Inspection on 25/04/05 for The Poplars Care Centre

This inspection was carried out on 25th April 2005.

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 Care Centre 16/04/07

The Poplars Care Centre 26/09/05

The Poplars Care Centre 08/09/04

The Poplars Care Centre 15/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE The Poplars Nursing Home 158 Tonbridge Road Maidstone Kent ME16 8SU Lead Inspector Maria Tucker Unannounced 25 April 2005 12:15 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 Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Poplars Nursing Home Address 158 Tonbridge Road Maidstone Kent ME16 8SU 01622 752872 01622 674080 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) Tamehaven Limited Mrs Sandra Wilmshurst CRH Care Home 71 Category(ies) of Old age (71) registration, with number of places The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care of one Service User with dementia is restricted to a person whose date of birth is 06/10/1947 2. Registration is restriced to caring for older people which can include up to five people who may have physical disabilities and 5 people who may have a terminal illness Date of last inspection 8 September 2004 Brief Description of the Service: The Poplars Nursing Home is a registered care home for 71 people with nursing needs. The home consists of a large main detached house with a large extension. The gardens surrounding the house are well maintained with several access points to the gardens. Car parking is at the fromt of the building. Two passenger lifts provide access to all floors. The home is devidied into two wings with a unit manager responsible for each wing. The home has a large subsidiary staff for administrative, maintenance, housekeeping, catering and laundry duties. The registered Manager oversees all the staff. The home is set back from the main road, and is accessible via local bus routes. The railway stations are within the town centre some one-mile away. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The inspection lasted from 12. 15am until 3.35pm a second inspector Mrs A Spreadbridge conducted the inspection with the lead inspector Mrs M Tucker. Time was spent meeting the manager and unit managers and going through various records and documentation. About one hour was spent meeting service users collectively and individually. Due to the health of some of the service, it is difficult to gain a full picture of their quality of life, this was made through judgements from observations, speaking with staff and looking at records. A partial tour of the premises was made which included service users rooms and communal areas. What the service does well: What has improved since the last inspection? What they could do better: The firming up of the medication policies and procedures need to be monitored to ensure that they are being followed. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 6 Formal reviews should be arranged by the home for all of the service users who are privately funded. 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 Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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 Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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, 6 Service users are informed of the service provided and the aims and objectives of the home from a comprehensive statement of purpose and service users guide. The nursing assessments and pre assessments conducted prior to a place being offered ensures that service users needs are identified and the home is able to meet these. EVIDENCE: A Statement of Purpose and Service Users guide is available. Records relating to an admission contained very good detail of a nursing needs assessment and a pre assessment. A service user stated that they were “very happy here”, that they “looked at a couple”. The unit managers undertake the pre assessments visiting service users at their current residence. Staff spoken with were familiar with the care needs of a service user discussed and the nursing band of another. The home provides 24 hour qualified nursing cover. Staff confirmed that the home does not provide intermediate care. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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, Service users, where practicable, are included in their care planning. Qualified staff undertake nursing tasks and procedures so that service users receive professional health care. Overall service users medication is administered and stored appropriately, there are minor short falls in relation to recording which could result in staff not being able to ascertain if medication has been taken or refused. EVIDENCE: Service users needs are identified and documented within a comprehensive care planning system. A service users care plan contained their signature. Through discussions with a relative, who was in the process of applying for power of attorney they were unsure of the funding and had not received any advice regarding possible benefits. A relative of a service user who had shortterm memory was unfamiliar with their care plan and had not been invited to of any reviews of the care plan. Correspondence was seen regarding hospital treatment. The commission has received regulation 37 notifications. Records were in the care plans in relation to health care needs and promotion such as nutritional screening. Staff were familiar with what the medication was given for and good practice was observed during the administration of medication. The medication trolley was not made secure in the lounge, some gaps were noted in the medication recording and the procedure for recording the tablets The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 10 to be returned was not descriptive to enable tracking of refused medication. The storage of odd tablets for return was kept in an unmarked pot, not in the medication cupboard. Qualified staff administer medication. A service user was familiar with their medication given for pain stating that they were “only allowed pain killers every 4 hours”. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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) 13, 14, Visitors are made welcome into the home. Service users are able to entertain their guest’s with the offer of meals and refreshments. Service users dignity and choice is respected in the freedom of where they would like to spend their day and if they wish to join in activities. EVIDENCE: A relative spoken with stated that they are offered a drink and could have a meal if they wanted one; a charge is made for this. Visitors were seen to come and go freely. The homes policy for visitors was on display. Links with the local community is maintained a visiting clergymen and pat the dog service were in the home. On display was a list of activities from outside entertainers. A service user said that they chose not to shave for a couple of days, staff were aware of this preference. A service user stated that they “liked to go to bed after supper” and chose not to go in the lounge. During the inspection some service users were in the lounges while others remained in their rooms. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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, Service users can feel confident that if they have any complaints they will receive support in making these and that any complaints will be managed appropriately. Service users can feel safe and protected in the knowledge that the home acts in their best interest. EVIDENCE: Both units have a complaints book that holds a record of any complaints made, the unit managers audit these monthly. A complaint recorded was discussed at length, which demonstrated the unit managers supported the service user in making the complaint and taking action. The staff team minutes recorded that discussions were held regarding an adult protection experience. The manager regularly informs the CSCI of any issues that may effect the well being of service users and what action the home takes to prevent this i.e. when the snow prevented some staff from getting into the home. The home is also pro active in raising concerns of mistreatment to service users from other sources an example of this is a current complaint that has been made by the manager to a hospital consultant regarding the treatment of a service user. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 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, 24, Thought and effort is put into all areas of the home to make it safe, easily accessible and comfortable for service users to live in and enjoy spending time with their relatives. EVIDENCE: A bathroom was in the process of being refurbished. New bedspreads and matching curtains were purchased. The areas seen were well maintained attractive clean and tidy. The garden area looked very pretty with flowers and well kept grounds. A gazebo is in place for service users to enjoy and bird feeders were seen outside of service users patio doors, a service user commented that they “get a lot of birds outside the window, they are nice to watch”, a relative of another service user described how they and their relative had enjoyed watching squirrels play. A zebra crossing and emergency vehicle bays have been put in place. Service users rooms contained personal effects and were well decorated and furnished to a high standard. Screening was provided for shared rooms, the home was currently piloting a new disposable ceiling track screen The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 14 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, The service users health and welfare is promoted and maintained by a selection of staff that have well defined roles and responsibility. EVIDENCE: The staffing levels vary according to the needs of the service users providing a very good level of staff as well as other staff such as cooks, cleaners and an activity coordinator. The home provides qualified nurses as unit managers as well as extra qualified nurses who work providing nursing care. A service user commented that “everybody is so pleasant, no one has moods”. Service users and a relative commented that they were not aware of any one named person who took any particular responsibility for their care. Staff have designated roles and responsibilities. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 15 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, 37, Service users benefit from a well run and efficiently managed home where a clear sense of purpose and direction enables the aims and objectives of the service to be met. EVIDENCE: The registered manager oversees the management and the running of the home, she is a Registered General Nurse; a NVQ assessor and verifier and has a vast range of experience. The manager is pro active in working with outside agencies to raise concerns and issues to better the care of the service users. The manager is prompt in dealing with any staffing issues and addresses things that are bought to her attention in a professional efficient manner. From discussions, observations and document reading the home is open and transparent in its management and provides a clear sense of direction and leadership. Regular Regulation37 notifications are received by the CSCI. All records were seen to be stored appropriately and as far as it is practicable to ascertain accurate and up to date. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 16 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 x x x 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 3 x x x x 3 x The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 17 N0 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 OP 9. 3, 4 Regulation 13 (2) 17 (1) (a) Schedule 3 (k) Timescale for action The registered person shall make 25th April arrangements for the recording, 2005 handling, safe administration and disposal of medicines received into the care home. A record of all medicines kept in the care home for the service user, and the date on which they were administered to the service users; 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. Refer to Standard OP 7.4 Good Practice Recommendations It is recommended that a formal annual care plan review is held for service users who do not receive a care management service, and with the consent of the service user an appropriate relative or representative is invited. It is recommended that self funding service users and their relative or representative are provided with information about entitlements and ensuring access to advice. It is recommended that the bathrooms be refurbished / redecoracted in order to maintain the high standard elsewhere in the home. It is recommended that service users and their H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 18 2. 3. 4. OP 8.13 OP 19 OP 27 The Poplars Nursing Home representatives are made aware and have a designated staff member who acts in the capacity of a named nurse or key worker. The Poplars Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage lane Maidstone Kent ME16 9NT 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 Nursing Home H56-H06 S26198 The Poplars V220104 250405 Stage 4.doc Version 1.30 Page 20 - 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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