Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 06/12/05 for St Phillip & St James Residential Home

Also see our care home review for St Phillip & St James Residential Home for more information

This inspection was carried out on 6th December 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a warm, comfortable and "family" type environment with a stable and committed staff group who work very much as a team. This was commented on by residents who stated that they "feel at home here", "nothing is too much trouble", and "I can rely on the staff". The home makes every effort to meet the care needs of residents and provide a safe environment. This was particularly evident during this inspection with regard to a resident who is relatively new to the home and the effort being made to be able to continue providing care despite their restless behaviour.

What has improved since the last inspection?

Following a requirement made as a result of the previous inspection there has been improvement in the medication administrating records.

What the care home could do better:

The procedure for the safe recruitment of staff to be improved. Areas of the home are showing a need for improvement in the maintaining of a goodstandard of decoration. Facilities need to be provided for residents so they will be able to securely store valuables in their accommodation and if they chose to lock their room.

CARE HOMES FOR OLDER PEOPLE St Phillips & St James Residential Home 9-10 Priory Road Keynsham Bath & N E Somerset BS31 2BX Lead Inspector Jon Clarke Unannounced Inspection 6th December 2005 09:30 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 Phillips & St James Residential Home DS0000008161.V273005.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 Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Phillips & St James Residential Home Address 9-10 Priory Road Keynsham Bath & N E Somerset BS31 2BX 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) 0117 9863505 NONE Mrs Patricia Elizabeth Clarke Mrs Patricia Elizabeth Clarke Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 18 persons aged 65 years and over requiring personal care only. 20th July 2005 Date of last inspection Brief Description of the Service: St.Phillip & St.James provide accommodation for up to 18 older people in single rooms some with en-suite facilities. All of the rooms except two are over 10 square metres; all are fitted with a call bell system. The home is two houses which have been converted to provide a pleasant and spacious environment with attractive and accessible rear gardens with decking and seating area. There are two communal lounges, a dining room and conservatory. The home is situated a short distance from the amenities of Keysham. The homes philosophy of care: To provide a warm and welcoming home environment for residents and their visitors. To allow residents the chance to express their individuality and respect privacy, residents are encouraged to bring personal possessions and rooms are fitted with a lockable door or lockable cupboard. To allow residents the chance to continue to live as a life as they wish within a support the supportive environment of the home. Care plans are agreed with each resident and regularly reviewed. To provide good quality food and well-balanced meals and allow for individual preferences. To encourage social participation and maintain skills and interests regular activities are provided. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. As part of this inspection documents were looked at including care plans, training and recruitment, medication administrating and records relating to health & safety practice in the home. A number of residents were spoken with about the quality of care provided and staff about working practice in the home. What the service does well: What has improved since the last inspection? What they could do better: The procedure for the safe recruitment of staff to be improved. Areas of the home are showing a need for improvement in the maintaining of a good St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 6 standard of decoration. Facilities need to be provided for residents so they will be able to securely store valuables in their accommodation and if they chose to lock their room. 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 Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 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 Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 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): Standard 3 was looked at on the previous inspection and was met. EVIDENCE: St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 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): 8,10 Services provided to the residents ensure that their health needs are fully met. Residents felt that they are treated with respect and their privacy is respected. EVIDENCE: Arrangements are in place in the home for the providing of chiropody and other community health services. There are good relationships with the community nurse service who visit the home as required and have provided support to staff when providing care to particularly frail residents. Residents can chose to retain their previous GP if they are still in the catchment area or alternatively register with health centre, which is almost opposite the home. In talking with residents they confirmed how they felt the staff treated them with respect “they treat as I would want to be treated” “I can’t fault them” This was also confirmed when observing staff particularly when supporting a resident who was very restless they dealt with the situation in a very sensitive way. Residents said their privacy was respected; staff always knock on rooms and wait before entering and staff were not intrusive. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 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 the following standard(s): 14,15 The practices of the home help in making sure that residents are able to exercise choice in their daily lives. The dietary needs of residents are met with a balanced and varied menu which meets resident’s tastes and choices. EVIDENCE: In discussing with staff the arrangements for the financial affairs of residents it was recognised that where able residents are entitled to manage their own financial affairs. The home does provide support to residents if this is needed. This was confirmed by residents who stated that they did not feel the home placed “restriction” and they “were able to do what they liked” specifically how they spent their day and routines such as going out “as long as we say but that’s ok”. One resident said when asked about the routines of the home and her daily routines “as near as being in your own home as you can get”. Residents were very positive about the quality of food provided at the home “can’t fault it” “always very good”. There is an emphasis on trying to make the food provided as home cooked as possible with good use of fresh vegetables and non-prepared meals. On the day of the inspection the meal was home prepared burgers which were appetising and well presented. There is a daily choice of dinner and teatime meal. The menu is on a 4 weekly cycle so making sure that there are regular changes. In talking with the cook she had a good St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 11 understanding and knowledge of the needs of residents and their likes and dislikes. Opportunity is given for resident to make suggestions about the menu at the home. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 12 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): 18 The home through its policies and procedures and necessary training makes sure that as far as possible residents are protected from abuse. EVIDENCE: The home has a vulnerable adults policy which sets out the practice in the event allegations of abuse is made. Staff have completed BANES Vulnerable Adults training. When asked residents said they felt safe in the home that staff always treated them appropriately. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 13 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): 19,24,26 The home is clean and hygienic but areas are in poor decorative order and fail to provide a well-maintained environment. Resident’s accommodation offers a homely and personal environment but doesn’t provide security for resident’s belongings. EVIDENCE: In walking around the home it was evident that residents have been encouraged to personalise their accommodation with items of furniture and other personal effects such as pictures and ornaments. A number of rooms were seen and all were adequately furnished. No provision has been made for residents to lock items of value in a secure place and rooms in the main do not have key locks. In looking at the decorative state of the home whilst generally in good order there were a number of areas which need redecorating. In particular ceilings on the first floor where there was peeling paper and stair area again with paper coming off the wall. This reflects poorly on other areas of the home such as the lounges and dining area, which are well-decorated and pleasant environments. The updating of the kitchen was also discussed with the St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 14 homeowner with providing of stainless steel worktops which would improve the kitchen environment. The home was at the time of this inspection clean and there were no offensive odours. There are good arrangements for the cleaning and maintaining of a hygienic environment. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 15 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): 29,30 The recruitment practice of the home is generally good with all necessary checks being completed. The home provides training to make sure that staff have the knowledge to meet the needs of residents in a safe and competent way though there were gaps in the evidence and recording of training completed by staff. EVIDENCE: Records showed that some staff had completed mandatory areas of training such as moving & handling, first aid, food hygiene and fire safety training. In addition some staff have received training in Care of the Dying and the Bereaved. Staff had also received yearly appraisals of their performance. In one instance there was no evidence that a recently recruited member of staff had received training other then food hygiene in another there was no training record. Recruitment records showed that there was only one area which the home needs to address when recruiting staff this is to have statement of medical fitness. Checks including references, CRB had been carried out. Applications showed the necessary information including full employment history. A member of staff who was undertaking the recruitment of a member of staff as part of her NVQ training had a good knowledge and understanding of good practice in staff recruitment. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 16 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): 38 The practices of the home with regard to health & safety are generally good and protect residents and staff as far possible. EVIDENCE: Records relating to health & safety within the home showed that there is regular maintenance of equipment; lift serviced 18/11/05. Checking of fire systems is as advised by the Avon Fire Service, weekly alarms, monthly equipment and lighting. There are risk assessments completed for the home environment ie rooms and kitchen though these need reviewing. In looking at care plans risk assessments were completed for areas where residents are potentially at risk e.g. self-medicating. However in one instance where a resident was liable to leave the building and potentially place themselves at risk there was no risk assessment completed or a photo of the resident as part of their personal information. St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X 2 X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 18 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. 2. Standard OP19 OP24 Regulation 23 (2b) 12 (4a) 23(2m) Requirement Remedial or re-decoration work is undertaken to areas of the home as identified in report. Ensure residents are provided with a lockable space in their room and all rooms are able to be locked with a key which the resident is able to retain. In the case of lockable rooms if this is not possible ie would place resident at risk or the resident chooses not to have a lockable room provided this must be recorded in individual’s care plan with signature of resident. Ensure all employee provide a declaration that they are physically and mentally fit for the purposes of the work they are to perform. Ensure records are kept of training provided and evidence of such training having been completed. Ensure photograph of resident is held as part of personal information. Ensure that risk assessments are completed for any residents who DS0000008161.V273005.R01.S.doc Timescale for action 01/05/06 01/05/06 3 OP29 19 (4b) Sch 2 06/12/05 4 OP30 17 (2) Sch 4 06/12/05 5 6 OP38 OP38 17 (1) Sch 3 13 (4c) 31/01/06 06/12/05 St Phillips & St James Residential Home Version 5.0 Page 19 is liable to place themselves at risk by their actions. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Phillips & St James Residential Home DS0000008161.V273005.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!