Inspection on 06/10/05 for 5 Dick o` The Banks

This inspection was carried out on 6th October 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

5 Dick o` The Banks 30/10/06

5 Dick o` The Banks 16/02/06

5 Dick o` The Banks 17/03/05

5 Dick o` The Banks 29/11/04

5 Dick o` The Banks 28/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Dick o` The Banks (5) Crossways Dorchester Dorset DT2 7BG Lead Inspector Marion Hurley Unannounced Inspection 6th October 2005 11:00 Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 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 Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 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. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dick o` The Banks (5) Address Crossways Dorchester Dorset DT2 7BG 01305 267483 01305 267483 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) Dorset Residential Homes Richard James Swift Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th March 2005 Brief Description of the Service: 5 Dick o’ the Banks Road is a care home providing personal care, support and accommodation to four people who have learning disabilities. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care homes in Dorset. The building is a large bungalow, located in Crossways, a village approximately 5 miles from Dorchester. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. 5 Dick of the Banks was assessed according to the Care Home for Adults (1865) National Minimum Standards. T he overall time spent to complete the inspection process was a total of five hours, two of which were spent at the Home. In the course of this inspection both the newly appointed Deputy Manager and one senior support worker were available. Two residents were at home but did not participate in the process of the inspection. The inspection process was assisted by the openness of the two staff who provided information and access to the records requested. The inspector was grateful for their time and commitment to the inspection. This was especially appreciated, as it was a very busy morning with one of the residents clearly not feeling well which placed extra pressure and duties on the staff. Two resident’s files were read in the course of this inspection. Prior to the inspection comment cards had been received from relatives, Health and Social Care Professionals and these were used to inform some of the outcomes of this inspection. What the service does well: The home provides a friendly and open atmosphere offering a very flexible needs led service for a group of residents with varying needs and abilities. The resident’s Life Plans are well written and provide a genuine picture of the person, which was verified by staff on duty. From discussions with the staff they genuinely have a very positive approach towards their work with all the residents. Their experience, knowledge and common sense demonstrated their ability to deal sensitively with the different and demanding needs of the residents. Residents are given every practical opportunity to make their own choices and these are carefully monitored and recorded to ensure any changes are reflected in the residents own Plans. Residents are encouraged to maintain links with their family and photographs of relatives were included in the residents’ Life history. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 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 Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 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): None of these standards were assessed. EVIDENCE: Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 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): 6, 7 & 9 • Each resident has two files one describing and recording their Life Style Activities and the other file contains their Life Plan. The individual Plans reflect the needs and action plan for each resident and identifies the support and facilities each may require. Residents are encouraged to participate and make decisions in all aspects of their daily lives. This participation is based on individual risk assessments and the resident’s interests and abilities. • EVIDENCE: Records of two residents were read and provided a real picture and feel of the individual residents. The Lifestyle Activity records are written in the first person and throughout the records there was a great emphasis on the resident “to be given the opportunity to make choices, e.g. “to be given the opportunity to listen to music of my choice”. Included in the records is a daily Record of Life Plan Choices and Goals. This is a monitoring chart of individual participation and accomplishments. The records entitled My Life Plan are good and again really describe the person, a section, “What my carers need to know about me” links into the risk assessments and comments such as “no concept of danger” alert staff to the residents specific needs. A further section Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 10 described, “How I communicate” and “How to communicate with me” outlines the resident’s non-verbal messages/behaviours and what the understanding and interpretation of these messages might be. Other sections include likes/dislikes and finally a section “Things that must happen to maintain my Life Plan”. An action plan and reviews were evident and had been signed by all those who had contributed in writing the resident’s Life Plan. The files contained very good use of photographs showing the resident enjoying activities and included photographs of people significant in the resident’s life. Discussions with the member of staff clearly indicated their knowledge and understanding of the residents in the Home and verified the detailed records which were working documents for each resident and the staff team. A separate file is kept which contains all the resident’s risk assessments, which identify the hazards, the action to reduce the risks and a goal plan. The assessments were functional and those read on the day of this inspection had been reviewed. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 11 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): 11, 12 & 14 • All residents are encouraged to lead active meaningful lives and are given every opportunity to learn and develop through participating and experiencing a wide range of appropriate leisure and daily living activities. All residents have opportunities to join in activities outside the home, which enhance the residents’ local network and understanding of the community in which they live. • EVIDENCE: All the residents have varied weekly routines that include some activities away from the Home. Activities range from swimming, walking, horse riding, going to the local shops and participating in household chores and residents participate/assist according to their abilities and interests. All four residents living at the home are totally dependent on staff for all their daily needs and staff spoke of always having to adopt a flexible approach when encouraging residents to participate, as much depends on the atmosphere, feelings and behaviour on any given day. Irrespective of the resident’s Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 12 sometimes complex needs and behaviour staff are clearly willing to engage the resident in purposeful activities. The records specified the different activities each person enjoyed and was further evidenced from discussions with staff. Two residents go to Day Services Monday to Friday and a comment card from this service commented how positive regular liaison meetings had been to enable the sharing of information and facilitate joint working where appropriate. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 13 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): 18 & 19 • The home provides a high level of flexible personal care with individual preferences taken into account. These are described in the residents’ Life Plan and provide clear information for staff ensuring each resident receives personal care and support in a manner which reflects their preferences. Resident’s’ healthcare needs are provided for including those with more complex physical, and emotional needs with evidence of multidisciplinary work. • EVIDENCE: The records previously referred to contained evidence of regular access to NHS services for the residents’ health needs. Notes of all appointments with health and social care professionals were recorded. Community Nurses support staff and staff stated there were positive links with the local Health Practice. Records contained specific monitoring charts i.e. sleeping patterns, weight monitoring. Staff spoken with during the inspection demonstrated a good understanding of the personal and healthcare needs of the residents who are totally dependent on the staff to understand and interpret their individual behaviours when they maybe unwell or distressed. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 14 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 was not assessed at this inspection. . EVIDENCE: Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 15 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): • These standards were not assessed at this inspection. EVIDENCE: Checklists and monitoring charts for all the daily routines and the cleaning rota were all noted to be up to date. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed at this inspection though a very positive comment card was received from a relative of a resident which described the home and quality of care as “excellent and caring home”. EVIDENCE: Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 17 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): 42 • At the time of this unannounced inspection safe-working practices appeared to be satisfactory ensuring a safe environment for both residents and staff. EVIDENCE: Records were checked which indicated that equipment was regularly serviced and the testing of services/facilities provided in the home were completed within the required timescales i.e. electrical testing, mixing valve, gas safety, waster disposal, records & maintenance of the home’s mini bus. Records showed all staff had attended the annual fire lecture and the recent fire drill had involved two residents. Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dick o` The Banks (5) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000032131.V252687.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 Dick o` The Banks (5) DS0000032131.V252687.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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