Inspection on 05/01/06 for Dalemain House

This inspection was carried out on 5th January 2006.

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

Dalemain House 06/12/06

Dalemain House 07/06/05

Dalemain House 03/11/04

Dalemain House 09/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Dalemain House 19 Westcliffe Road Southport Merseyside PR8 2BL Lead Inspector Mrs Elaine White Unannounced Inspection 5th January 2006 09:30 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 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 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. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dalemain House Address 19 Westcliffe Road Southport Merseyside PR8 2BL 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) 01704 568651 Mr Glen Alan McNair Mr Glen Alan McNair Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 24 OP Date of last inspection 7th June 2005 Brief Description of the Service: Dalemain House is a residential care home, which provides personal care and support for up to 24 older people. There were 20 residents accommodated at the time of the unannounced inspection. The home is owned and managed by Mr Glen McNair. The home is located in a residential area close to the town of Southport, which can be reached by the local transport services. The home is a large converted house. All areas are accessible by a passenger lift and there is ramped access to the front garden and small car park. Grab rails are available throughout. Call bell systems are in all rooms. Community facilities include a large comfortable lounge, dining room and a well maintained enclosed garden. Accommodation includes 11 single rooms, 9 with en suite and 5 en suite double rooms. 2 residents presently accommodate 1 double room. Since the last inspection the home has made considerable progress to improve the standard of care, recording systems in place and the environment. Positive comments were received from residents, staff and visiting relatives spoken to on the care and support provided and the improvements made. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. There have been no additional visits to the home since the last inspection. A tour of the building was conducted. 20 of the 38 standards were assessed. Case tracking was conducted on three residents to assess the care and support provided. A selection of home records was viewed. The manager, deputy manager, two staff, three of the twenty residents and two relatives were spoken with and their views obtained of the home. Satisfaction comment cards were also given to residents and relatives to complete at their leisure. Comments received were favourable regarding the home, the caring nature of the staff, the improvements made in the standard of the accommodation and pleasant atmosphere in place. What the service does well: Since the last inspection the home has met all the requirements and recommendations made. The home has a pleasant relaxed atmosphere and at the time of the inspection all areas viewed were very clean and well maintained. The home makes visitors and relatives very welcome and those spoken to confirmed this. “I am very happy with the staff. They are very caring (Relative). The home provides comfortable areas for the residents to sit and chat to their visitors and relatives, such as the large lounge, pleasant dining room, private rooms and landing area. One relative commented, “The landing area is very pleasant. I can sit with my relative in private and we both feel we have been out for the day. It is also lovely to hear the music playing in the lounge instead of having the TV on all the time”. The home employs a range of care, domestic, laundry, kitchen assistants and management to meet the needs of the residents and maintain the standard of the environment. Staff interviewed confirmed the management provides support and direction at all times. Comments include “I get lots of support. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 6 They are a really good team”. Staff were observed to interact positively with residents and relatives and a relaxed, friendly atmosphere was present. Records viewed are organised and easy to follow. Staff confirmed that they are provided with sufficient information to meet the needs of the residents. The manager / or deputy manager assess all prospective residents and a detailed plan of care is then written after admission. Specialist equipment is in place to meet the needs of the residents. The district nurses attend when required to meet the resident’s needs. All visits by health care professionals and personal hygiene routines i.e. baths, oral care, hair care are recorded. The home seeks the views of residents/relatives and other visitors. A recent survey has taken place to seek the views of residents and relatives. Positive comments received included – “My mum receives excellent care and attention”. “The staff are positive and caring”, (relatives). “It is an excellent care home”, (resident). The home has an activity programme, which provides 1-1 support an attention from care staff who sit with the residents helping with jigsaws, tapestries and crafts. Other activities include a ‘music man’ entertainer, aromatherapy and massage sessions. The residents took part in a recent visit to the local pantomime. Residents spoken to comment, “I enjoyed it very much”. “I didn’t feel like going but I enjoyed it when I did”. The staff also provided a Christmas lunch for forty people including residents, relatives, visitors and staff. What has improved since the last inspection? Since the last inspection the home has met all the requirements and recommendations made in the last report. The management and staff spoken to demonstrated a positive attitude to improving standards and providing a quality care home. Redecoration has taken place in a number of areas, which includes bedrooms and communal rooms. Radiator covers are now in place throughout. The home is well maintained, comfortable and clean. The dining room has had a ‘makeover’ and provides a very pleasant and comfortable area for the residents to eat. The entrance hall provides a pleasant welcoming approach to the home and an array of leaflets; information and most recent inspection report are available for residents and visitors to view. A newsletter Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 7 keeps residents and visitors up to date with events and information. A new leaflet and printed cards on ‘Dalemain House’ is available for prospective service users and callers for information. Staff and residents meeting dates are displayed and take place regularly. These allow them to contribute to the running of the home and keep them up to date with developments. A list is also displayed of residents and their key workers. Records are organised and easy to follow. Care files are very detailed and are reviewed monthly to ensure changing needs are met. A new staff-training programme is to commence on 9th January 2006, which includes statutory training in manual handling, fire safety, first aid and health and safety. The home is to provide a staff-training matrix, which will identify training needs, training provided and renewal date. Staff are encouraged to take national vocational qualifications (NVQ) in order to meet the National Minimum Standards required. The manager and deputy manager have both recently enrolled to take NVQ Level 4 in management and care. 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 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 8 contacting your local CSCI office. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 9 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 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 10 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): 3,6. Full assessments are obtained prior to admission. Intermediate care is not provided. EVIDENCE: Individual records are kept for each resident and the manager/deputy manager complete the assessment prior to admission. Information is detailed and identifies the care needs of each resident, which includes – risk assessments, nutritional assessments and additional health care needs. This information is then used to form the basis for the resident’s plan of care. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 11 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): 7,9. Individual care plans identify health, personal and social care needs. Medication policies and procedures are in place for the safe administration of medication. EVIDENCE: Each resident has a detailed individual plan of care that identifies relevant aspects of health, social and personal care. The care plans are easy to read and staff spoken to confirmed their understanding of the care needs of the residents. The deputy manager reviews all the care plans in place and involves residents and relatives were appropriate. Residents and relatives interviewed provided positive comments regarding the care and support provided. “Staff helped me settle in and make me feel safe”. “I am very settled here” (Residents). “I am very happy with the staff they are very caring and have helped my relative settle in”, (Relative). The home has policies, procedures and safe storage in place for medication. All medication administered is recorded accounted for. Counter signatures should Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 12 be provided for all controlled drugs administered. Staff have information available to them on any allergies or specific health care needs the residents have. The home should provide medication training for all care staff within their training plan. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 13 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. Activities and daily routines in place satisfy the social and recreational needs of the residents. EVIDENCE: Assessments of need and care plans in place identify the needs of each resident. As these are reveiwed monthly this enables the home to make changes to reflect changing needs. Thoughout the inspection relatives and friends visited the home and were observed to be greeted politely by the staff. A number of relatives were spoken to and provided positive comments. ‘The staff are very caring and approachable”. Observation and discussion with staff, manager, residents and relatives confirmed the activities in place, which include quizes, aromatherapy, massages, bingo and entertainers. Activities are displayed on the notice board for residents and visitors to veiw. Staff assist the residents to do jigsaws, tapestry and crosswords daily. A relative interveiwed said, “They help my relative to take part in the activities and help keep her motivated”. Birthday parties are arranged and a christmas dinner was provided for over forty people Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 14 involving both residents, relatives and staff. One relative said, “We recently had a birthday party for a resident. It was very nice”. Resident and relative surveys are undertaken annually. Staff and resident meetings take place regularly, which enables them to comment on the care and support provided and day to day running of the home. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 15 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): 18. Policies and procedures are in place to protect service users from abuse. Staff are recruited in line within the correct procedures. EVIDENCE: Policies and procedures are in place to protect residents from abuse. All staff sign to acknowledge they have read the policies procedures. Staff interviewed demonstrated their understanding of the procedures to follow. “I wouldn’t hesitate to report any abuse to residents to the manager”. Staff employed are recruited following the correct procedures. Two written references and a criminal record bureau check (CRB) are obtained prior to employment. The management expressed that it does not maintain any financial responsibility for any resident accommodated. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 16 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, well maintained, comfortable, clean and homely environment for the residents to live. EVIDENCE: Since the last inspection the home has a number of improvements to the environment. Private and communal rooms have been decorated; radiator covers fitted throughout, the entrance hall now provides a welcome approach to the home. A tour of the premises took place, which found that Dalemain House provides a comfortable, clean and homely place for the residents to live. Residents’ rooms are clean; comfortable and contained their personal possessions. Residents and relatives interviewed expressed their satisfaction with the ‘homely and comfortable’ surroundings provided. “ I have everything I need in my room”. “We have fresh towels in our rooms every day” (Residents). “The landing area is lovely where I can sit and visit my relative in private” Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 17 (Relative). The manager confirmed further improvements are planned in the future and these include redecoration of the lounge. Sufficient toilets and bathing facilities are in place and are clean, hygienic and contain toiletries and an ample supply of fresh towels. Grab rails and other aids are in corridors, communal rooms, bathrooms and toilets where necessary to meet residents’ needs. An organised laundry system is in place and service users commented they are happy with this service. The garden is well maintained and is used often by residents and their visitors in the summer months. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 18 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): 28,29,30. Recruitment and selection procedures are in place, which aims to protect service users. A staff-training programme is taking place to equip the staff with the skills to do their jobs. EVIDENCE: Staff files viewed demonstrated the home follows staff recruitment and selection procedures to safeguard and protect the residents. Satisfactory Protection of Vulnerable Adults [POVA] checks and two written references are obtained prior to employment. Staff receive a full induction, which is organised through Learn Direct. Staff interviewed confirmed a full induction was provided and commented – “I get lots of support. They are a really good team. I watch and learn from the other staff who are experienced”. NVQ training is encouraged and the home is aiming to reach the standard of 50 trained staff. A new staff training programme is to commence on 9th January 2006, which aims to provide staff with the statutory training, which will include – manual handling, first aid, food hygiene and health and safety. The home should develop a training matrix to identify training needs, training undertaken and renewal date. This was discussed with the manager during the inspection and agreed. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 19 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 20 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): 31,35,36,38. The manager has over five years experience in running a care home. Policies and procedures are in place for dealing with service users monies. The home endeavours to ensure the safety of the residents. Formal supervision is yet to be developed. EVIDENCE: The registered manager has over five years experience of managing the care home. The manager provides day-to-day hands on support. The home employs a deputy manager, who assesses new residents and monitors care practice. A finance person is employed to deal with finances and the administration of the home. Discussion with the manager confirmed the home encourages residents/or families to deal with all financial transactions. The manager is not appointee for any resident. Both the manager and deputy manager have enrolled on NVQ Level 4 course in management and care. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 21 The views of relatives and residents are sought via annual surveys and regular meetings. This enables the home to obtain their views, make improvements and develop the service to meet their needs. A recent survey conducted in July 2005 was viewed. Comments include – “Excellent care home” (resident), “The staff are positive and caring” (relative). Staff supervision is yet to be developed and must take place at least six times a year. The deputy manager agreed to put this into place for all care staff. Day to day informal supervision takes place and staff interviewed confirmed this. “There is always someone there to help if I need it”. The home endeavours to ensure the safety of the residents. All accidents and injuries are reported and recorded and up to date certificates are in place for services i.e. gas. Fire records are maintained and fire training in place. Risk assessments are in place and updated when required. Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 22 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 2 X 3 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 23 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. 1 Standard OP36 Regulation 18 Requirement The registered manager must provide formal supervision to care staff at least six times a year. Timescale for action 31/03/06 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 OP28 OP30 Good Practice Recommendations The registered manager should continue to provide NVQ training for care staff to meet the standard required. The registered manager should develop a training matrix to identify staff training needs, training taken and training due. The training programme should involve abuse and safe use of medication training. The registered manager should obtain a qualification in NVQ Level4. 3 OP31 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Dalemain House DS0000005320.V277035.R01.S.doc Version 5.1 Page 25 - 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. 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