Inspection on 04/08/05 for Templemore

This inspection was carried out on 4th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Templemore 24/10/06

Templemore 31/01/06

Templemore 17/11/04

Templemore 11/06/04

Templemore 27/01/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Templemore 121 Harlestone Road Northampton Northants NN5 6AA Lead Inspector Kathy Jones Unannounced 4 August 2005 @ 02:35p.m. 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 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. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Templemore Address 121 Harlestone Road Northampton Northants NN5 6AA 01604 751 863 01604 588 638 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) B & M Care Limited Ms Rachel Rodgers Care Home 73 Category(ies) of DE(E) Dementia - over 65 (10) registration, with number of places OP Old Age (73) Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: In Cedars Phase 1 : 23 with Dementia In Cedars Phase 2: 18 with dementia Two current residents with needs within the MD(E) category can remain in the home whilst their needs can be met. Date of last inspection 17/11/2004 Brief Description of the Service: Templemore is a care home providing personal care for seventy three older people some who have varying degrees of dementia. The home is owned by B&M Care who have one other home in Northamptonshire and other homes in different parts of the country. The home in an old listed building is full of character and located on the outskirts of Northampton. It is close to parkland and local transport to the town centre. There are three units within the home on two floors, the main house accomodates residents in the categories of older people (OP) and dementia (DE)(E). There are also two dementia care units accommodating residents with varying levels of dementia. There are sixty two single bedrooms of which forty five have en-suite facilities. The home has five shared rooms with four of these having en-suite facilties. A passenger lift provides access to those bedrooms on the first floor. The home has attractive enclosed gardens, which include a courtyard sensory garden. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over approximately two and a half hours on the afternoon of a weekday. Prior to the inspection the Inspector spent two and a half hours reading the last inspection report, the homes service history, pre-inspection information submitted by the registered manager and collating information received in comment cards submitted by residents and relatives. This information was used to plan the key areas to be inspected. Fifty three comment cards were received from residents and five from relatives/visitors and contained positive comments regarding the care provided. The manager confirmed that staff would have assisted with the completion of the majority of the comment cards from residents as the majority of the residents have dementia. The inspection involved talking to Residents, visitors to the home, a new member of staff and the manager. Observations of the interactions between Staff and Residents were made throughout the inspection and noted to be positive. There was a very friendly and relaxed atmosphere in the home. This inspection focussed mainly on the cedars 1 unit, an area of the home randomly chosen. Pre-admission assessments were reviewed for a new resident and a sample of residents care records was reviewed to see how their care is planned and supported. What the service does well: The home is very well organised and managed. The layout and the management of the home enables care to be provided for residents with varying degrees of dementia. Staff are clear about their roles and responsibilities and receive appropriate training including dementia care training. Residents are all treated with respect and as individuals and those residents and relatives spoken to were very happy with the standard of care provided. A good variety of activities are provided and where possible community activities are accessed such as the tea dance, which six residents had attended on the afternoon of the inspection. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 standard(s) 3, the home does not provide intermediate care therefore standard 6 is not applicable. The admission process provides assurances that the needs of Residents entering the home can be met. EVIDENCE: The home has an admission process, which includes an assessment of prospective residents needs. The assessment tool is a tick list format however the additional comments confirmed that careful consideration is given to prospective residents needs and wishes. Prospective residents are encouraged to visit and spend some time in the home as part of the pre-admission assessment. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 Residents are treated with respect and receive a very good standard of care with health services accessed as appropriate. EVIDENCE: A sample check of two residents care files confirmed that care plans are in place to guide and instruct staff in meeting residents care needs. The plans in place were detailed and individual. Observations and some brief discussion with staff identified that staff are aware of the needs of individual residents and discussion with the manager confirmed her knowledge and involvement with individual residents. Comments received from residents and relatives/visitors during the inspection and within comment cards confirm that the overall standard of care in the home is good. Records confirm that health care professionals such as the General Practitioner, District Nurse and Community Psychiatric Nurse are accessed appropriately on behalf of residents. Records and comments from relatives confirm that they are kept informed of any changes to resident’s health and well being. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 10 During the inspection staff were observed to talk to residents in a relaxed and friendly manner however were mindful of the need to maintain dignity and respect. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 standard(s) 12 and 13 Resident’s benefit from a relaxed yet stimulating environment with a variety of activities provided. EVIDENCE: A good variety of activities are organised for residents and include reminiscence sessions, musical entertainers, exercise sessions, visit from the Pat dog, and some outside trips. On the afternoon of the inspection six residents had been out to a tea dance and had clearly enjoyed their afternoon. The majority of residents are happy with the activities provided according to the comments received. This inspection concentrated in the main on Cedars 1 unit. The unit was relaxed with residents encouraged to wander as they wished within the unit. Staff were available and were instigating conversations with individual residents. There is a flexible visiting policy, which was confirmed by the comments received, and visitors are made very welcome in the home. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 standard(s) 16 Complaints are taken seriously and any concerns are resolved at an early stage. EVIDENCE: The Commission for Social Care Inspection have received no complaints about the home since the last inspection. The home has a formal complaints procedure however discussion with the manager highlighted that the aim of the home is to resolve any minor dissatisfactions quickly and informally. A record is kept which evidences the actions taken. A resident and relatives confirm that the manager and staff are approachable and are satisfied that should any issues of concern arise they would be taken seriously and satisfactorily resolved. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 standard(s) 19, 20 and 24 Residents are provided with a clean, comfortable and pleasant home in which to live. EVIDENCE: A full tour of the premises was not carried out however a sample check and discussion with the manager confirmed that there is a programme in place for maintenance and re-decoration. New wood effect flooring had recently been laid in Cedars 1, which has improved the appearance and staff said they were finding it to be more practical than the carpets previously in place. Lounge areas were clean and comfortable. Cedars 1 have an attractive central courtyard, which was filled with flowers and has wind chimes and a water feature providing a pleasant and relaxing area to sit. This area is freely available to residents and their relatives to use. Since the last inspection one of the shared rooms has been converted in to a single room with en-suite facilities. The resident occupying the room invited Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 14 the inspector to view the room which was noted to be clean, comfortably furnished, and contained some of the resident’s personal possessions. The resident confirmed that the standard of cleanliness is always very good. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This section of the standards was not reviewed during this inspection. This section of the standards was not reviewed during this inspection. EVIDENCE: This section of the standards was not reviewed during this inspection however staff presented as competent and a new staff member confirmed that there is a programme of training in place. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 38 The home is well organised and managed and staff are trained in safe working practices. EVIDENCE: The home is well organised and managed; there is a clear management structure in place and an experienced registered manager. The company have no formal quality assurance programme in place however review of a tool which has been used in one of their other homes indicates that this would form a good basis for a programme. Monthly visits are carried out to the home by various head office staff to review aspects of the home. The manager gains feedback from residents and relatives on the care provided through meetings and informal discussions and carries out a monthly audit of the premises. Although the findings of this inspection highlight good outcomes for residents it is strongly recommended that the home has a comprehensive Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 17 quality assurance programme in place to monitor the standards of care provided. The Pre-inspection questionnaire confirms that relevant safety checks have been carried out which include checks on fire safety equipment, central heating system and the lift. Information received in the pre-inspection questionnaire and discussion with a staff member confirms that staff receive training in safe working practices which includes infection control, movement and handling, health and safety, first aid and food hygiene. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 x x x 3 x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 2 x x x x 3 Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement None made 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 Good Practice Recommendations The quality assurance systems should be further developed. Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Templemore C51 C08 S12938 Templemore V241348 040805 Stage 4.doc Version 1.40 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. 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