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Care Home: St Paul`s Residential Home

  • 127-131 Stroud Road Gloucester Glos GL1 5JL
  • Tel: 01452505485
  • Fax:

St. Paul`s Residential Home is registered to provide personal care for 21 older people. The accommodation is in a busy area of the city comprising three older style houses that have been joined and adapted for their purpose. The home caters for the diverse cultural needs of the community in which it is situated. Residents accommodation is on the ground and first floor in and is all single accommodation, though one of the rooms can provide shared accommodation for a couple if required. The home has recently been extended into a third house and new bedrooms are provided with en-suite facilities. Further work is being carried out to provide new bedrooms, and to upgrade some of the existing rooms. Current fees are £320 to £450.Hairdressing; chiropody and toiletries are charged extra. The home makes information about the service, including CSCI reports available to service users through a service user guide and statement of purpose available in the home.

  • Latitude: 51.854000091553
    Longitude: -2.2439999580383
  • Manager: Mrs Mobina Sayani
  • Price p/w: £385
  • UK
  • Total Capacity: 24
  • Type: Care home only
  • Provider: Mrs Mobina Sayani
  • Ownership: Private
  • Care Home ID: 14713
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for St Paul`s Residential Home.

CARE HOMES FOR OLDER PEOPLE St Paul`s Residential Home 127-131 Stroud Road Gloucester Glos GL1 5JL Lead Inspector Mr Adam Parker Key Unannounced Inspection 29th January 2008 09:30 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 St Paul`s Residential Home DS0000031351.V354811.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. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Paul`s Residential Home Address 127-131 Stroud Road Gloucester Glos GL1 5JL 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) 01452 505485 Mrs Mobina Sayani Mrs Mobina Sayani Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Room 8 must not be used as a bedroom. This can only be used as a sitting room for Bedroom 7 if this is occupied by two service users that have a relationship with each other and have made a positive choice to share rooms. Bedroom 9 must not be used to accommodate service users until the ensuite facilities are fully installed and operational. To accommodate one named service user under 65 years of age. Condition to remain in place until the service user reaches 65 or leaves the home. 4th May 2007 2. 3. Date of last inspection Brief Description of the Service: St. Pauls Residential Home is registered to provide personal care for 21 older people. The accommodation is in a busy area of the city comprising three older style houses that have been joined and adapted for their purpose. The home caters for the diverse cultural needs of the community in which it is situated. Residents accommodation is on the ground and first floor in and is all single accommodation, though one of the rooms can provide shared accommodation for a couple if required. The home has recently been extended into a third house and new bedrooms are provided with en-suite facilities. Further work is being carried out to provide new bedrooms, and to upgrade some of the existing rooms. Current fees are £320 to £450.Hairdressing; chiropody and toiletries are charged extra. The home makes information about the service, including CSCI reports available to service users through a service user guide and statement of purpose available in the home. St Paul`s Residential Home DS0000031351.V354811.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 stars. This means the people who use this service experience good quality outcomes. The inspection visit was carried out by one inspector on one day in January 2008. The registered manager of the home was present for the inspection visit, which consisted of a tour of the premises and examination of residents’ care files. In addition staff recruitment and training was looked at as well as documents relating to the management and safe running of the home. Samples of residents were selected for inspection against a number of outcome areas as a ‘case tracking’ exercise. During the inspection visit three residents were spoken to, to gain their views of the service. Survey forms were received from 4 residents, 5 relatives of residents and 3 General Practitioners (GP). A very comprehensive Annual Quality Assurance Assessment (AQAA) form was completed by the home and given to the inspector during the inspection visit. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: The home is able to meet the cultural, religious and language needs of the residents through the background of its staff team. Prospective residents are fully assessed before admission to the home resulting in a clear care planning system with the home working with health care professionals to meet service users needs while respecting their privacy and dignity. In addition the home makes an excellent job of catering for residents diverse dietary needs. Despite ongoing building work the home was clean and well maintained. The home has achieved a good level of NVQ training. The home has been well managed to provide good outcomes for residents. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 7 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 St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 8 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure ensures that all residents are admitted to the home on the basis of a full assessment of their needs, so that they can receive the care that they require. EVIDENCE: There had been no new admissions to the home since the last key inspection in October 2006. The documentation for the most recent admission to the home was looked at as it was at the previous key inspection. The home had obtained a copy of the assessment completed by the funding authority and had completed their own needs assessment for the resident. This included detailed information relating to the cultural linguistic and religious needs and a statement on how these needs would be met. In respect of this the home has employed a member of staff who speaks the same language to meet the needs of the resident. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care and so Standard 6 does not apply. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 10 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): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works well to meet residents’ health and personal care needs whilst upholding their privacy and dignity. EVIDENCE: Care plans were sufficiently detailed to give care staff the information required to meet residents’ needs although those looked at had not been reviewed for several months. A daily care report is completed for each resident and the registered manager described how this is used to give a daily evaluation of their care needs and the care given. There is also a record made each month of the skin condition of residents as well as a record of oral health and foot care. Evidence was seen of service users receiving input from health care professionals such as community nurses and GPs and attending hospital St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 11 appointments. There was also documentation regarding liaison between the home and a resident’s GP about medication changes. Risk assessments had been completed for moving and handling. Medication administration records (MAR) had no gaps in recording and any hand written entries generally had two staff signatures and had been dated. Codes had been used to clarify any occasion when medication had not been administered. The medication trolley has moved location since the previous inspection. There was however no temperature monitoring taking place in this area and this should be done to check that medication is being stored at the correct temperature. Most bottles of liquid medication had been dated on opening as an indication as to when the medication would reach its expiry date. One resident was self-medicating some of their medication and detailed information regarding this was on file that gave evidence of liaison with health care professionals. One resident had medication for anxiety to be given on an ‘as required’ basis and although this had only been given on a few occasions recently there was no care plan or protocol in place to guide staff in when to give this medication. Staff who have responsibility for administering medication have completed training in the safe handling of medication. All three of the responses from GPs indicated that residents’ medication was appropriately managed. Staff were seen to uphold the privacy and dignity of service users in giving care and in how they were spoken to. Service users spoken to confirmed that staff were polite and knocked on doors before entering their rooms. One male resident spoken to mentioned how one male carer had come in specifically on one day to assist him with bathing and that staff would wait until invited to enter his room after knocking. The home has a policy on privacy and dignity that is included in the service users’ guide. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 12 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): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to pursue their diverse social needs and choose how to spend their time in addition the home works well to cater for a variety of dietary needs. EVIDENCE: There are a number of organised activities held in the home such as exercising, bingo and musical entertainment. Some residents in the home generally pursue their own interests, as is their wish. One person spoken to described how he was planning to spend his time over the weekend. There was evidence of individual interaction taking place with some staff and residents. Birthdays are celebrated in the home with a party held for the particular service user. In the AQAA document received from the home it stated In relation to activities “ the choice to not join in or take part is respected.” Two service users attend a local church. Another service user is able to receive input from a staff member from the Islamic faith to assist with prayers. The deputy manager is currently attending an activities course. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 13 The home has a policy on social contact and in addition residents have information recorded in relation to their family, social contacts and their hobbies and interests. The home has a policy of allowing open visiting and a number of visitors were observed during the inspection visit. Some residents have contacts with groups in the community with one attending Hindu community meetings outside of the home and another receiving visits from members of the local Afro-Caribbean association. A number of residents in the home handle their own financial affairs. The home has information available about advocacy services and these have been used for one resident. Personal possessions can be brought into the home and evidence of this was seen in bedrooms. Very detailed information was seen in one service user’s care file relating to diet in line with cultural and religious needs. This was the case with another service user who also had information recorded in relation to following a diabetic diet. Advice had been sought by the home regarding diabetic diets from a dietician; residents were involved in this where it was relevant to their needs. Residents are offered a choice of meals and there are two menus in operation both on an eight-week rotation. One being the main menu and the other providing for the requirements of residents from minority ethnic backgrounds and vegetarian meals. The cook has recently attended training in care home cooking and recipes from this course were being used in the home. Currently pureed meals are served in the home with all the portions mixed together; it is recommended that these should be tried served with separate portions. At lunchtime a number of residents sat at the table in the dining area while others had their meals at tables in the lounge area and some took meals in their individual rooms. Appropriate assistance was given to those that needed help with eating in a discreet and respectful way. One resident spoken to confirmed the choice of meals available. Another resident was spoken to through a member of care staff who acted as a language interpreter indicting that she enjoyed the choice of meals available. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 14 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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures which linked with staff training should ensure that residents feel that they know how to complain about the service and are protected from abuse. EVIDENCE: The home has a complaints procedure. This is normally displayed on a notice board although at the time of the inspection visit it had been temporarily removed for updating. There had been no complaints received since the previous inspection. One resident spoken to confirmed that he was aware of the complaints procedure. Four out of five survey forms received from relatives or friends of residents indicated that they knew how to make a complaint and on all of the four survey forms received from residents the indication was that they knew how to make a complaint. The home has policies and procedures for dealing with abuse, ‘whistleblowing’ and dealing with aggression. All members of staff have received training in adult protection. Two members of staff spoken to confirmed the training that they had attended in protecting people from abuse and were able to give examples of types of abuse and what to do in the event of any abuse of residents. There have been no incidents of abuse reported in the home. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 15 St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 16 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): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite ongoing building work, residents have the benefit of living in a wellmaintained and generally clean, environment. EVIDENCE: A tour of the premises was conducted, there has been on-going building work at the home for some time. This is nearing completion and subject to registration procedures will provide the home with more individual rooms. A new lift has also been installed. Despite the current situation the home was generally well maintained and clean. One resident commented that the building work had “not caused too much disruption” to them. Residents were making use of the new communal areas. Outside space to the rear of the home is currently unavailable to residents but there are plans to reinstate the garden once the work has been completed. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 17 The laundry has been relocated to and is equipped with hand washing facilities, suitable wall and floor finishes and had a washing machine with the appropriate programming for infection control. Dryers are situated in an adjacent area. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 18 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): 27,28,29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient staff are deployed and training is undertaken in a number of areas to meet residents needs with robust recruitment practices in place aimed at matching the needs of some residents to the skills and knowledge of staff. EVIDENCE: The home is staffed by two care staff throughout the day plus the manager or the deputy manager. An additional member of care staff works for three hours per day to meet the particular needs of resident from a minority ethnic background and provide input to others. The team of care staff are supported by a cook and a cleaner. At night there are two care staff one working a waking night and another ‘sleeping in’. The home employs 15 care staff and 6 of these have achieved training to NVQ level 2. In addition a further 7 care staff are currently undergoing the NVQ training. Records for recently recruited members of staff were examined. Clear and detailed records had been made of the recruitment process. All the required information and documentation had been obtained including an employment St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 19 history against which any gaps in employment could be explored. Checks against the Protection of Vulnerable Adults list were being made as well as with the Criminal Records Bureau. New staff employed in the home receive induction training in line to Common Induction Standards for social care in England. Certificates of completion were seen on staff files. Other training has been undertaken in such areas as dementia, nutrition and diabetes. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 20 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): 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with a number of checks in place to ensure residents’ safety. However the further use of quality assurance systems should help to improve the way in which services are provided. EVIDENCE: The registered manager has achieved the registered managers award and is a qualified and practising pharmacist. She has had over five years previous experience in owning and managing another care home. The registered manager has recently attended training in infection control and reminiscence, following the principle that she attends the training that the care staff undertake. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 21 The views of residents in relation to how the service meets their needs and expectations has been gathered in the past using questionnaires. This was presented in a report format and sent to the inspector following the previous key inspection, demonstrating how the information was used to improve the service offered. This exercise should now be repeated. Residents meetings are held although there were no minutes of these meetings available in the home during the inspection visit. Records of financial transactions show where money has been deducted as a contribution towards care costs. The home does not hold any cash or valuables on behalf of residents however one person has been supplied with a lockable box for cash and valuables and there are some lockable wardrobes. Staff in the home have undertaken training in fire safety, infection control, moving and handling, first aid, health and safety and handling hazardous substances. As a result of the building work the home has had new electrical circuits, fire detection equipment, heating system and shaft lift. Servicing checks have also been carried out on portable electrical appliances, the emergency call system and hoists during 2007. Previous work has been carried out in respect of controlling the risk of Legionella in the home and more work is due in the form of water sampling. Checks on temperatures from hot water outlets had not been carried out for over six months and these need to be done to ensure the safety and comfort of residents. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 22 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 23 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 No requirements. 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 4 5 6 Refer to Standard OP7 OP9 OP9 OP15 OP33 OP38 Good Practice Recommendations Care plans should be reviewed on a monthly basis. Medication storage temperatures should be monitored and recorded. Care plans or individual protocols should in place for the administration of medication given on an ‘as required’. Consider offering pureed meals with separate portions. The previous quality assurance exercise based on the views of people using the service and their representatives should be repeated. Repeat checks on hot water temperatures and carry these out on a more regular basis. St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 24 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 St Paul`s Residential Home DS0000031351.V354811.R01.S.doc Version 5.2 Page 25 - 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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