Inspection on 03/11/05 for 99 -105 Durham Care Homes

This inspection was carried out on 3rd November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

99 -105 Durham Care Homes 03/01/08

99 -105 Durham Care Homes 23/11/06

99 -105 Durham Care Homes 28/02/06

99 -105 Durham Care Homes 16/02/05

99 -105 Durham Care Homes 21/10/04

Similar services:

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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

CARE HOMES FOR OLDER PEOPLE 99 -105 Durham Care Homes 99-105 Durham Street Holderness Road Hull East Yorkshire HU8 8RF Lead Inspector Malcolm Stannard Unannounced Inspection 3rd November 2005 12:00 X10015.doc Version 1.40 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 99 -105 Durham Care Homes DS0000000845.V264166.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 Older People. 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. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 99 -105 Durham Care Homes Address 99-105 Durham Street Holderness Road Hull East Yorkshire HU8 8RF 01482 229766 01482 229766 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) Durham Care Homes Mrs Joan Langfield Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2005 Brief Description of the Service: Durham Care Homes is situated to the east of the city of Hull, on Durham street, which runs off a main road. The home is registered to provide care and accommodation for twenty older people who may also be suffering from dementia. There are fourteen single rooms and three shared rooms. A large lounge and a dining room are available on the ground floor of the home, and a small lounge is available on the first floor. A small car park and patio/garden area is available to the rear of the premises for residents use. Shops, churches and local health facilities are all accessible within a small distance, public transport is also available close to the home on the main road. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. Some parts of the building were looked around and a few of the records were inspected. Residents were spoken with along with visitors as well as chats with staff members as they worked. The manager and deputy manager were available during the inspection. What the service does well: What has improved since the last inspection? The number of care staff members who hold an NVQ qualification has increased from 21 to 55 meaning the home now meets the standard for qualifications of staff. The residents guide has been adapted to make sure it includes all information required. Every area of a residents care plan is now reviewed on a monthly basis by key workers. Nutritional assessments are also now carried out on every resident. Policies, which required minor amendments, have now been updated and amended. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 6 The recruitment process used by the home has been amended to ensure that two written and signed references are taken for all applicants. 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. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5, & 6. The admission procedure ensures that a proper assessment is carried out prior to people moving into the service. This process means that a resident and their representatives can be sure the home will meet their needs. Information is available to aid a decision regarding the suitability of the home. EVIDENCE: A statement of purpose and resident guide are available which contain all the information required by the schedules. Both these publications provide prospective residents and relatives with information regarding the home. Members of staff from the home always carry out a pre admission assessment prior to the offer of a place at the home and a copy of any assessment and care plan completed by the placing authority is also obtained. This practice was confirmed by a relative spoken with during the inspection, she also said that following the assessment, she could then be sure the home was able to meet her mother’s needs. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 9 The certificate of registration for the home is displayed in full in the entrance corridor. A relative confirmed that they had been able to visit the home prior to a decision been made regarding any admission to the home. The home does not offer intermediate care places. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, & 9. Health care needs of residents are identified and met; all aspects of their care are recorded in an individual plan. Medication recording needs some minor adjustments. EVIDENCE: An individual plan of care is held for every resident. Every area of the care plan is reviewed on a monthly basis by the key worker. Risk assessments are completed for any physical risks, which may be associated with individuals care. All residents are subject to a recorded nutritional assessment. 19 members of care staff hold a first aid qualification, those who do not hold the qualification are to attend a training course shortly. Accident records were checked and found to be completed correctly, they were able to be cross-referenced with resident’s individual files. Residents spoken with said they were able to access health services whenever they required them. One said, “ I can see a Doctor whenever I want, I only have to ask” another stated, “ When I am not well, they look after me”. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 11 The majority of care staff have now undergone medication training, whilst storage and administration of medication was satisfactory, it was found that the home did not routinely carry forward stock already held, onto a medication administration record. The manager of the home must ensure that these records are held. The home is now completely non-smoking, with anyone wishing to smoke been asked to use the rear patio/garden area. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15. A range of recreational activities is provided in the home and resident’s preferences are accommodated. Contact with friends, family and within the local community is encouraged where appropriate. Residents have choice and experience good quality in the meals provided. EVIDENCE: A wide range of activities are carried out in the home, with all abilities catered for. A trip out for many of the residents was held recently, when a meal and a concert were enjoyed. On the day of visit one lady had gone for a walk to the local shops, two residents also attend church services. Visitors are encouraged at all reasonable times, and were observed to be joining in the general ethos of the home. Telephone contact is available for all residents and contacts with the local community are encouraged by staff and management. Food provision seen was of good quality and well presented, the menu records a good range of foods been available offering healthy and nutritious meals. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 13 Residents said they were able to choose an alternative if they wished. All meals are taken in the dining room, which encourages a pleasant socially interactive mealtime. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18. The home has a complaints procedure, which meets the needs of residents, and relatives who feel their views are listened to. A vulnerable adults procedure and policy is available and staff are formally supervised and trained in order to protect residents from abuse. EVIDENCE: A comprehensive complaints procedure is available and records of complaints are held. There is only one complaint recorded since the last inspection, the manager said that there had been many minor niggles which had been dealt with there and then. Residents and visitors spoken to were aware of how to make a complaint should they need to. Residents are registered on the electoral register and would be assisted to vote in any election should they so wish. A comprehensive procedure is available in relation to the prevention of abuse to vulnerable adults, which is linked to the joint agency procedure. A whistle blowing procedure is available for staff in the home. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 & 26. The home provides a safe, comfortable and clean environment for residents, which is pleasant and homely. Rooms available meet the needs of individual residents. EVIDENCE: The whole of the home is presented in a well-maintained and pleasant manner. One resident told me that she “felt at home” and “ It’s lovely here”. The home appeared hygienic throughout and no malodours were detected. The manager explained that there were plans to replace the carpet and curtains in the dining room in the near future. There is an ongoing maintenance programme for the home. Individual residents rooms were well presented and personalised with photographs and occasionally pieces of furniture. Some residents had had telephones fitted within their rooms. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 16 The ground floor lounge area can become crowded, as it is far more popular than the smaller first floor room. Activities such as bingo etc are held in the dining room. A bath hoist is available which had been serviced as required. There are two bathrooms, which do not have hoists or chairs available. The manager explained that discussions were been held in regard to the re equipping of the ground floor bathroom. Doors were secure, without restricting the liberty of residents who were able to leave the building as they wished into the rear garden and patio area. All equipment utilised in the home is checked as required under servicing agreements. Fire records were checked and found to be kept up to date, with a fire practice evacuation taking place every two months. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 & 30. Procedures for the recruitment of staff are satisfactory and offer protection for the residents in the home. Staff training and checking of their competence enables good quality care to be offered. EVIDENCE: A programme of staff training is available including the opportunity to take NVQ qualifications, the home has access to three NVQ assessors, and of the 18 care staff employed, ten have now achieved an NVQ level 2. The requirement of 50 of care staff been qualified is therefore met and exceeded. Turnover of staff within the home is low and many staff members have worked at the home for a lengthy period of time. The homes recruitment systems are now operated from a central human resources department. Information recorded includes evidence of a CRB check having been carried out, written references sought and copies of relevant qualifications. Two signed written references are insisted upon for all applicants. A comprehensive induction programme which meets the requirements of the National Training Organisation is available. In house training takes place and a wide range of areas are addressed, including recently, medication, protection of vulnerable adults and moving & handling which the majority of staff have now completed. First aid and fire training is to be carried out soon. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36, 37 & 38. Appropriate leadership and management of the home is available. A resident centred ethos is promoted within the home. Resident’s financial affairs are safeguarded by the homes policy. Health and safety provision within the home is addressed positively. EVIDENCE: The manager of the home has lengthy experience of residential care and has been the manager at the home for around nine years. The manager holds an NVQ 4 in management and is undertaking an NVQ 4 in care. She should ensure that this is completed as soon as practical. The manager is registered with the Commission for Social Care Inspection. The home also holds both parts of the local authority quality development scheme and an investors in people award. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 19 The management of the home is carried out with leadership and appropriate guidance; ensuring residents receive a quality of care, which is consistent. Staff and residents spoke highly of the guidance the manager is able to offer. The home is resident centred and time is taken to ensure that no resident is isolated. The home will assist residents in managing their personal monies with appropriate records been held and satisfactory storage. Receipts are held for any expenditure on behalf of a resident, including hairdressing or chiropody. Staff members undergo formal structured supervision on at least 6 occasions per year Records held in relation to residents are securely stored, with those seen been up to date and complete. A new system of recording for all residents is been introduced on a gradual basis allowing easier access to required information. Health and safety of residents is protected by the management ensuring safety certificates are up to date and appropriate risk assessments are carried out. Accident records were completed appropriately. Fire prevention equipment records are held correctly, full evacuation drills are held every two months. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 2 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 X 3 3 3 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 21 Requirement All medication held in the home on behalf of residents must be recorded on the medication administration sheet. Timescale for action 16/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP31 OP21 Good Practice Recommendations The Registered manager should obtain an NVQ level 4 qualification in care. The registered provider should give consideration to adapting the unassisted bathrooms to make them more useable by residents. 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 99 -105 Durham Care Homes DS0000000845.V264166.R01.S.doc Version 5.0 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!