Inspection on 16/02/06 for St Omer

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Omer 27/07/06

St Omer 27/09/05

St Omer 18/02/05

St Omer 12/10/04

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 Omer Greenway Road Chelston Torquay Devon TQ2 6JE Lead Inspector Mark Sharman Unannounced Inspection 16th February 2006 12:00 X10015.doc Version 1.40 Page 1 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 St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 2 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 Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Omer Address Greenway Road Chelston Torquay Devon TQ2 6JE 01803 605336 01803 690733 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ian Day Joanna Petrina Day Barbara Harris Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user (named elsewhere) who is within the category DE(E) may be accommodated. 27 and 28/09/05 Date of last inspection Brief Description of the Service: St Omer is a large detached Victorian house in a quiet residential area, registered to provide care to people aged 65 or over. The communal rooms are spacious and comfortable, comprising a dining room, lounge and sun lounge. All but two of the bedrooms are single rooms, and the majority have en suite toilet facilities. There are good views of the bay from many of the homes windows. The front door is accessed up a few steps, but there are other entrances providing level access into the home. The home is equipped with a new shaft passenger lift and other disability aids, including two assisted bathrooms and a large shower room. There is a sun terrace and large, attractive gardens and parking for several cars. An extension to the home is now nearing completion, which has provided four additional bedrooms each with en suite facilities. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and a little over four and a half hours were spent at the home. Time was spent with the home owners, and a small sample of care records was examined. Several of the residents were consulted about their life in the home, and four of the staff were also consulted. The communal areas of the home were seen and also several of the bedrooms, including the bedrooms in the new extension. What the service does well: What has improved since the last inspection? Improvements to the environment are as described above. A requirement was made at the last inspection that all pipework and radiators accessible to the residents must be guarded or have low temperature surfaces. The radiator covers have been obtained and some further progress has been made with this work, although it has not yet been completed. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 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 Omer DS0000045297.V267721.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection St Omer DS0000045297.V267721.R01.S.doc Version 5.1 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 the following standard(s): 3. Standard 6 is inapplicable. An assessment of the needs of any prospective resident is always made before her/his admission to the home in order to try to ensure the suitability of the home for that person. EVIDENCE: The files of three of the newest residents were examined, and in each case the home’s own pre-admission assessment form had been completed. In the case of two of the residents a local authority Care Management assessment of her/his needs had been received by the home, and in the third case an assessment form was received which had been completed by hospital staff (this person was admitted to the home from hospital). St Omer DS0000045297.V267721.R01.S.doc Version 5.1 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 the following standard(s): 7 and 10. The care planning system is satisfactory, although the documentation was not quite as up to date as at the last inspection. The residents feel that they are treated with respect and dignity. EVIDENCE: The files of three of the newest residents were examined, the last resident having been admitted to the home about five weeks previously. The home’s standard practice is to complete a manual handling assessment, pressure area assessment, nutrition assessment and a general risk assessment. In general this had been done, although the risk assessment had not been completed in two files. The care plans described actions to be taken by care staff to ensure that the residents’ health and personal care needs are met, but one of the care plans had not yet been formulated. All of the residents spoken to said that the staff are very helpful and treat them with respect, and indeed this was evident during the inspection. There is a payphone for residents’ use, although it is located in a rather public position. The owners and the manager said that residents may use a cordless telephone if privacy is needed. Some residents have their own telephone (some were seen). No bedroom is being shared. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 10 St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12 and 15. Residents are offered a range of appropriate activities and entertainment. The catering arrangements are very satisfactory. EVIDENCE: The programme of regular activities was displayed on the notice board. These include a weekly exercise session, bingo, games, word games/quiz, and a “pamper” afternoon (e.g. manicure). A small shop is run in-house one day per week. There is fortnightly communion and monthly worship with music. Professional musical entertainment is provided from time to time, and in fact had taken place two days before this inspection (Valentine’s Day). There are also occasional trips out for groups of residents; for example fifteen of them went to a pantomime at Christmas. One of the staff said that she runs a crafts session for those who are interested e.g. card making. All of the residents consulted were very complimentary about the standard of the meals provided, and the menus are varied. The lunch on the day of the inspection looked appetising, and residents said they are offered plenty. A Valentine’s cake had been made that week, and home made cakes are available most days (including the day of the inspection). A big bowl of fruit was available in the dining room. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 12 St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 16. Residents are confident that any complaint they might have would be taken seriously. EVIDENCE: There is a satisfactory complaints procedure, which is included in the residents’ guide. All of the residents consulted said they were confident that the manager and home owners would do their best to resolve any complaint. In fact no complaint was expressed during this inspection. No complaint has been made to the Commission for Social Care Inspection since the last inspection. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 19, 25 and 26. The home provides comfortable accommodation and was warm and clean. It has been extended and improved in recent months. Residents’ safety will be further improved when all the radiators are guarded. EVIDENCE: The home was warm and clean (including bathrooms and toilets) and looked well maintained. The kitchen was very clean, as usual. The three bedrooms (a fourth nearly complete) in the new extension are very attractive, and the new shaft lift is now in use. This is of great benefit for residents with reduced mobility. The laundry has been re-sited to an outbuilding, and is commercially equipped (two washing machines and a dryer). Residents consulted said that the laundry was done satisfactorily. The home was free from odour, with the exception of one bedroom (pointed out to Mr Day). Many of the radiators have now been covered, but there are several still uncovered (including some in bedrooms, which are a higher risk area). The covers have been delivered, and some were seen. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 15 St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28. Staffing arrangements are satisfactory, and the NVQ training target for care staff has been met. EVIDENCE: There were sufficient staff on duty to meet the needs of the current residents, and the residents who were consulted said that they receive help from staff when they need it (for example when they use the call system). The staff on duty were competent and experienced. Over half of the care staff have achieved NVQ level 2 or equivalent, and a small sample of their certificates was seen. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 17 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31. The manager is well experienced with this client group and is highly regarded. The owners are closely involved in the day to day running of the home. EVIDENCE: The manager has had many years experience of working with this client group, and is currently undertaking NVQ level 4 in care and management (the registered managers award). Standard 31 will be fully met when she has obtained these qualifications. She is highly regarded by the residents. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x 2 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x x x St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes. 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 OP25 Regulation 13 Requirement Timescale for action 31/05/06 2. OP7 15 Pipework and radiators accessible to service users must be guarded or have low temperature surfaces. (Previous timescale of 30/11/05 not met). A care plan must be written in 31/03/06 respect of each new resident as to how her/his needs are to be met. 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 OP10 Good Practice Recommendations Consideration should be given to re-siting the payphone to a more private position. St Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Omer DS0000045297.V267721.R01.S.doc Version 5.1 Page 21 - 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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