Inspection on 01/12/05 for The Corners Residential Home

This inspection was carried out on 1st December 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

The Corners Residential Home 22/11/07

The Corners Residential Home 24/08/06

The Corners Residential Home 25/08/05

The Corners Residential Home 22/12/04

The Corners Residential Home 04/08/04

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 The Corners Residential Home 34 The Avenue Tiverton Devon EX16 4HW Lead Inspector Jo Walsh Unannounced Inspection 1st December 2005 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 The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 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. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Corners Residential Home Address 34 The Avenue Tiverton Devon EX16 4HW 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) 01884 253682 NO FAX Mrs Kathleen Lilian Newton Mrs Kathleen Lilian Newton Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To admit one named service user in the category of LD(e) The maximum number of placements including that of the named service user, will remain at 8. On the termination of the placement of the named service user, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert to those held on the 23rd February 2004 25th August 2005 Date of last inspection Brief Description of the Service: The Corners Residential Home is situated in Tiverton, Devon. The semidetached property is set in its own landscaped gardens in a quiet residential area on the outskirts of the town. The home is registered to provide personal care to 8 older persons in the category of Old Age and no other. The home does not provide nursing care. The home is owned and managed by Mrs Kath Newton who lives in and oversees the running of the home. Accommodation is provided in six single rooms and one double room. At the time of this inspection one person occupied the double room. Bedrooms are set out on the ground and first floors with stair lifts to enable easy access to the upper floor. The living rooms are on the ground floor and consist of a spacious, well furnished lounge, a dining room and a conservatory. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, meaning the home was not given notice that an inspection was to take place. The inspection took place during a weekday in December and lasted for 5 hours, during which time all residents were spoken to and most of the care staff. Time was also spent looking at key documents including care plans, financial transactions, fire log book and menu plans. A tour of the premises was completed including all of the resident’s bedrooms. One of the reasons for this inspection was to follow up on a complaint made by the family of a resident who has now left the home. The complaint issues centred on the attitude of the owner, which is always difficult to investigate after the event, however a good deal of time was spent talking to each of the current residents, in confidence and without the presence of any staff and all 7 residents were happy with the care and support provided by both the owner and her staff group. What the service does well: What has improved since the last inspection? The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 6 As there were no recommendations or requirements made from the previous inspection, it is difficult to comment on what has improved since the last inspection. Residents spoken to could not think of anything they wished the home to improve of and most expressed a high level of satisfaction regarding the care and support they received. 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 Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 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 The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 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 Comprehensive assessments are completed prior to new residents moving in, to ensure that the home can meet an individuals needs. EVIDENCE: Care plans and assessments were viewed and discussed with the owner. The home complete an assessment as well as obtaining the care management assessment and ensure that they understand the needs of any new residents. The home does not provide waking night cover so they need to ensure that any prospective new residents do not need an ongoing level of care during the night. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Residents can be confident that an experienced staff team who understand their needs will meet their personal and health care needs. EVIDENCE: A sample of three care plans were viewed and they evidence that individuals needs have been assessed, risk assessed and instructions detail to staff on how best to meet an individuals needs. Residents spoken to were confident that their personal and health care needs were being met in way that suited them. Residents were able to get up when they liked, choose where to spend their time and stated that staff treated them with respect and dignity. The medication system and records were checked and appear to be robust ensuring a safe system is in place to protect residents. The owner stated that only staff that have received training in safe handling and administration of medications were given the responsibility for medications. Residents confirmed that staff always knocked on their door before entering and that if they wished they could lock their bedroom door. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 10 Residents stated that they saw the chiropodist on a regular basis and opticians, GP appointments etc were arranged as needed and that transport was provided. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 The routines of daily living and activities provided are flexible and varied to suit the individual needs and preferences of the residents. EVIDENCE: Residents stated that they were able to choose when to get up and go to bed, where they spent their time and that there were a variety of activities on offer including trips into Tiverton for shopping and a coffee. One resident said ‘you’ve got freedom to do just what you want’ another stated ‘it’s a very homely atmosphere’ Residents also confirmed that their family and friends were able to visit whenever they wished and were made welcome, offered a drink etc. Residents were all complimentary about the food provided although there was one or two dislikes, which is inevitable. One resident said they didn’t like the way the fish is cooked. Other comments included ‘the meals are lovely’ ‘food is excellent, home cooked’ ‘tasty well cooked meals’. Residents confirmed that they got plenty of drinks and some choice was offered, and their likes and dislikes were taken into consideration. The main meal of the day is lunchtime and this meal was sampled during this inspection, and found to be well presented and tasty. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 12 The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents can be confident that their concerns and complaints will be listened to and acted on to resolve any issues. EVIDENCE: The home has a stated complaints procedure. All residents stated that they were confident that the owner would listen to any concerns they had and that they would not be afraid to talk to her or the staff group about any issues. The Commission have received one complaint form a family member of a resident who has now left the Corners. The complaint centred on the attitude of the owner. It was difficult to follow up on some of the specifics of the complaint after the event, however all residents were asked about how they were treated by the owner and staff and all stated they were treated very well and that almost all the staff were very kind and caring towards them. The conclusion reached during this inspection is that there is no cause for concern in respect of staff attitude and their approach to working with the resident group. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The premises are suitable for its stated purpose, is clean, safe and well maintained, ensuring residents have a comfortable home to live in. EVIDENCE: The Corners is an attractive home with accommodation set out on two floors. The home is close to the bus route into the town centre. Parking is available within the grounds. Bedrooms were well furnished and reflected the style and interests of the occupants with a variety of personal possessions and effects. One of the bedrooms has an en suite toilet. There are two bathrooms/toilets: one on each floor. One of the baths is accessible with a bath seat to assist easy access for those who require it. Residents can choose which one they’d prefer to use. The home is warm, safe and comfortable. Window openings have been restricted where necessary. Central heating radiators have mostly been covered and two further radiators have been identified during this inspection to be covered to ensure residents are safe from burns from hot surfaces. Residents’ bedroom doors are lockable. The gardens have been landscaped and The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 15 provide safe accessible seating areas where residents can sit out if they wish. Smoking is allowed in the conservatory. It was noted that the lounge room door was being wedged open and the owner is reminded that all fire doors must remain shut unless held open by a an approved devise linked to the fire alarm system. The home was found to be clean and free from odour. It is recommended that soap dispensers and paper towels be provided in the toilets to help prevent the risk of cross infection. It is also recommended that the home consult with the clinical nurse specialist regarding their current sluicing facilities for commode pans to ensure this is safe and an acceptable practice. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents can be confident that an experienced staff team can meet their needs. EVIDENCE: On the day of the inspection there were two staff on duty plus the owner, which is sufficient for the number and needs of the residents. Residents spoken to state that there were always at least two members of staff and that if they want anything they can use their call bell and staff will come and see to them. Mrs Newton confirmed that she ensures two staff per shift, but does not provided waking night cover. She also confirmed that over 50 of her staff group have NVQ or above and that she ensures all core training needs are kept up to date. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 17 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): 31,35,37 The owner is well qualified and experienced to run the home to ensure residents are well cared for, and their rights are protected by robust procedures and good record keeping. EVIDENCE: Mrs Newton holds the Registered Manager’s Award. NVQ Assessor’s Award D32/33 and is a Level 1 Registered Nurse and has eight years of experience of managing The Corners. During this inspection records were viewed in respect of the home dealing with individuals monies, which were kept up to date and receipts kept for all main transactions. Other records viewed and found to be well maintained were the care plans, medication records and fire log book. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X 3 X The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 19 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 13 Requirement Timescale for action 30/12/05 2 OP26 13 3 OP19 13 The home must ensure that the two radiators identified during the inspection are made safe, to protect residents from the risk of burns form hot surfaces. The home must ensure the risk 31/01/06 from cross infection is reduced by providing soap dispensers and paper towels in the bathrooms. The home must ensure all fire 30/12/05 doors remain shut unless held open by an approved devise linked to the fire alarm. This relates to the lounge door, where residents need to have it held open so an approved devise must be fitted 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 OP26 Good Practice Recommendations The home should consult with the clinical nurse specialist DS0000021915.V262917.R01.S.doc Version 5.0 Page 20 The Corners Residential Home in infection control regarding their current sluicing facilities for commode pans. The Corners Residential Home DS0000021915.V262917.R01.S.doc Version 5.0 Page 21 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. 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