Inspection on 03/11/05 for Thurn Court

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Thurn Court 09/12/08

Thurn Court 21/12/06

Thurn Court 06/04/05

Thurn Court 10/01/05

Thurn Court 27/07/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Thurn Court Thurncourt Road Thurnby Lodge Leicester Leicestershire LE5 2NJ Lead Inspector Rajshree Mistry Unannounced Inspection 3rd November 2005 10:00 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 Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thurn Court Address Thurncourt Road Thurnby Lodge Leicester Leicestershire LE5 2NJ 0116 2413126 0116 2418848 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) Leicester City Council Mr Rajesh Parekh Care Home 38 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (38), Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (10) Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories DE(E) or MD(E) No one falling within category DE(E) or MD(E) may be admitted into the home when 20 persons who fall within categories/combined categories DE(E), MD(E) are already accommodated within the home Service User Numbers PD(E) No one falling within the category PD(E) may be admitted into the home where there are 5 persons of category PD(E) already accommodated in the home Service User Numbers SI(E) No one falling within the category SI(E) may be admitted into the home where there are 10 persons of category SI(E) already accommodated in the home 6th April 2005 2. 3. Date of last inspection Brief Description of the Service: Thurn Court is a residential care home owned by Leicester City Council Social Care and Health Department and is located in the residential area of Thurnby Lodge. Thurn Court is registered to accommodate up to 38 residents under the categories of older people and elderly residents, with dementia, mental disorder, physical disability and sensory impairment. There are 38 single bedrooms without en-suite facilities. The closest shopping area is on the Humberstone Road, where residents have access to shops, pubs, the post office and other amenities. The home is easily accessible by private or public transport. The home is accessible using stairs or the passenger lift at centre of the home. The premises consist of two floors with level entry access and access to both floors is accessible by use of the passenger lift or stairs. The home has a variety of amenities such as a choice of dining and lounge areas. There are a number of toilets, bathing and washing facilities accessible to all residents. The home has a garden to the front and rear of the building which is well maintained and which is accessible to all service users residing in the home. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the morning of 3rd November 2005 and lasted 4 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’, following the receipt of the pre-inspection questionnaire. Three residents were identified and their care received was tracked through a review of their records, discussion with the residents, their relative, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? Since the last inspection the following improvements have taken place: • Three new carers have been appointed and following the preemployment checks and have commenced the mandatory induction training. The whole building has now been double-glazed and floodlight has been fitted to the rear for security. DS0000036629.V261745.R01.S.doc Version 5.0 Page 6 • Thurn Court • • • • Two bedrooms have new carpets. New bath with a hoist has been installed. The home has sold the minibus although have access to the Community Minibus. The home has purchased a ‘karaoke’ machine for the residents. 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. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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): 6. N/A EVIDENCE: The home is not registered to provide intermediate care. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 the following standard(s): 8, 9. Residents are well looked after having their choice of lifestyle, health and social care needs met. EVIDENCE: Observation during the inspection showed that staff have a good awareness of individual residents care needs, social and leisure interests and how these are met. Residents were observed being treated in a respectful, friendly and supportive manner. Most residents spoken with felt their needs are met safely and on time, whilst encouraging resident’s rights to maintain their own independence. Care records examined for residents being tracked was good, clearly detailing the tasks carried out and demonstrating care needs identified in the care plan are met. Residents spoken with confirmed the home access the services of the health care professionals such as the GP or and the District Nurse, when required. On the day of the inspection the District Nurse was administering ‘flu jabs’ to the residents. The medication storage viewed was found safe and supported by good management systems for ordering, storing, recording and returning medication. Medication records examined for three residents were in good order. Residents received their medication promptly by trained senior staff. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 the following standard(s): 12, 15. All residents are offered a range of social activities and leisure interests. The home offers a good choice of meals to suit any special dietary needs. EVIDENCE: There is a choice of large and small lounges and a designated smoking lounge, to suit the residents’. Residents can entertain their visitors in the privacy of a small lounge or their room. The home no longer has a minibus although can access the Community Minibus for trips and excursions. On the day of the inspection, more than ten residents were observed participating in ‘movement to music’ session in the large lounge whilst sitting in their chairs. All were laughing and appeared to be enjoying the activity, which was followed by a sing-a-long session before lunch. Most residents spoken with said they enjoyed the activity and often have a film night or bingo evenings. A senior carer is responsible for organising activities including funding-raising for the ‘residents comfort fund’. A small group of residents spoken with indicated that the home does not have regular activities to suit their interests. Staff were observed trying to identify the activities of interests and given assurance that with the new staff more individual activities would be provided. This was further discussed with the Registered Manager who stated that a new karaoke machine and puzzles have Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 11 been purchased for the resident and also provided a list of dates when activities have taken place. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements. Residents spoken with were all satisfied with the variety and selection of meals offered with fresh vegetables and fruits. Meals are served in the dining room or residents can chose to have their meals in their rooms. Comments included: “The meals are wonderful” “I celebrated my 92nd Birthday yesterday with a special cake and received lots of flowers and cards” “I have porridge and a round of toast with marmalade, before relaxing in the lounge” Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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): 16. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: Residents receive a copy of the home’s complaints procedure at the point of admission, which is in the ‘service user guide’. The complaints procedure in available in large print and other formats. The contact details of the Advocacy Services are included and displayed on the notice board at the entrance to the home. Residents spoken with were aware of whom to contact and speak with should they have any concerns. Residents and relative spoken with were aware of whom to contact and were confident that concerns and complaints made would be addressed promptly. Records showed no complaints had been received since the last inspection. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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, 26. Residents live in a safe, homely and well-maintained environment that is kept clean and tidy. EVIDENCE: The home is safe and well maintained with adaptations to suit residents’ specific needs. It is decorated and furnished to a good standard that creates a comfortable environment that is supported by the maintenance person. Two bedrooms have been re-carpeted and a third was being re-carpeted on the day of the inspection. A new bath with hoist has also been installed. Observations made around the home, found the home to be clean and tidy. Bathrooms and toilets were clean, ventilated with a sufficient supply of protective gloves and aprons for staff. Staff were observed wearing protective clothing when carrying out personal care tasks. Residents spoken with were very satisfied with the cleanliness of the home. The Inspector spoke with the laundry staff describing the procedures followed ensuring compliance with COSHH, health and safety and preventing the spread of infection. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 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): 29. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Registered Manager receives confirmation checks carried out are satisfactory. The Inspector spoke with a new carer on induction and shadowing an experienced carer. The new carer said the induction training provided has been comprehensive, lots of information covering the policies and procedures, principles of care, health and safety and is due to undertake training in moving and handling, before commencing the NVQ training. The new carer stated that all the staff always spoke with the resident in corridors and whilst assisting them, which indicated that staff respect residents at the home. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 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 The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager offers a sense of leadership and openness in the management of the home, which is reflected on the day-to-day basis. There are delegated roles and responsibilities for the staff team, including role of key working and activity organiser. Staff spoken with said that information and instructions are cascaded through the management structures. Residents spoken with felt the home was well managed by the staff. Several residents indicated that they often do not see the home’s manager and this was shared with the Registered Manager, who gave assurance that he does meet with the residents daily and will be attending the next Residents Meeting on 9th November 2005. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 OP12 Good Practice Recommendations The activities identified of interests to residents provided should be recorded to demonstrate what the home provides to the residents. Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Thurn Court DS0000036629.V261745.R01.S.doc Version 5.0 Page 19 - 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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