Inspection on 04/10/05 for Tripletrees

This inspection was carried out on 4th October 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 24/05/05

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 Tripletrees 70 Ferndale Road Burgess Hill West Sussex RH15 0HD Lead Inspector Ms V Khan Announced Tuesday, 4 October 2005 V245005 th 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. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 (CRH) 28 Category(ies) of Dementia - over 65 years of age (DE(E)) 3 registration, with number 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 Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of 28 service users may be accommodated 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 24th May 2005 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. Residents benefit from a large lounge and dining room on the ground floor. The home is owned by Follett Care Limited and is managed by Mrs M Follett. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector started the announced inspection at 10.00 am, which lasted a total of four and a quarter hours. The inspector spent time talking with residents, the manager and staff, walked around the home, and read paperwork. All residents spoken to during the inspection were happy with the care and services provided at Tripletrees. The home was seen to be clean, tidy, warm and homely. What the service does well: What has improved since the last inspection? What they could do better: Continue with plans to install a wash hand basin in the laundry room. Continue with plans to make a garden path safe. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 6 Contact the insurance company for the replacement employer’s liability certificate. A requirement has been made for a copy of the certificate to be sent to the Commission. 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. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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) 2, 6 Contracts are provided for residents, which provide details of the terms and conditions of residency. No intermediate care is provided at Tripletrees. EVIDENCE: The inspector sampled the home’s ‘admission agreements’ or contracts which contained the terms and conditions of residency. They included the fees to be paid and room numbers. Residents and the registered manager had signed contracts. Intermediate care is not provided at the home. Residents come to the home for permanent, long-term care. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 10, 11 Residents are treated with respect and dignity. Residents’ welfare is closely monitored and their needs are well met. EVIDENCE: All residents spoken with told the inspector they were treated with respect and dignity. Any personal care required by residents is given in private and staff are sensitive to the needs of residents. One resident said, “I just ring the bell and they come pretty soon. I think it’s excellent.” Every consideration is given to service users who are dying and changes in condition are monitored throughout the day and night. Relatives are assisted to participate in whatever aspect of care they would find helpful, according to the wishes of the service user. One resident had recently suffered a bereavement and stated that the staff were being very supportive. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 Residents are respected and treated as individuals. Their individual, social, cultural, religious and recreational interests are respected and promoted. Residents are encouraged to maintain contact with family and friends. A wholesome diet is provided for residents. EVIDENCE: Residents are encouraged to take control over as much of their lives as possible. Examples include food, times for rising and retiring, whether to join in activities and support to attend local clubs. Two residents were looking forward to going out to the local Age Concern day centre on the following day, for which community transport had been booked. One resident spoke of how her daughter and grandchildren are made very welcome when they visit. The activities co-ordinator was facilitating a group discussion about television programmes, e.g. The Two Ronnie’s, Mastermind, Starsky and Hutch. Residents enjoyed naming the actors and the group leader did a very good job including residents in the discussions. Other residents not wishing to join in were happy to sit in the other part of the lounge, or in their rooms. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 11 The activities co-ordinator works Monday to Friday mornings and provides a wide variety of activities. Residents were complimentary about the food provided and spoke of how they were able to choose what to eat. The inspector joined residents for lunch, which was steak in gravy, mashed potato and vegetables, followed by rice pudding. One service user chose to eat soup and one was seen to prefer yoghurt instead of rice pudding. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 There are clear processes for complaints that residents and visitors can use if necessary. EVIDENCE: Residents stated they would feel happy to complain to staff if they had any concerns. No resident voiced any concern during the inspection. One recent complaint was dealt with by the registered manager, which was found to be unsubstantiated. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23, 24, 25, 26 Residents are able to access comfortable communal facilities. Bedrooms are comfortable, clean and tidy, offering accommodation to meet residents’ needs. EVIDENCE: The inspector walked around the home and noted the lounges and bedrooms were comfortably furnished and homely. Some bedrooms are small but residents spoken with were happy with their rooms and took pride in showing the inspector some of their personal possessions that were on display. Carpets identified at the last inspection as in need of stretching were replaced a few days later. The last inspection recommended that the laundry room had hand-washing facilities installed. Mrs Follett confirmed that a wash hand basin was on the list of jobs awaiting the plumber. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 14 Residents spoken to said the home is kept very clean and tidy. A garden path has not yet been made safe, but has been cordoned off so that residents cannot use it. Residents are supported to obtain and use any equipment that is appropriate to their needs. Examples include walking sticks, frames, wheelchairs and mattresses. The manager confirmed that the home has a very good working relationship with local district nurses and doctors. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 A caring manager and staff team support residents. An appropriate number of staff are working at the home. EVIDENCE: The home was seen to be running smoothly and efficiently. The staff rotas were read and the inspector felt that staffing levels were satisfactory, with sufficient staff on duty at different times of the day to meet the needs of the residents. Staff spoken to were clear about what was expected of them whilst on shift. The inspector noted very good interaction between staff and residents during the inspection. Four staff files were sampled and contained the required information. The manager maintains a list of staff with their Criminal Records Bureau details. The inspector noted that the manager maintains a list of CRB checks that are held on staff members. The training folder was read by the inspector. Mrs Follett is responsible for delivering induction training to new staff members. Recent staff training has included incontinence, catheter care and adult abuse/protection. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 16 Residents spoke highly of the staff team. One resident said, “She’s very nice, will do anything for me”. Another resident commented, “The staff are good “ and “Everyone’s friendly.” Attention to meeting residents’ needs is promoted by the caring and attentive staff team. One member of staff had written out a ‘soap rota‘ for a resident, to enable her to easily identify the days, channels and times her favourite programmes are shown on television. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 17 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, 34 An experienced manager runs the home. The leadership, guidance and direction to staff ensures continuity of care. The home is very resident focused. EVIDENCE: The home is run by an experienced, professional and dedicated manager, who has run the home for over thirty years. Mrs Follett is currently undertaking the Registered Manager’s Award. Staff said that they receive clear direction and consider that communication between management and the staff team is good. They were clear about what is expected of them. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 Page 18 Comments from residents were extremely positive and included “Mrs Follett and…are lovely”. The employer’s liability insurance certificate expired on 30/9/05 and the home has not yet received a replacement. Mrs Follett assured the inspector that this had been renewed and she was awaiting the new certificate. A requirement has been made for Mrs Follett to forward to the Commission a copy of the new certificate. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 x 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 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 x x 3 3 3 3 x x x x Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 34 Regulation 25 Requirement A certificate of insurance in respect of liability shall be sent to the Commission. Timescale for action 4/11/05 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. Refer to Standard 19 26 Good Practice Recommendations Continue with plans to make the garden path safe. Continue with plans to install a wash hand basin in the laundry. Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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 Tripletrees H60 H11 S14806 Tripletrees V245005 041005 Stage 4.doc Version 1.40 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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