Inspection on 31/01/08 for 3 The Droveway
Also see our care home review for 3 The Droveway for more information
This inspection was carried out on 31st 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 6 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
The compatibility of residents living at the home remains good. 3 The Droveway 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 experience a variety of meaningful and stimulating activities, which encourages them to develop skills and maintain relationships with family and friends. The Manager makes sure that any concerns or complaints are dealt with quickly, efficiently and to the satisfaction of the complainant. Residents` health and personal care needs are well supported by CMG`s therapy team. Residents are protected by the home`s robust recruitment procedures. Residents` personal finances are managed well.
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 has reviewed and improved all care plans and records. Residents and staff are much better supported by the home`s improved care planning procedures. In addition regular health monitoring checks and records are now kept. The Manager has worked with the GP to make sure that all residents with epilepsy have clear and precise guidelines in place for staff to follow. In addition, the home has reviewed epilepsy policies and procedures for the administration of emergency medication. This has increased residents` opportunities to engage in community activities. The mealtime arrangements have been reviewed. Residents now receive 1-1 support where necessary in a relaxing and calm environment. Feedback from relatives and staff was positive in respect of the relatively new Manager who was appointed in June 2007: "Everything has changed under her management: care records, how shifts work. This is definitely for the better"`She`s definitely getting into the swing of things`.
What the care home could do better:
Whilst some staff were reasonably clear about the action they would take in the event of recognising and reporting suspected or actual harm, neglect and abuse, staff would benefit from refresher training in this area. This will help them to become confident in using the revised multi-agency guidelines. The Manager must make sure that all new staff are given a thorough induction to the home within the first 12 weeks of appointment. This will help to make sure that staff have the necessary skills and underpinning knowledge to work in the home and to meet the needs of residents. Documentary evidence of this must be available for inspection. It is an outstanding requirement of the last three inspection reports, that CMG submit an application to the CSCI for a suitably qualified and competent person to become registered as the manager of the home. Due to the organisation`s failure to take the appropriate action, a warning letter has been sent to the Registered Provider as a result of this inspection. Maintenance records must identify what action has been taken by the home to when it has been identified that something is in need of repair. Whilst it is recognised that care plans and records were improved, it is recommended that the Manager review the number of different daily records and recording methods that are currently being used in order to provide a clearer audit trail in respect of how resident`s health and personal care needs are being met. 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.