Inspection on 01/03/06 for The Poplars

This inspection was carried out on 1st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Poplars 13/03/07

The Poplars 19/10/05

The Poplars 01/02/05

The Poplars 15/11/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Poplars 4 Glen Eyre Way Bassett Southampton Hampshire SO16 3GD Lead Inspector Janet Shipman Unannounced Inspection 10:00 1st March 2006 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 Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Poplars Address 4 Glen Eyre Way Bassett Southampton Hampshire SO16 3GD 023 8067 7831 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) Mrs K Cox Miss J Cox Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15), Physical disability over 65 years of age (4) of places The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 4 service users in the category PD(E) are to be accommodated at any one time 19th October 2005 Date of last inspection Brief Description of the Service: The Poplars is registered under Penhaligon Limited and is located in Bassett, a residential district of Southampton close to local amenities. The Poplars provides accommodation for 15 older persons in 9 single rooms and 3 double bedrooms, all of which have en-suite toilet and bath/shower facilities. The home has a stair lift to access the upstairs level. There is a parking area at the front of the house and a garden at the rear. The registered manager is Miss Jodie Cox who is also one of the Registered Persons in Control. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced visit to the home in the inspection year of 2005/06. The Inspector was assisted throughout the inspection by the manager from Penhaligon which is a sister home, due to the manager being away on annual leave. The inspector spoke with one member of staff and observed the interactions between staff and service users. The inspector spoke with four service users. On this occasion, the service was inspected against the remaining key National Minimum Standards that were not assessed at the previous inspection visit. There was one requirement raised as a result of this inspection, which is detailed in the requirement section of the report. What the service does well: What has improved since the last inspection? The home has purchased new chairs and new carpets have been fitted to some of the communal areas. General improvements to the environment are ongoing. The home continues to develop its processes, polices and procedures. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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&6 Standards 1 & 2 were assessed at the last inspection. Prospective service users are assessed by the manager prior to being offered a placement to ensure the home can meet their needs. Service users and their relatives/friends are able to visit the home and meet the staff and other service users before deciding to move in. The home does not provide intermediate care. EVIDENCE: The home receives referrals from private individuals and through Social Services. In each case an assessment is undertaken to ensure the home can meet the needs of the service user. The assessment includes information about the personal care needs and wellbeing, diet & dietary preferences, sight, hearing, communication, physical health, mobility, history of falls, medication, general health care and religious and cultural needs. Social needs are also assessed including interests, hobbies, and social contacts. In addition, the manager and staff consider how the service user will fit in with the current resident group. Assessments of six service users were seen. One of the newest service users was spoken to and confirmed that she had had a The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 9 discussion about her needs and how they would be met. The service user said that she had come from her own home and although she was sad to leave it the Poplars looked like her previous home, particularly on the outside. She went on to say that she was glad not to be on her own and felt safe, particularly at night and if she had any problems she just needed to push the buzzer and staff would come. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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): Standards 7, 8, 9 & 10 were assessed at the last inspection. None of the standards were assessed on this occasion. EVIDENCE: The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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): Standards 12, 13, 14 & 15 were assessed at the last inspection. None of the standards were assessed at this inspection. EVIDENCE: The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 the following standard(s): 18 Key standard 16 was assessed at the last inspection. The policies, procedures and practices within the home are designed to protect the service users from abuse. EVIDENCE: The homes recruitment procedures are in place to protect service users from harm/abuse. Application forms are completed, two references are obtained, interviews are held and CRB checks are carried out. The induction of staff includes information about whistle blowing, adult protection and how to recognise the signs of abuse and the procedures to be used for reporting suspicions and/or allegations. Staff have also covered this area in their NVQ training. However, apart from the induction, staff have not received any further training in adult protection provided by the home or regular updates. The inspector was informed that this would be provided. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 the following standard(s): 19 Standards 24 & 26 were assessed at the last inspection. The home provides safe and attractive accommodation. The organisation has employed a new maintenance man who has started tackling the general maintenance repairs. EVIDENCE: Since the last inspection new carpets have been fitted and new furniture purchased. The renewal of furnishings and fittings are ongoing. With the employment of a new maintenance man for the organisation’s two homes the manager is hoping that the backlog of routine maintenance tasks will be fulfilled. However, apart from the garden the home is in a good state of repair. The garden is going to be tidied up and made safe for service users to use when the weather improves. The home recently had an environmental health inspection and a number of requirements were made which have all been actioned. The environmental health officer is due to return the second week in March 2006. The fire officer is due to visit the home on 09 March 2006 and will assess the requirement The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 14 from the last inspection regarding whether the fire exit in the downstairs bedroom is still required. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 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 Key Standards 29 & 30 were assessed at the last inspection. Staff members are provided in sufficient numbers to meet the needs of the service users. Service users appeared happy with the staff members supporting them. EVIDENCE: The requirement to ensure that staff receive regular supervision sessions and an annual appraisal has been met. Staff are receiving three monthly supervisions and annual appraisals have been completed for most staff. Supervision records were viewed on staff files. The staff roster was available and accurately maintained. There was adequate staff on duty at the time of the visit to meet the needs of the service user group. Staffing levels were found to be in accordance with the standards and the level of need of the service user group. Service users told the inspector that the staff were very good, helpful, kind and friendly. However, two service users felt that it would be helpful to have more staff on duty to help with personal care in the mornings and they were going to raise this at the residents meeting that afternoon. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 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 & 38 Standards 33 & 36 were assessed at the last inspection. The management arrangements within the home ensures that service users needs continue to be met and creates a homely atmosphere in which service users feel supported. The home involves service users in all major decisions and is run in the best interests of the service users. The home does not handle service users money or financial affairs. The home’s policies, procedures and work practices are designed to ensure, as far as practicable, that service users and staff’s health, safety and welfare is safeguarded. EVIDENCE: The requirement to ensure that the home has an effective quality assurance system has been addressed but the system has not yet been implemented. A copy will be forwarded to the CSCI. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 17 The manager of the home is one of the proprietors and was on annual leave at the time of the inspection. The manager from the sister home, Penhaligon assisted the inspector throughout the inspection and provides cover and support when the manager from the Poplars is away. Service users generally spoke very highly of the home and liked living at The Poplars. One service user said it felt homely and was well looked after. The inspector was informed that the cleaner was retiring and had been working at the home for over 9 years. A residents meeting had been arranged for late afternoon on the day of the inspection to discuss what the service users wanted to buy as a leaving present. The service users spoken with said they were looking forward to the meeting and some had other issues they wanted to discuss. All the service users said they would like to have a meeting on a regular basis and this was agreed. The home does not handle any service users money or financial affairs and this is made clear in the Statement of Purpose and Service User’s guide. The home is a safe place for service users, visitors and staff. Weekly checks on fire equipment are undertaken. All staff are given mandatory training across the year. A variety of records were seen during the inspection, which includes staff rotas, fire safety records, maintenance and insurance certificates. These were found to be appropriately stored, well maintained and up to date. The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 3 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 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 OP18 Regulation 13 (6) Requirement The registered manager must ensure that all staff receive training in adult protection and ensure that regular updates are identified through the staff annual appraisal process. Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Poplars DS0000011620.V282759.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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