Inspection on 28/02/06 for Stirling House

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 Excellent. 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

Stirling House 24/03/09

Stirling House 25/10/06

Stirling House 01/09/05

Stirling House 12/10/04

Stirling House 13/05/04

Stirling House 11/02/04

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 Stirling House Honicknowle Green Honicknowle Plymouth Devon PL5 3QA Lead Inspector Kim Fowler Unannounced Inspection 28th February 2006 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 Stirling House DS0000030938.V262398.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. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stirling House Address Honicknowle Green Honicknowle Plymouth Devon PL5 3QA 01752 704881 01752 778024 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) Woodlands.school@plymouth.gov.uk Plymouth City Council Caroline Paterson Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability over 65 years of age of places (32) Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Stirling House is a detached 3-storey, purpose built property situated in the residential area of Honicknowle, Plymouth, close to local shops and amenities. The Home is owned and managed by Plymouth City Council. The home provides accommodation and personal care for a maximum of 32 persons over the age of 65 who may also have a physical disability. The Home has 32 single bedrooms, 16 on the 1st floor and 16 on the 2nd floor, none of which have en suite facilities. There are bathing and toilet facilities on all 3 floors, close to bedrooms and communal areas. Both the 1st and 2nd floors have 2 dining rooms/kitchen areas and 2 lounge rooms, one of which is designated as a smoking lounge. On the ground floor are the main kitchen, a large dining room, lounge and a separate sun lounge/activities room. A shaft lift provides access to all floor levels. There is a call bell system throughout the Home. Service Users are enabled to access any health or social care services they require and various social activities are arranged by the Home. The rear garden is spacious, including a patio and grassed area, and accessible for all the Service Users. Stirling House DS0000030938.V262398.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 1 1/2 hours and was an Unannounced inspection. A tour of the premises took place and 17 service users, 4 staff, one Care Manager, one visitor and the Manager were spoken with during this inspection. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made during this inspection. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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. Stirling House DS0000030938.V262398.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 Stirling House DS0000030938.V262398.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): 3/4/5 Service users can be confident that the home will offer trial visits and carry out needs assessments prior to moving in. EVIDENCE: The Care Manager and a service user spoken with confirmed that the home had carried out and asked for a completed assessment before they moved into the home. The Care Manager and the visitor stated that the staff in the home was able to meet the needs of the service users they visit. Several service users also confirmed that they see specialist services including Occupational therapist to assist them. Many of the service users felt that the staff had the skills and experiences to provide excellent care. Several service users, the care manager and the visitor confirmed that they were able to visit the home before they moved in. Stirling House DS0000030938.V262398.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): 8/10 The staff provides excellent personal support and health care support to the service users in Stirling House. EVIDENCE: Many of the service users spoken with were able to confirm that they see both the GP and the District Nurse. These visits are usually at the home but some service users felt that they would be able to visit the GP’s surgery if they requested. Many of the service users stated that all the medical visits are carried out in private, as all bedrooms are single. And service users felt that their dignity was maintained at all times. Many of the service users spoken with stated that when they have their personal care needs carried out this is always done in the privacy of either a bathroom or their bedroom and staff respect their privacy. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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): 12/13/15 Many of the service users at this home were able to confident that the home offers excellent meals. And family members are welcome to visit at all times. EVIDENCE: Some of the service users spoken with confirmed that there were activities arranged in the home either by the staff or by visiting people. One family member was visiting the home during the inspection and stated that they visit several service users in the home and are made welcome and have their visits in private. Other service users said that they have family members who visit them. Many of the service users spoken with were able to confirm that the quality of food was excellent. The service users also stated that their was always a choice of menu and that the food was plentiful, wholesome and nutritional. The inspector visited the kitchen during this inspection and found the food being prepared for the main meal looked very appetising and all home cooked. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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 the following standard(s): 16 The service users in this residential home can be assured that their complaints or concerns will be listened to and acted upon. EVIDENCE: All the service users spoken with confirmed that they felt able to raise any concerns or complaints they had and that they would be listened too and acted upon. Many of the service users stated that the manager and the staff were approachable and they see the manager or her deputies regularly to check if they were happy. Some service users confirmed that they had seen the homes complaints procedure and the visitor to the home also said they were made aware that the home had a complaints procedure in place but had not had call to need it. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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 the following standard(s): 19/23/24/26 Stirling House continues to maintain a clean and suitable environment for its stated purpose. EVIDENCE: The homes lift will be out of action for a while and the manager and the staff have made arrangement in advance to insure the wellbeing and safety of the service user during this time. The home sent the Commission a procedure to cover this work. One visitor was concerned that the phone on the 2nd floor was out of action and this was discussed with the manager during the inspection who confirmed that this matter would be look into and resolved if needed. Most of the service users agreed that their rooms were suitable for their needs and held many personal possessions they had brought into the home. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 13 Most of the rooms in the home were seen during this inspection and were personal, clean and fresh. Some of the service users were able to comment on the high standard of the cleanliness in the home and many of the service users agreed that the cleanliness in this home was always of a high standard. A tour of the premises confirmed the home was clean and odour free on the day of the inspection. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 14 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): 27/28/29/30 Mandatory staff training is carried out to ensure that the service users in this home receive a good service. EVIDENCE: The staff spoken with during this inspection felt that there was sufficient staff on duty to meet the needs of the service users. One staff confirmed that the home had used extra staff when needed to support the service users. The service user felt that there was sufficient domestic staff to maintain a clean environment. One staff member was able to confirm their recruitment process and agreed that they had completed a CRB check and that 2 references were obtained before they started. All staff confirmed that the home has regular and updated training. All staff had had the mandatory training including Fire Safety, First Aid, Food Hygiene and Health and Safety. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 15 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): 32 The Registered Manager of Stirling House has the respect of the staff team and is highly thought of by the service users. EVIDENCE: The service users, staff, visitor and the visiting professional spoken with during this inspection agreed that the home Manager was approachable and provide leadership within the home. Many of the service users could not speak highly enough of the Manager, the management team and the staff in their skills and caring manner. Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A 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 3 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X 3 3 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 X 4 X X X X X X Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 17 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. Refer to Standard Good Practice Recommendations Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 Page 18 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 Stirling House DS0000030938.V262398.R01.S.doc Version 5.1 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. 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!