Inspection on 12/04/05 for Trenant House

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Trenant House 14/05/07

Trenant House 24/01/06

Trenant House 25/01/05

Trenant House 24/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Trenant House Queens Road Lipson Plymouth PL4 7PJ Lead Inspector Jane Gurnell Unannounced 12/04/05 at 09.30 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. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Trenant House Address Queens Road, Lipson, Plymouth, Devon, PL4 7PJ 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 663879 01752 663879 Mrs Julie Lynn Franks Mr Peter John Woodworth Franks Mrs Julie Lynn Franks Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24) of places Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named Service User under 65 to reside at The Home Date of last inspection 25th January 2005 Brief Description of the Service: Trenant House is a large, detached house, which stands in its own grounds and is situated in the Lipson area of Plymouth, close to local amenities, the park and public transport links. The Home is registered to provide residential accommodation with personal care to a maximum of 24 service users, both male and female, from the age of 65years for reason of old age and dementia. The accommodation for service users occupies two floors, with access assisted by the use of stair lifts as well as a shaft lift. The Home has 22 bedrooms, 20 single and 2 double rooms, with 12 of the single rooms and both double rooms having en-suite facilities. Ten rooms have en suite shower facilities. The home has 4 bathrooms, 2 of which have baths fitted with hoists and these are more commonly used by the service users. The Home offers two pleasant lounges, one with access to a conservatory area, and a dining room with a bar area. There is a call bell system throughout the Home and due to the layout and size of the building staff carry an intercom system to support the call system. The home is a no smoking home however a covered area is provided outside of the main house for service users who may wish to smoke. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 5 hours. The focus of the inspection was to consult with service users and review the home’s care planning processes. Mrs Allison Nichols, the operational manager was present and she and her staff team assisted the inspector throughout the inspection. The inspector spoke to 11 service users, toured the building and examined care records and other documents. What the service does well: What has improved since the last inspection? 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. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 6 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 Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 7 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 and 5 Thorough and comprehensive systems for admission allow service users and their relatives to be confident that their needs can be met. EVIDENCE: Pre-admission assessments were documented for 2 recently admitted service users and included the care manager’s assessments. This ensured that the care staff were aware of the service users’ needs prior to their admission. For those service users with more advanced confusional conditions the community psychiatric nurses provide specialist advise to the care staff. One service user described her family visiting the home on her behalf prior to her admission. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 8 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 and 10 Service users health, personal and social care needs are being met and service users are treated respectfully. The home’s practices relating to medication administration protect the service users from risk. EVIDENCE: Service users confirmed that they feel very well cared for and can ask at any time for assistance, a number of service users said that nothing was too much trouble for the staff. Care staff described the service users’ care needs in detail and these were recorded in the individual care plans. Assessments were recorded upon admission and included moving and handling, skin care and nutritional assessments to ensure that any additional support needs could be identified and other health care professionals involved if necessary. Significant events were recorded in detail. Many service users are unable to participate in the review of their care needs due to their level of dementia however staff reviewed the care plans monthly and recorded any changes. Relatives are invited to be involved in the care plan reviews. Medication administration records, including the controlled drug register, were well maintained and medication was stored safely. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 9 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 and 15 Social activities are managed well and provide daily interest for the service users. Meals are nutritious and varied. EVIDENCE: Twice daily activities are organised by the home’s Activity Co-ordinator: these are planned in advance with the service users. Service users commented that they can chose which activities they wish to participate in and how much they enjoy these and that their relatives and friends are invited as well. A minibus has been purchased to facilitate trips out of the home to local places of interest. A Newsletter provides information about the activities offered and other matters of interest to service users. Service users said that the food was plentiful and very good. Drinks and snacks were available at all times: those who were able could prepare themselves drinks and snacks in the bar area of the dining room. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Complaints and suggestions from service users, relatives or other visitors to the home, are treated seriously. Service users are listened to and issues resolved promptly. EVIDENCE: Service users said that the owners, Mr and Mrs Franks were very approachable and they were confident that any issues of concern would be listened to and dealt with. The home has received no complaints since the last inspection. The complaints register details the action taken to resolve issues promptly. A copy of the complaints procedure is available to all service users and visitors to the home and detailed in the home’s Statement of Purpose and Service User Guide; a copy of each is available on the notice board in the entrance. Staff have received training in issues relating to abuse and the protection of vulnerable adults and described the actions they would take should an issue of abuse be suspected. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 11 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 and 26 The service users live in a pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: Service users said that they found the home warm, spacious and comfortable. The home had been in a poor state of repair when purchased by the current owners and through sustained investment the redecoration and refurbishment of the building is being undertaken to a high standard. A programme of refurbishment and financial planning details the plan to address outstanding works of redecoration and improvement. Delays to the rewiring of the home by an external contractor have postponed the refurbishment of the laundry room; the floor and walls are not easily cleanable although the staff endeavour to ensure that it is clean and tidy. Hot water temperature is controlled on baths and on the sinks assessed as posing a risk to service users. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 12 The en suite rooms in two service users’ bedrooms were being used to store unused furniture and equipment: these should be stored in more appropriate areas in the home. Two bedrooms had an unpleasant odour. Storage areas would benefit from being tidied and any unwanted items disposed of. The toilet designated for the use of visitors did not have hand-washing facilities. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 13 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 and 28 Service users are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Service users described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. Care staff are supported by catering, laundry and domestic staff. A training programme detailed the ongoing training undertaken by staff: all staff had either completed or were undertaking NVQ training ensuring that they have the skills to care for older people and those with dementia. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 14 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, 37 and 38 Service users live in a well managed home. The owners and their staff team strive to provide a stimulating, safe environment that respects and protects service users’ rights. EVIDENCE: Service users said that they feel safe and secure in their home and that the home was well managed. Staff said that regular meetings are held with their manager to ensure that they are kept informed of significant events relating to the running of the home and the welfare of the service users. Inspection of the fire log book indicated that the required weekly and monthly testing of the fire alarm system was being undertaken. Staff had received fire safety training from Devon Fire and Rescue Service training department in January 2005. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 15 The kitchen was found to be clean and tidy and records of fridge and freezer temperatures were recorded daily indicating that regular cleaning and monitoring were being undertaken. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 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. 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 4 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 3 3 4 3 3 3 2 STAFFING Standard No Score 27 4 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 3 4 x x x x 4 3 Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 17 yes 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. 2. Standard OP24 OP26 Regulation 16 13 and 26 Requirement The bedrooms must be free from offensive odours. The home must continue with its refurbishment of the laundry room to ensure that the floor and walls are impermeable and readily washable. Timescale for action 31.5.05 31.7.05 3. 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. Refer to Standard OP21 OP22 Good Practice Recommendations The home should indicate where visitors may wash their hands after using the toilet facilities designated for their use or provide a waterless hand cleaner. The home should consider tidying the storage areas and disposing of any unwanted items. The en suite rooms should be cleared of items that are required to be stored. Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 Page 18 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 Trenant House D52-D04 S3517 Trenant V214609 120405 Stage 4.doc Version 1.20 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. 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!