Inspection on 28/02/06 for St Vincent`s

This inspection was carried out on 28th 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 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 Vincent`s 23/05/07

St Vincent`s 07/09/05

St Vincent`s 15/02/05

St Vincent`s 17/11/04

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 Vincent`s 79 Fore Street Plympton St. Maurice Plymouth Devon PL7 1NE Lead Inspector Fiona Cartlidge Unannounced Inspection 28th February 2006 1:00 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 Vincent`s DS0000003609.V269994.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 Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Vincent`s Address 79 Fore Street Plympton St. Maurice Plymouth Devon PL7 1NE 01752 336205 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) Convent of Sisters of Charity Mrs Vivienne Cheshire Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability over 65 years of age (25) of places St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. One named individual aged 32 years. Service Users aged 65 years and over OP Maximum registered 3 service users (both) PD(E) Maximum registered 25 service users (both) Date of last inspection Brief Description of the Service: St Vincents is situated in a conservation area of Plympton St Maurice near the city of Plymouth in Devon. The building was originally a malt house, converted in the 1700s into a private residence and opened as a nursing home in 1944 by the Anglican sisters of charity. The accommodation is provided on 2 floors accessed via a passenger lift or stairs and comprises; 21 single rooms (11 with en suite) and 2 double rooms (1 with en suite) and 4 communal areas, the gardens are attractive, safe and accessible. The home is registered to provide nursing and/or personal care for a maximum of 25 people, over the age of 65 of either gender with physical disability, frailty and/or illness. The atmosphere within this home is quiet and peaceful. The home benefits from a stable staff team and achieved the investors in people award in 1998, which was renewed in 2002 and 2004 in recognition of their commitment to staff development and training. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours and was unannounced. A partial tour of the home took place when some bedrooms and the communal bathrooms and living rooms were viewed. Personal records of care of 2 residents were inspected. The inspector spoke with 5 residents, 2 staff members, and the Matron. Written information about the services, facilities and staffing arrangements was received from the registered provider before the inspection. This was the home’s second inspection of the year and readers should consider the contents of the last inspection report and this one to assess how the home has been measured against the National Minimum standards in inspection year April 2005-2006. What the service does well: This home has an organised, cheerful and friendly feel to it. Staff enjoy working at this home. Plans for care are well documented. The residents spoken to said that the staff are kind, helpful and hardworking, quotes from the residents included ‘we have nothing to grumble about’ ‘The staff are wonderful’. The inspector observed that the interaction between the staff and service users was extremely good, each individual being treated with respect in a supportive manner. A visitor/relative commented ‘the care and kindness shown to all residents is of the highest standard at all times’. Feedback about the food served in the home was also good, people said it was of good quality and served in ample portions, options to the main dish are always available and individual dietary needs are catered for. The environment is clean and cheerful the décor and furnishings in bedrooms are based on the individual choice of those living with in them. The management of the home is professional and are committed to developing staff skills through encouraging training and support. The home has the Investors in People Award. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 6 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 Vincent`s DS0000003609.V269994.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 Vincent`s DS0000003609.V269994.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): 5 Prospective residents and/or their representatives have the opportunity to visit the home to assess its suitability before they make a decision about admission. EVIDENCE: Residents told the inspector that the home had been recommended to them through word of mouth or that their relatives had visited a number of homes and had chosen St Vincent’s above the others. One relative/visitor commented that ‘having looked around at several Nursing Homes I feel that this home offers all the features that we wanted – it is small and I feel comfortable leaving my mother there’. St Vincent`s DS0000003609.V269994.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): 7,8,9,10 Residents have a clear documented plan of care. The health care needs of residents are regularly reviewed and action is taken to meet those needs. The homes medication system is well managed and safe. EVIDENCE: The inspector examined the personal records held on behalf of 2 residents; in both there were documented assessments which provided information about skin integrity, moving and handling, safety - including risk of falls and nutritional screening. The information generates the plans of care, which provide the basis for the care to be delivered. The care plans were clear and easy to understand and had been regularly reviewed. Records are maintained for all visits to the home by social or health care professionals, all residents are registered with a GP. Records provided evidence that as well as visits from General Practitioners, specialist nurses, chiropodists, St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 10 physiotherapists and dentist’s visit. Records of outpatient appointments show that visits to community and hospital health resources are enabled. The medication system is well managed; the inspector looked at storage and recording – controlled drug stock was checked against records and found to be correct. Disposal of unused medication is safe, well recorded and removed by a licensed contractor. Following assessment a number of residents have retained responsibility for administration and storage of their own medication. St Vincent`s DS0000003609.V269994.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): 12,13 Social activities are organised and meet the needs of the residents. The arrangements for residents to receive visitors are good. EVIDENCE: At the time of the inspection some residents were seen socialising in the lounges others were spending time in their rooms, reading, listening to music, and watching television. Six residents attended an organised light exercise session in the ground floor lounge. Residents told the inspector they are able to attend the homes own chapel when they wish. 4 residents provided written feedback before the inspection to the Commission all indicated that the home provides suitable activities. The people living in the home told the inspector they were happy with the visiting arrangements, written feedback was received from 4 visitors/relatives all indicated they feel welcomed into the home and are able to visit their relative/friend in private or socially. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 12 St Vincent`s DS0000003609.V269994.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): 18 A lack of clarity about whom should be responsible for investigating incidents or allegations of abuse or neglect poses a risk that evidence or information may be marred and lead to incorrect action having to be taken. EVIDENCE: The inspector examined the homes policies and procedures relating to responding to abuse; the documents seen did not accurately describe the processes that should be followed or information about other agencies that should be informed. The home does hold copies of the local social services alerter’s guidance and the homes procedure should be written in line with this guidance and all staff should be made aware of its content. The commission received written feedback from 4 residents before the inspection all indicated that they feel safe living in the home. St Vincent`s DS0000003609.V269994.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): 19,26 The home is simply decorated and furnished and clean, pleasant and hygienic. EVIDENCE: A tour of the home showed that resident’s rooms contain personal items of furniture and ornaments and pictures. All of those spoken to said they liked their rooms, some particularly commented positively about the fact they have there own en suite WC. The home appeared well equipped to meet the needs of those residents identified with moving and handling risks and disabilities that affect their capability to bathe. The gardens are safe and accessible and residents told the inspector how much they enjoyed the homes setting. Specialist mattresses were seen in place for those residents requiring them, as were height adjustable beds. The communal areas of the home were fresh and clean in their appearance; Hand washing facilities are available throughout the home as were protective gloves. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 15 St Vincent`s DS0000003609.V269994.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): 27,28,30 The deployment and number of staff on duty meets the needs of the residents. Training needs analysis has been undertaken, training is available and advertised, the staff are competent. EVIDENCE: The home employs 6 Registered Nurses these trained nurses are assisted by Care Assistants, 8 care staff have achieved a National Vocational Qualification In care. The staff records provide evidence that the staff have a wide range of qualifications, skills and experiences. At the time of the inspection there was a staff vacancy for a Registered Nurse for 2 nights/week and a Care Assistant for 1 night a week. Staff from agencies cover these shifts and there was evidence of some continuity to this arrangement. All of the residents spoke of the kindness and helpfulness of the staff, One said they are ‘polite and cheerful’, another ‘they couldn’t do more’. All residents spoken to said they felt there was always enough staff on duty. Written feedback from 5 relatives/visitors indicates that they also feel that in their opinion there is always sufficient numbers of staff on duty. Information provided to the commission indicates that the following training has been attended in the last 12 months: Zoonosis, supervision, osteoporosis, wound care, caring for catheterised patients, sensory impairment awareness, continence, care of the dying, oral hygiene for the elderly, manual handling, infection control and falls. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 17 St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 18 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): The home is being managed properly and there is evidence of clear leadership, guidance and direction to staff. The provider has a responsible attitude towards health and safety matters. EVIDENCE: The Registered Manager/Responsible Individual of this home is a 1st level registered nurse and holds an NVQ level 5 in management; The Matron who holds an NVQ 4 in management in addition to her nursing qualifications supports the manager. There are clear lines of accountability within the home. Staff and residents told the inspector that the manager demonstrates clear leadership and communicates well with all she comes into contact with. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 19 Safety notices were displayed throughout the home including action to be taken in case of fire and how to Control of Substances hazardous to health. Written information provided to the inspector by the provider before the inspection indicates that all equipment is regularly maintained and tested. The administrator has attended an intermediate course on health and safety and has responsibility for reviewing and developing environmental risk assessments. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 20 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 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 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 21 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. Standard Regulation 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. Refer to Standard OP18 Good Practice Recommendations The homes policy and procedure with regard to responding to abuse; should accurately describe the processes that must be followed and information about other agencies that should be informed in line with the local social services alerter’s guidance and all staff should be made aware of it. St Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 22 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 Vincent`s DS0000003609.V269994.R01.S.doc Version 5.1 Page 23 - 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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