Inspection on 31/07/06 for Terravis Park

This inspection was carried out on 31st July 2006.

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

Terravis Park 13/11/09

Terravis Park 15/06/09

Terravis Park 23/07/07

Terravis Park 02/02/06

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Terravis Park Choppington Road Morpeth Northumberland NE61 6NX Lead Inspector Jim Lamb Key Unannounced Inspection 31st July 2006 10:00 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 Terravis Park DS0000066106.V295221.R01.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. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Terravis Park Address Choppington Road Morpeth Northumberland NE61 6NX 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) 01670 519773 01670 504332 Kay Care Services Limited Ms Edna Eagleton Care Home 42 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (36) of places Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users may be between 60-65 years of age. Date of last inspection 2nd February 2006 Brief Description of the Service: Terravis Park was purpose built in the grounds of a family home in 1989. The home has been extended and now includes the existing house and can provide personal care and accommodation for up to 42 older people, 6 of whom have a dementia. Situated in a rural setting approximately two miles from Morpeth town centre, the home has a large car park at the front and well-tended gardens. A bus service to commercial and retail centres is available from outside of the home. The home is built over 2 floors serviced by 2 passenger lifts. There are 36 bedrooms, 6 of which may be shared. All but 2 of the bedrooms contain en-suite toilet and washing facilities. Fees range from Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced key inspection visit. The inspection lasted five hours and involved discussion with the manager, eight service users, two staff and the cook. Three service users care records were inspected together with other records relating to the running of the home. Two staff files were also seen. What the service does well: What has improved since the last inspection? Since the new proprietor took over six months ago, new systems, policies and procedures have been implemented to improve the standards within the home. The new registered manager has a strong ethos of involving the service users in all aspects of their life within the home. Staff training has improved and decoration and furnishings are being improved to provide a comfortable homely environment. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 6 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. Terravis Park DS0000066106.V295221.R01.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 Terravis Park DS0000066106.V295221.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 123 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Each service user has a contract/statement of terms and conditions. Prospective service users have enough information about the home to help them to make a choice about where to live. All service users are appropriately assessed prior to admission to the home. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Two service user interviewed confirmed they had been given a copy of the guide. Three service users’ files were checked and on each were a copy of a full needs assessment. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 9 The service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. The service users said their needs were met and they were happy with the care offered to them. One service users said, “This is the best home in the country” Three care plans were checked and two staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Intermediate care is not provided. Terravis Park DS0000066106.V295221.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users risk assessments need to be signed by the service users or their representatives. Further work is required to ensure that the service users care plans fully reflect each individual’s specific and holistic needs. The homes medication systems are well managed. The service users confirmed that they are treated with respect at all times. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. These need to be agreed and signed by service users or their representatives. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 11 There are advocacy arrangements, as well as family input, to represent service users. Each service user has an allocated key worker. Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis, it was agreed that the service users plans need to be developed further to ensure that each individuals holistic needs are fully identified. It is recommended that there is a separate plan for each need identified; this will help staff in the evaluation process. There are review systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Service users’ said that they are able to make decisions for themselves, and that they are happy with the care that they receive, they said that their privacy and dignity are respected; all spoke highly of the manager and the staff team. Terravis Park DS0000066106.V295221.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to live a normal life in the home. They receive support and encouragement to enable them to be in control of their own lives, they can see who they want and when. The menus provide a good choice of balanced and nutritional meals. EVIDENCE: Service users are supported to live a normal life in the community. They said that they are supported and encouraged to be in control of their own lives. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. Some service users are involved in light housekeeping tasks. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 13 The Home’s menus are based on the known likes and dislikes of the service users. At least three hot meals are provided each day. The service users said that the meals were very good. The menus provide a good choice they appeared varied and nutritional. The cook said that she keeps a record of service users likes and dislikes and nutritional assessments are completed. The kitchen was clean and well organised, however the kitchen window and external door require fly screens to be fitted. Terravis Park DS0000066106.V295221.R01.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to protect service users from abuse or harm. All staff has undertaken Safeguarding Adults training. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Service users said that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 15 The home keeps a record of complaints. During the last six months there have been no complaints received. The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. The home also has a copy of the Department of Health’s document, “NO SECRETS”. The Home keeps detailed financial records on behalf of the service users and regular audits are carried out. Receipts of personal spending are kept. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 16 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 20 24 25 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users live in a very homely, comfortable and safe environment. The home is maintained to a good standard. EVIDENCE: The home was clean, well decorated and well maintained. The grounds were tidy, safe, highly attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 17 There is a smoke-free sitting room and a large attractive conservatory. Furnishings and fittings were domestic in design and in good condition. Lighting was bright and domestic in design. Doors have privacy locks. Room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms have opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised. There are plans drawn up to extend the kitchen and create a central office on the ground floor. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The staff team were competent and skilled and committed to meeting the holistic needs of the service users. The home has robust recruitment and selection procedures in place. EVIDENCE: Staffing levels on the day of the inspection have been determined by the proprietor and the registered manager, they are confident that the current staffing levels meet the assessed needs of the service users. Staffing levels:in addition to the manager there are 4 staff between 8am and 9pm with 3 night staff between 9pm and 8am. Staff interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified in supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 19 Staff said they receive three days paid training. The company employs its own training officer, statutory training is on going for all staff employed, and risk assessment and care plan training has recently commenced. The inspector discussed equality and diversity issues with the manager, she said that the home promotes fairness in equal opportunities, everyone is treated the same without any discrimination regarding, race, age, disability, gender etc. It was agreed that with consultation with the companies training officer that specific policies and procedures are drawn up and that equality and diversity is included in the homes induction training pack. 75 of the staff have completed NVQ level 2/3. Three staff files were examined; a rigorous staff recruitment and selection process is in place to ensure that all appropriate checks and references are in place prior to employment. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 20 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): 31 33 35 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home is well managed. A good system is in place for self-monitoring, review and development. The home is well maintained and the health and safety of the service users is promoted and safeguarded. There are appropriate systems in place to support service users to manage their finances. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 21 EVIDENCE: Staff and service users spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. The staff said that since the new proprietor took over six months ago, new systems have been implemented to improve the standards of care within the home; one said, “The care provided now was excellent”. Service users are told when inspections take place and they are shown inspection reports. Copies are available for relatives and others to see. The organisation has developed a range of new policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed. These included the fire log book, accident records, personal allowance records and Health and Safey manual. There are appropriate maintenance contracts for the home in place. Water storage tanks, gas and electrics are checked annually. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 22 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 X 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 Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 23 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. Standard OP19 Regulation Op16 Requirement Fly screens must be fitted to the kitchen window and external door. Timescale for action 30/09/06 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. 2. Refer to Standard OP7 OP30 Good Practice Recommendations Continue with the improvement to residents care plans and risk assessments. As part of the homes induction-training programme incorporate equality and diversity training and implement specific policies and procedures relating to equality and diversity issues. Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Terravis Park DS0000066106.V295221.R01.S.doc Version 5.2 Page 25 - 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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