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Care Home: South Garth

  • 1 Elwyn Road Exmouth Devon EX8 2EL
  • Tel: 01395265422
  • Fax: 01395227474
  • Planned feature Advertise here!

South Garth provides personal care for up to 25 older people who may also have physical disabilities. The property is a detached converted house with a modern extension in a suburb of Exmouth. Accommodation is arranged over two floors and there is a passenger lift to the upper floor. There are two lounge areas plus a large conservatory that is used as a dining room. There is a small car parking area, but in practice people tend to park on the road. There are pleasant level gardens that are sunny and sheltered. The most recent inspection report is available upon request and a copy is also in the information pack, which is in the hallway of the home for anyone to read. Fees are currently £330 to £485 weekly. Services not included in this fee are hairdressing, chiropody, papers and magazines, incontinence pads and transport to hospital. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at <<http://www.oft.gov.uk>>.South GarthDS0000022033.V376598.R01.S.docVersion 5.2

  • Latitude: 50.619998931885
    Longitude: -3.3949999809265
  • Manager: Mrs Theresa Beatty
  • Price p/w: ~
  • UK
  • Total Capacity: 25
  • Type: Care home only
  • Provider: Mrs Christa Elizabeth Greaves
  • Ownership: Private
  • Care Home ID: 14075
Residents Needs:
Old age, not falling within any other category, Physical disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 16th July 2009. CQC 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 South Garth.

What the care home does well We received many positive comments from people who live in the home and their relatives. One person told us that the home is "Always warm. Nice food. Friendly staff. In all a happy home. I hope all the other homes are as good." There are good procedures in place to make sure that anyone thinking of moving in has plenty of information and opportunities to visit and get to know the home before any decision to move in permanently is made. The home can provide short stays (where vacancies permit). They have good assessment forms that help them to gather information on all areas of the person`s health, personal care needs, mobility, family and friends, and regular daily activities. They use this information to help them decide if they will be able to meet the person`s care needs.South GarthDS0000022033.V376598.R01.S.docVersion 5.2People have been offered a good variety and choice of nutritious and tasty meals to suit all tastes and dietary needs. Good systems were in place to make sure people were well nourished. Good recruitment procedures have been followed. Checks have been carried out and references taken up for all staff employed since the last inspection. New staff have received good induction training. Many of the staff hold a relevant qualification. Regular checks have been carried out on all equipment and all areas of the home have been well maintained. The home is comfortable, clean and safe. There are a wide range of quality assurance systems in place, including various ways of consulting with the people who live in the home and their relatives and carers to make sure they are continuously providing good services and making improvements where necessary. What has improved since the last inspection? What the care home could do better: We suggested that the layout of the care plans is improved. Key information for care workers about the support people need and how they want the tasks to be carried out should be set out in a straightforward and easy to follow style. The home should consult with the pharmacy on the storage of controlled drugs and ensure that the security of the controlled drugs storage meets with current legislation. Where windows have become misted up due to broken seals to the double glazing these should be repaired to enable people to see out of the windows clearly. The heating in the conservatory should be adjustable so that people can sit and enjoy their meals at a comfortable temperature. If a criminal records check on applicants for care work reveals a previous conviction or caution the home should carry out a risk assessment to consider any additional safeguards they may want to put into place if they decide they want to recruit the person. The home should consider taking up a third reference if one reference gives insufficient information or raises any issues that may indicate a concern about the person`s suitability for the job. Key inspection report CARE HOMES FOR OLDER PEOPLE South Garth 1 Elwyn Road Exmouth Devon EX8 2EL Lead Inspector Vivien Stephens Key Unannounced Inspection 16th July 2009 09:45 DS0000022033.V376598.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Garth Address 1 Elwyn Road Exmouth Devon EX8 2EL 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) 01395 265422 01395 227474 Mrs Christa Elizabeth Greaves Woodland Health Care Limited Mrs Theresa Beatty Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability over 65 years of age of places (25) South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2008 Brief Description of the Service: South Garth provides personal care for up to 25 older people who may also have physical disabilities. The property is a detached converted house with a modern extension in a suburb of Exmouth. Accommodation is arranged over two floors and there is a passenger lift to the upper floor. There are two lounge areas plus a large conservatory that is used as a dining room. There is a small car parking area, but in practice people tend to park on the road. There are pleasant level gardens that are sunny and sheltered. The most recent inspection report is available upon request and a copy is also in the information pack, which is in the hallway of the home for anyone to read. Fees are currently £330 to £485 weekly. Services not included in this fee are hairdressing, chiropody, papers and magazines, incontinence pads and transport to hospital. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk . South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Several weeks before this inspection took place we asked the home to complete an Annual Quality Assurance Assessment (AQAA). They completed and returned the form by the date we asked for it. It gave us good information about all aspects of the management of the home and daily life for the people who live there. We sent some survey forms to the home and asked them to distribute them. We received 4 completed forms from people living in the home, 2 from relatives, 3 from staff who work in the home and 4 from health and social care professionals. Their responses were informative and helped us to reach the judgements we have made in this report. This inspection lasted approximately 7 hours. During the day we talked to Teresa Beatty who has recently been registered as manager of the home. We also talked to four people who lived in the home, two relatives/carers and three members of staff. We carried out a tour of the home and looked at some of the records the home is required to keep including care plans and medicine administration, recruitment and training records for those staff employed in the last year. Senior managers of Woodland Healthcare Ltd also visited the home on the same day (their visit was also unannounced). At the time of this inspection there were 20 people living in the home. What the service does well: We received many positive comments from people who live in the home and their relatives. One person told us that the home is “Always warm. Nice food. Friendly staff. In all a happy home. I hope all the other homes are as good.” There are good procedures in place to make sure that anyone thinking of moving in has plenty of information and opportunities to visit and get to know the home before any decision to move in permanently is made. The home can provide short stays (where vacancies permit). They have good assessment forms that help them to gather information on all areas of the person’s health, personal care needs, mobility, family and friends, and regular daily activities. They use this information to help them decide if they will be able to meet the person’s care needs. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 6 People have been offered a good variety and choice of nutritious and tasty meals to suit all tastes and dietary needs. Good systems were in place to make sure people were well nourished. Good recruitment procedures have been followed. Checks have been carried out and references taken up for all staff employed since the last inspection. New staff have received good induction training. Many of the staff hold a relevant qualification. Regular checks have been carried out on all equipment and all areas of the home have been well maintained. The home is comfortable, clean and safe. There are a wide range of quality assurance systems in place, including various ways of consulting with the people who live in the home and their relatives and carers to make sure they are continuously providing good services and making improvements where necessary. What has improved since the last inspection? Many improvements have been made in the last year, and most of these have been achieved through the skills and dedication of the new manager, Teresa Beatty, who has worked very hard to address many requirements and recommendations made at the last key inspection. These have included – - Better procedures and training for staff to ensure people are protected from harm or abuse - A window in the conservatory has been repaired and is now safe. - All areas now have sufficient hot water - The upstairs bathroom has been upgraded and is now bright, modern, safe and efficient. - The call bell system is now working efficiently. - Staffing levels have been improved. - The home now has a registered manager. - Automatic closers have been fitted to most doors to ensure fire safety is not compromised if people want to leave their door open. - People have been consulted over their care plans and the plans have been signed by the person to confirm they are correct. The care plans have been regularly reviewed and cover all aspects of each person’s care needs. Specific areas of need or concern have been followed up and actions taken to make certain that the person has received all treatment necessary. - There are clear explanations to staff on pain relief and medications that have been prescribed on an ‘as required’ (also known as PRN) basis. - Good procedures are now being followed when ordering, checking in new supplies of medicines, and when administering medications. Only senior staff who have received training on the safe administration of medicines now handle medications. - The level of outings and activities has increased and people are now offered a good range of interesting things to do or places to go. The home has South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 7 consulted with each person to draw up a monthly plan of regular activities that shows there is usually at least one, and sometimes two activities offered and also opportunities for people to be supported on a one-to-one basis in activities of their individual choice. - The level of staff training has improved and there are good systems in place to make sure the home knows what training staff have received and what training they need, including the dates when any health and safety related training must be updated. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 8 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 South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given good information and opportunities to visit and get to know the home and can be confident the home will assess their needs fully before any decision to move in permanently is made. EVIDENCE: The home has a small brochure they will give to anyone who enquires about the possibility of moving in. They also have more detailed information about the home in the entrance hallway that people can look at or have a copy of. We looked at four care plan files to find out how much information had been gathered about people before they moved in. We found that the home had a South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 10 simple pre-admission form that helped them to gather some basic information about each person and their health and personal care needs. Where possible a representative from the home will visit the person to carry out a full assessment of their needs. The home had a good range of assessment forms that guided the person carrying out the assessment to find out information about all aspects of the person’s health, mobility, family and social network, interests, likes and dislikes. These forms helped them to get to know the person and understand the help they needed on a daily basis. The files we looked at showed that the home had also obtained assessments from health or social care professionals where available. The home will offer short stays (if they have a vacant room) or they will encourage people to visits for the day if they wish. We talked to one person who was staying at the home for a week and we heard how helpful the stay was for the person, their family, and for the home to help them to get to know the home and decide if they wanted to move in permanently. The home does not provide intermediate care. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans contain a good range of information about people’s personal and health care needs and there are good systems in place to make sure people receive the assistance they want in a manner that respects their privacy and dignity. Medication is stored and administered safely. EVIDENCE: We looked at four care plan files to find out if the staff had access to up-todate and detailed information about each person’s health and personal care needs. We found that there were detailed assessment forms providing a tick box style checklist that guided the person completing the care plan to look at all aspects of the person’s health and mobility. Each form had a section for an South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 12 overall summary of the help the person needed in that area. There were also detailed assessments in place covering all major potential areas of risk (including falls, continence, skin care and the risk of pressure sores, and malnutrition. The care plans had been regularly reviewed and were up-to-date. They had been signed by the person to agree the content. While the care plans were comprehensive we found that the information was spread out over many pages and we were concerned that it may be difficult for staff to gain a picture of the ‘whole person’. We suggested ways that the information on each person’s daily care needs could be gathered onto a short overview. This could give the staff a straightforward and easy to follow guide explaining how the person wants to lead their daily life and how they want to be assisted by staff with specific tasks. The manager showed us a daily handover file she had recently introduced. This included some very brief but useful information about each person including the time the person usually liked to get up/go to bed, and the personal care tasks they wanted care staff to help them with. This provided a useful monitoring tool for the manager to check that each person had received the help they wanted. The care plans provided good information about each person’s health, all specific illnesses and the treatment they were receiving. We received four completed surveys from GP’s who regularly visit the home and they all confirmed that people’s health needs have been well met. One GP told us they received “Appropriate contact when patients are poorly”, and that the home “Appear to be good advocates for patients.” We looked at the way medicines were ordered, stored and administered. They used a monitored dosage system supplied by a local pharmacy. All medicines supplied in monthly blister packs were stored in a locked medicine trolley along with most other stocks of medicines not included in the blister packs. Additional supplies of medicines were held in a secure cabinet – these had been checked regularly to ensure the stocks were not excessive. A secure cabinet was provided for any controlled drugs. It was unclear if the storage was fixed to the wall and we advised the manager to check this and if necessary take advice from the pharmacy. The care plans contained risk assessments where people had chosen to administer their own medications. We watched as the manager gave out the lunch time medications. We were told that only the manager or a senior member of staff who has received training on the safe administration of medicines will give out medications. We saw the manager taking good care and following safe procedures for each medicine administered. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 13 The records of medicines administered had been well maintained and there were no unexplained gaps. Where additional stocks of medicines were held there were good accounting systems in place to show amounts held at the end of each month. Most creams and lotions were held in people’s bedrooms. The care staff had signed the medicines administration chart to show when the creams had been administered. The care plans gave good information on people’s skin problems and the treatment needed. A photograph of each person was held with their medication administration chart – this provided a safeguard to help the person administering the medication to be certain they were giving the medicines to the right person. The home had drawn up a protocol for giving out ‘as required’ medications. There was also an explanation of the pain relief treatment for each person held in the medicines administration file. The policy on medication administration was detailed and covered all main areas of administration. It has been regularly reviewed. We saw staff treating people with dignity and respect. Staff knocked on doors before entering and spoke to people in a friendly and respectful manner. One relative who completed a survey form told us “I usually find the staff very polite and helpful.” They also told us that the home “Provides good care for the clients.” A person who lives in the home told us about some of the things the home does well “Giving help – daily provides the help I need without taking away the independence I value. Always polite and friendly to all, even those who can be difficult. Always properly helpful to those who need assistance, as they move about, many are very old.” South Garth DS0000022033.V376598.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Significant improvements have been made in the level of activities organised by the home in the last year and people now have good opportunities to join an activity that interests them, or to go on outings. Friends and families are welcomed and involved in the home. People are offered a good range of tasty and nutritious meals to suit their preferences and dietary needs. EVIDENCE: In the last year the level of activities organised in the home has improved significantly. A member of staff has been given the role of Support Worker with specific responsibility for organising activities. We talked to this person and found that she was enthusiastic and positive about the role, and had worked South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 15 hard to increase the range of group activities through discussion with people to find out what they wanted to do. A timetable of the planned activities for the current month was on display in the home. This showed that on most days there was at least one group activity and sometimes two or more. Activities included quizzes, darts, crafts, board games, musical entertainment, reminiscence, bingo, exercises, skittles, weekly church services, and gardening. There were also plenty of opportunities for individual interests including specific ‘one-to-one’ sessions, hand massage, manicures going out for walks. There were also group outings organised, and professional entertainers visited fortnightly. On the day of this inspection a person was visiting the home with various animals including dogs, rabbits, snakes and lizards. Lots of people joined in the activity and we heard many comments afterwards that showed how much people had enjoyed the afternoon. One person who completed a survey form before this inspection took place told us about some of the things the home does well, including “Arranging for us to get out when we need to, accompanying us if they need to. Supply good meals, well cooked, tasty, good variety, always a choice.” Another person told us they thought the home should provide “A few more activities – not Bingo!” The manager told us that they knew one or two people did not like bingo and they had recently adjusted the activity plan to try and make sure there was something provided to suit everyone, while at the same time making sure that those people who enjoyed Bingo are also catered for. We also saw a copy of a ‘lifestyle diary’ the home had drawn up for one person that included photographs of the person’s family and friends and an overview of the person’s interests. The diary also included a brief family tree. The staff had found this was a very useful tool to help them get to know the person better and to help them find out about the things the person was interested in and would like to do. They plan to draw up similar diaries for everyone living in the home. Several relatives were visiting the home on the day of this inspection and we saw staff welcoming them. One person who completed a survey form told us “As the ‘carer/friend’ I appreciate the ‘open hours’ to visit and the friendly staff and cleanliness everywhere.” We looked at the way the home offers choice to people. The people we talked to told us that they were able to lead their lives as they wanted – they could get up when they wanted, go to bed when they wanted, and the staff were always willing and able to help them at any time as requested. The care plans showed that people had been fully consulted over all aspects of their daily lives. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 16 We saw copies of the weekly menus and found that people had been offered good choices of food to suit all tastes and dietary needs. Each lunch time people were offered two main hot meals and we heard that people could request other meals if they wanted. There was always a home cooked pudding or a range of cold alternatives including yoghurts, ice creams, fresh fruit, bananas and custard or cheese and biscuits. All of the people we talked to praised the skills of the two cooks employed and told us they enjoyed the meals. Many people praised the home made cakes that were freshly cooked daily – we sampled one and found it was delicious! One person told us “We have good cooks at South Garth but more fresh vegetables are needed.” We talked to this person, and also to the manager, and we heard that the home had recently increased the amount of fresh vegetables used, and had been consulting with the person to provide a selection of fresh vegetables that the person might enjoy. We also heard that the home had increased the amount of fresh vegetables used. There were good systems in place to make sure the cooks knew about all likes and dislikes and specific dietary needs. We also heard that food and fluid intakes are monitored closely for people when they became poorly. Care plans included monitoring tools for malnutrition and showed that people had been weighed regularly. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that the home will listen to and act upon any complaints or concerns and will take all possible actions to make sure the issue is resolved satisfactorily. People are protected from harm or abuse by good policies and procedures and well trained staff. EVIDENCE: We looked at the way the home handles complaints. We saw copies of the complaints procedure displayed around the home. This showed that people were encouraged to speak out if they were unhappy about anything. Since the last inspection no complaints or concerns about the home have been received by the Commission. One incident relating to a member of staff was investigated by Social Services and they told us they were satisfied with the way the home handled the matter. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 18 People living in the home who completed a survey form told us they felt they were able to speak to someone if they were worried about anything, and they knew how to make a complaint. The home has kept a record of all complaints they have received in the last year and the records showed they had taken all matters seriously, investigated fully and had taken every possible action to put the matters right. One relative who completed a survey form told us “the care my mother has is very good. If there is a problem all the staff are very helpful and things get sorted quickly. My mother is very happy here.” We were given a list of the training the staff team have received and we saw that most staff have received training on the protection of vulnerable adults and abuse awareness. The home told us in their AQAA “We train all staff in adult protection issues and abuse.” South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has been well maintained and provides a safe, clean, warm and comfortable environment for the people who live there. EVIDENCE: During this inspection we carried out a tour of the home. We looked in most of the bedrooms, and all of the toilets, bathrooms, lounges and dining room. The home employs a maintenance person and we found all areas in a good state of repair. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 20 There are pleasant and secluded gardens with various places for people to sit outside if they wish. One of the owners, Mrs Greaves was weeding flower beds when we arrived. The lawns were neat and there were mature trees and shrubs and colourful plants providing interest. At the time of this inspection painting and repair work was being carried out on the exterior of the home. The roof has recently been repaired. A person is employed every day to keep the home clean. During our tour of the home we found all areas were bright, fresh and hygienic. The carpets and upholstery were about to be professionally cleaned. All the bedrooms we looked at were in good order, bright and attractive, although a few rooms may not have been redecorated for a number of years. The providers told us they would arrange for these rooms to be redecorated following consultation with the person occupying the room. They also told us they plan to upgrade all bedrooms on a regular basis. Many people had personalised their bedroom by bringing items of furniture, pictures, ornaments and other items that made their room feel homely and comfortable. Most bedrooms (all except 4) have en suite toilets. A few windows had broken double glazing seals and we recommended that these are replaced so that people can see out of the windows clearly. The providers agreed to do this. At the last inspection we found that the upstairs bathroom was in a poor state of repair. At this inspection we found that the bathroom had been completely upgraded and is now bright, modern, attractive and safe. At the last inspection we also heard that there was a fault with the hot water system and as a result the water in the downstairs bathroom ran tepid. We heard that this has been repaired and is now in good order. The dining room is situated in a conservatory that at times can become very hot. The manager told us that she planned to purchase an air conditioning unit in the next few days. Many doors had automatic door closers fitted so that people could leave the door open if they wanted to without compromising the fire safety systems. We talked to the manager Teresa Beatty about one door that had been wedged open temporarily and she assured us this would be addressed promptly. Comments we received from people who live in the home included “The home is always clean.” South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the support and assistance they need from sufficient well trained and carefully recruited staff. EVIDENCE: On the day of this inspection there was 1 manager, 4 care workers until 10 am and 3 care workers after 10am (until 8pm), 1 cook, and 1 cleaner. There would usually also be a maintenance person but she was on leave on the day of our visit. At night the home employs 2 waking care workers. There were 20 people living in the home. Most people had low or medium level care needs and just 2 people had high level care needs. We heard that staffing levels had recently been increased in the mornings and this had made a significant improvement to the ability of the staff to meet people’s needs in a relaxed and timely way. The staff we talked to said they no longer felt rushed in the mornings. We also heard that the appointment of a Support Worker to provide activities had also helped the organisation of the workload for all staff. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 22 We looked at the recruitment records for five members of staff who began working at the home in the last year. We found that the home had taken up at least two references and also carried out a criminal records bureau (CRB) and protection of vulnerable adults (POVA 1st ) check before the staff had been confirmed in post. We saw one reference that gave very little information except to confirm the dates the person had worked there and we suggested that in such instances the home considers obtaining a third reference. We also recommended that if a criminal records check reveals a previous conviction or caution the home should carry out a risk assessment to consider any additional safeguards they may want to put into place if they decide they want to recruit the person. All recently recruited staff have undertaken an induction programme to meet nationally recognised standards. We were shown copies of the home’s training programme for the current year. This showed that the home had provided training and updates on all health and safety related topics, and also dementia, stroke awareness, palliative care, diabetes and medication administration. There were plans for a range of other relevant topics including nutrition, challenging behaviour, and the deprivation of liberty Information provided at the time of this inspection showed that 9 staff held a relevant qualification known as a National Vocational Qualification (NVQ). 2 staff had registered to begin this qualification in the near future. This represented more than 50 of the staff team and demonstrated a clear commitment to providing a good level of qualified and competent staff. Since the appointment of Teresa Beatty as manager we heard that staff have received regular supervision and staff meetings. We were shown a plan of the themes for staff supervision in 2009 showing that every staff member will focus on a range of topics during supervision including personal care, abuse awareness, effective communication, nutrition and various health and safety related topics. We talked to three members of staff during our visit. They told us they enjoyed their job and felt the home was a happy place to work. They said that recent increases in staffing levels had improved the delivery of care to people. We were told that there were good systems of communication. One relative who completed a survey form told us “I think having a good and happy staff team makes South Garth a good place to be.” South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, safe, and takes into consideration the views and suggestions of the people living there to ensure the quality of care and facilities are constantly improving. EVIDENCE: Since the last key inspection a new manager, Teresa Beatty has been appointed and registered. She has had many years of experience caring for older people, although this is the first time she has been registered as South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 24 manager of a service. The people we talked to during our visit, and those people who completed a survey form, told us the home was well managed and running smoothly. People told us they had complete confidence in Teresa Beatty to manage the home effectively. One person who completed a survey form told us that the home “Has caring staff and managers alike. We are fortunate to be here!” During our visit we met three of the registered providers. We were satisfied that there were good systems of support in place for the manager, and regular visits to the home to check that the home is running smoothly. The providers have completed a monthly report to demonstrate they have visited and ensure all areas are of a satisfactory standard. At the time of this inspection the home did not have internet computer access. The providers gave Teresa Beatty permission to arrange internet access from the day of this inspection. The home has a variety ways they regularly check the quality of the services and facilities, including regular questionnaires to people who live in the home, and their relatives and representatives. Regular residents meetings have been held in the home, and there have been a wide range of checks carried out, and discussions with people to constantly monitor and improve the services. The home does not hold any cash on behalf of any people. Lockable storage is provided in each bedroom so that people can keep cash secure if they wish. For a few people who do not want to handle cash the home has carried out a risk assessment and gathered written agreement that they will hold a second key for this storage, and will access the cash for specific items such as hairdressing or toiletries. Receipts are provided and a second member of staff will always witness any transactions. We looked at some of the health and safety records and found that the home had good systems in place to make sure people are protected from harm. The fire log book showed that regular checks and maintenance had been carried out. A fire safety officer had visited the home earlier this year and had written to confirm the home had met good fire safety standards. We also saw evidence to show that all equipment in the home, including mobility equipment, had been regularly serviced and checked. South Garth DS0000022033.V376598.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 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 South Garth DS0000022033.V376598.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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The information in the care plans should be set out in a straightforward and easy to follow style that gives staff an easy to follow guide on the way each person wants to be assisted with each task. The home should consult with the pharmacy on the storage of controlled drugs and ensure that the security of the controlled drugs storage meets with current legislation. Where windows have become misted up due to broken seals to the double glazing these should be repaired to enable people to see out of the windows clearly. The heating in the conservatory should be adjustable so that people can sit and enjoy their meals at a comfortable temperature. If a criminal records check reveals a previous conviction or caution the home should carry out a risk assessment to consider any additional safeguards they may want to put DS0000022033.V376598.R01.S.doc Version 5.2 Page 27 2 OP9 3 4 5 OP19 OP19 OP29 South Garth into place if they decide they want to recruit the person. The home should consider taking up a third reference if one reference gives insufficient information or raises any issues that may indicate a concern about the person’s suitability for the job. South Garth DS0000022033.V376598.R01.S.doc Version 5.2 Page 28 Care Quality Commission Care Quality Commission SouthWest Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. South Garth DS0000022033.V376598.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

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