Inspection on 24/05/05 for Tripletrees

This inspection was carried out on 24th May 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

Tripletrees 11/12/08

Tripletrees 18/02/08

Tripletrees 18/07/07

Tripletrees 11/05/06

Tripletrees 04/10/05

Tripletrees 07/10/04

Tripletrees 15/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Tripletree 70 Ferndale Road Burgess Hill West Sussex RH15 0HD Lead Inspector Liz Driver Unannounced Tuesday, 24th May 2005 V224238 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. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Tripletrees Address 70 Ferndale Road, Burgess Hill, West Sussex, RH15 0HD 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) 01444 243054 Follett Care Limited Mrs Mary Follett Care home only (PC) 28 places Category(ies) of Dementia - over 65 years of age (DE(E)) registration, with number 3 places of places Mental disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) 3 places Old age, not falling within any other category (OP) 28 places Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of 28 service users may be acommodated at any time. 2 A maximum of 3 service users over the age of 65 years in the DE(E) Dementia service user category may be accommodated. 3 A maximum of 3 service users over the age of 65 years in the MD(E) Mental Disorder service user category may be accommodated. Date of last inspection 7th October 2004 Brief Description of the Service: Tripletrees is a care home, registered to provide personal care for a maximum of twenty eight older people to include a maximum of three service users with dementia/mental disorder. Tripletrees is a large detached and extended property, situated in Burgess Hill, being close to shops, local amenities and transport links. The accommodation is arranged on three floors and comprises of twenty four single bedrooms and two double rooms which are served by a passenger lift and stair lift. Communal rooms include a large lounge and a dining room on the ground floor. The service is privately owned by Follet Care and is managed by Mrs M Follet. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was done as part of the inspections required to be carried out over each inspection year by CSCI. The inspector talked to residents and carried out a tour of the plus talked to staff on duty. Records were looked at. Four residents were happy to talk to the inspector. The inspector spent three and a half hours at the home. Pre inspection planning included reading through the last inspection report, and a discussion with the inspector who carried out that inspection. There have been no complaints or concerns raised to CSCI about this service since the last inspection. What the service does well: What has improved since the last inspection? The external path that was uneven has been roped off and is awaiting renewal. This will maximize safety for residents. The manager and deputy manager attended a training day on Adult Abuse on the day of the inspection and will be providing in house training to staff following the course. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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 Tripletree H60 H11 S14806 Tripletrees V224238 250505 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, 3and 5. Residents who live at this establishment receive clear information to enable them to make a choice about whether or not they wish to live in the home. EVIDENCE: The home Statement of Purpose and Service Users Guide clearly states the facilities and care the home can provide to enable residents to make a choice as to whether the home can meet their needs. Three residents confirmed they and their families were given the opportunity to visit the home before making a decision and were in possession of written information about the home. Records show that the home carries out pre admission assessments on prospective residents to ensure the home can meet their care and social needs. Resident stated that they felt all their needs were met by very pleasant staff who always have a smile. The last inspection report was accessible for any one to read. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 9 Sample resident contracts were seen and showed no identification of room number. The home need to ensure all contacts stipulate the room numbers residents are to be accommodated in, as recommended in The National Minimum Standards for Older People, standard 2. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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 who live at this establishment have their health and personal care needs met. Residents are treated with respect and dignity. Medication administration is sound. EVIDENCE: Care plans set out health, personal and social care needs ensuring staff deliver the correct support and care required by individual residents. Plans seen were very comprehensive and well maintained, being reviewed regularly to keep up to date with changing care needs. Residents spoken with stated they felt they were well looked after and received the care they needed. One resident described the staff as “lovely and caring, always smiling when they help you”. Another resident stated “nothings ever too much for the staff, if you ask for something they always do their best to help”. Medication records showed all to be in order. Records are clear and well maintained ensuring correct procedures are carried out. Records show that risk assessments are in place to limit the risk of areas such as pressure sores, falls and poor nutrition. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 11 All residents spoken with stated they were treated with respect and dignity. Residents stated that staff knock on their bedroom doors before entering and communicate with them in a respectful manner. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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) 13, 15 Residents who live in this establishment are provided with a variety of activities. Contact with family and friends are encouraged. Food provision is good. EVIDENCE: All residents spoken with stated their friends and family are able to visit at any time ensuring important contact is maintained. On the day of the inspection the activities co-ordinator was seen to be present and just finishing the mornings organised activities. The activities co-ordinator works Monday to Friday between 10.30am and 12 midday providing a wide variety of activities, from sewing to games and general chat, for residents to participate in, if they wish. Afternoon activities are generally board games or time to rest. Staff spoken with were very positive about providing afternoon activities and stated board games such as scrabble were very popular. The regular hairdresser was also on the premises during the inspection and residents were very complimentary about the service she provides. The food provision is of a good standard. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 13 The home had an environmental health inspection in February 2005 with no recommendations or requirements. On the day of the inspection the cook had provided a lunch of Pork, parsnips, cauliflower, broccoli and mashed potato followed by rice pudding and jam. Residents stated they had enjoyed their lunch and confirmed they had an alternative choice if they did not want the menu on offer. Residents also confirmed that staff ask them daily what they would like for lunch and supper, from the choice on offer. Records are kept of food intake and closely monitored if there are concerns. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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, 18 Residents who live at this establishment are protected from abuse. There are clear processes for complaints doe residents and visitors to activate if necessary. EVIDENCE: The senior carers on duty during the inspection were not aware of any complaints being addressed at present. The complaints procedure was seen on display in the entrance hall of the home. Residents stated they would feel happy to complain to staff if they had any concerns. No resident voiced any concern during the inspection. The home has an adult protection policy and records showed no incidents to be recorded. CSCI has not received any complaints or adult abuse enquiries since the last inspection. Staff confirmed that they had covered adult abuse whilst completing their NVQ qualifications. The manager and deputy manager were attending a training course on the day of the inspection relating to adult abuse and staff indicated that they would be receiving in house training following the managers and deputy managers completion of the course. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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, 23, 24, and 26 Residents who live at this establishment live in a well maintained environment which is safe and clean and meets the needs of current residents. Personalisation of bedrooms is encouraged. EVIDENCE: A tour of the home showed evidence of maintenance work being carried out on a regular basis. Aids and adaptations are in place to assist residents getting around the home and accessing toilet and bathing facilities. All bedrooms were very clean and fresh smelling, pleasantly decorated with many personal possessions. Some rooms are small but furnishings have been sensibly installed to maximize room space. One or two carpets are in need of re stretching as they present as a health and safety risk. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 16 The exterior of the home is in good decorative order. The last inspection noted the uneven path and recommended a risk assessment be in place to lessen the risk of falls. The senior carers showed the inspector the path that was roped off and awaiting work to make it safe. Room 7 has had difficulties with a fire door leading off and comment was made at the last inspection. The fire door is now closed with ventilation via a window above the door resulting in the resident be able to get fresh air as they wish and to no detriment to the fire exit. The homes laundry room does not have hand-washing facilities, and although the home does not have much foul laundry, the provision of a hand washing facility in the laundry room is advised. Current facility is in the staff room located a short distance form the laundry room. Best practice shows the provision of hand washing facilities in the laundry room should be seriously considered to maximize the protection for both staff and residents from cross infection. Tripletree H60 H11 S14806 Tripletrees V224238 250505 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 Residents who live at this establishment are cared for by a staffing team led by a registered manager. Staffing levels suit the needs of residents. EVIDENCE: The inspection was carried out in the presence of two senior carers, one experienced as a senior and one less experienced. The less experienced senior was receiving support from the more experienced carer and appeared to be working well together. The manager and deputy manager were attending a training course on the day of inspection. The home was seen to be running smoothly and efficiently in the care of the two senior staff. A staff rota showed staffing levels to be consistent with no gaps. Residents spoken with were very complimentary about the staff with many stating “they are very kind and always happy”. No resident commented on a lack of staff at any time. The inspector noted very good communication between staff and residents during the inspection with residents feeling at ease with staff. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 18 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, 38 The home is very resident focused. Residents and staffs welfare is promoted and protected. EVIDENCE: The residents are very much the focus of the home with records evidencing the care needed and provided, and activities provided to meet the residents requests. Residents have the freedom to move about the house as they wish. There were no health and safety concerns, other than a few carpets requiring re stretching, and all staff, including the domestic staff were seen to be working in accordance with health and safety procedures. Due to the manager not being present during the inspection the inspector has not assessed many of these standards. This will be addressed at the next inspection. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 19 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 2 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x x STAFFING Standard No Score 27 3 28 x 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 3 x x 3 x x x x 3 Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 20 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. 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. Refer to Standard 19 19 26 2 Good Practice Recommendations Careful consideration needed to re stretch some bedroom carpets to avoid health and safety problems for residents. Continue with plans to make garden path safe. Serious consideration to providing hand washing facilties in the laundry room rather than staff having to access facilties outside of laundry room needs to happen. All resident contracts should indentfy the individual rooms residents are to be accommodated in. Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Tripletree H60 H11 S14806 Tripletrees V224238 250505 Stage 4.doc Version 1.30 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. 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!