Care Home: Ismeer

What the care home does well Ismeer is an established home with a relaxed, easygoing atmosphere. Residents have told us that they are satisfied with the level of care provided What the care home could do better: It is important that wheelchairs are used correctly at all times. Should footrests be left unattached for a specific reason this should be covered by an up to date risk assessment. All incidents that affect the welbeing of a resident must be communicated to the Commission via a Regulation 37 notice. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Ismeer Trewollack Lane Gorran Haven St Austell Cornwall PL26 6NT one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michael Dennis Date: 1 4 0 1 2 0 0 9 Information about the care home Name of care home: Address: Ismeer Trewollack Lane Gorran Haven St Austell Cornwall PL26 6NT 01726843480 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Margaret Yvonne Wrigley care home 27 Number of places (if applicable): Under 65 Over 65 7 27 dementia old age, not falling within any other category Conditions of registration: 0 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia aged 65 years and over on admission (Code DE(E)) - maximum of 7 places The maximum number of service users who can be accommodated is 27. Date of last inspection Brief description of the care home Ismeer is a comfortable, tastefully decorated, extended detached property situated within walking distance of the village of Gorran Haven. The home is registered to provide care for 27 older people in need of personal care. Residents? accommodation is currently located on three floors. Each floor is serviced by a stair lift. Although twin Care Homes for Older People Page 2 of 8 Brief description of the care home rooms are available all rooms are presently used for single occupancy. All bedrooms have washbasins and many have separate en-suite facilities. The property has spacious, well-tended landscaped gardens that over look the bay of St Austell and adequate parking facilities. Fees for care at Ismeer range from #300 - #365 per week. Care Homes for Older People Page 3 of 8 What we found: This was a random unannounced inspection. The purpose of the inspection was to focus on specific key national minimum standards as identified following concerns raised. The role of the CSCI is to determine if a breach of regulation has occurred. We were on the premises for two hours. The methods used were discussion with the manager, staff, and residents, inspection of records and documents, observation of the daily life of the home and inspection of the premises. We are grateful to the providers, staff and residents for their assistance in completing the inspection. We toured the building, visiting all areas to include at least 60 per cent of the residents bedrooms. The premises were well presented , clean and tidy and free from any unpleasant odours. It was noted that that improvements have been made since the last inspection in June 2008. New carpets have been laid to hallways and several rooms have been redecorated. Further redecoration is planned. During the course of the inspection we found no medication left out in residents rooms, nor in any other part of the building. The storage of medication was inspected. It was found that all medication was correctly stored within the designated locked cabinets which are sited in a locked room. The midday meal, which was in progress at the time of the visit was roast beef with alternatives provided. There was a choice of six different deserts all of which looked most appetising. Staff were seen to be attentive throughout this period assisting residents as required. We discussed the fact that some wheelchairs did not have footrests. The manager stated that in every occasion foot rests are attached when the chairs are used outside the building. They are sometimes left off inside the building as a precaution against skin tears of the residents using them. We recommend that in these instances, risk assessments are documented. There were four care assistants on duty. We spoke with three of them plus the duty cook. All staff assured us that the home was working well and that a good team spirit existed. We were told that that since the departure of certain staff, the working environment had greatly improved. There were no complaints against the manager and staff felt supported by her. Evidence was presented to indicate that staff supervision occurs. The residents spoken with confirmed that were well cared for and had no specific complaints. The manager informed us of a recent incident involving theft from a resident. This matter is being dealt with by the police. The CSCI was not informed of this incident. You are reminded that all occurrences that adversely affect the welfare of residents must be notified to the CSCI. Regulation 37 applies. Care Homes for Older People Page 4 of 8 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 9 13(2) 17(1) The registered manager 30/07/2008 must ensure that ALL medication is stored securely at all times The registered manager must return all unused or unwanted medication to the pharmacist 30/07/2008 2 9 13(2)17(1) 3 19 13(4) The registered manager 01/09/2008 must ensure that old and worn carpets do not place residents at risk. This applies to a stair carpet in particular which is in need of replacement. Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 37 38 All incidents affecting the welfare of service users must be notified to the Commission Wheelcahairs if used inside the home without footrests must have a risk assessment to include details of such a decision is made Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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