Inspection on 07/02/07 for Summercourt

This inspection was carried out on 7th February 2007.

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

Summercourt 18/03/09

Summercourt 14/03/06

Summercourt 09/11/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Summercourt Shute Hill Teignmouth Devon TQ14 8JD Lead Inspector James Rose Unannounced Inspection 09:00 7 February 2007 th 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 Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 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. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summercourt Address Shute Hill Teignmouth Devon TQ14 8JD 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) 01626 778580 01626 778782 Classic Care Homes (Devon) Ltd Rebecca Louise Coulson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/03/06 Brief Description of the Service: Summercourt is registered to provide care to elderly people from the age of sixty-five. It is a detached house (listed building) that has been extended, situated less than half a mile from the town centre. There are two residents lounges and a separate dining room, and the home has a shaft passenger lift. All of the bedrooms are single rooms with the exception of one double, and all have an en suite WC. There are good views of the sea from several of the bedrooms. There is level access from the home’s front door onto a sizeable patio area. The garden is landscaped that includes a seating area and a level walk leading to a small pond. The home has its own car parking, and it is also possible to park in the street nearby. The weekly cost of care at Summercourt ranges from the lowest at £306.00 to £436.00. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 12 hours in February 2007. A sample of the care records were examined and evidence was also collected from returned questionnaires. Healthcare professionals were asked for their views of the service provided and four residents were consulted individually in private to obtain their views of life at the home. A complete tour of the building was undertaken and three staff were also interviewed individually in private. The inspection was undertaken with the assistance of the registered manager and one of the directors. What the service does well: What has improved since the last inspection? Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 6 Two requirements were raised in the last report, one called for secure facilities to be provided for medication in a resident’s room and training was needed in adult protection for carers, both of these have been satisfied. The proprietors have continued with their substantial investment in the home, since the last inspection, four new carpets have been fitted to residents’ rooms and new furniture has been provided; a new kitchen has been made available and a replacement double glazed door has been fitted to the home. Residents’ rooms are redecorated when they become vacant; this approach ensures that a high standard is maintained. 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. The summary of this inspection report can be made available in other formats on request. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 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 Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. Comprehensive assessment was available for each resident that covered all their needs in the areas of health, personal and social. Standard 6 refers to a service not provided at Summercourt. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Samples of four assessments were examined at this inspection, residents’ needs were detailed and the health and personal needs were particularly well covered. Social needs were recorded, this area was discussed during the inspection and it has been agreed that this area will be developed further. The assessment process is normally undertaken by the registered manager who visits the prospective resident prior to the home offering a service and consults healthcare professionals and family as required. If a resident is admitted to the home on an emergency basis and there has been no Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 9 opportunity to carry out an assessment this is undertaken a matter of priority within 24 hours of their arrival. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Detailed comprehensive care plans were in place for all the residents in the home. Health needs were fully met and residents are able to self medicate; the administration of medication undertaken by the home ensures residents are safe. All the service users consulted felt they were always treated with respect and their privacy was maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans of residents were examined in detail as part of the inspection process, these were constructed from the detailed assessments undertaken that provided an appropriate foundation. All a residents’ needs were well covered in the areas of health, personal and social. Social needs and risk assessments were discussed in detail and it has been agreed that this section of the care plan will be developed further to provided greater depth. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 11 All the care plans were reviewed on a monthly basis to ensure that residents’ needs were met in an appropriate way. Two healthcare professionals were consulted about the service provided at Summercourt, they were both complimentary and the service clearly had their confidence. Residents who wish are able to self medicate subject to a risk assessment approach that is undertaken to ensure they have the capacity. The recording maintained by the home of the administration of medication was examined and in general was well maintained. There were some small deficits and these are going to be investigated by the registered manager and systems put in place to ensure they are not repeated. The process is comprehensive and ensures residents are safe. Prescribed medication is checked and booked in when received, recorded when issued and unused medication is recorded again when it is returned to the pharmacist. Four residents were consulted individually in private during the inspection, they advised that they were always treated with respect in the home and that care was taken to ensure their privacy was maintained. One residents said, “The staff are wonderful, nothing is too much trouble” and another advised “ I’m taken good care of, I couldn’t ask for more”. From observations made during the inspection of personal care being administered it was clear that carers gave residents time to answer questions and to mobilise. Staff ensured residents privacy; they knocked on resident’s doors before entering their room and closed doors when personal care was being given. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Residents were very happy with the lifestyle at the home and all their needs were met. The home has no restrictions on visiting and residents can maintain contact with the local community if they wish. Residents are assisted to exercise choice and control over their lives. A wholesome diet is provided for residents and meals are served in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents were consulted individually and in private and groups of residents were also seen during the inspection process. They all confirmed that they were very happy at the home and cold not suggest any additions they would like to the activities programme, one resident said she would like more of the same but this voice was alone. Some group activities are undertaken but mostly the home tries to provide a programme tailored to the individual. As previously mentioned further development of the social element of the care planning is being undertaken to ensure all residents social needs are met. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 13 One residents advised, “There’s plenty for me here, I’m not bored! Sometimes I’m asked what I would like to do or I can always say” and another said “I’m very happy, I like the life and I’m well cared for.” The home has an unrestricted visiting policy and procedure and visitors are always made welcome. For visitors that travel to visit their relative or friend the home offers the facility of being able to join in at a mealtime without any charge being made. Assistance is provided to residents to help them exercise their choices and have control over their life. It was clear from observations made during the inspection process that time was taken by staff to explain options to residents to ensure they understood and further time was then taken for them to consider before giving their answer. No pressure was applied. The home provides a menu system for meals and residents are consulted on a daily basis about what they would like to eat, choice is always provided. Fresh produce is used and cakes etc are made on the premises. Snacks and drinks are available on a 24-hour basis and a notice has been put up in the hall to remind people. Meals are served in a dedicated dining room that is well furnished, pleasant and comfortable. All the residents consulted during the inspection were very complimentary about the food provided at the home and could not suggest any additions they would like added to the menu. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Residents were confident that any issues they raised would be dealt with appropriately and they were protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents were consulted individually in private as part of the inspection process, they were all confident that if they raised an issue with the management of the home, they would be listened to and the matter would be resolved quickly to their satisfaction. A clear complaints procedure was available in the home and a copy is given to each resident in their ‘welcome pack’ when they are admitted. No complaints were received during the inspection and none are being investigated. The home has a comprehensive adult protection policy that meets the legislation and carers are trained in this use, this ensures residents are safe at all times. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. Summercourt is a comfortable home that provides a safe, well-maintained environment. The home is clean throughout with high standards of hygiene evident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the building was undertaken as part of the inspection process. All rooms were well maintained, decorated and furnished to a high standard, residents that were consulted advised that they liked the home and were comfortable there and said it had a homely feel. Since the time of the last inspection four new carpets have been provided and new furniture has been purchased for residents use. A new kitchen and external door has been fitted. The home has a policy of redecorating a room Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 16 when it becomes available, this sustained investment approach ensures that the high standards of the home are maintained for residents. The home was clean throughout with high standards of hygiene evident, no malodour was apparent. The home has a well-equipped laundry, the processes were discussed with the manager and it has been agreed that a protocol will be introduced for this area to ensure that there is no contamination between clean and soiled laundry. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. The home always has sufficient staff on duty to appropriately meet residents’ needs. Recruitment policy and practice in the home ensures that residents are safe. An active training programme is in place that ensures carers are competent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Summercourt always has sufficient care hours to ensure residents’ needs are met. Cooking, cleaning and maintenance in the home is undertaken by additional personnel. A flexible approach is undertaken by the management and if needs of residents were to increase extra hours would be provided. Three personnel files were examined in detail as part of the inspection process, all files undertaken by the current management were complete and contained all the elements required by the legislation to ensure residents were safe. For carers that have been at the home for a long time there were a few gaps, these are going to be given priority action by the management to ensure all files are complete. The home has an active training programme for carers running, a comprehensive induction is completed by new staff and further training can then be undertaken which will be funded by the home. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 18 Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. Summercourt is well managed by a person who is qualified and fit to be in charge. The home is run in the best interest of the residents who have their financial interests appropriately safeguarded. Health and safety matters are given priority and residents and staff are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager at the home has substantial experience of working in care and is also a trained nurse. She has obtained the registered managers award and is continuing with further courses. She is of good character and is fit to be in charge and will ensure the home is run in the correct manner. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 20 The home has a quality assurance system in place that asks for residents’ views of the service provided and how it could be improved. The current approach taken was discussed and some further development is going to be undertaken. The resident’s consulted over the two days of the inspection were confident and well able to express their views, they all advised that had a high degree of satisfaction with the service provided at the home and also said the staff team was “wonderful”. The management of the home assists some of the residents with the administration of their pocket money. Clear complete records were available and receipts were retained for any purchases made on behalf of a resident by the home. Four records were checked against the actual cash available and all were found to be correct. This well managed process ensures residents are appropriately safeguarded. It was clear from discussions with the manager that health and safety issues are given priority in the home. The precautions for the storage and use of harmful chemicals were in place and appropriate reports were made when events occurred in the home. Equipment was regularly serviced and the water was tested for unwanted bacteria. The fire precautions undertaken by the home were examined and were found to be complete and up to date. All electrical equipment was tested to ensure it was safe. Summercourt is well managed, safe and provides a good quality service to the residents who live there. Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 21 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 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 X X 3 Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 22 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 Summercourt DS0000063892.V319686.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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