Inspection on 06/04/05 for Thurn Court

This inspection was carried out on 6th April 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 03/11/05

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 6 April 2005, 9.00am 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. Thurn Court Version 1.10 Page 3 SERVICE INFORMATION Name of service Thurn Court Address Thurncourt Road, Thurnby Lodge, Leicester LE5 2NJ 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) 0116 2413126 0116 2418848 None Leicester City Council Mr Rajesh Parekh Care Home 38 Category(ies) of Dementia - over 65 years of age (20), registration, with number Mental Disorder -over 65 years of age (20), of places Pysical Disability - over 65 years of age (5), Sensory Impairment - over 65 years of age (10) Older Person -over 65 years of age (38) Thurn Court Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Thurn Court may admit up to 20 persons who fall within the category/combined categories dementia - DE, DE(E) or mental disorder - MD, MD(E). Thurn Court may admit up to 5 persons who fall within the categories physical disabilities - PD, PD(E). Thurn Court may admit up to 10 person who fall within the sensory impairment - SI, SI(E). Date of last inspection 20th January 2005 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 the Humberstone Road group of shops where service users 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 service users. 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the day and it lasted 4 hours. The Registered Manager was present throughout the inspection. A tour of the home took place and records in the home were viewed. Three residents were spoken with specifically to look at their admission process and how their care needs were provided for by looking at the individual plans of care and records. Visitors had the opportunity to express their views about the care provided at the home for their relative. Key workers for the three residents and staff on duty talked about the training they have received to competently care for the residents safely. What the service does well: What has improved since the last inspection? The new office has been created for the manager, which is located close to the entrance of the home, creating more space in the main office where information can be stored safely. On the day of the inspection, five new hospital beds were being installed in addition to some new chairs and commodes. Thurn Court Version 1.10 Page 6 There is an on-going recruitment of staff programme to reduce the number of agency staff being used. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Thurn Court Version 1.10 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 Thurn Court Version 1.10 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) 3, 4, 5 Information about the home is provided from the earliest opportunity and at regular intervals. The admission process is well managed and reflected in the records. EVIDENCE: Individual records are kept for each resident. Records viewed for three residents living at the home contained essential information on how the resident can be assisted to continue living independently. New residents said that they received a warm welcome from staff and were given clear information about the home before, during the first visit and after their arrival. Residents and their relatives visiting felt they were kept informed of any events and changes within the home through information displayed on the notice board, from the staff and at the “Residents Meeting”. Thurn Court Version 1.10 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, 9, 10 Residents are well looked after having their health and social care needs met. Management of medication in the home is good. Residents receive their medication timely. Recording is accurate and clear. Residents’ privacy is upheld and they are treated with respect. EVIDENCE: Recording in the residents’ plans of care was detailed setting out clearly preferences and assistance required for residents to continue living independently. Residents said they were involved in developing the plan of care and the review meetings. Medication is stored in a locked room and administered by staff that are trained. Administration of medication and recording was seen and is considered to be safe. Residents spoken to say that they received their medication on time. Observations during in the lounge showed that staff have a good awareness of how to protect residents’ privacy and dignity. Staff were seen and heard to Thurn Court Version 1.10 Page 10 speak with residents face to face and clearly. Residents said, “the staff are polite and show respect in how they speak to you”. Thurn Court Version 1.10 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) 12, 13, 14, 15 Residents have a stimulating and varied life at the home, with flexibility and are free to receive visitors. There are a range of activities made available for residents to join in with. There are a good choice of meals that are nutritious and balanced. EVIDENCE: Staff undertake activities with residents both individually and in groups. Residents spoken with gave examples of how the home satisfies their choice of daily living at the home, the social and recreational interests. The home no longer has their own minibus although arrangements are made to access a minibus for trips and outings in the summer. Residents were seen receiving visitors and comments received included “she is well cared for and is happier”. Residents were observed moving freely around the home, some with the assistance from the staff. There are regular residents and relatives meeting held at the home, for those who wish to attend, where information about events and changes to the home are shared and any matters of concern about the home are raised. Menus are nutritionally balanced and appealing. The menu is displayed in the dining area giving a choice of vegetarian and non-vegetarian choice. Residents spoken with said the meals were generous and good. Records showed the residents particular preferences and dietary needs. Thurn Court Version 1.10 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 Complaints system is robust, clear and accessible to all. Adult protection procedures are in place and staff are trained to respond to any suspicion or allegation of abuse. EVIDENCE: Residents and visitors comments showed that people feel very comfortable discussing any concerns with the home’s manager. The complaints forms are available in the foyer for residents and visitors. Residents spoken with felt they were safe and protected. The new adult protection procedure has been introduced and staff spoken to showed their awareness of their duty to alert a senior member of staff. Thurn Court Version 1.10 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, 22, 23, 25, 26 A comfortable, well-maintained and safe standard of accommodation is provided for the residents. The atmosphere in the home is warm and welcoming. EVIDENCE: The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to a standard that creates a comfortable homely atmosphere. There are several lounges on the ground and first floor of the home including a designated smoking lounge. There is a large dining room close to the kitchen. Entry to the home and to the garden is wheelchair friendly. The garden area is flat with climbing plants, pot plants and seating. There are handrails throughout the home. Staff are trained to use specialist equipment available the home to maximise residents independence. Several Thurn Court Version 1.10 Page 14 residents bedrooms viewed were homely with ample space. Residents are able to bring items of furniture and personal possessions with them. All areas of the home were cleaned to a high standard with pleasant smells. Thurn Court Version 1.10 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, 28, 30 There is a robust staff training programme in place to ensure staff are well trained and competent to do their job safely. At busy times staffing levels fall below the recommended level and therefore, there are occasions when residents’ needs are not met promptly. EVIDENCE: Staffing rotas were examined and it was noted that agency staff are regularly used to meet the needs of the residents. The staffing hours remain below the recommended levels, as indicated in the last inspection visit. Staff spoken to indicated that at peak times they are often training and working with agency staff, which has been raised with the home’s manager. Residents confirmed that they each have a key worker who respond to their needs on time and know how to assist them. Comments received from residents: “staff do their job well, kindly and promptly” and “feel safe”. Training is well planned offering a range of courses and refresher training. Eight staff have completed NVQ level 2 and above. A further group of staff are in the process of completing NVQ level 2. Three staff training files looked at during the inspection visit showed that training was made available to all staff on a regular basis, which include moving and handling, dealing with challenging behaviour and food hygiene. Observations made of two staff assisting to move a resident and discussion with staff indicated that they were trained to competently to do their jobs. Thurn Court Version 1.10 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) 33, 35, 38 Residents are consulted about living in the home. The residents’ finances are safeguarded with a robust system. Residents and staff’s health, safety and welfare are being promoted and protected. EVIDENCE: Residents Meetings are held regularly and minutes of the recent meeting were viewed. Residents can choose to attend. Information and events are shared with the residents and the residents have the opportunity to make suggestions, matters of interest or concerns. Records of residents’ valuables and cash are accurately detailed and up to date. Residents said they get their money weekly and have to sign for it. The home has a maintenance programme for the home and the equipment. A random sample of records checked was up to date including fire drills. During the tour of the home, fire exits were clearly marked and were not obstructed. Thurn Court Version 1.10 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 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 3 3 x 3 3 x 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Thurn Court Version 1.10 Page 18 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 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 OP27 Good Practice Recommendations It was strongly recommended that the Registered Manager provide weekly staffing hours in accordance with the Residential Forum for Older Persons. Thurn Court Version 1.10 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leicestershire 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 Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!