Inspection on 03/10/05 for Tristford

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tristford 12/02/09

Tristford 26/09/06

Tristford 31/05/05

Tristford 09/12/04

Tristford 09/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Tristford 7 Radnor Park West Folkestone Kent CT19 5HJ Lead Inspector Lois Tozer Unannounced Inspection 3rd October 2005 10:10 Tristford DS0000023615.V255780.R01.S.doc Version 5.0 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 Tristford DS0000023615.V255780.R01.S.doc Version 5.0 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 Adults 18-65. 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. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tristford Address 7 Radnor Park West Folkestone Kent CT19 5HJ 01303 241720 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) MNP Complete Care Group Mrs Lorraine Celia Harrington Care Home 12 Category(ies) of Physical disability (11), Physical disability over registration, with number 65 years of age (1) of places Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residential care for older people with a physical disability is restricted to 1 resident whose d.o.b is 09/11/30 Residents over the age of 65 are restricted to one (1) whose DOB is 22/07/1939 (Manager) to have completed NVQ 4 in Care and Management by 2005. Date of last inspection 31st May 2005 Brief Description of the Service: Tristford is part of the MNP Complete Care Group. It is a residential home providing care and support for up to twelve people with physical disabilities. It is a large, well maintained, late Victorian detached house that overlooks a local park. It is close to all local amenities in Folkestone. The accommodation is arranged on two floors, the upper floor being accessed by a spacious lift. There are twelve single bedrooms that are comfortably furnished, light and airy. The communal space is large and well decorated. There is easy access to a safe, well-maintained and enclosed garden. The registered manager is Mrs Lorraine Harrington, who is a registered nurse and has many years experience in care. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place on 3rd October 2005 between 10:10 and 12:30. The staff and deputy manager were welcoming and assisted the inspection process throughout. The manager was supporting three residents on a weekend break. The home was in good order, and the three residents who gave feedback agreed that they were very happy to live at Tristford. There were a variety of activities available for people to join in as they wished. Parties, celebrations and social events are a key part of life at the home. As well as speaking to residents and staff, medication records, recruitment and employment files and a tour of the communal areas took place. What the service does well: What has improved since the last inspection? What they could do better: The recruitment procedure needs to be tightened up to ensure that the best interests of residents are protected at all times. Presently, staff are being confirmed into post in advance of reference requests and CRB / POVA disclosures being obtained. The home does not have appropriate sluicing or commode cleaning facilities, and the laundry area requires improvement, as not all areas are impermeable. There is no wash hand basin in this area, which is an infection control risk. There are plans to improve this facility, a copy of the action plan has been required. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 6 Although, during this inspection, there was no medication requiring refrigeration, some residents do occasionally have such items. The existing facilities are not adequate, so a recommendation that a dedicated, lockable fridge has been made 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. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected. EVIDENCE: Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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, 8 People living at the home know that they will be supported in a respectful manner that meets their individual needs. Staff support individuals to make decisions and be involved in many aspects of home life. EVIDENCE: All residents giving feedback either said, or indicated, that staff that understood their needs supported them. The home is environmentally well organised to offer greater freedom of movement for people who use wheelchairs or mobility aids. Regular residents meetings take place and events are planned in consultation with all individuals. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Activities are available on a regular basis and are appropriate to the individual’s interests. Service users can gain access to the community, with staff support, if needed. Relationships are sensitively supported. EVIDENCE: There are many activities available each week, and three residents were, on the day of inspection, still away from a long weekend break. One resident said that they could be involved in activities if they wanted, and were supported to get out to town whenever they wished. Friends and family are welcome to visit at any reasonable time, and relationships are well supported. Lots of photographs were displayed around the home showing the enjoyable parties and activities that had taken place in the last year or so. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Medication is managed by the home in a safe manner, but improved lockable cold storage is needed. EVIDENCE: The policy and procedure has been revised to give guidance when medication is spoilt. Records were in generally very good order, but some handwritten entries had not been signed or countersigned for accuracy. Storage of most items was safe and secure, but cold storage facilities were not adequate. A recommendation to purchase a dedicated locking fridge with temperature control was made (as, during this inspection, there were no items needing refrigeration). Administration of medication was conducted respectfully. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected. EVIDENCE: Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 The standard of the environment in the home is very good. It provides the residents with an attractive and homely place to live. The layout and specialised equipment promotes the independence of the residents. Although clean and hygienic throughout, there is insufficient provision for safe commode cleaning and improvements to the laundry facilities are needed. EVIDENCE: The home is well maintained and is fully accessible to all residents. The sample of bedrooms seen were highly personalised and reflected individual taste. The range of furniture and specialist adaptations promoted individual independence. One resident said they were very pleased with their room. Toilets and bathrooms are large and spacious with equipment required to enable safe mobilisation. The home has one large lounge area in the centre of the house, a part of which smoking is permitted. The home is clean and hygienic throughout, however there is no sluice facility or dedicated commode cleansing facility – which is a risk to infection control. Additionally, the laundry area has surfaces that are not impermeable and has no hand washbasin available. Plans to address this were advised to be in place. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The recruitment procedure is not robust and does not protect the safety of the service users. EVIDENCE: Although a thorough induction process was in place to help new staff understand and fulfil their role, recruitment procedures are weak. Staff are confirmed into post and commence their induction in advance of references (written or verbal), CRB and POVA disclosure being received. The previous full employment history had not been obtained. A requirement to remedy this practice has been made. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected. EVIDENCE: Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 1 X X CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tristford Score X X 2 x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000023615.V255780.R01.S.doc Version 5.0 Page 17 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 YA30 Regulation 13 (3) Requirement Timescale for action 01/12/05 2 YA34 19 (schedule 2) Submit action plan that identifies environmental improvements to; Laundry facilities – surfaces to be impermeable and hand wash facility to be installed. Sluice facility to be created. Revise recruitment practice to 17/10/05 ensure all future employees have references & POVA disclosure in advance of being employed. 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 YA20 Good Practice Recommendations Two staff sign for hand written medication directions to ensure accuracy. Purchase a dedicated, lockable, fridge for medication, keeping a record of temperature. Tristford DS0000023615.V255780.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Tristford DS0000023615.V255780.R01.S.doc Version 5.0 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. 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