Inspection on 23/07/07 for 287 Dyke Road
Also see our care home review for 287 Dyke Road for more information
This inspection was carried out on 23rd July 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 15 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 reasonably good decorative order. It presents as a clean, well-maintained and homely place to live. 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. Residents are protected from potential harm, neglect and abuse through the home`s robust policies and procedures and through staff receiving appropriate training. Residents` finances are managed well. Residents are supported by a consistent and well trained staff team.
What has improved since the last inspection?
Since the last inspection, the home has made the following improvements: - All ground floor windows have been restricted. This helps to better safeguard residents and staff from potential intruders. - Well over 50% of care staff have achieved at least NVQ Level 2 in Care. This helps to ensure that residents are supported by a well-trained and knowledgeable staff team. - An additional driver has been recruited, which offers residents increased opportunities to make us of community facilities. - Some of the additional staff seating has been removed from the lounge area and a flat screen TV has been affixed to the wall in order to create more space for residents.
What the care home could do better:
There are a number of outstanding requirements from previous inspection reports: - Terms and conditions of individual contracts and funding arrangements are still unavailable for inspection. - The home has failed to update individual epilepsy management guidelines and provide additional training to staff. - The home is still without a qualified Registered Manager. Other areas for improvement include: - The home must improve the systems that are in place to ensure that no person is admitted to the home whose needs cannot be met. Final decisions,regarding admissions to the home must be taken in conjunction with the home`s Manager with a clear understanding of what the home is able to provide. - All of the residents living at the home have profound physical and learning disabilities with associated healthcare needs. It is therefore important that individuals` needs are clearly outlined within detailed plans of care. The home must ensure that all residents have an up to date and person centred plan of care in place based on individual needs and preferences. - In order to better safeguard residents from potential medication errors when they are on social leave, the home must ensure that clear procedures are written up and documented in line with the home`s policies for the safe handling of medicines. - The conservatory area becomes cold and draughty in the winter months. This prevents residents from using their lying boards on the floor in the lounge (as per their postural management guidelines). The home is required to take the appropriate action. - The home must ensure that it implements it`s own systems for reviewing the level of care provided within the service and take the appropriate action to rectify any shortfalls. This should be carried out at regular intervals and involve residents and relatives as much as is possible. Due to these failings and the failure of the Providers to identify and rectify key issues, the CSCI must consider whether any further action is necessary to ensure improvements are made.