Inspection on 27/04/05 for The Old Vicarage [Antony]

This inspection was carried out on 27th April 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 Old Vicarage [Antony] 12/12/08

The Old Vicarage [Antony] 30/01/07

The Old Vicarage [Antony] 15/08/05

The Old Vicarage [Antony] 24/11/04

The Old Vicarage [Antony] 19/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Antony Torpoint Cornwall PL11 3AQ Lead Inspector Philippa Cutting Unannounced April 2005 9:30 a.m. 27th 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 Old Vicarage Version 1.10 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Antony Torpoint Cornwall PL11 3AQ 01752 812384 01752 816326 antony@torcare.co.uk Torcare Limited 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) Mrs Ellen Patricia Knell Care Home 22 Category(ies) of Dementia - over 65 years of age (4) registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (1) Old age, not falling within any other category (19) Physical disability (1) The Old Vicarage Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: No additiona conditions. Date of last inspection 24th November 2004 Brief Description of the Service: The Old Vicarage is a long established care home providing care and accommodation for up to 22 elderly people in the small village of Anthony approximately five miles from Torpoint. It is one of the two homes owned by Torcare Limited. Being an old property it has been adapted to provide accommodation in mainly single rooms on three floors, which are linked by stairs and a passenger lift. There are communal areas (a sitting room and dining room) on the ground floor. Externally there is a garden, some of which is easily accessible from the front door with other areas up a slope to a car parking area. The home has a rear access so that people with reduced mobility can get into a car, if wanting to go out, without having to walk up to the car park. Many of the rooms have a view across the Tamar and surrounding countryside. The Old Vicarage Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Service users expressed a high level of satisfaction with the care that they received and said the staff were kind and caring. Several service users said that by going to The Old Vicarage they liked the fact that they had been able to stay in or near their chosen community. What the service does well: What has improved since the last inspection? What they could do better: The monthly reports by Torcare (as required by regulation 26) tend to be sparse in content. More detail or comment, especially on service users’ views, would be informative. Service users, or their relatives, should be encouraged to sign the care plans to show their understanding and acknowledgement of them. Risk assessments for moving & handling are carried out but a brief resume of the information The Old Vicarage Version 1.10 Page 6 (currently recorded in tick box form) would give a clear & quick ‘snapshot’ of a person’s needs. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Old Vicarage Version 1.10 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 Old Vicarage Version 1.10 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) 3,4,5 Service users choose The Old Vicarage as positive choice based on the information that they receive. EVIDENCE: Service users said they had selected The Old Vicarage as they, or their families, had heard good reports of its reputation from other people in the area or had had respite care there. People said their expectations had been met once in the home. There have been very few permanent admissions in the last 12 months, as the home has remained full with existing service users. The needs and mix of existing service users are considered as part of the assessment of a new service user before he or she is offered accommodation and care. Once resident, the services of other healthcare professionals are sought, if needed, for each person. A community nurse who was visiting a service user said the local nursing service had confidence in the staff to provide good care and identify problems where extra help was needed. The home does not provide specific rehabilitation but always tries to improve the health of anyone staying for respite care or other short stays. The Old Vicarage Version 1.10 Page 9 Information is readily available in the home about the home’s statement of purpose etc. The Old Vicarage Version 1.10 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 standard(s) 7,8,9,10,11 Service users’ needs are identified and recorded with individual preferences being met in almost all cases. Staff showed that they had a sound knowledge of the care that people needed and were able to meet these. EVIDENCE: All service users have care plans listing their presenting needs and the help required to deal with these. Care plans are reviewed regularly but it would be good practice for a service user (or relative) to sign the care plan to demonstrate their awareness and agreement with it. One person commented that she had not been out for a long time – an interest that was noted in her care plan. Staff said that this was largely because the weather had been poor and it was intended to resume outings once it was warmer. Any problems with moving & handling have been assessed and recorded. Specialist equipment is used if this is indicated. Staff receive regular instruction in the correct way to lift or move people. Risk assessments are included in service users’ notes. These are in the form of a ‘tick box’ form but a resume of this information at the end of the form would give a clearer picture of any areas that need special attention The Old Vicarage Version 1.10 Page 11 Medication is stored and recorded carefully. Staff who administer it have received training. Written procedures are in place detailing the ordering, storage, administration and return of medication. Service users may look after their own medication if, after discussion, everyone is confident of their ability to manage this safely. When oxygen is used in the home the correct signage must be displayed where it is in use and/or stored. The home was able to show that it had adequate facilities and recording procedures for any controlled drugs. Service users with whom the inspector spoke said they were very satisfied with the help that they received from the staff and felt that it was delivered in a kind and appropriate manner. Staff have had the opportunity to attend seminars at a local hospice on the care of people who are dying as the home always tries to care for people until their life’s end. The Old Vicarage Version 1.10 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 standard(s) 12,13,15 Service users can be confident that the home will encourage opportunities for people to retain & maintain their interests and life styles as much as they can. EVIDENCE: People said they had choice about various aspects of their life, such as getting up and going to bed times, where they wished to spend their day and whether or not to join in any activities organised within the home. Things were flexible and not rigidly enforced. Visitors are encouraged and most people have someone who sees them regularly. Some service users said they had renewed old acquaintances whilst the home. Service users said that generally all the meals were to their liking. Individual likes and preferences were known and catered for with meals being presented in a way that suited anyone with a feeding problem. All bar one of the service users have their main meals in the dining room, which is regarded as a social time. The wish not to come to the dining room is respected. The home has a policy of not handling service users’ money but asks for a trusted family member or friend/advocate to undertake this. The Old Vicarage Version 1.10 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 standard(s) 16,17,18, The home takes concerns and complaints seriously and has robust procedures in place to deal with them. EVIDENCE: Service users are provided with a copy of the home’s complaints procedures on admission. The home’s policy is displayed in the home but it is unlikely that service users would be aware of it as it is positioned quite high up and would not be easy to read. The home keeps a written record of any complaints or concerns together with the action taken and resolution. The home has received very few complaints in recent years. Voting papers and applications for postal votes for service users were seen. The home has a policy relating to the protection of vulnerable adults and all staff are required to participate in training regarding this. Another training session is about to take place. The Old Vicarage Version 1.10 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 standard(s) 19,20,21,22,24,25,26, The home has benefited from the re furbishment programme. It appeared as a clean, safe and hygienic environment. Service users confirmed that they were content with their accommodation. EVIDENCE: New carpet has been laid through the home. Service users said that whilst they had had to vacate their rooms whilst it was being done, disruption was kept to a minimum and they were all pleased with end result. Being an old building the home has some limitations that have been largely overcome but it is less suitable for people dependent on a wheel chair for mobility. The access to the home is via a steep path but an alternative route is available especially for people wanting to get into a car. Toilet doors are painted a discreet but distinctive colour to help people locate them easily; there is equipment available to assist people when getting in & out of the bath. Other equipment for individual need is obtained following assessment or advice from therapists. The Old Vicarage Version 1.10 Page 15 The home was seen to be clean with service users’ rooms nicely decorated. Most had been personalised to the occupant’s satisfaction. A radiator cover is not in place in one of the ground floor rooms but staff reported that the work to ensure that people did not scald themselves had been undertaken. The Old Vicarage Version 1.10 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 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) 29,30 Staff are positive in their attitude and provide appropriate care for service users. EVIDENCE: The staff in the home have worked there for some considerable time and appear to be a good team. Staff are encouraged/expected to undertake National Vocational Qualifications training and participate in the regular updating sessions that are arranged. Recruitment of staff is managed from the administrative office of The Old Vicarage’s sister home. Criminal Records Bureau checks are sought for all staff with new staff having an induction programme. There should be a record in the home of the staff’s basic details so that this can be accessed in an emergency without having to contact the central administration office. The Old Vicarage Version 1.10 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 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) 31,32,33,37 The management of the home is open and positive. Service users’ interests are put at the heart of people’s care. EVIDENCE: Service users said they had no difficulty in broaching queries or problems with the staff or registered manager, who, they felt were all approachable and open. The current registered manager has a dual role as a trainer for The Old Vicarage and its sister home. Both homes have a committee of interested people who have been associated with the homes. They visit periodically and then report their comments at committee meetings. Regular reports are compiled following inspections from a representative of Torcare. Some of the information supplied is sparse and could be more informative in content. The Old Vicarage Version 1.10 Page 18 Service users’ finances are handled by the home – people are encouraged to seek independent help if they need assistance. The Old Vicarage Version 1.10 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 3 3 x x x 3 x The Old Vicarage Version 1.10 Page 20 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 9 Regulation 17(1)(a) Schedule 3 Timescale for action Signage must be displayed 31st May where oxygen is in use or stored. 2005 Requirement 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. 3. Refer to Standard 7 7 29 Good Practice Recommendations Service users, or their relatives shoud be encouraged to sign care plans to demonstrate their understanding and agreement with them. Moving & handling assessents should include a short summary of a persns needs where equipment is indicated. Essential information of staff details should be available in the home as well as in the central administration office. The Old Vicarage Version 1.10 Page 21 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, PL25 4AD 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 The Old Vicarage Version 1.10 Page 22 - 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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