Inspection on 29/12/05 for Trafalgar Care Home

This inspection was carried out on 29th December 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

Trafalgar Care Home 28/08/08

Trafalgar Care Home 31/08/07

Trafalgar Care Home 23/01/07

Trafalgar Care Home 18/05/06

Trafalgar Care Home 28/01/05

Trafalgar Care Home 25/06/04

Trafalgar Care Home 19/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Trafalgar Care Home 207 Dorchester Road Weymouth Dorset DT4 7LF Lead Inspector Sally Wernick Unannounced Inspection 09:00 29 December 2005 th 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 Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Trafalgar Care Home Address 207 Dorchester Road Weymouth Dorset DT4 7LF 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) 01305 777567 01305 777567 Mr Derek Edwin Luckhurst Mrs Denise Joeanne Chrippes Care Home 29 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (5) of places Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Denise Chrippes achieves NVQ4 in Care Management by January 2005 and that she undertakes periodic training to improve and update her knowledge of Mental Disorder 20th September 2005 Date of last inspection Brief Description of the Service: Trafalgar Care Home is situated in a residential area of Weymouth about a mile from the sea front and the centre of town. The home is registered to provide accommodation and personal care for up to 29 older people, five of who should be in the category of old age and 24 who suffer from dementia. The home is set back from the main road and provides an area for parking at the front. Residents accommodation is provided on two floors and a passenger lift is provided to enable residents to access the first floor. The home has 23 single rooms and 3 double rooms. Residents have access to 3 communal lounges and a dining room with an activities area. Residents have access to the gardens at the front and rear of the home. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 9:00 am on 29 December 2005. It was conducted as part of the normal routine of inspecting twice during a twelve-month period and to investigate allegations made in an anonymous written complaint. The registered manager Ms Pat McIntyre assisted and was available throughout the inspection. Methodology used included a tour of the premises, review of records and monthly report forms and discussions with service users. The inspector also reviewed the contact sheet for Trafalgar held at the Commission for Social Care. Not all of the minimum standards were assessed on this visit. Please note where a National Minimum Standard was not assessed the score is shown as X. What the service does well: What has improved since the last inspection? What they could do better: General Health and Safety within the home must be improved. Fire drills must be undertaken at appropriate intervals and staff must be able to demonstrate good practice in Moving and Handling. The homes boiler must be properly maintained and temperatures in rooms must be set at comfortable levels. Where surfaces are hot radiators must be guarded. 50 of care staff must have NVQ level 2 by the extended date of 2006. Please contact the provider for advice of actions taken in response to this Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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 Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): 7. All residents now receive proper continence care as identified in their individual plan of care. EVIDENCE: Only one aspect of this standard was assessed. The previous inspection highlighted that not all residents were receiving appropriate continence care. Records now evidence and the registered manager confirmed that the district nurse has individually assessed all residents identified as having a need and this aspect of their care is now being fully met. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): 14,15. Through relatives, friends and legal representatives service users are helped to exercise choice and control over their lives. A nutritious and varied diet is provided for residents. EVIDENCE: The mental frailty of residents means that the majority are not able to make informed choices. The registered manager is aware of a new advocacy service, which has now become available for vulnerable service users in Dorset and will be making this information available to friends and relatives. All residents are supported by external parties the home does not manage residents financial affairs. A tour of the premises revealed that service users do bring their personal possessions into the home. Relatives and friends are involved in care planning and are consulted about the lives and needs of residents. During the inspection residents were observed eating a light breakfast of toast and cereal and a curry was being prepared for lunch. When people move into the home they and their families are asked about what they like to eat. Residents although not always able to say what they enjoy, are able to make their preferences clear. Menus are based both around the known likes and Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 11 dislikes of the residents and on providing a good wholesome diet. Drinks are available throughout the day and staff working in the kitchen has appropriate food hygiene certification. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): 28,30. The target of 50 staff with NVQ level 2 qualifications by 2005 has not yet been met. A comprehensive induction and staff training programme is in place. EVIDENCE: Of the seventeen staff currently employed at Trafalgar care six are qualified at NVQ level 2 one member of staff at level 2 and 3. Two are qualified at NVQ level 1 and further training is planned. All staff members undertake a comprehensive induction and a dedicated Training and Development tutor delivers a three-day course, which incorporates essential Health and Safety training including Moving and Handling and Infection control. It remains the case however; that 50 of all care staff must be qualified to at least NVQ level 2 by the extended date of 2006. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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): 31,35,38. The registered manager is experienced in care and provides clear leadership within the home. Resident’s financial interests are safeguarded. The home generally follows practices that promote and safeguard the health, safety and welfare of service users. Resident’s safety may be compromised however, if fire drills are not regularly implemented. Training must be up-dated to provide a safe system for Moving and Handling Service users. EVIDENCE: Mrs McIntyre the Registered Manager confirmed that she holds an NVQ level 4 in care and has many years experience working as a deputy manager at a nearby care home. In order to monitor fully the care practices, which operate at Trafalgar she undertakes one shift each Saturday, which enables here to Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 16 work directly with the residents. She has a good understanding of each individuals needs and demonstrated an awareness of staff roles and responsibilities. Ms McIntyre confirmed that, in order to protect residents, it is the policy of the home not to have any involvement in their personal finances. Therefore, all residents who are unable or do not wish to handle their own affairs have a relative or other representative to assist them. This means that, where necessary the home pays for services such as hairdressing and a record is maintained. This amount is then invoiced to residents, relatives or representatives for payment at appropriate intervals. Residents are encouraged not to bring valuables into the home and no possessions are being held for safekeeping. Information about new advocacy services in Dorset is to be made available to residents and their representatives should they wish to seek independent advice. There are a range of Health and Safety policies and practices in place to protect residents, staff and visitors. However, not all of the systems were up to date fire drills had not been maintained although evacuation procedures were and equipment had been checked. Files evidenced that staff fire training was regularly undertaken. Records evidenced that new staff had received an induction, which included moving and handling. However, the Inspector observed incidences of poor practice, which potentially could place residents at risk. Training must be updated to provide a safe system for moving and handling service users. First Aid training is in place and a number of staff, are Appointed persons. A recent Environmental health inspection found that systems in the home were generally good including practice and maintenance in the kitchen. The infection control procedure has been updated to reflect the changes, which have taken place in the laundry and there is a clear system for the safe storage and disposal of hazardous substances. Electrical systems and equipment has been properly maintained although servicing of the boiler had not been maintained at the 12-month interval and the day prior to the inspection had broken down. Radiators were with one exception generally guarded and with the exception of one bedroom, which was found to be cold all were warm and comfortable. The registered manager provided assurance that the radiators would be properly heat adjusted and a guard provided. Prior to the inspection the Commission for Social Care received an anonymous written complaint alleging that residents were unkempt and left for long periods in wheel chairs sometimes in uncomfortable positions with necks and Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 17 heads unsupported. The inspector saw no evidence of that although some residents who do have difficulty supporting their upper body do need to be more regularly monitored and cared for. The Registered Manager provided assurance that this would be monitored closely and confirmed that at no time should residents be left in wheel chairs. This is not acceptable policy within the home. During the inspection residents appeared well cared for. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x X X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 Fire drills must take place at appropriate intervals to ensure the safety of service users. Clear and detailed records must be kept to fully demonstrate compliance. The registered provider must ensure that all care staff undertake updated accredited training in moving and handling. Staff must be able to demonstrate correct procedures to ensure the safety of residents. Heating systems in the home must be maintained at proper intervals and records kept to demonstrate compliance. Where radiators do not have low temperature surfaces steps must be taken to ensure that each are securely guarded. This is necessary to ensure that risks to residents are eliminated. Radiators in all rooms must be kept at sufficiently warm temperatures to ensure the safety and comforts of residents Timescale for action 1. OP7 23 31/01/06 2. OP38 13 31/03/06 3. OP38 23 31/01/06 4. OP38 13 31/01/06 5 OP38 13 31/01/06 Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 20 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 OP28 Good Practice Recommendations The registered provider should make provision regarding training for NVQ level 2 for 50 of care staff and qualifications gained by the extended date of 2006. Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Trafalgar Care Home DS0000030316.V275437.R01.S.doc Version 5.1 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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