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Care Home: Polsloe House Ltd

  • Polsloe House 22 Park Road Redruth Cornwall TR15 2JG
  • Tel: 01209215337
  • Fax:
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Polsloe House is a detached building set in its own grounds. It is situated near to the town of Redruth with all its services and facilities accessible to the home. Polsloe is close to local General Practitioners surgeries with Camborne and Redruth Hospital one and a half miles away. The registered providers Mr and Mrs Butland have owned the home for nearly 3 years. There are 11 single rooms and one double room. Five of the rooms have ensuite facilities. Accommodation is spread out over two floors with toilets and bathrooms near to service users bedrooms. Polsloe offers full personal care and residential accommodation to older people, including up to two people with dementia or with other mental health needs. The manager describes the aims, services and facilities clearly in the Statement of Purpose and Service User Guide. The home sets out to provide a high quality service that responds to individual needs and preferences. The manager is able to take residents to hospital and medical appointments or appropriate arrangements are arranged. Polsloe has a stable group of mature staff that have worked at the home for some time offering continuity of service. We spoke with all the residents who gave very good feedback on the care and comfort they receive from management and staff. Fees are from £430 to £475 per week.

  • Latitude: 50.229999542236
    Longitude: -5.2210001945496
  • Manager: Ms Sarah Jenny Martin
  • Price p/w: ~
  • UK
  • Total Capacity: 13
  • Type: Care home only
  • Provider: Polsloe House Ltd
  • Ownership: Private
  • Care Home ID: 12450
Residents Needs:
Dementia, Old age, not falling within any other category, mental health, excluding learning disability or dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 19th February 2008. CSCI found this care home to be providing an Good service.

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.

For extracts, read the latest CQC inspection for Polsloe House Ltd.

What the care home does well Health needs of residents are well met and medical services are accessed promptly when required. Residents said they had confidence in the staff who Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 6they found to be caring and hard working and they ensure their health care needs are met. Residents were also very positive about the care and support provided and the dignified manner they are treated by staff. A weekly programme of activities is in place and some of the residents are very satisfied with the arrangements. Additional opportunities to enable residents to experience community outings have taken place with residents saying how much they enjoyed their trip out to The Inn For All Season where they enjoyed a meal. All of the residents are satisfied with the food and the choices available. The residents said that meals were prepared to a good standard and commented that "healthy" portions were provided. Satisfactory arrangements are in place to deal with any complaints or concerns. Residents were confident there are no barriers to raising issues and were sure any concerns would be dealt with satisfactorily. A suitable adult protection policy and procedure is in place to protect residents from abuse and any allegations or concerns are reported to the statutory authorities for investigation. The home is a detached property and has splendid views of Carn Breaand surrounding countryside. The environment and facilities are well maintained and provide a comfortable setting for residents. Residents said they were satisfied with the facilities. The accommodation is spread out over two floors and comprises on the ground floor two sitting rooms, which includes the sun lounge, a dining room and residents bedrooms. Five bedrooms are located on the ground floor and seven bedrooms first floor, which are accessed by stairs or two stair lifts. Bathrooms and toilets are distributed throughout the home and within a reasonable distance from communal areas and residents bedrooms. Some of the resident`s bedrooms also have ensuite facilities and many rooms have been personalised by the occupants. The staff maintains a good standard of cleanliness and hygiene and residents stated the home is always clean. Residents said they were very satisfied with the manner in which staff undertook their duties. Two waking night staff are on duty each night and reliable arrangements are in place for additional staff to be called upon in an emergency.Staff at the home said it was an enjoyable place to work and they were well supported by colleagues and the managers at the home. The staff said there was a good team spirit and the staff worked well together. The appointment of a assistant manager to assist the providers in the running the home is seen as a positive resource to provide a good standard of care and support to the residents. The home has a range of communal facilities and a spacious garden, which residents can make use of. Most residents said that they are satisfied with the lifestyle the home provides. Some go out with relatives and make use of the facilities in the local community. There are no restrictions on visitors and residents are able to maintain relationships with friends and relatives if they wish. What has improved since the last inspection? The care planning arrangements continue to improve. Residents are regularly consulted about their care plans to make sure all their needs are met in a satisfactory manner. Some of the current care plans need to have more information to make sure a clear picture about the care and support required is provided. The plans are regularly reviewed with the residents and their relatives or representatives. This will also make sure that up date and comprehensive information is available. The record keeping arrangements continue to improve but there are occasions where records lack sufficient detail. The risk assessment and risk management arrangements also continue to be developed to promote safety and eliminate risk. What the care home could do better: The manager was given very detailed feedback on the findings of the inspection, which are as follows: AssessmentsWhilst the home`s assessment formats consider needs relating to residents, there is a reliance on ticking boxes with very little information that would help the staff. Discussion took place with the manager on providing information for staff that informs and directs them on assessments. Daily Records Daily records should be more informative so that the records paint a full picture of the day spent by the residents, action taken to follow up on any issues and reference to social and emotional needs met. There was a pattern of recording day and night that only referred to phrases "all care given" "No problems" Medication All staff that are responsible for administering medication should sign the MARS sheet to provide evidence that residents have received their medication. Environment. There is evidence throughout both internally and externally of constant financial investment. However, externally the driveway is uneven and needs to be made good to ensure that residents, representatives or visiting professionals do not fall. The three benches for residents to sit on would benefit from repainting and look uncared for at with paint peeling off and large areas of dirt on them. The weather was fine on the day of the inspection and it was very hot in the conservatory. Residents said the sun was very strong and hurting their eyes. Blinds would help deflect the sun where residents sit. Management and Health and Safety Polsloe is registered as a company Polsloe Home Ltd. The providers are fully involved on a day-to-day basis in all aspects of the home. However there is a legal requirement for The Responsible Individual to submit a Regulation 26 report to the Commission and the company on the conduct of the home. This will be made a requirement in the report. The personal money held on behalf of the residents requires improvement with the signatures of two staff when money is withdrawn. Also a proper accounting system should be set up for the residents "Comforts Fund". A separate ban account has been set up but a proper accounting system with in and out columns and receipts married up to cheques would the manager and safeguard staff The key National Minimum Standards under outcomes groups are generally met but the areas detailed above require improvement and we are confident the manager will put them right. CARE HOMES FOR OLDER PEOPLE Polsloe House Ltd Polsloe House 22 Park Road Redruth Cornwall TR15 2JG Lead Inspector Stephen Baber Key Unannounced Inspection 10:00 19th February 2008 X10015.doc Version 1.40 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 Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 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 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. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polsloe House Ltd Address Polsloe House 22 Park Road Redruth Cornwall TR15 2JG 01209 215337 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) polsloecc@btconnect.com Polsloe House Ltd Mary Butland Care Home 13 Category(ies) of Dementia - over 65 years of age (2), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (13) Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th August 2006 Brief Description of the Service: Polsloe House is a detached building set in its own grounds. It is situated near to the town of Redruth with all its services and facilities accessible to the home. Polsloe is close to local General Practitioners surgeries with Camborne and Redruth Hospital one and a half miles away. The registered providers Mr and Mrs Butland have owned the home for nearly 3 years. There are 11 single rooms and one double room. Five of the rooms have ensuite facilities. Accommodation is spread out over two floors with toilets and bathrooms near to service users bedrooms. Polsloe offers full personal care and residential accommodation to older people, including up to two people with dementia or with other mental health needs. The manager describes the aims, services and facilities clearly in the Statement of Purpose and Service User Guide. The home sets out to provide a high quality service that responds to individual needs and preferences. The manager is able to take residents to hospital and medical appointments or appropriate arrangements are arranged. Polsloe has a stable group of mature staff that have worked at the home for some time offering continuity of service. We spoke with all the residents who gave very good feedback on the care and comfort they receive from management and staff. Fees are from £430 to £475 per week. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) have made changes to the way we inspect services. Known as Inspecting for Better Lives (IBL). We are now more proportionate when reporting our findings, and more focused on the experience of people using services. The purpose of the inspection was to ensure that resident’s needs are appropriately met, with good outcomes provided to them. We carried out the key inspection on the 19th February 2008. The inspection lasted for approximately 7:1/2 hours. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that residents’ placements in the home result in good outcomes for them. The inspection included interviews, some held privately in residents’ rooms and some in the communal area of the home, with residents and visiting relatives. Several members of staff were interviewed and there were opportunities to directly observe aspects of residents’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the manager. The principle method of inspection was “case tracking”. This involves interviews with a select number of residents; staff caring for them and/or their representatives, and examination of records relating to their care. This provides a useful impression of how the home is working overall. At this inspection three residents files were case tracked, with particular reference to their individual and diverse needs relating to their age, culture and ethnicity, religion, gender, sexual orientation and disabilities. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: Health needs of residents are well met and medical services are accessed promptly when required. Residents said they had confidence in the staff who Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 6 they found to be caring and hard working and they ensure their health care needs are met. Residents were also very positive about the care and support provided and the dignified manner they are treated by staff. A weekly programme of activities is in place and some of the residents are very satisfied with the arrangements. Additional opportunities to enable residents to experience community outings have taken place with residents saying how much they enjoyed their trip out to The Inn For All Season where they enjoyed a meal. All of the residents are satisfied with the food and the choices available. The residents said that meals were prepared to a good standard and commented that “healthy” portions were provided. Satisfactory arrangements are in place to deal with any complaints or concerns. Residents were confident there are no barriers to raising issues and were sure any concerns would be dealt with satisfactorily. A suitable adult protection policy and procedure is in place to protect residents from abuse and any allegations or concerns are reported to the statutory authorities for investigation. The home is a detached property and has splendid views of Carn Breaand surrounding countryside. The environment and facilities are well maintained and provide a comfortable setting for residents. Residents said they were satisfied with the facilities. The accommodation is spread out over two floors and comprises on the ground floor two sitting rooms, which includes the sun lounge, a dining room and residents bedrooms. Five bedrooms are located on the ground floor and seven bedrooms first floor, which are accessed by stairs or two stair lifts. Bathrooms and toilets are distributed throughout the home and within a reasonable distance from communal areas and residents bedrooms. Some of the resident’s bedrooms also have ensuite facilities and many rooms have been personalised by the occupants. The staff maintains a good standard of cleanliness and hygiene and residents stated the home is always clean. Residents said they were very satisfied with the manner in which staff undertook their duties. Two waking night staff are on duty each night and reliable arrangements are in place for additional staff to be called upon in an emergency. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 7 Staff at the home said it was an enjoyable place to work and they were well supported by colleagues and the managers at the home. The staff said there was a good team spirit and the staff worked well together. The appointment of a assistant manager to assist the providers in the running the home is seen as a positive resource to provide a good standard of care and support to the residents. The home has a range of communal facilities and a spacious garden, which residents can make use of. Most residents said that they are satisfied with the lifestyle the home provides. Some go out with relatives and make use of the facilities in the local community. There are no restrictions on visitors and residents are able to maintain relationships with friends and relatives if they wish. What has improved since the last inspection? What they could do better: The manager was given very detailed feedback on the findings of the inspection, which are as follows: Assessments Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 8 Whilst the home’s assessment formats consider needs relating to residents, there is a reliance on ticking boxes with very little information that would help the staff. Discussion took place with the manager on providing information for staff that informs and directs them on assessments. Daily Records Daily records should be more informative so that the records paint a full picture of the day spent by the residents, action taken to follow up on any issues and reference to social and emotional needs met. There was a pattern of recording day and night that only referred to phrases “all care given” “No problems” Medication All staff that are responsible for administering medication should sign the MARS sheet to provide evidence that residents have received their medication. Environment. There is evidence throughout both internally and externally of constant financial investment. However, externally the driveway is uneven and needs to be made good to ensure that residents, representatives or visiting professionals do not fall. The three benches for residents to sit on would benefit from repainting and look uncared for at with paint peeling off and large areas of dirt on them. The weather was fine on the day of the inspection and it was very hot in the conservatory. Residents said the sun was very strong and hurting their eyes. Blinds would help deflect the sun where residents sit. Management and Health and Safety Polsloe is registered as a company Polsloe Home Ltd. The providers are fully involved on a day-to-day basis in all aspects of the home. However there is a legal requirement for The Responsible Individual to submit a Regulation 26 report to the Commission and the company on the conduct of the home. This will be made a requirement in the report. The personal money held on behalf of the residents requires improvement with the signatures of two staff when money is withdrawn. Also a proper accounting system should be set up for the residents “Comforts Fund”. A separate ban account has been set up but a proper accounting system with in and out columns and receipts married up to cheques would the manager and safeguard staff The key National Minimum Standards under outcomes groups are generally met but the areas detailed above require improvement and we are confident the manager will put them right. 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. The summary of this inspection report can be made available in other formats on request. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 9 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 Outcomes Statutory Requirements Identified During the Inspection Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 3 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with clear statements of their terms and conditions or contract. Improvements with assessments will ensure that staff have information that will inform and direct them and residents receive care according to their assessment. EVIDENCE: The residents most recently admitted to the home said that they had been provided with good information that enabled them to make a decision about whether to live at the home. We spoke with the newly admitted residents who said that they had been consulted during the admission process and said that they had been provided with information about the. They also said that they signed a contract that clearly set out the full range of services and facilities they can accept. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 11 Assessment formats include consideration of prospective residents’ diverse needs relating to their cultural and ethnic backgrounds, religion, age, gender, abilities and some consideration of their sexual orientation. There was assessment information relating to all the residents who were case tracked on their personal files but information was either a tick box or one sentence which did not provide staff with information that should inform and direct them in the care to be given. We spoke with the residents who confirmed that they were consulted about the care they receive and that their representative was fully involved and informed which was very reassuring for them. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “the service user guide and statement of purpose will be reviewed to ensure it is up to date and any changes required will be made as they occur and to ensure any new legislations that may come to practice are accounted for and followed. the contacts of care, care plans, care needs assesments will also be reviewed when appropiate. we aim to continue to ensure that our staff are trained and kept up to date to ensure adequate care is provided.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans were up to date, had been regularly reviewed and residents themselves were actively encouraged to participate in the care planning process. Resident have good access to healthcare services, but daily care records need to back this up, so that residents can be fully assured that their needs are being properly monitored. Arrangements for managing medicines in the home are mainly satisfactory although some improvements to records are needed to ensure residents’ protection. There are satisfactory systems in place to ensure that residents are treated with respect and that their right to privacy is upheld. EVIDENCE: We spoke with the residents at the time of the inspection who were aware of their care plans and most said they had been involved in the care planning Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 13 process. Records of their care plans were up to date and showed evidence of regular review. The manager said that she is in the process of drawing up new care plans for all of the residents that are sensitive to their individual and diverse needs. We talked with residents at the time of the inspection who said that they are helped to access the healthcare services they need. Residents’ daily care records did not provide sufficient detail to show that their health and social care needs are fully recognised and met. All medication is managed by the staff who have been trained in the Safe Handling Of Medication. There are secure storage facilities for medicines managed on behalf of residents. The manager provides clear written policies and procedures on medication for all staff to inform and direct them. Records of medicines administered were not up-to-date and no reference to the index was made when boxes were left blank. This was brought to the attention of the manager who will call a staff meeting to bring it to the attention of all the staff. Most of the residents who were interviewed were satisfied with the arrangements for ensuring their privacy. The manager has provided lockable facilities in residents’ rooms for them to store personal items and residents are provided with keys to lock their own doors. There are suitable facilities to ensure that they receive personal care in private, including some bedrooms with en suite bathrooms. All residents spoken with confirmed that they are able to see their relatives in private. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “to continue monitoring our polices and proceedures making any appropiate updates and informing all relevant persons.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and meet the individual needs of the residents. The residents receive visitors throughout the day thus exercising their right to determine whom they wish to see and where they wish to meet their visitors. The residents are supported by the staff to exercise choice and control over their lives within their capabilities and personal preferences. Management and staff provide the residents with a wholesome appealing diet with attention to detail in the dining room to make for a pleasant dining experience. EVIDENCE: The home has good communal facilities, including a large lounge, spacious gardens and separate dining room so that residents can meet and socialise together if they wish and residents who were interviewed were satisfied with the services provided to them. Observation, interviews with staff and the Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 15 manager confirmed that residents enjoy formal activities provided to enable and encourage residents to keep active and socialise in the home. The residents said how much they enjoyed a meal out at The In For All Seasons. Residents confirmed that they are able to receive visitors when they wish and in private. The home’s well-used visitors’ book confirmed this. Residents are able to personalise their rooms in accordance with their own tastes, which was observed at the time of the inspection. Representatives of the residents manage their personal finances. The manager and staff take active steps to enable residents to exercise choice over important aspects of their lives, which residents confirmed at the time of the inspection. The residents we spoke with said that they were satisfied with the meals provided to them and are asked each day what they would like to eat. At the time of the inspection there were menu cards on each table with the meals and choices on offer. Records of food provided evidenced that residents’ nutritional needs are being met adequately and in accordance with their preferences. The dining room has been recently wall papered and looks very smart. Tablecloths and good quality crockery and cutlery make for a very pleasant dining experience. The E.H.O. inspected the home on the 3rd January 2008 and reported that everything was satisfactory. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “we plan to continue constantly monitoring and reviewing our statement of purpose and all areas of the above mentioned.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is well publicised and used when required. The manager ensures that the residents are protected from abuse by the policies, procedures, and staff having knowledge through training of Adult Protection issues, which helps protect residents. EVIDENCE: Most of the residents who were interviewed at the time of the inspection stated that they are satisfied with the care and services provided to them at the home. Some said that they had confidence in the home’s manager to address their concerns and she was observed to take action at the time of the inspection to address issues raised by them before they became formal complaints. Residents interviewed at the time of the inspection said that they felt safe in the home. There are written procedures in place to guide staff on the action to take if they suspect abuse of a resident and there are copies of the local multiagency procedures in place so that they are fully informed of how different statutory bodies work together to protect vulnerable adults. Some of the staff have undertaken multi-agency training on protecting vulnerable adults from abuse which includes the manager. Further training is going to be has been arranged for all staff in adult protection and will be taking place in the coming Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 17 months. I am enclosing the link which will help the manager see what training has been arranged. The training can be obtained free from Cornwall County Council. Information regarding this can be found at: http:/www.cornwall.gov.uk/index.cfm?articleid=37718 The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “to continue to monitor key legislations and update policys and procedures as appropiate.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose and provides a safe and well maintained environment which meets residents needs Polsloe is and attractive and homely place to live. EVIDENCE: The home appeared clean and tidy throughout at the time of the inspection, which was unannounced. Staff and residents confirmed that it is kept clean. The manager and staff have undertaken training in infection control and there are written policies and procedures in place to guide staff on how to prevent infection from spreading in the home. Staff are provided with and were observed making use of, suitable equipment to maintain hygiene in the home. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 19 There is are two chair lifts that go from ground to first floor and there are aids and adaptations around the home to make life easier for the more dependant residents. Externally the grounds are spacious with trees and shrubs that can be seen by the residents from the communal areas and residents bedrooms. The drive leading to the home has broken down in places and could be dangerous for residents, representatives and visiting professionals. These areas should be made safe and sound to reduce the risks of injury. Also the three benches near the home are showing the signs of peeling paint and are dirty in places. These should be made good and be presentable for the residents to sit out in the better weather. We spoke with the residents who said that they are very happy with their accommodation and that they have brought items from home to personalise their rooms. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “plans are to continue monitoring and upgrading decorating etc, the manager also has a plan to install a new radio controlled call bell system.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes robust recruitment policies and procedures that are in place. Management inform and direct staff from induction with a range of training opportunities so that the skill mix of staff meets residents’ needs. Staffing ratios have been increased by day and night to meet the needs of the residents EVIDENCE: Residents were very positive about the manner in which the staff undertake their duties and the standard of the care and support provided. The staff stated they were well supported and said assistance, support and advice was readily available from the manager. Staff moral seems high resulting in an enthusiastic workforce that work positively with residents to improve their quality of life. Staff duty rota’s showed that there are two care assistants on duty throughout the twenty-four hour period. In addition there are two cooks and one domestic/handyman on duty and an administrator. The latest two staff files were case tracked and evidenced that staff recruitment is conducted in line with the policies and procedures of the home. All staff undergoes Skills For Care Induction training, which ultimately leads onto NVQ training. 80 of the current staff group have Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 21 achieved NVQ level 2,3,4. I spoke with the staff who were pleased to tell me what training they have undertaken since the last visit. The newest member of staff is new to the care profession and she said she enjoys working at the home and is looking forward to completing her NVQ training. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “we plan to continue to engage the staff in supervisions and appraisals to ensure that any training needs are met to ensure the needs of all service users are met.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,35,36 and 37 were assessed. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management team at Polsloe work hard to improve the quality of care to the residents and promote and protect the health, safety and welfare of residents and staff. EVIDENCE: The manager has many years experience of management and care. The manager updates her training at regular intervals and has recently qualified as a manual handling trainer. There are clear lines of accountability within the home. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 23 The manager has carried out an internal audit of quality assurance, which includes opinions from residents, staff and relatives. The views of communitybased professionals have also been canvassed. Some of the comments from residents and their representatives were: “I am always made welcome “Visiting from Kent”. “Lovely atmosphere very welcoming-no unpleasant odours.” “Happy in every respect with Polsloe House. A very kind home both with the elderly and relatives.” The manager who is also the managing director is involved in the day-to-day management of the home and it is acknowledged the input they make in the smooth running of the home. The Care Homes Regulations 2001 require the Responsible Individual for the company to submit a monthly report (Regulation 26) on the conduct of the home to the Commission and to each director responsible for the organisation. The manager is going to arrange for the Responsible Individual to write monthly reports on the conduct of the home and keep the reports on file for future inspections. The manager has set up a “Comforts Fund” for the residents. Further to a separate bank account that has been set up it is required that an accounting system is established to monitor credits and debits and with the good practice of two signature when withdrawals have taken place. This will safeguard the staff and not leave them open to any allegation of mal practice. Three monthly staff meetings are held and another positive feature of the home is that supervision and appraisal are taking place so that residents know that staff are appropriately supervised The manager throughout the inspection demonstrated a good understanding of the legislation regarding health and safety. Statutory documentation was in place that evidenced the various service documents and reports. The fire records were found to be up to date and in sufficient detail with staff receiving fire instruction at the recommended intervals. Documentary evidence shows that staff receive training in Health and Safety from induction and some of the areas covered are Basic Food Hygiene, First Aid, Moving and Handling and Cross Infection. The manager has recently achieved an accredited qualification in Moving and Handling and will be organising training for the staff. The company have said in their AQAA “Their plans for improvements in the next 12 months” are: “the continue to monitor and update where appropiate.” Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 24 Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 x 3 Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 26 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 OP32 Regulation 26(2)(j) Requirement The Responsible Individual for the company must submit a monthly Regulation 26 report to the Commission and directors of the company on the conduct of the home. The registered person must set up a proper accounting system to safeguard residents and staff. Timescale for action 30/08/08 2 OP35 17(2)(9) 30/08/08 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 Refer to Standard DO3 DO7 OP9 Good Practice Recommendations The registered person should develop the assessments and provide more detailed information that informs and directs the staff. The registered person should provide training for all staff that shows then how to record in detail the health and social care needs of the residents. The registered person should provide further training for all staff who administer medication to ensure that they sign the MARS sheets when residents have received their DS0000062250.V352745.R01.S.doc Version 5.2 Page 27 Polsloe House Ltd OP19 4 medication. The registered person should make the uneven surfaces in the drive safe for the residents and it is recommended that the benches are repainted ready for the residents to sit out in the better weather. Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © 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 Polsloe House Ltd DS0000062250.V352745.R01.S.doc Version 5.2 Page 29 - 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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