Inspection on 22/02/07 for The Poplars

This inspection was carried out on 22nd February 2007.

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 Poplars 15/12/08

The Poplars 20/02/06

The Poplars 20/08/05

The Poplars 07/03/05

The Poplars 14/09/04

The Poplars 09/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Poplars Alsagers Bank Stoke On Trent Staffordshire ST7 8BA Lead Inspector Mrs Pam Grace Key Unannounced Inspection 22 February 2007 13:00 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 The Poplars DS0000005023.V326783.R02.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. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Poplars Address Alsagers Bank Stoke On Trent Staffordshire ST7 8BA 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) 01782 721515 01782 721443 The Poplars Limited Dr Robert John Curry Mrs Sylvia Margaret Curry Care Home 33 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (33), Physical disability over 65 years of age (13) The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 February 2006 Brief Description of the Service: The Poplars is a privately owned care home registered to care for 33 older people. The home is situated in the centre of Alsagers Bank, a village community in a semi-rural setting near to Newcastle-under-Lyme. The home is on a regular bus route and there is easy access to local facilities and amenities. It is situated in a prime location that affords extensive views over open countryside and of the Cheshire plain. There are attractively laid out gardens surrounding the home with patio areas and garden seating so that service users are able to sit and enjoy the view should they so choose. There are parking facilities in the front of the home. The Poplars is a two-storey building with service user bedrooms situated on both the ground and first floor. The home is spacious, comfortable and well maintained. On the ground floor there are spacious and comfortably furnished lounge areas, a dining room, kitchen, reception area. At a slightly lower level off the dining room there is a training room, laundry, workshop and food store. A local GP practice, community nursing services and pharmacy provide medical and specialist services and support to the residents in the home. The proprietors of the home are also the joint registered care managers and support a team of twenty-four care workers and seven ancillary staff members. The managers provide an on-call cover throughout off duty hours by day and night. The residents have a very good rapport with both management and staff. Current fees range from £325.00 to £389.00 weekly, and are subject to annual review. Additional charges apply for hairdressing, chiropody, newspapers and toiletries. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 6 hours. The Registered Care Managers Dr R. J. Curry and Mrs S. M. Curry assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, and the Pre-Inspection Questionnaire that had been completed by the provider. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, residents and visiting relatives. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the Registered Care Managers. Residents spoken with were very positive about the care they were receiving. There had been no complaints received by CSCI since the previous inspection, and no complaints received by the home. Residents are protected from abuse of all types, by appropriately trained staff. Comment/feedback cards returned to the inspector totalled 3`Have Your Say’ documents, and 3 comment cards - 1 comment card from a relative, and 2 from health professionals. Feedback and comments received were generally very positive, and included, comments such as “ we find the staff at the home are very co-operative and caring”, “my relative has been well looked after by pleasant and kind staff”. “The staff always answer the buzzer promptly, when called”. The home has a philosophy of a `Home for Life’. The traditional high standards of care provided at The Poplars, is evidenced by the high occupancy levels achieved and also the small waiting list for admission to the home. There was an inspection of the communal areas of the home and a sample of bedrooms. The kitchen, laundry and lower ground floor area were also inspected. The environment of the home is well maintained, and there is an ongoing programme of redecoration and renewal. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 6 Two recommendations were made in relation to Care Plans and medication. Previous requirements and a recommendation had been addressed. What the service does well: What has improved since the last inspection? What they could do better: The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 7 Care plans should be more detailed, and include what actual care a resident is receiving, and how the resident’s independence is promoted. 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 summary of this inspection report can be made available in other formats on request. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 8 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 DS0000005023.V326783.R02.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents receive the information they need in order to make an informed choice. They are able to visit the home, assess the facilities, and undergo a pre-admission assessment before a decision to move is made. A written contract was in place for each resident. EVIDENCE: Residents and staff spoken with and care plans seen, confirmed that residents are able to visit the home and assess the facilities, prior to making a decision to move into the home. The home’s Statement of Purpose and Service User Guide was available for the inspector to view. Contracts were in place within records seen, including Social Services Terms and Conditions and the home’s own Contracts. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 10 All prospective residents would have a pre-admission assessment, followed by a letter confirming that their needs can be met by the home. The inspector sampled and case tracked 5 residents’ care plans. Pre – admission assessments were present in care plans seen. The previous inspection report is also available to read at the home. The care manager confirmed that Intermediate Care is not provided at this home. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and 10 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A random sampling of 5 care plans was undertaken. In line with case tracking, residents and staff were spoken with. Pre – admission assessments were evident in care plans seen. Appropriate risk assessments were also evident in care plans seen, as were visits and advice by health professionals. However, it is a recommendation of this report that care plans should contain enough detail in regard to what care is actually being undertaken for residents, and how the care plan promotes residents’ independence. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 12 The inspector was provided with a copy of the home’s procedure for `Drawing up a care plan’, and for the home’s `Medication policy and procedures’. All of the residents and relatives spoken with said that they felt very happy with the care that they and or their relative were receiving in the home. The GP visits the home on request, and routine medical reviews are held on a regular basis. Residents are protected by the home’s policies and procedures for dealing with medicines. Medication was appropriately stored, administered and recorded. The inspector recommended that the home should have a medication fridge, to enable the safe storage of medication requiring refrigeration. Staff demonstrated a personal empathy with residents through a respectful, yet friendly discourse. Feedback and comment cards returned to the inspector totalled 3`Have Your Say’ documents, 1 comment card from a relative, and 2 from health professionals. Feedback and comments received were generally very positive, and included, comments such as “ we find the staff at the home are very cooperative and caring”, “my relative has been well looked after by pleasant and kind staff”. “The staff always answer the buzzer promptly, when called”. When asked whether dignity and privacy were upheld at the home all of the residents and relatives spoken with confirmed this. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Activities within the home should be recorded, however, the inspector was informed by the care manager and staff, that staff provide a variety of social activities for residents each day, including arts and crafts, games, entertainment, and organised trips out when weather permits this. There is also a mobile library, and large print books are available for residents who need them. There was evidence from talking to residents and visiting relatives that contact is maintained with family and friends on a regular basis. There were no The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 14 restrictions placed on visiting times, and the home provides a relaxed and friendly environment. The care manager confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. Residents were able to bring in small items of furniture and bedrooms seen were comfortable, and personalised with residents’ possessions. Staff and residents spoken with said that the routines within the home were quite flexible although meals needed to be taken within a time framework. The quality and variety of food served at the home is of a good standard, and the 3 weekly rotational menus reflected the wishes of residents, as well as the changes in season. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. The kitchen area was clean and tidy. A sample of the home’s 3 weekly menus were provided to the inspector, prior to the inspection. Fridge/freezer, hot food temperatures and cleaning of the kitchen were documented, recorded and up to date. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: There had been no complaints received by CSCI since previous inspection. Policies and procedures were in place. Complaints are listened to and acted upon within the agreed timescales. The care manager stated that she takes all concerns and complaints seriously and addresses them according to the procedure. Residents and relatives spoken with, confirmed that they would know who to approach should they have any concerns or complaints. There was a clear and accessible complaints and protection of vulnerable adults procedure in place at the home. Staff spoken with and staff recruitment records seen, confirmed that appropriate POVA/CRB checks had been obtained prior to commencement of employment. Staff spoken with confirmed that they were aware of the need to monitor the safety of residents and to protect them from any form of harm or abuse. The The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 16 pre-inspection questionnaire completed by the care manager, and staff spoken with confirmed that staff had received abuse training. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23, 25 and 26 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The Poplars is located in a superb position in a village setting with views across the Cheshire plain to The Wirral. There is a pleasant front garden with good seating areas and shade for the summer. There is an extensive patio area to the rear giving the excellent views mentioned. The building has been in the ownership of the present proprietors since its inception as a care home 22 years ago and been extended over subsequent years to provide a high standard of accommodation. The home has an ongoing refurbishment and redecoration programme. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 18 The inspector toured the building, spoke with residents, and with visiting relatives. The lower ground floor was inspected on this visit. All communal areas and a sample of bedrooms were inspected. The home was found to be clean and well presented. The home is suitable for its stated purpose allowing easy and safe access both internally and externally to all areas by residents. Furnishings, fittings and décor are to a high standard and provide a comfortable, pleasant and homely setting. There is a large communal lounge area extending the width of the building with smaller adjoining lounge area. There is a separate main dining area also with smaller area adjoining. All areas are bright and pleasant with adequate natural light. Bedrooms seen were personalised, and had been adapted to suit the needs of the residents. Various aids and adaptations were in place including assisted baths, mobile hoists and other equipment used for moving and handling of residents. There was a call bell system in operation, which was seen and heard to be working at the time of the inspection. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures had been appropriately documented and recorded. Dry foods were stored correctly, and fresh food was appropriately covered. The laundry area was clean, and infection control measures were in place. Appropriate hand washing facilities were in place in all areas requiring this. There are individual heating controls in all bedrooms allowing individual choice of temperature. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to meet the aims of the home and the changing needs of residents. EVIDENCE: Staff rotas were examined, and 5 members of staff were interviewed. Staffing levels were discussed in relation to the dependency levels of the residents, and the number of residents living at the home. Rotas showed that existing staffing levels had been maintained. The care manager later confirmed that staff hours exceed those that have operated in the past. Staff spoken with and the completed pre-inspection questionnaire confirmed that staff had undertaken appropriate training, including NVQ levels 2/3, abuse training, moving and handling, health and safety, fire, and infection control. Staff spoken with and recruitment records seen, confirmed that they had completed an application form, provided two references, had undergone a POVA/CRB Police check, and had been interviewed prior to commencement of employment. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 20 Staff spoken with confirmed that care staff receive informal and regular supervision with the care managers of the home. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is undertaken by qualified and competent care managers, and is based on openness and respect. EVIDENCE: The inspector had received 3 ‘Have your say’ documents, and a total of 3 comment cards, which the CSCI issue to relatives, social workers and health professionals. The general theme of these was that residents and relatives were happy and satisfied with the service that they and their relatives receive in the home. Prior to the inspection, the provider had gathered questionnaires, which had been completed by GP’s, Community Nurses and others, and The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 22 forwarded these to the Commission for Social Care Inspection. However, these were not received. The provider was positive that these had been sent. The home’s Statement of Purpose, Service User Guide is available to prospective residents and their relatives. Care Plans seen were comprehensive, however, it is a recommendation of this report that more detail is needed, in order to clarify what care is actually being undertaken by care staff, for the resident, and what the resident is able to accomplish without assistance. This therefore ensures that a resident’s level of independence is established and maintained. Staff confirmed that they receive informal and regular supervision with the care managers. Staffing levels have been well maintained, and staff hours exceed those that have operated in the past. Staff spoken with and the completed pre-inspection questionnaire also confirmed that staff had received appropriate training, according to their role and responsibility. The Registered care managers are well qualified and experienced to oversee the running of the home. They are supported by two Senior Care Assistants, responsible for the day to day running of the home. The care manager confirmed in the Pre Inspection Questionnaire that records relating to the testing of fire alarms and emergency lighting were up to date and well documented. Accidents had been recorded as required, and the home appropriately notified CSCI of any events affecting the home or residents, as per the National Minimum Standards (NMS). There had been no complaints received by the home or CSCI since the previous inspection. Policies and procedures were in place. Complaints are listened to and acted upon within the agreed timescales. Residents and their relatives are aware of how to make a complaint if they wish to. Residents are protected from abuse of all types, by appropriately trained staff. The care managers, staff, and residents spoken with confirmed that regular resident and staff meetings are being held. However, records in relation to these, showed that meetings need to be held more regularly. Quality control was discussed with the care managers. They confirmed that this is monitored through residents’ reviews, and feedback obtained from visitors, relatives, health and other professionals. As in previous years, the care manager plans to undertake a semi-structured interview schedule, which The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 23 will contribute towards the home’s quality assurance system. The inspector suggested that a comments box in the main entrance to the home, could be utilised by all visitors to the home, and would provide useful feedback for quality assurance. The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 24 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 4 X 3 X 3 X 4 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 25 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. 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 OP7 Good Practice Recommendations Care plans should show more detail in regard to what care is actually being undertaken for residents, and how the home is promoting residents’ independence. The home should have a medication fridge, to enable the safe storage of medication requiring refrigeration. 2. OP9 The Poplars DS0000005023.V326783.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000005023.V326783.R02.S.doc Version 5.2 Page 27 - 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. 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