Inspection on 19/01/08 for 287 Dyke Road
Also see our care home review for 287 Dyke Road for more information
This inspection was carried out on 19th January 2008.
CSCI found this care home to be providing an Adequate service.
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 8 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
287 Dyke Road offers a friendly and relaxed environment that is kept in good decorative order. It presents as a clean, well-maintained and homely place to live. Albeit that residents` verbal communication is limited, staff working in the home were observed to interpret individuals` subtle level of communication and include residents in the daily routines of the home wherever possible.Residents are supported to lead varied and fulfilling lifestyles, which encourages them to develop skills and maintain relationships with family and friends. The home has good systems in place to ensure that all complaints are dealt with appropriately. Positive feedback was received from relatives: "The staff are able to take him out for a wander as local amenities are quite good". "The staff are wonderful, no problems" "Staff are very open and don`t mind us asking anything. There is an open door policy."
What has improved since the last inspection?
Following the serious concerns that were raised at the last inspection, the Commission held a Management Review Meeting and met with a senior representative of CMG. The home was required to submit a detailed improvement plan to detail what actions they would be taking to improve the service and to meet all of the requirements within the given timescales. Since this time CMG`s quality assurance inspectors and senior staff have monitored the home on a monthly basis and at regular performance improvement meetings. The Commission received regular written updates of the progress made and evidence was seen over the duration of this inspection that the home has indeed improved many areas and outcomes for people who use the service: The Manager and Assessment Referral Officers have begun to work together to make sure that as much information as possible is gathered prior to any new person being admitted to the home. This helps to make sure that only people whose needs can be met by the home are admitted. The Manager and Deputy Manager have attended person centred planning training. This has supported them to review and update all care records and risk assessments. Residents and staff are much better supported by the home`s improved care planning procedures. CMG`s indoor hydrotherapy pool has been certified as safe for use after almost two years. Residents are now able to benefit from using this at least once a week. The home has provided staff with training in the following areas: epilepsy, first aid, food hygiene, fire, manual handling and health and safety. This helps to ensure that staff are competent to meet the needs of residents. Draught excluders have been fitted to some of the ill-fitting doors and windows in the conservatory area. It is anticipated that these will be replaced with UPVC double-glazing in May/June 2008. The appointed Manager has begun working towards her Registered Manager`s Award (RMA) and has submitted an application to the Commission to become the Registered Manager of the home.
What the care home could do better:
Residents and their representatives need to know what they can expect for the money they pay. The Manager must make sure that copies of all residents` terms and conditions of contract inclusive of the fees payable are kept within the home and made available for inspection. This requirement is outstanding. Whilst on the whole care plans were greatly improved, the Manager should consider reviewing the number of different recording methods that are currently being used. This will help to make sure that confidential recording keeping procedures are followed at all times and help to provide a clearer audit trail of the actions and interventions taken by staff to make sure that residents` needs are being met. In addition, the Manager is required to make sure that clear individual epilepsy management guidelines are in place for staff to follow. This requirement is only partially met from the last two inspection reports. In order to make sure that residents` healthcare needs are met, the Manager needs to liaise with the GP in respect of some medicines. She must further ensure that the home`s procedures for the safe handling of medicines are followed at all times. In order to make sure that all residents are safeguarded from potential harm, neglect and abuse, the Manager must ensure that all staff working in the home know when and how to respond in the event of suspecting and alerting potential abuse. Although the home has made good progress in improving the overall conduct and management of the home since the last inspection, which has in turn improved the outcomes for people who use the service, the Commission will need to see evidence that this is sustained over a reasonable period of time.