Inspection on 07/09/05 for St Nicholas

This inspection was carried out on 7th September 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 Nicholas 10/07/09

St Nicholas 11/09/08

St Nicholas 14/03/08

St Nicholas 25/10/06

St Nicholas 26/01/06

St Nicholas 05/01/05

St Nicholas 06/09/04

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 Nicholas Harepath Hill Seaton Devon EX12 2TA Lead Inspector Caroline Rowland-Lapwood Announced 7 September 2005 th 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 Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Nicholas Address Harepath Hill, Seaton, Devon, EX12 2TA 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) 01297 20814 01297 20814 N/A Mrs Karen Roberts N/A Care Home 3 Category(ies) of OP - Old Age (3) registration, with number PD(E) - Physical Disability - over 65 (3) of places St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 05/01/2005 Brief Description of the Service: St Nicholas can provide personal care for up to 3 older people who may also have a physical disability. The property is a detached bungalow set in a third of an acre of land on the outskirts of Seaton. The accommodation consists of three bedrooms one of which is en suite. There is also a separate dining room, lounge and two further bathrooms. There is parking on site and pleasant level gardens both to the front and rear of the property.The home is owned and managed by Mrs Roberts. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took part as part of the normal programme of inspection. It took place over three hours, between 10.15 am and 12.15pm. The inspector met all three residents and spoke with the homeowner. She looked around the entire inside of the home and looked at paperwork in relation to care planning and other documentation relating to the home. The owner of the home had completed a pre-inspection questionnaire and the Commission prior to the inspection received this. What the service does well: What has improved since the last inspection? What they could do better: It was identified during the inspection that fire training was overdue. The home wishes to continue to improve standards and ensure that residents remain happy and safe. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Nicholas D54-D06 22038 St Nicholas 241186 070905 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 Nicholas D54-D06 22038 St Nicholas 241186 070905 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) 3,4,5 Pre admission arrangements ensure that residents’ needs and wishes are fully understood and that they are helped make the right choice of home. EVIDENCE: Written and verbal information is given to prospective residents before admission; this includes a copy of the statement of purpose. The owner said that residents and their families are invited to visit the home and meet the staff before admission. There was evidence of this in pre assessment documentation and one resident confirmed that he had been to visit prior to admission. Prospective service users have a thorough assessment before their admission to the home and are assured whether or not their needs can be met, written conformation of this was seen in the care plans. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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) 7,8,10, Service users’ needs are met. The staff and owner at St Nicholas respect Service users’ privacy and dignity. The system of recording of medicines was not inspected. EVIDENCE: Every resident has his or her own care plan. They clearly identify health and social needs and actions required to meet them. They included assessments of all health, social and nutritional need. Risk assessments for the prevention of falls and pressure sores were completed. There is also a section for medical appointments, oral health, chiropody, hearing, sight and dental needs. The plans are reviewed monthly. Privacy and dignity are given a high priority and residents are treated with respect. The homeowner was observed interacting in a friendly and respectful manner with the residents. One resident commented that all the staff were “extremely kind and helpful”. The medicines for each person are stored in individual cupboards in their bedrooms. Documentation relating to medication was seen and was all in good order. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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 The residents have a choice as to their preferred lifestyle within the home. Residents are encouraged to maintain contact with their families or friends as they wish. Resident’s nutritional needs are met. Residents receive a wholesome and varied diet. EVIDENCE: A variable, nutritious diet is provided at the home. Residents confirmed this. Choices are available and special diets catered for. Some comments made by the residents on the day included “ the food is very good”, and “ the food could not get any better”. Residents confirmed that they were able to have visitors at any time and that they were always made welcome. Residents confirmed that they could get up and go to bed when they chose to and that they can decide how they may spend their day. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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) 16,18 Residents are confidant that they are listened to and their requests actioned. Arrangements for protecting service from abuse users are satisfactory. EVIDENCE: Residents confirmed that their views are taken seriously, that their concerns are fully taken on board and that action is taken where needed. All staff have had recent training in the protection of vulnerable adults. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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 Residents live in a safe, comfortable and clean environment that is well maintained. EVIDENCE: The home is well maintained and decorated. Each bedroom is individually decorated to suit the individuals taste. There was no evidence of offensive odours. There is level access into and around the home. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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) 27,29,30 The numbers and skill mix of competent staff are sufficient to meet residents’ needs. EVIDENCE: The staff rota showed that the allocation of staff on each shift was adequate to meet the need of the current service users. Residents confirmed that they were given all the help they needed and that they did not feel rushed or hurried in anyway. The staff team have regular meetings and a yearly appraisal. Each member of staff has a development plan, which identifies their training needs. Personal staff files were looked at and all contained all the necessary information to ensure safe recruitment practice. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 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) 31,38 On the whole service users safety and welfare is well protected. Improvements are needed in one area. The home is managed well. EVIDENCE: This standard was not fully inspected. All the radiators are guarded to prevent harm from burns. Water temperatures are regulated to prevent harm from scalding. Mandatory checks and tests are carried out with regard to fire safety and all were satisfactory. The staff undertake regular training in fire safety. However, it was identified during the inspection that the staff had not attended this training for some St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 15 time. As a result of this a requirement was made to ensure that staff were adequately updated. This was undertaken the very next day. The homeowner/manager has recently completed an NVQ Level 4 in care management and is hoping to complete the Registered Managers Award by September 2005. St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 16 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 x x 3 3 3 x 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 x 3 3 x x x x x x 3 St Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 17 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 38 Regulation 23(4)(d) Requirement Make arrangements for persons working at the care home to receive suitable training in fire prevention. Timescale for action 01/09/05 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 Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road Exeter, EX4 3AY Tel: 01392 474350 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 Nicholas D54-D06 22038 St Nicholas 241186 070905 Stage 4.doc Version 1.40 Page 19 - 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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