Inspection on 22/04/05 for Thurleston Residential Home

This inspection was carried out on 22nd 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

Thurleston Residential Home 17/10/08

Thurleston Residential Home 08/05/08

Thurleston Residential Home 22/11/07

Thurleston Residential Home 20/06/07

Thurleston Residential Home 28/06/06

Thurleston Residential Home 20/01/06

Thurleston Residential Home 02/12/04

Thurleston Residential Home 26/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Thurleston Residential Home Whitton Park Thurleston Lane Ipswich Suffolk IP1 6TJ Lead Inspector Iain Smith Unannounced 22nd April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Thurleston Residential Home Address Whitton Park, Thurleston Lane, Ipswich, Suffolk, IP1 6TJ 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) 01473 240325 None None Guyton Care Homes Limited Application in Process CRH 24 Category(ies) of OP - 24 registration, with number of places Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28th January 2005 Brief Description of the Service: Thurleston Residential Home is registered as a care home for older people. The home can accommodate up to a maximum of 24 service users. The home is owned by Guyton Care Home Ltd, with both owners, Mr Kenneth Guyton and Mr Trevor Guyton actively involved in the running of this home and another home in Ipswich. The home is located to the north east of Ipswich about three miles from the town centre. The easiest approach is from the Norwich Road and Whitton Church Lane areas. The home was first registered in July 1996. It is s single storey building located in parkland, some of which is lawned and includes shrubs and ornamental trees. Some of the rooms look over adjacent fields, others over the grounds. The whole setting is tranquil and pleasant. There is parking at the front of the home. The original bungalow has been developed with the addition of ten bedrooms. The building is of wooden design built on stilts and incorporating beamed walls and ceilings. The main lounge and dining areas are located within the original bungalow and another lounge is situated in the new part of the home. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on an unannounced inspection of the care home, the first inspection for the year 2005/2006. The visit was arranged to investigate two complaints that were received by the Suffolk CSCI office, in addition to examining a number of other aspects of the management of the home. The visit commenced at 08.25 and finished at 13.00 on Friday 22nd April 2005. The manager was away from the home but both owners Mr Ken Guyton and Mr Trevor Guyton were present throughout the inspection. Miss Lisa Nunn Senior Care was in charge of the shift with three care staff, catering and housekeeping staff on duty. What the service does well: What has improved since the last inspection? Since the last inspection the owners have improved the laundry room, with the installation of appropriate flooring and the hot pipes are lagged. The Control of Substances Hazardous to Health (COSHH) cupboard has additional security, to ensure the cleaning materials used in the home are stored safely. The number of staff caring for the residents is appropriate and the rota evidenced that sufficient care staff are employed on each shift. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 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. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 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 Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 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) None EVIDENCE: No standards from this section were assessed at the inspection. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 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) 9 and 10 The arrangements for health and personal care ensures the residents dignity and privacy was respected and the staff were adhering to the medication policy with administration of medication. EVIDENCE: During the morning of the inspection staff were observed to speak politely to the residents and treat them with respect. Three residents stated that they were able to choose their own clothes they wished to wear and staff assisted them to dress. Staff knocked on each bedroom door before entering and greeted the person with ‘good morning and how are you today?’ One resident was seen to have their own telephone located in the room and stated that they were able to use it at any time. Medication was being given during the morning from a secure trolley and the senior carer was wheeling the trolley to each resident. The Medication Administration Record (MAR) was checked, the medication given and on each occasion the record was signed prior to moving onto the next resident. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 10 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) 12,13,14and 15. Routines of daily living and social activities were limited. Meals are nutritious and there were adequate stocks of food but only a limited choice of meals at breakfast and tea time. EVIDENCE: A number of residents living in the home were spoken to and they all stated they were able to see their family and friends at any time. Visitors had the opportunity to see the resident that they were visiting either in the lounge area or the bedroom. There was an additional lounge area towards the rear of the home and this was used as a quiet room, in addition to having sale items for residents and staff. One visitor was at the home early to accompany his relative to a hospital appointment. They stated they were happy with home and they were able to visit at any time. Personal possessions were evident in each of the resident’s room. One resident stated that it was important to be able to see their family photographs that were displayed. There was no evidence of activities being arranged for the residents to have an involvement in. For the majority of the morning the care staff were busy assisting the residents to get up and dressed and make their way into the lounge area, after which drinks were served. The television was switched on Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 11 but no resident was taking any notice of the programme. The manager must consult all residents about a programme of activities and provide facilities and resources for arranging individual and group activities. Breakfast was served to each resident in their room from approx 06.30 onwards. The catering staff came on duty at 09.00 therefore the care staff had the responsibility for preparing the meal. There was no cooked breakfast option and only one resident was observed to make their way to the dining table. As catering staff left their shift at 13.00, this left the home with care staff to serve the tea and supper. This comprised of soup, sandwiches and cakes. One resident stated that they would like a cocked meal in the evening. Therefore, it was suggested to the owners that the catering arrangements, including the time personnel came in and left for duty, menus and the selection of food is generally reviewed. This was to ensure that all residents had the choice of a cooked breakfast and supper and that kitchen staff were available to prepare the meals therefore releasing the care staff to deliver resident care. One element of the complaint was the lack of bread in the home on two seperate occasions. Evidence suggests that the home has ample supplies, with freezers full of food for example 12 loaves of bread and 60 white rolls. The fridge was stocked and shelves in the storeroom were also well stocked. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 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 and 18. The complaints policy and procedure is openly displayed and informs residents and relatives how to make a complaint. The vulnerable adults procedure ensures that people living in the home are protected from abuse. EVIDENCE: The home has a complaints procedure, this was displayed on the notice board in the entrance to the home. Three complaints have been received since December 2004 alleging, for example, poor hygiene, lack of activities and the unavailability of food supplies. At this visit two complaints were investigated, both had been received anonymously at the Commission for Social Care Inspection office. In comparison with the complaints a complementary letter was displayed on the notice board from a grateful relative. This stated the relative wished to ‘express the gratitude for the excellent care and true kindness shown to their relative. The complaints were investigated and two elements were substantiated, six disproved and one inconclusive. The elements of the complaint are referred to throughout this report. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 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) 19,20,23,24,25 and 26. Some improvements to the décor have been made and repairs undertaken. Cleanliness and hygiene have improved and with the planned employment of additional staffing this will help to ensure the home is kept free from any offensive odours. EVIDENCE: Ten residents were visited in their bedrooms. One resident stated that ‘ the home is not so good as it was, its gone downhill’. Another resident stated that she had recently arrived and found the home ‘comfortable’ and another stated that ‘ I am being looked after and everything is OK.’ Each of the resident’s rooms contained personal possessions including pictures, ornaments and pottery. Two elements to the complaint related to poor cleanliness and an offensive smell. On entry to the home and throughout the visit there was no evidence of any offensive odours. Two housekeeping staff were on duty. They were both observed to clean each of the bedrooms, toilets and communal areas during Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 14 their four-hour span of duty. The housekeepers have started to record all room cleaning, including spring and additional cleaning of each area. This demonstrates an improvement with the organisation and cleaning of the home. The owners stated that an additional two staff were in the recruitment process to assist with the general housekeeping in the home. The element of the complaint relating to poor cleanliness was disproved, based on the improved staffing and organisation of the cleaning schedules. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. The skill mix of staff ensured that residents were cared for with the appropriate numbers of care staff and an increase in housekeeping staff. The catering staff numbers were insufficient to ensure a comprehensive service to residents at meal times. EVIDENCE: The staff rota was examined and found to include care staff in sufficient numbers to deliver the care for the 22 residents in the home. A senior carer was nominated to take charge of the shift. This responsibility included the allocation of care tasks, administration of medication and administration of the home, for example receiving telephone calls. Three care staff were supporting the senior carer on the morning shift with a total of 3 care staff working the afternoon shift and two at night. There were two housekeeping staff on the shift 08.00 to 12 midday, with two catering staff working 09.00 to 13.00. In addition to the two housekeeping staff, the owners stated that two more staff were in the process of being appointed. The night care staff, who worked until 08.00, were also responsible for ensuring the residents were served breakfast from 06.30 onwards. When the catering staff arrived at 09.00 the majority of the residents had finished breakfast. These staff would wash up and prepare the lunch, bake cakes for tea and complete their shift at 13.00. It was suggested to the owners, as the manager was away from the home, that a general review takes place of the catering arrangements. This was to ensure that kitchen staff were employed to relieve care staff during the breakfast and evening meal times. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36,37 and 38. The home is not being managed to include all that staff are supervised, communicated with or their views considered. This results in staff not feeling valued leading to low morale. EVIDENCE: The manager has made application for registration to the Commission. On the day of inspection the manager was absent from the home but the two owners were in attendance. Both of them contributed to the inspection and were available to discuss issues at the feedback session. Two staff expressed that they had not received supervision and other staff stated that supervision was infrequently arranged. The last staff meeting was undertaken in October 2004 therefore it is essential that all staff have the opportunity to discus issues and be informed by the manager of developments in the home. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 17 All staff have job descriptions and a copy of the senior carers description was examined. This evidenced, for example that the senior carer was responsible for care planning including risk assessments and the administration of medication. On the day of inspection there were 22 residents, the nominal role evidenced 21 residents. Therefore the manager must ensure that correct records are maintained at all times. The fire alarm records were examined as this formed part of the complaint. The records evidenced that a weekly test had been recorded. Some of the testing was on a Wednesday and others on Fridays. The owners were requested that a specific date time and time was selected for the fire alarm testing to ensure all staff and residents were familiar with the routine within the home. The top drawer in one of the kitchen cabinets was observed to be loose therefore the registered person must ensure this is repaired. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 2 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 2 2 x x x 2 3 2 Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 12 Regulation 16 Requirement The registered person must ensure that all residents are consulted agbout the programme of activities arranged for each individual. Appropriate numbers of catering staff must be employed to ensure the residents have their meals prepared and served by appropriatly trained staff. All staff must be appropriatly supervised whilst working at the home. The registered person must ensure that all storage facilities are manitained in good order. Timescale for action 30th June 2005. 2. 27 18.1 30th June 2005 3. 4. 36 38 18.2 12.1 31st July 2005 30th June 2005 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 15 Good Practice Recommendations The registered person is recommended to undertake a comprehensive review of the menus, meals (at least one meal must be cooked) and catering staff who would to prepare and serve the meals. The fire alarm should be arranged to be tested at an I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 20 2. 38 Thurleston Residential Home agreed date and time each week. Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 5th Floor St Vincent House 1 Cutler Street Ipswich Suffolk, IP1 1UQ 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 Thurleston Residential Home I54-I04 S60474 Thurleston V224819 050422 Stage 4.doc Version 1.30 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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