Inspection on 17/11/05 for St Petroc`s Care Home

This inspection was carried out on 17th 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 Petroc`s Care Home 06/11/07

St Petroc`s Care Home 27/07/06

St Petroc`s Care Home 15/06/05

St Petroc`s Care Home 02/12/04

St Petroc`s Care Home 20/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE St Petrocs Care Home St Petrocs Care Home St Nicholas Street Bodmin Cornwall PL31 1AG Lead Inspector Mike Stokes Unannounced Inspection 17th November 2005 11:30 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 Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 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 Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Petrocs Care Home Address St Petrocs Care Home St Nicholas Street Bodmin Cornwall PL31 1AG 01208 76152 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) stpetrocs@stone-haven.co.uk Stonehaven (Healthcare) Ltd Miss Fiona Mary Searle Care Home 30 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (30) St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed a maximum of 30 Date of last inspection 15th June 2005 Brief Description of the Service: Stonehaven Healthcare Ltd; is registered to provide accommodation and personal care for up to 30 older persons. St. Petrocs care home is situated in Bodmin close to the shops, public transport and community facilities. It is a detached house, set back from the road within large well-maintained grounds and ample parking space provided to the front of the property. St. Petrocs provides bedrooms on the ground and first floors with a passenger lift and stair lift provided to assist service users. Shared communal space is provided through the lounge, dining room and conservatory areas. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection to review the standards of care provided at the home when the registered persons were unaware it was planned. I arrived at 11.30 am and left at 3.30 pm. During this time I met service users, care staff and the registered manager. The registered manager assisted me in looking at records kept to monitor the welfare of service users and discussed developments at the home. I met the majority of service users either in the communal areas or in the dining room where the main lunchtime meal was served. What the service does well: 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 Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 6 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 Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 7 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): 1,2,3 and 4. The home is providing appropriate information to assist service users and advocates in making an informed choice about where to live. EVIDENCE: Stonehaven Healthcare have been registered in respect of this home since November 2003. Their statement of purpose is available within the home and a service users guide has been issued to each service user. These documents explain the services and facilities available within the home as part of the contract and that transport arrangements, hairdressing, chiropody and newspapers can be provided at the home and are at the service users expense. The registered manager and a senior carer will visit the prospective service users at their own home or in hospital prior to admission to complete an assessment process. These records include information received from other agencies to assist in appropriate admissions to the home. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 8 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): 7,8,9 and 10. Key staff maintain appropriate care plans for service users, that ensure the health needs of service users are met, with evidence of multi disciplinary work occurring to provide for service users welfare. EVIDENCE: Detailed assessments and plans of care highlight service users needs with the appropriate action and review procedures that include service users. Senior staff and carers are involved in daily handover procedures to facilitate the necessary communication of the changing care needs and support required by service users. The registered manager and staff have been involved with the Osteoporosis Society in the assessment and prevention of falls training. This has resulted in a reduction of falls occurring at the home. The homes accident records and the procedures to report important events to the Commission in reference to regulation 37 are appropriately maintained. A range of pressure relieving equipment is provided for service users as required and appropriate liaison occurs with the community nursing service to provide for the welfare of service users. Service users are registered locally with general practitioners at the Stillmore House Surgery and at the Carnewater Practice. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 9 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): 12,13,14 and 15. Service users are receiving good meals at the home, in comfortable surroundings and consultation occurs regarding choice and preferences. EVIDENCE: Service users expressed approval of the visiting arrangements and stated that relatives are made to feel welcome at the home. Service users are mainly dependent on relatives and friends to access community facilities. The registered manager stated that occasional summer trips are organised and a programme of in house activities is maintained. I met service users in the dining room as the main meal of beef stew, dumplings and vegetables was served. A choice of main meal was available and cherry pie; yoghurt and fresh fruit were also served. Service users expressed approval of the meals provided and confirmed that the home had provided preferences as requested at the service users meetings. The dining room presented as a comfortable environment with linen tablecloths, serviettes and flowers on each table. The registered manager stated that she assists with serving meals on a daily basis to maintain contact and as a quality assurance measure. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 10 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 and 18. The registered manager uses the policy and procedures at the home to assist in the protection of service users. EVIDENCE: The complaints procedure containing the Commissions contact number and address was displayed in the home and is detailed in the service users guide. The registered manager maintains a record of complaints received and how these have been dealt with appropriately at the home. The registered manager has previously instigated appropriate POVA procedures to provide for the welfare of service users at the home. There is a policy at the home regarding staff accepting gifts from service users and precluding staff involvement in the making or benefiting from service users wills. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 11 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, 20, 21, 22, and 26. Stonehaven Healthcare is providing a good standard of décor and maintenance to ensure service users live in a safe and comfortable environment. The planned and necessary structural work to the main lounge is taking longer than expected; leaving service users without appropriate communal space. EVIDENCE: The 2 communal lounge areas are temporarily unavailable to service users. Stonehaven have informed the service users of the timescales involved. There is a separate dining room and a conservatory at the front of the home offering a seating area overlooking the garden. Service users have sufficient bathroom, shower and toilet facilities. The home provides a call bell system, a passenger lift, stair lift, specialist baths, bath hoists, mobile hoists, adjustable beds, grab rails and pressure relieving equipment. Single rooms are provided apart from 3 double rooms. The home presented as clean, pleasant and hygienic. Carpet repairs or replacement are required in the conservatory area and 2 potential tripping hazards were discussed with the registered manager. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 12 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, 28, 29 and 30. The registered manager is providing suitably trained staff, in appropriate numbers to provide for the welfare of service users. EVIDENCE: There is a minimum of 2 carers at all times with 4 carers at peak times of activity, in addition to the registered person and ancillary staff. One waking night carer and an on call (sleeper) are provided for service users that require attention at night. The registered manager ensures there are 3 carers provided during the evening until 830pm. The recruitment procedures and records were reviewed for staff and the registered manager was able to provide appropriate references and records regarding this process. The registered provider has a commitment to providing a trained workforce and individual staff files contain training schedules and opportunities. Appropriate training has occurred at NVQ level 2, 3 and 4, food hygiene, healthy eating, activities in care settings, moving and handling, first-aid, infection control and health and safety. The induction records for individual staff are signed and dated by the staff member and senior staff completing the process. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 13 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, 33, 35, 36 and 38. The registered manager is providing clear leadership to maintain a safe and comfortable home for service users. EVIDENCE: The registered manager is a qualified nurse with appropriate experience and has completed the ‘Registered Managers Award’ in June 2004. The registered manager is continuing to develop the processes at the home to comply with good practice, standards and regulations. The registered manager has developed supervision systems and staff training profiles include fire precautions and safe practice regarding health and safety. The managing director is the responsible individual acting on behalf of the company and visits the home to provide monthly reports to this Commission as part of the quality assessment review process. A recommendation is made regarding these reports. Professional accountants are used to support the management of the business. The registered manager is receiving appropriate support from the registered provider, the appraisal record for 25/10/05 was available. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 14 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 3 3 3 3 X 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 Standard No Score 16 3 17 X 18 3 2 3 3 3 X X X 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 3 X 3 X 3 3 X 3 St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 15 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 16-C Requirement The registered manager must make appropriate arrangements for the repair or replacement of floor covering in the conservatory area. Timescale for action 31/01/06 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 OP33 Good Practice Recommendations The registered person should complete the regulation 26 reports to provide an effective quality assurance and quality monitoring system, based on seeking the views of service users, to measure success in meeting the aims, objectives and the statement of purpose of the home. St Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection St Austell Office 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 Petrocs Care Home DS0000051613.V272671.R01.S.doc Version 5.0 Page 17 - 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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