Care Home: Roundham Court

What the care home does well The premises provide excellent accommodation that is clean, comfortably furnished and well decorated giving it character and warmth. The staff add to this with their enthusiasm to provide a friendly atmosphere that the people who live there can be comfortable in. The records kept by the home about the people who live there and the way the home functions are well written, well structured and informative. The manager uses the resources available to her to respond to the changing needs of the people who live in the home seeking advice from other professionals where it is appropriate to do so. What the care home could do better: The manager had not reported an allegation made by a person living in the home to the Commission. This is the responsibility of the manager or senior person in change to ensure this is done. The way individual people`s care plans are stored in the office may mean that staff don`t have easy access to them for all shifts they work. This may mean that not all staff look at peoples individual plans of care when care needs change or a new person moves into the home. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Roundham Court 22 Cliff Road Paignton Devon TQ4 6DG three star excellent 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: Rachel Proctor Date: 1 5 1 2 2 0 0 8 Information about the care home Name of care home: Address: Roundham Court 22 Cliff Road Paignton Devon TQ4 6DG 01803528024 01803528024 courtgroup@btinternet.com 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 Sally Jane Dyke,Mrs Jill Wakeham care home 35 Number of places (if applicable): Under 65 Over 65 0 35 23 dementia old age, not falling within any other category physical disability Conditions of registration: 35 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 wihin any other category (Code OP) - maximum number of places 35 Dementia (Code DE) maximum number of places 35 Physical Disability aged 65 years and over (Code PD(E)) - maximum number of places 23 The maximum number of service users who can be accommodated is 35. Date of last inspection Brief description of the care home Roundham Court provides care for up to thirty-five older people in a large Victorian house that has been adapted to meet the needs of the people who live in it. It is Care Homes for Older People Page 2 of 9 Brief description of the care home located on headlands near Paignton Harbour and set in well-maintained grounds that have magnificent sea views over Torbay. There is a level terraced area at the front and side of the home, which allow residents to sit outside and have excellent views across the bay. The front driveway provides level access to the homes main entrance and widens out to provide several parking spaces. The home has 34 mainly generous sized bedrooms organised as one double and 33 single, of which 31 rooms have en-suite facilities. There is ample lounge and dining space on the ground floor and a staircase that leads to the first floor and mezzanine floor where further bedrooms can be found. There is a shaft lift to the mezzanine floor and chair lift up just 4 steps to the first floor. There is a choice of bathing facilities, shower and bathrooms, in the home. The weekly fees commence at 375 pounds. Care Homes for Older People Page 3 of 9 What we found: This was a Random unannounced inspection, which took place on 17.12.08. Not all the key standards were inspected on this time. The inspection was carried out as a result of concerns raised in anonymous surveys received as part of the homes annual service review. And concerns raised by an anonymous caller. We followed the care of three people living at the home. We spoke to them where possible, visited the rooms they occupied and looked and their plans of care. Discussion took place with the manager and registered provider and some staff on duty were spoken with. One relative and one social services care manager were also spoken with A tour of the home was completed and some peoples rooms were entered. Comments received during the inspection have been included in this report. The concerns raised related to the cleanliness of the home. The way people were being cared for and medication practices. It was alleged that one person was left in their room because they refused any assistance with personal hygiene and often smelt of urine. This persons plan of care was reviewed during the inspection. This clearly showed the persons reluctance to allow staff to assist or attend to their personal hygiene. The care plan also set out how staff could encourage this person to and help them maintain their personal hygiene. This person was visited in their own room; they were wearing their own clothes, which were clean and tidy. And there was no odour in the room. The care managers assessment being held with the persons care plan indicated that they were unable to care for themselves. This also said the person needed encouragement to maintain personal hygiene. When this person was spoken to they said they wanted to stay in their room. Another person who it was said was kept in their own room all the time because they were worried about having to go to the toilet. This person was spoken to during the inspection they said they preferred to stay in their own room and didnt always want to join in with people in the lounge or dining room. The manager advised that people are given the opportunity to join in with the activities and other people living in the home or stay in their own rooms, as they preferred. Care planning included what was important to the person. During the visit to the home people were having drinks provided for them when they asked. People whose rooms were entered had had cold drinks provided for them. One person had their breakfast tray with a cup of tea they were drinking. The manager advised that drinks are provided for people when they want them and people who need encouragement to drink are given this. The manager advised that all staff who administer medication for people living at home had received basic medication training. A district nurse visited the home at the start of the inspection to set up insulin injections for one of the people living in the home. They said the home staff are always helpful and quick to learn. However they Care Homes for Older People Page 4 of 9 did say that they were having to train more of the care staff how to give insulin as some staff who had been trained had left. The senior carer who was administering the medication during the inspection confirmed that the district nurses had shown them and watched them giving insulin injections. It was noticed that care plans were kept in a filing cabinet in the office. The care plans seen during this inspection were very clear and had been updated regularly. A separate folder was being kept, which recorded daily information for each individual. One person who contacted the Commission said that they dont see care plans only the daily evaluation sheets. This may mean that not all staff have read peoples care plans and may not be aware of the complex health issues that they have. And the reasons why their care was being delivered in a certain way. The way people were being cared for at the time of this inspection appeared to be meeting their needs. The people whose care was followed had a clear care plan in place, which included risk assessments. The manager advised that staff have access to the care plans. However it was unclear if staff had read individuals plans of care regularly. A separate folder containing daily evaluation records individually recorded were being used by staff to record the care they gave and any other relevant information. The way care plans are stored may mean that not all staff look at care plans when peoples needs have changed. The staff on duty spoken to appeared to understand the care needs of the people whose care was followed. Records of complaints were being kept at the home with information of the actions taken to address the concerns raised. These were seen during this inspection. The manager advised that issues people raise that are dealt with immediately are not always recorded as a complaint. However issues are always recorded in the persons daily evaluation report along with any actions taken to address the concern or issue raised. The way concerns were being addressed by the manager was following the homes complaints process. The home manager had not reported one allegation made by a person living at the home to the Commission as required. The information was provided at this inspection and by speaking to the persons care manager. Concerns were raised that they werent enough hoists to care for people properly. During the inspection two hoists were seen on the first floor and one on the ground floor. A record of when they were last service was available. The members of staff on duty said the hoists they had in the home were sufficient for them to use for people who needed them. Concerns were also raised about the lack of a cleaner and the cleanliness of the home. A tour of the home was completed and some peoples individual rooms were entered with their permission. The home was fresh and clean in all areas entered. Two rooms that had recently been vacated because people had left the home were also entered. The manager advised that these rooms were due to be redecorated before the people returned to the home or a new person moved in. The manager advised that while the regularly cleaner had been off, a cleaner from another home in the group and existing staff had helped out. The information and observations made during the inspection show that the home was maintained and kept clean and fresh for the people who live there. Care Homes for Older People Page 5 of 9 The duty rota for that week was available in the office of the home. This showed that five staff were on duty each morning. Three starting at 8 am and the other 2 starting at 9 am. Five staff were on duty early afternoon. These were in addition to the manager on weekdays. Three staff are on duty in the evening and two staff were on duty during the night. The two night staff were leaving the home as we arrived to start our inspection. The staff spoken to said they felt they had sufficient staff to care for the people currently living at Roundham Court. The manager advised that staffing was reviewed if the needs of the people living in the homes changes. The information available at the time of the inspection and observations made indicate that their are sufficient staff on duty to meet peoples needs. One Requirement and one Recommendation have been made as a result of this inspection. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 7 of 9 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 1 38 37 (1)(g) The registered person 11/05/2009 shall give notice to the Commission with out delay of the occurrence of: Any allegations of misconduct by the registered person or any person who works at the care home. Any untoward incidents or allegation must be reported to the Commission through the Regulation 37 process as soon as possible after the event. This provides the Commission with information regarding how the home manges incidents as they occur and ensures people living at the home are protected. 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 7 The manager should consider how she can ensure that all staff look at peoples individual plans of care when care needs change or a new person moves into the home. Page 8 of 9 Care Homes for Older People 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. 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