Care Home: Tolverth House

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What the care home does well This inspection focused on the environment only. The care home was clean and tidy throughout with no odours. New furnishings have been purchased. A maintenance programme is in place to ensure that the homes decoration and furnishings are kept to a satisfactory standard. Improvements to the garden area are in process. What the care home could do better: No statutory requirements or recommendations were identified at this inspection. The registered manager is aware that they are restricted to make some physical improvements to the home due to the age and layout of the property. However the registered manager has agreed to discuss with the registered provider the possibility of installing two en suite rooms in the home which will then remove toilets from bedrooms and will keep the Commission updated regarding this. Random inspection report Care homes for older people Name: Address: Tolverth House Tolverth House Long Rock Penzance Cornwall TR20 8JQ two star good service 21/10/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lynda Kirtland Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Tolverth House Tolverth House Long Rock Penzance Cornwall TR20 8JQ 01736710736 01736710736 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Vijay Enterprises Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 14 Number of places (if applicable): Under 65 Over 65 0 0 14 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 4 4 0 1 The maximum number of service users who can be accommodated is 14. The registered person may provide the following caregory of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP- maximum of 14 places Dementia - Code DE- maximum of 4 places Mental disorder, excluding learning disability or dementiaCare Homes for Older People Page 2 of 8 Code MD- maximum of 4 places Physical disability- Code PD- maximum of 1 place Date of last inspection Brief description of the care home Tolverth House is a registered home providing accommodation and personal care for up to 14 older people aged 65 years or over. Of these up to 4 may have dementia and a further 4 may have mental health care needs. The home is situated in the village of Long Rock on the outskirts of Penzance. It is close to shops and public transport routes and is set in its own grounds, slightly off the main road. It has two floors, the upper floor being accessible by stairs with a stair lift. Most of the bedrooms have en suite bathrooms. There is a spacious lounge downstairs and a separate dining room and conservatory. The registered provider lives on site and is actively involved in the management of the home. A manager who is registered with the Commission undertakes day-to-day management of the home, assisted by a team of staff. Most parts of the home are accessible to residents with physical disabilities and there are portable ramps to ensure that they can access areas that would only otherwise be accessible by steps. The upper floor is accessible via a stair lift. The new registered provider has published a statement of purpose to provide information about the home to prospective residents. Fees range from 357 to 440 pounds per week. Additional charges are made for newspapers, hairdressing, private chiropody and outings organised by the home. 2 1 1 0 2 0 0 8 Care Homes for Older People Page 3 of 8 What we found: An inspector visited Tolverth house care home on the 18 May 2010 following concerns we received regarding the environment of the home, in particular the condition of peoples bedrooms and toileting facilities. No concerns were raised in respect of the care that people receive at the home and therefore this was not inspected. I arrived at the home unannounced at 10.00am and the inspection lasted for one and three quarter hours. I met with the registered manager, Mrs Burnett and observed staff and people using the service. Thirteen people were resident during this inspection. Two care staff, cook, domestic, maintenance and administration staffs were on duty. The registered manager was in the home on her day off catching up on paperwork. From a tour of the home I observed the home to be clean throughout with no odours present. I inspected some of the people who use the service bedrooms. The registered manager told me that in some of the rooms where there was a shower cubicle, as this was not being used they have removed them and replaced them with a toilet and hand basin. The consequence of this is that a toilet is in the bedroom with no partition walls but a shower curtain for screening has been erected. The registered manager agreed that this is not ideal but she felt that this was a better option than having a commode in the room. We discussed the possibility of future building works in that some rooms could have the possibility of an en suite provision which she agreed to discuss with the registered provider. The registered manager was aware of redecoration and maintenance works that need to be carried out and has a list of works written up to be completed. She is also aware of furnishings that need replacing/repair and has recently purchased some new beds. Some of the bedrooms had vinyl wood effect flooring. The registered manager was aware that if a person wished to have carpet this option should be considered and only in light of a risk assessment indicating that this is not in a persons best interest should it be declined. The registered manager confirmed that in the persons statement of terms and conditions the room that the person will occupy is recorded. I recommended that the home should ensure that they gain the persons view as to the room they will be occupying and if they are satisfied with the accommodation. If they are not, then what practical and realistic adjustments could be or not be made. The registered manager told me that they are currently installing a sluice, improving the garden, and undertaking redecoration when practical. There are telephone points in the majority of rooms for people who use the service to use. The registered manager stated there remains sufficient numbers of bathrooms for the people who use the service. What the care home does well: This inspection focused on the environment only. The care home was clean and tidy throughout with no odours. New furnishings have been purchased. A maintenance programme is in place to ensure that the homes decoration and furnishings are kept to a satisfactory standard. Improvements to the garden area are in process. Care Homes for Older People Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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