Care Home: The Poplars Care Home

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What the care home does well A good standard of care is provided for the people who live at the home. People said they enjoyed living there, and that the staff were kind and helpful. There were written care plans in place for each person. This helps staff make sure that each person gets the support and assistance that is needed for them to live safely and comfortably. People living at the home were comfortable and well cared for and all of them said that the food was good. The environment was in the main nicely decorated and well maintained. Staff were motivated and enthusiastic about their work. What has improved since the last inspection? Care plans now contain evidence that people have been consulted about and have agreed to their plan of care. This was a requirement in the last inspection report. Some bedrooms have been refurbished providing a comfortable environment for the people who live in those rooms.The last inspection report required that paint materials be stored more securely. The manager confirmed that alternative storage has been found. What the care home could do better: All bedrail assessments must be dated and signed by both the assessor and the person who has agreed to their use. This is to confirm that bedrails are suitable. The temperature of the fridge where medications are stored must be closely monitored to make sure it is maintained within the required range. The activities programme should be reviewed to make sure that it is suitable for all of the people who live in the home. The current programme of replacement of bedroom furniture should continue so that a good standard is provided throughout the home. The flooring in some of the toilets was shabby and worn in places. This must be replaced to make sure that it can be easily cleaned and reduce the risk of cross infection. The current system with regard to the safe keeping of personal allowances requires regular audit by two people to make sure it is robust and that individual balances are correct. CARE HOMES FOR OLDER PEOPLE The Poplars Care Home 375 Thornaby Road Thornaby Stockton-on-Tees TS17 8QN Lead Inspector Sue Lowther Key Unannounced Inspection 1st August 2008 09:00 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 DS0000070007.V370218.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. DS0000070007.V370218.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Poplars Care Home Address 375 Thornaby Road Thornaby Stockton-on-Tees TS17 8QN 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) 01642 675 376 None Mimosa Healthcare (No4) Limited Mrs Doreen Sharon Bonnar Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability (43) of places DS0000070007.V370218.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Physical disability - Code PD The maximum number of service users who can be accommodated is: 43 7th August 2006 2. Date of last inspection Brief Description of the Service: The Poplars is a care home providing nursing and personal care for up to 43 older people, who may also have a physical disability. The home is situated in Thornaby and there are shops and pubs close by. It is a purpose built 2-storey building with 41 single rooms and 1 double room. 38 of the rooms have en suite facilities comprising of a washbasin and toilet. There are sufficient bathing facilities located throughout the home. Lounge and dining facilities are also available. There is a passenger lift available so that all parts of the home are accessible. The fees charged at the time of this inspection were between £408 and £417 per week. This does not include hairdressing, chiropody, personal toiletries and newspapers. DS0000070007.V370218.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. This unannounced inspection of The Poplars took place on the 1st August 2008. Records were examined and a tour of the building took place. Time was spent talking to people living at the home, staff and visitors. The manager supplied some information prior to the inspection on a form called an AQAA. This is an annual quality assurance assessment for home’s to provide information about their service. The inspection focussed on key standard outcomes for people living at the home. We also checked whether requirements from the previous report had been met. What the service does well: What has improved since the last inspection? Care plans now contain evidence that people have been consulted about and have agreed to their plan of care. This was a requirement in the last inspection report. Some bedrooms have been refurbished providing a comfortable environment for the people who live in those rooms. DS0000070007.V370218.R01.S.doc Version 5.2 Page 6 The last inspection report required that paint materials be stored more securely. The manager confirmed that alternative storage has been found. 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. DS0000070007.V370218.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 DS0000070007.V370218.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. People who use the service experience good quality outcomes in this area. Assessment procedures are in place to ensure that the home can meet the needs of the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People are only admitted after a full assessment of need is carried out by an appropriately trained person. This is usually the manager. This is to make sure that the home can meet the care needs of the people who go to live there. The family of one person who had recently gone to live in the home confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. Most of the people who responded to the survey said that they had received enough information about the home before they went DS0000070007.V370218.R01.S.doc Version 5.2 Page 9 to live there. One person said, “I was in hospital, but my relative looked around. I was very ill, but this was a good choice”. The home does not admit people for intermediate care therefore assessment of standard 6 is not required. DS0000070007.V370218.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. People who use the service experience good quality outcomes in this area. People’s health care needs are well managed by the home. Systems to administer medication are safe and people living at the home say that they are treated well and that the standard of care is good. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager said that all of the people who live in the home have care plans so that staff know how to look after people on an individual basis. Three were examined during the inspection. These were comprehensive and contained individual plans of care. They now contain evidence that people have been consulted about and have agreed to their plan of care. This was a requirement in the last inspection report. However two bedrail assessments were not dated and were not signed by the assessor or the person who had agreed to them being used. This evidence must be available to confirm that bedrails are suitable. DS0000070007.V370218.R01.S.doc Version 5.2 Page 11 People spoken to during the inspection said that they are happy with the care received and the level of information given. One person said, “I am very happy with the care and support I receive”. One member of staff said, “We aim to provide high standards of care and keep everybody safe and happy at all times. Records examined showed that people receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. Two health care professionals returned surveys. Both indicated that they are happy with the standard of care. Medication is administered by qualified nurses . The home has a comprehensive medication policy. Accurate records of all medicines received, administered and those leaving the home are maintained. However the record of fridge temperatures was sometimes recorded as 0° and 1°. The required range for safe storage is 2°-8°. The registered person must ensure that drugs are stored at the required temperature. People spoken to said that staff always treat them with dignity and respect. One person who lives in the home said, “Staff are nice and call me by my preferred name”. DS0000070007.V370218.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. People who use the service experience good quality outcomes in this area. The activities are varied and provide recreation for some of the people who live in the home. Family and friends can visit at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and people are given a choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The activities are varied and most of the people said they are suitable. One person said, “I cannot always do what I want because of my mobility problems. I like to go to the pub and staff do try to sort it out for me”. However another said, “I have only been in the home a short time. There have been no suitable activities as yet”. Other people said that activities are good. They said they particularly like the quizzes, dominoes and outside entertainers. People were asked about visiting arrangements, which are flexible. One of the comments from a visitor included, “We are made welcome to the home, its lovely”. Visitors can see people in their own rooms or in any of the communal DS0000070007.V370218.R01.S.doc Version 5.2 Page 13 areas available throughout the home. One person said, “I can have visitors at any time”. Comments about the food were good. The looked appetising and people said that it was tasty. Specialist diets are catered for and include menus for diabetics and soft menus. One person said, “We have a large choice of meals and cook is always willing to provide other choices”. Another said, “The food is good and we get a choice”. DS0000070007.V370218.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. People who use the service experience good quality outcomes in this area. The people who live in the home can be confident that their concerns and complaints are dealt with appropriately and sufficient safeguards are in place to protect them from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Information about complaints, how and who to make them to, is made available to the people who live in the home and their families through information displayed in the entrance to the home and in the ‘Service Users Guide’. There was one complaint recorded since the last inspection. This was dealt with by the home. One person said, “I would speak to the manager if I had a problem”. The home had a comprehensive adult protection procedure. This gives staff the support they need to make a referral should this be required. Evidence was seen to confirm that staff refer issues through adult protection procedures when required. The staff spoken to during the inspection were asked about abuse and what they would do if they saw or heard anything inappropriate. All said that they would tell someone, for example the manager, or make a referral themselves if this was more appropriate. Training is provided for all DS0000070007.V370218.R01.S.doc Version 5.2 Page 15 staff in adult protection. One member of staff said, “I would have no hesitation in reporting any concern. I am here for the residents”. Another said, “I would always report anything straight away”. DS0000070007.V370218.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, 21 & 26. People who use the service experience adequate quality outcomes in this area. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During a tour of the building the inspector saw that many of the rooms are decorated to the person’s own taste and there was evidence to confirm that people can take in some personal items when they go to live there. This includes pieces of furniture as well as photographs and ornaments. However some of the bedroom furniture was shabby and worn. The manager said that an audit has been done and a programme of refurbishment is ongoing. DS0000070007.V370218.R01.S.doc Version 5.2 Page 17 There was a range of equipment seen around the home to support people with bathing and mobility. The flooring in some of the toilets was shabby and worn in places. This must be replaced to make sure that it can be easily cleaned and reduce the risk of cross infection. The inspector found the building to be clean, tidy and free from offensive odours. DS0000070007.V370218.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. People who use the service experience excellent quality outcomes in this area. The home has a settled and well-led staff team, in sufficient numbers to meet the needs of the people who currently live in the home. Training is provided for all staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: From the rota supplied at the inspection there was sufficient care staff on duty to meet the assessed care needs of the people who were using the service. People said that staff were usually around and answered the call bells quickly. One person said, “The staff come quickly when I ring the bell. They are very good here”. The home had staff files in place, which provided evidence that the appointment of a new staff member is made through proper recruitment processes. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. DS0000070007.V370218.R01.S.doc Version 5.2 Page 19 There is a commitment at the home to having a trained workforce with many of the staff having an NVQ at level 2 or above. Training is provided for staff. As well as mandatory training, recent training has also taken place in adult protection and health and safety. Staff said that they are also supported with regard to personal training needs. Staff comments in this area were positive. Comments included “We carry out regular mandatory training throughout the year and we are given the opportunity to carry out long distance learning”. Another said, “The manager is always encouraging staff to attend different courses.” DS0000070007.V370218.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. People who use the service experience good quality outcomes in this area. The home’s registered manager provides clear leadership, support and guidance to those living and working at the home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager is a qualified nurse and has completed an appropriate management course. There was an open and friendly culture between the management team and staff working at the home. There was evidence in staff files to show that DS0000070007.V370218.R01.S.doc Version 5.2 Page 21 supervision was taking place and that the staff were being appraised. Staff confirmed that supervision takes place on a regular basis and that they are well supported. People living at the home and visitors who were spoken to during the inspection confirmed that the manager is approachable and that they would go to him if they had any concerns. One member of staff said, “ The manager is always willing to speak to us when we need to. We are given regular supervisions to support us in our work”. Regular staff meetings are held and the company have a number of systems in place to consult with people living at the home. The manager said that she not have meetings for the people who live in the home. She peaks to people when she is on duty. She also operates an open door policy. Evidence was seen to confirm that monthly Regulation 26 audits by the owner take place. Customer satisfaction surveys have also taken place and the manager said that comments are acted on and improvements made wherever possible. Personal finances are kept in the home for people who request this. Two signatures are obtained and receipts are kept to ensure peoples’ financial interests are safeguarded. However this system requires regular audit by two people to make sure it is robust and that individual balances are correct. The manager confirmed that all equipment in the home is regularly checked. The maintenance certificates that were seen at this inspection were found to be in order. The last inspection report required that paint materials be stored more securely. The manager confirmed that alternative storage has been found. There was no evidence of inappropriate observed during this inspection. Health and Safety checks are carried out regularly to safeguard people living and working at the home. DS0000070007.V370218.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 3 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 X 2 X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000070007.V370218.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. 1. Standard OP7 Regulation 15 Requirement Timescale for action 30/09/08 2. OP9 13(2) All bedrail assessments must be dated and signed by both the assessor and the person who has agreed to their use. This is to confirm that bedrails are suitable. The temperature of the fridge 30/09/08 where medications are stored must be closely monitored to make sure it is maintained within the required range. The flooring in some of the toilets was shabby and worn in places. This must be replaced to make sure that it can be easily cleaned and reduce the risk of cross infection. The current system with regard to the safe keeping of personal allowances requires regular audit by two people to make sure it is robust and that individual balances are correct. 31/10/08 3. OP21 16 4. OP35 20 30/09/08 DS0000070007.V370218.R01.S.doc Version 5.2 Page 24 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 OP12 Good Practice Recommendations The activities programme should be reviewed to make sure that it is suitable for all of the people who live in the home. The current programme of replacement of bedroom furniture should continue so that a good standard is provided throughout the home. 2. OP19 DS0000070007.V370218.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 DS0000070007.V370218.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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