choose.Service users are supported to maintain social contacts and leisure activities in the community with either the support of family and friends or staff at the home.The home has a central outside area that has been developed into a sensory garden, providing stimulation, relaxation and seating for service users to enjoy the warmer summer months. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 18th. April over a seven hour period. The inspector met with the newly appointed Manager, a selection of staff and 8 service users. During the course of the day the inspector observed groups of service users engaged in a number of activities. Staff were observed to be tending to service user needs whilst respecting their dignity. Various records, policies and procedures were inspected. The inspector visited all parts of the building and noted a satisfactory standard of hygiene and maintenance. Redecoration programmes are underway. Service users commented favourably on the overall service received What the service does well: What has improved since the last inspection? The last inspection took place on the 18th. October 2004. Since that inspection the home has been without a registered manager. It is therefore pleasing to note that standards have been maintained due to the efforts of the acting manager and the staff team. An additional en-suite bedroom has been brought into use. The number of staff holding NVQ qualifications has increased to almost 90 . St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 6 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 Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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 Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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, 5 and 6 Prospective service users are provided with the information they require in order to make an informed decision about admission to the home. Service users are fully assessed prior to admission to the home. Prospective service users can and do visit the home prior to admission. This home does not provide Intermediate care EVIDENCE: A comprehensive Statement of Purpose and Service User Guide is available. These documents have been regularly reviewed to reflect the changes occurring in the absence of a registered manager. They now need further review to reflect the the appointment of a new manager. An error was also noted at paragraph 2 which states there are 37 single and 1 double bedrooms. This statement indicates that 39 service users may be accommodated when in fact the home is registered for 38. Service users informed the inspector that they had knowledge of these documents. Four service user files were inspected and case tracked. All contained information pertaining to pre-admission assessment. The information provided was comprehensive and included risk assessments and general details of daily care requirements, medication and health care requirements. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 9 Service users informed the inspector that they were given the opportunity to visit the home prior to admission. Several had attended for day care or respite care before permanent admission Standard 6 is not applicable as the home does not provide intermediate care. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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 and 10 The health care needs of service users are identified planned for and met. Comprehensive policies and procedures for dealing with medicines are followed Service users are treated with dignity and respect EVIDENCE: . Four Individual Plans of Care were inspected. They were seen to contain full and relevant information, to include Risk Assessments, pertaining to the health, personal and social care needs of that individual. Service users confirmed that information is gathered regarding their past life experiences and interests. This information is used to promote an Active Care programme for that individual. Appropriate professionals from other disciplines frequently visit the home to provide for general health care, ie. G.P’s, Community Nurses, Opticians, Dentists etc. The home’s medication policies are adhered to by all staff. The manager and assistant managers are the nominated persons who administer medication. The majority of the medication is in ‘blister packs’. All medication including controlled drugs was recorded correctly as received, administered and disposed. The controlled drugs were stored to comply with drug regulations. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 11 Service users informed the inspector that they were treated with dignity and respect. The home has a dedicated room in which the local G.P,s hold a surgery twice a week. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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, 13, 14 and 15 The home ensures that service users social, educational and leisure needs are identified and aim to provide a variety of activities in the home. Service users visitors are encouraged to visit their relative. The home encourages service users to retain links with the local community. Cornwall care limited are reviewing the provisions of meals in all the homes, to ensure a high standard of dietary provisions are maintained EVIDENCE: From discussions with service users and their representatives they commented that there is ‘enough to do’ during the day. Service users recalled a variety of activities that are provided. These matched the interest and hobbies section of the care plans in respect of that individual. All service users in the home are able to participate in the day care activities, which are held in the day centre. The inspector observed a variety of activities occurring during the inspection The home’s policies and documentation demonstrate that they aim to encourage service users to pursue their hobbies and interests, and individual interests are recorded in service user care plans. Residents meetings are held and documented. Service users have opportunities to access advocates and some choose to have relatives act on their behalf. Relatives and service users stated that the home is welcoming to them St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 13 All service users made positive comments to the inspector in the variety and quality of food provided. It was evident from discussions with service users and their representatives and staff that there is a choice of main meal and that alternative meals will be provided. Kitchen staff were aware of individual dietary needs. From the inspectors discussion with kitchen staff and documentation seen it was evident that the kitchen staff have a sound knowledge of dietary needs, catering and appropriate qualifications. The dining areas were furnished to a good standard. Cornwall Care Ltd. are to introduce a new methodology regarding the choice, presentation and preparation of food in all of it’s homes, to be based on 10 organisational standards known as “Appetite for Life”. The new manager informed the inspector that the scheme would be introduced shortly at St. Hilary’s St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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) 16, 17, and 18 The complaints procedure is well publicised and used when required. Service users rights are protected. The registered persons ensure that service users are protected from all forms of abuse with staff having knowledge through training of Adult Protection issues which helps to protect service users EVIDENCE: A comprehensive complaints policy and procedure is kept within the home. This procedure includes timescales and who will deal with the complaint. The home also keeps a complaints log for ease of reference. Service users indicated that they were aware of the procedures. There have been no recorded complaints since the last inspection. Service users informed the inspector that their legal rights are protected and they are enabled to exercise their legal rights directly and participate in the civic process if they wish. Voting in the electoral process can be arranged by postal voting or the home will assist service users to attend local polling stations. An advocate or relative may be consulted where there is doubt as to the service users wishes. The home has a comprehensive policy and procedure in place to protect service users from abuse. Policies are also available in regard to physical and / or verbal aggression from service users, physical intervention and restraint. Staff are made aware of these procedures during the induction period. The registered manager is also aware of the local social services procedure within “No Secrets” to investigate any complaints regarding the suspected abuse of any service user. CRB and POVA checks are undertaken, with Cornwall Care being the umbrella body to obtain these checks. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 15 St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 16 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 and 26 The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live EVIDENCE: The home provides a safe and well-maintained environment for the service users. There is an informal ongoing maintenance programme with the décor being of a domestic and homely nature. The registered manager discusses refurbishment and development issues with the company at the annual finance meeting. Bedrooms are redecorated and re-carpeted as they become empty. The home has a large and attractive sensory garden with wheelchair access. The home appeared clean and hygienic on the day of inspection. No offensive odours were noted. Laundry systems are in place to promote the control of infection. Protective equipment i.e. gloves and aprons were observed to be available for all staff throughout the home. The home has policies and procedures in place that are available to all staff and in St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 17 accordance with relevant legislation St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 18 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 and 30 Robust recruitment policies and procedures are implemented. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service user’s needs EVIDENCE: The staff team shows a positive regard for service users and appears very organised. Additional staff are on duty at peak times of activity during the day. In addition to care staff there are 2/3 domestics and 1 laundry staff member on duty each morning. The duty rota indicates that 6 care staff are on duty during the mornings, 4 throughout the afternoon and 3 on duty in the evenings. Waking night staff number 2. In addition managers, domestic and catering staff are on duty Staff recruitment is conducted in line with the home’s policies and procedures. Evidence obtained from staff files indicates that references, CRB and POVA checks are taken up prior to interview. All staff undertake Induction Training. . NVQ training is encouraged as demonstrated by almost 90 of staff having obtained awards at various levels. Individual training profiles for staff are kept up to date with accurate information of progress made. Staff are receiving supervision and an appraisal system is in place. Service users commented on the dedication of the staff team St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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) 31, 33, and36. The newly appointed manager’s qualifications and experience would indicate that she is able to fully discharge her responsibilities. The home is run for the benefit of service users and their interests. Staff are appropriately supervised and monitored. EVIDENCE: The manager is suitably qualified having obtained an NVQ level 4 as well as NVQ Assessors award. She also has an NVQ 3 in Customer Service plus various other related qualification. She is experienced in having been the Registered Manager at another home elsewhere in the country. The home has been ably managed in the absence of a manager for several months and service users did not express any dissatisfaction. Service User surveys have and are conducted. The next one will be due shortly. Evidence of ongoing staff supervision and appraisal was presented by way of records and discussion with staff. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 20 St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 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 x 3 x x 3 x x St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 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 None 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. Refer to Standard 1 Good Practice Recommendations The Statement of Purpose has been regularly reviewed and is now in need of further amendment. St Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 23 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 Hilary D52-D04 S9068 St Hilary V214073 180405 Stage 1.doc Version 1.30 Page 24 - 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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