Inspection on 25/08/05 for The Corners Residential Home

This inspection was carried out on 25th 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

The Corners Residential Home 22/11/07

The Corners Residential Home 24/08/06

The Corners Residential Home 01/12/05

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 Sheila Giblin Announced 25 August 2005 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. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 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 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 (8 registration, with number of places The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) To admit one named service user in the category of LD(e) 2) The maximum number of placements including that of the named service user, will remain at 8. 3) 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 Date of last inspection 22nd December 2004 Brief Description of the Service: The Corners Residential Home is situated in Tiverton, Devon. The semi detached 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 the double room was occupied by one person. 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 D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which took place over 8 hours. Mrs Newton had provided a pre-inspection questionnaire prior to the inspection. The commission for social care inspection had supplied Service User’s and relative’s questionnaires for completion prior to the inspection and these had been returned to the commission in a timely fashion. Various records and documents were inspected. During the tour of the house all the rooms were inspected and seven residents were introduced and most spoke to the inspector at length about the lifestyle in the home and the care services they receive. All staff on duty spoke to the inspector and were observed responding to requests for assistance and exchanging social niceties. Lunch was taken with the residents in the dining room. During the day there was a game of Bingo and a quiz. A number of visitors and relatives spoke to the inspector about their satisfaction with the care services provided by Mrs Newton and the staff. What the service does well: What has improved since the last inspection? The staff rota now includes those duties undertaken by Mrs Newton and the senior care assistant. The front door and the porch have been repainted. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 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. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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 The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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) 1, 3, 4, 5, 6 Prospective residents and their relatives can be confident that information they require to enable them to make a choice about this home is appropriate. EVIDENCE: The Statement of Purpose and Service User Guide have been reviewed to include the updated information regarding contacting the Commission. Initial assessments of care need are conducted by Mrs Newton, recorded and reviewed regularly. During the first month of the trial period the needs assessment continues as shown in the residents’ files. Residents said they had visited the home to look around before being admitted. Resident’s relatives said they had visited as a result of recommendations made by other residents. Mrs Newton provides care services for older persons whose assessed care needs do not include night care attention. The Corners does not provide intermediate care. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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, 9, 10, 11 Residents can be confident that their care needs will be met by an experienced staff team who will treat them with dignity and respect. EVIDENCE: All the residents who gave an account of the lifestyle in the home said how well they are cared for. A resident said she is assisted to get up and go to bed. Staff served tea and breakfast exactly as she liked it. Care plans and personal files included health and social care information, details of physical disabilities and aids to independence. District nurses attended the home as and when required. Health care provided by dentists, opticians, chiropodist and GPs was recorded on file. One resident manages her own medication and a risk assessment had been undertaken to make sure it was safe to do so. A lockable storage space had been provided in the bedroom. Controlled drugs were in use in the home, and were clearly recorded showing the receipt and administration of medication with double signatures as required. Staff who administer medication had been provided with appropriate training and assessed as competent by the training provider. Residents and their relatives said they were treated with dignity and respect. Evidence of this was seen during the inspection as staff provided services and responded to requests. Residents who preferred to spend time in their rooms did so without disturbance. Mrs Newton provides care until death at The Corners, ensuring that extra staff are on duty The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 10 to sit with a dying resident when relatives are not available. A sitting room is offered to relatives if required and hospitality extended to those who have travelled some distance. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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, 13, 14, Residents can be confident that their lifestyle will be enhanced by the an activities programme that is interesting and stimulating. EVIDENCE: The Corners is a small home for just 8 people and this was reflected in the personal and intimate atmosphere in the home. There are very few house rules and residents are encouraged to be independent and make choices about their daily living routines: they can get up when they like and go to bed when they like within reason. They can stay in their rooms if they wish and take meals in the dining room or in their own rooms. Visiting relatives of a resident spoke well of the home and the staff. They felt that the personal friendliness they’d experienced was exceptional and their relative was receiving individual attention that met her needs. Mrs Newton takes residents out regularly into Tiverton. Everyone said how good the food was. The meal served during the inspection was wholesome, tasty and well cooked and presented. Residents said this was the high standard of food they always received. On the morning of the inspection there was a game of bingo. In the afternoon there was an interactive quiz ‘Who wants to be a Millionaire?’ for those who wanted to participate. The attitude of the staff was very positive and inclusive in that all residents were encouraged to answer the questions. One resident has a computer with access to the internet. Relatives are encouraged to visit at any time and are always offered refreshments on arrival. They said nothing was too much trouble for the staff. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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, 18 Residents can be confident that their views will be listened to and any complaints they have will be taken seriously. EVIDENCE: Residents said they never had to make a complaint because they always asked for what they wanted and it was done. The home has a whistle blowing policy, Alerter’s guide and No Secrets Video to heighten staff’s awareness re abuse and protection of vulnerable adults. In house POVA training has been provided for all the staff by Mrs Newton and the senior carer who attended the course. The home has never had a formal complaint made to them or to the Commission. Mrs Newton feels that this is due to the fact that she is on hand to settle any worries and answer any queries from residents and their relatives. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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, 21, 23, 24, 26 Residents live in an attractive, safe, well maintained and well furnished home. 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 not been covered but have been risk assessed. Residents’ bedroom doors are lockable. The gardens have been landscaped and provide safe accessible seating areas where residents can sit out if they wish. Smoking is allowed in the conservatory but at the time of this inspection none of the residents smoked. Indoors there is a well-furnished lounge and a dining room on the ground floor. Throughout, The Corners was spotlessly clean and smelled fresh and fragrant. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 14 Staff have access to and wear protective clothing when providing personal care and tabards when working in the kitchen and serving food. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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) 27, 28, 30 Residents can be confident that there will be enough staff on duty who will be able to meet their care needs with courtesy and respect. EVIDENCE: The staff rota showed that there are always two staff on duty. On the morning of this inspection two senior staff members were on duty with Mrs Newton. Mrs Newton has employed a 16yr old assistant to work at weekends. She does not provide personal care for any of the residents. She had undergone induction training and fire safety. She always works with other experienced carers. Mrs Newton is resident in the home and provides the on call night support together with a senior care assistant who is also resident. The staff rota now includes the shifts worked by Mrs Newton and the senior care assistant as recommended during the previous inspection. There was a staff training programme. Both senior care assistants hold NVQ3, another carer holds NVQ2 resulting in 75 of staff holding an NVQ certificate which exceeds the standard of 50 by 2005. All staff have undertaken Health and Safety courses, First Aid, Manual Handling, Food Hygiene and Medication Administration. Agency staff are not used in this home. There has been a stable staff group in the home for the past eight years with only one departure during the past year. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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, 32, 38 The owner leads the staff team to ensure residents benefit from a well run home. 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. Residents confirmed that the home was well run and that Mrs Newton was approachable and on hand to answer their queries. Routines in the home are flexible reflecting the easygoing lifestyle enjoyed in a smaller home. ‘Thank you’ cards and letters are kept and show satisfaction with the services provided now and in the past by Mrs Newton and the staff team. Residents records and personal files were kept securely and would be available to the resident and their representative on request. A photograph of recently admitted residents had been taken but not yet printed off for the file. The pre-inspection questionnaire and the maintenance file showed that electrical and gas equipment had been serviced on 24th August and 26th July respectively and tested in accordance with guidelines and legislation. The fire The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 17 logbook showed records of tests and checks, drills and training. The stair lifts had been serviced on 3rd June 2005. The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x x 3 The Corners Residential Home D54-D07 S21915 The Corners V238068 250805 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 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 Corners Residential Home D54-D07 S21915 The Corners V238068 250805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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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