Inspection on 23/06/05 for Torr Home

This inspection was carried out on 23rd June 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

Torr Home 11/02/09

Torr Home 13/03/08

Torr Home 07/06/07

Torr Home 15/02/06

Torr Home 18/01/05

Torr Home 12/08/04

Torr Home 03/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Torr Home For The Blind The Drive Hartley Plymouth PL3 5SY Lead Inspector Tina Maddison Announced 23 June 2005 rd 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. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Torr Home For The Blind Address The Drive, Hartley, Plymouth, Devon, PL3 5SY 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) 01752 771710 Devonport & Western Counties Association for Promoting the General Welfare of the Blind Mrs Joan Collins Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Sensory Impairment over 65 years of age of places (40) Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age 60 yrs 2. One named individual under 65 years Date of last inspection 18th January 2005 Brief Description of the Service: Torr Home for the blind is a large care home that has been developed in a former large country house that is located in Hartley, Plymouth. The home has been situated here since it moved in 1926 from central Plymouth. The home is on a bus route and is within walking distance of Mutley Plain shopping precinct. The home is able to accommodate forty service users at any one time. The services primary role is to provide care for service users who have sight loss. However, the home also provides care for service users who require personal care and accommodation due to old age and/or infirmity. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection began at 9.30am and ended at 4.30pm. During the inspection a meal was sampled, and a tour of the home was conducted. A pre inspection questionnaire was received from the manager prior to the inspection. Comment cards were received from two relatives and service users and during the inspection, 6 service users and 2 staff were interviewed. Discussions were also held the Manager and Chief Executive. What the service does well: What has improved since the last inspection? Since the last inspection replacement locks on toilet doors that afford greater privacy have been fitted. Hot surfaces in communal areas are now guarded. Records of fire equipment tests are now kept comprehensively. Residents social and leisure preferences are now included in their care plans. An Occupational Therapist has undertaken an assessment of the home. The infection control policy has been updated. The Manager and staff are commended for their work in meeting these National minimum Standards. The chief executive has implemented new policies and procedures in a wide variety of working practice topics. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 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. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 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 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 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) 1,2,3,4,5 Prospective residents are able to use a comprehensive service users guide and statement of purpose to influence their choice of care home. They can be confident that Torr care home will meet their care needs. EVIDENCE: Torr care home has a service users guide and statement of purpose that is given to residents upon their admission. Individual care records are kept for each of the residents. Records evidenced that the manager has completed a pre admission assessment for recently admitted residents, in order to be sure that their care needs could be met at the home. Information had also been gathered from GPs, relatives, district nurses and the residents care manager. A resident confirmed that they had the opportunity to visit the home and have a trial stay at the home prior to admission. In order to ensure that the staff have the skills to enable them to meet residents care needs, records and discussion with care staff and the manager evidenced that staff have received training in first aid, food handling, moving and handling. Contracts have recently been updated and include all information required. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 9 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 10 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) 7,8,9,10 Residents can be sure that they will be treated with respect, and their health and personal care needs will be met. EVIDENCE: Holistic individual care plans are in place for all service users, and contained detailed information about how residents health and social care needs would be met. There was evidence to show that these care plans are reviewed at least monthly or when needs change. Residents confirmed that they are aware of their care plans and that they are reviewed, and they can see them if they wanted to. From discussion with residents, management and staff, and from information contained on care plans and documents, Torr is able to evidence that it can fully meet the health and personal care needs of its residents. All residents are registered with a GP of their choice. A district nurse visits the home on a regular basis. It was observed during the inspection that privacy and dignity was respected when staff were undertaking personal care tasks with residents. Medication is dispensed only by care staff that have received medication training. Medication should be signed for at the point of dispensing. Controlled drugs are managed appropriately. Residents are encouraged to take exercise to aid mobility, and staff appear to have a positive and enabling relationship with all of the residents. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 11 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 12 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 Social activities and meals are well managed, with input from residents encouraged. There are daily activities provided in the home. EVIDENCE: A number of residents were spoken to during the inspection, and all commented on the good quality of the meals, and the choices available. It is recommended that meal choices are recorded. Menus evidenced a good variety of wholesome meals available. The dining room is a pleasant area, and there are plans to refurbish it in the near future to further improve the environment. Mealtimes were observed to be relaxed and unhurried. A full English breakfast is offered daily, and meals can be taken in individual rooms if preferred. Daily living routines are flexible and visitors are welcomed. Service users can manage their own money or Torr will manage finances, and these finances were seen to be well kept and accurate. There are a range of activities on offer daily, and these are advertised on the notice board, or residents are informed verbally. Residents commented that they appreciated staff input with daily living tasks that happened without them having to ask, particularly if they were partially sighted and needed assistance with tasks. The home has a minibus, and various outings are arranged regularly. All service users have a choice to bring personal possessions into their rooms with the agreement of the homes management. Inventories have been established for all service users detailing such furniture and valuables. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 13 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 14 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) 16,17,18 Residents can be confident that their concerns will be listened to, taken seriously and acted upon. The homes vulnerable adults procedure is robust which will ensure the protection of residents. EVIDENCE: There is a complaints policy and procedure, and a record of complaints and compliments are kept. No complaints have been received by CSCI during the last six months. Residents stated that they felt any concerns are taken seriously by the Manager and staff, and all residents were aware of whom they should speak to in the event of a complaint. There is an adult protection policy and procedure, and a staff whistle blowing policy. Staff have attended adult protection training. Records evidenced that residents money is stored securely, and records were found to be up to date and accurate. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 15 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) 19,20,21,22,23,24,25,26 Torr care home is set in beautifully cared for grounds, and the interior of the home is very clean, warm and well lit. Overall, Torr provides a comfortable and safe environment for residents. EVIDENCE: A tour of the building and grounds, and examination of proposed plans to further improve facilities in the home, particularly the toilets and bathrooms, evidenced that the home is generally in a good state of repair. All bedrooms are pleasantly decorated, and many have stunning views across Plymouth to Plymouth sound. The home has 40 single bedrooms, and 13 have en suite facilities. The home has adequate communal space, and has two lounges and a conservatory, and a large reception area where residents can sit. There are more than adequate number of bathrooms, and there is a hydro bath and wheelchair accessible shower. The home is fitted with rails to aid sight impaired residents. Some of the communal toilets are of “stall” design that does not afford privacy to residents. There are plans to upgrade these toilets in Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 16 the near future. An Occupational Therapist has recently undertaken an assessment of the premises. Bedrooms are fitted with door locks that can be key locked from outside the room but not from the inside. Plans are in place to replace these. A high standard of cleanliness was seen during the inspection. Additional infection control procedures are now in place for the safe use of the open sluice. Also included in the refurbishment plans are replacement windows, and for the exterior of the home to be repainted. The grounds are fully accessible to residents, and include a pleasant seating area, and a sensory garden for visually impaired residents. Comments received from residents included “The house and garden are comfortable and attractive.” “I couldn’t wish for a better place to live”. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 17 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) 27,28,29,30 Care staff are employed in numbers that are adequate to meet the care needs of the current residents. The home has a robust recruitment procedure, and this offers protection to the residents in the home. The staff team are well qualified and are committed, caring and appropriately skilled to provide care to the residents. EVIDENCE: Staff rotas evidenced that there are adequate numbers of staff on duty at all times, and training records, and discussion with staff evidenced that staff are well trained, experienced, and have the skills to meet the needs of the residents. The home has a robust recruitment procedure, and staff files examined evidenced that these procedures are followed. Staff files contained two references, CRB checks, and medical and identity checks. Residents spoken to during the inspection confirmed that in their opinion there was always adequate staff on duty, and staff answered call bells quickly. Staffing at the home is as follows: AM – 6 care staff plus duty officer PM – 4 care staff plus duty officer Night – 3 waking night staff The home also employs ancillary staff such as cooks, cleaners, maintenance persons and gardeners. The home has an existing induction format. There is a budgeted training and development programme in place in the home, and staff commented that training is available, and they felt that they were trained in the skills that they needed. Staff felt that Torr care home is a relaxed and Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 18 happy place to work. A supervision programme is to be set up for the staff and manager. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 19 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) 31,32,33,35,36,37,38 There is a management structure operating in the home that is clearly effective, and policies and procedures are in place. Health and safety are a priority in the home. EVIDENCE: All records are securely stored in the home. The management in the home clearly have the respect and goodwill of the staff. A quality assurance system should be introduced into the home. Health and safety is a priority in the home, and records evidenced that fire safety precautions and drills for staff were up to date. Accidents are recorded appropriately. Infection control practices, policies and procedures were found to be satisfactory. Portable appliance testing is undertaken, and there are maintenance records for hoists, the lifts, gas and electrical systems. Risk assessments are in place for all safe working practices. All radiators have been covered, and windows are fitted with restrictors. Hot water outlets have temperature control valves fitted. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 20 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 2 3 3 2 3 3 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 22 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. 2. 3. 4. 5. Refer to Standard OP9 OP21 OP24 OP33 OP36 Good Practice Recommendations Medication should be signed for at the point of dispensing. Stall like toilets should be replaced with toilets that offer increased privacy. Existing bedroom door locks should be lockable from the inside of the bedroom to ensure privacy if required. A quality assurance system should be developed for the home. A system of formal supervision should be developed for staff and the Registered Manager at the home. Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Torr Home For The Blind D52-D04 S3514 Torr Home for the Blind V222051 230605 Stage 4.doc Version 1.30 Page 24 - 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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