Inspection on 10/01/06 for 15 Denby Road

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Denby Road 24/02/09

15 Denby Road 25/10/06

15 Denby Road 14/09/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Denby Road (15) Inkersall Chesterfield Derbyshire S43 3RR Lead Inspector Judith Beckett Unannounced Inspection 10th January 2006 02:30 Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 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 Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 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 Adults 18-65. 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. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Denby Road (15) Address Inkersall Chesterfield Derbyshire S43 3RR (01246) 471235 NONE 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) Derbyshire Care & Home Support Limited Mrs Jacqueline Anne Cutts Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd March 2005 Brief Description of the Service: 11 and 15 Denby road are adjoining semi-detached bungalows, each registered for two service users. The homes are located in housing association property, within a warden-controlled development of similar accommodation for older people. Denby road is situated on the edge of Inkersall, which is approximately 4 miles from Chesterfield. There are a range of shops and community facilities nearby. Although registered as two separate homes 11 and 15 are effectively run as one establishment with one manager, one person on duty at night and shared policies and procedures. The homes are not interconnecting internally, staff move between the two through a secured shared rear garden. Each bungalow has two single bedrooms for service users, a communal dining/lounge and a domestic style kitchen. The grounds are well maintained and suitable for residents. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours. On arrival at the home the manager was present but all four residents were out attending day centres. Throughout the afternoon a member of staff returned two of the residents to number 11. The residents of number 15 remained out during the inspection. During the inspection a tour of number 11 took place. As all the standards were inspected at the previous inspection a small number were selected on this occasion. The remainder of the inspection involved talking to the residents, staff and the manager. What the service does well: What has improved since the last inspection? Since the last Inspection all staff have undertaken more training including equal opportunities and fire training which took place on the day of the inspection. The carpets have been cleaned in the bungalows and all residents have had new curtains and bedding in their bedrooms. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 6 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. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not looked at specifically on this occasion. EVIDENCE: Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed specifically on this occasion. EVIDENCE: Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14. Service users are supported to enable them to achieve an independent lifestyle as possible. Service users take part in appropriate leisure activities. EVIDENCE: Since the last inspection three of the residents had been on holiday. One had been away with her key worker and the other two had been together with their key workers. One remained in the home due to her frail condition. Service users participate in domestic tasks according to their assessed abilities. All attend day centres and clubs on a daily basis. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed specifically on this occasion. EVIDENCE: Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed specifically on this occasion. EVIDENCE: Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 The standard of the environment within the home is good providing service users with an attractive and homely place to live. EVIDENCE: A tour around number 11 took place. The home was clean well ventilated and well lit. Service users rooms were personalised, well decorated and all had new curtains and new bedding. The service users had all chosen their own colour schemes and had been taken shopping for them. Each bungalow has a bathroom equipped with handrails and a shower. As the washer has a cycle of 95° C. this would double as a sluicing facility. An extra dryer is required. The possibility of purchasing a condensing dryer for one bungalow should be looked into. This would prevent alterations having to be made in the kitchen. The decorator has been booked so that the bungalows can be re- emulsioned. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 14 Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,36 Service users are well supported by a stable staff team and the manager constantly seeks to facilitate staff development in accordance with the needs of the service user group accommodated. EVIDENCE: A total of eight staff work in the bungalows. Each bungalow is staffed independently .Two members of staff have retired since the last inspection and two new members have been appointed from other homes within DCHS. The manager and staff were involved in the appointment of the new members. Three members of staff have achieved NVQ 2 and one member (the manager) NVQ 4. Other members are reaching retirement age and therefore reluctant to undertake any further training. The majority of the staff have undertaken and completed medicine administration training. Recently due to two members of staff being off sick the staff have done extra shifts and staff from other homes have helped out. Monthly visits by the home managers line manager are recorded. Three monthly home manager meetings are held by the organisation. Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not specifically assessed on this occasion. EVIDENCE: Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 18 Yes Are there any outstanding requirements from the last inspection? 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 YA30 Regulation 16(2)(e) Requirement Further clothes drying facilities must be provided. Original time scale 1/1/2004 Timescale for action 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 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 Denby Road (15) DS0000019973.V277646.R01.S.doc Version 5.1 Page 20 - 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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