Inspection on 22/02/07 for Dallington House

This inspection was carried out on 22nd February 2007.

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

Dallington House 29/01/09

Dallington House 11/02/08

Dallington House 25/11/05

Dallington House 22/08/05

Dallington House 09/05/05

Dallington House 23/02/05

Dallington House 13/12/04

Dallington House 09/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Dallington House 228 Leicester Road Enderby Leicestershire LE9 5BF Lead Inspector Andrew Sales Key Unannounced Inspection 22nd February 2007 10:00 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 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dallington House Address 228 Leicester Road Enderby Leicestershire LE9 5BF 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) 0116 2750280 0116 2750280 hdave@hotmail.co.uk Mr Harshavadan Dave Mrs Rashmi Dave Mr Harshavadan Dave Care Home 16 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8), Old age, not falling within of places any other category (16) Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Minimum age of admission in category LD is 55 years. Service User Numbers. No person to be admitted to the home in categories LD(E) or LD when 8 persons in total of these categories/combined categories are already accommodated within the home. Service User Numbers. To be able to admit the person of category MD(E) identified in correspondence from the previous registration authority dated 09/05/01. Service User Numbers. To be able to continue to provide care to two service users, as identified in correspondence with the National Care Standards Commission dated 13th January 2004, who fall within category MD(E) and who weren’t living in the home prior to the 1st April 2002. To admit a named person into the home. 3. 4. 5. Date of last inspection 25th November 2005 Brief Description of the Service: Dallington House is situated on the Leicester Road in Enderby adjacent to the Foxhunter roundabout. The home is well situated on the main bus route into Leicester and is close to the train station at Narborough, where the nearest local shopping is also situated. Positioned in a mainly residential area the home provides accommodation for 16 Older people, including 8 places for residents with learning difficulties aged 55 years and older. The home has two floors and has access to the upper floor via a stair lift. All communal, lounge and dining space is situated to the ground floor, with the bedrooms being evenly distributed between both floors in the home. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted by A.J. Sales on 22 February 2007. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records and either discussion with them, the care staff and observation of care practices. The inspector also spent time talking with three members of staff and making observations of interaction with staff and residents. Overall the feedback was good. Residents, where possible, were happy to express their views about the home, they were positive in terms of the skills and attitude of the staff and of the overall standards of care, food, social recreation and the environment. What the service does well: Managers and staff are competent and knowledgeable about health and safety requirements and legislation. Their practice routinely protects and promotes the safety of residents. The Management team provide good support for the staff team and ensure that they are appropriately trained. Residents said that the care staff were very nice people and “kind and caring”. Care staff said residents are able to get help from other community healthcare professionals to make sure they had all the help they needed to live comfortably. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to entering the home. The home is capable of meeting the needs of residents it admits. The home does not provide intermediate care. EVIDENCE: We checked four resident’s records. The files contained assessments conducted by the deputy manager and where appropriate local authority extended social care assessments. We saw that these had been conducted on admission or prior to admission. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 9 One resident spoken with said they felt staff were very nice and were aware of their needs. They also felt that staff understood the importance of residents undertaking tasks of their own at their own pace. We spoke with staff who said they felt well trained and supported to care for people with needs such as Dementia. They described training they receive for this and the skills they had developed through their experiences. We made observations during the day, which told us that staff worked with sensitivity and patience. We observed training records and were shown equipment which staff use to support residents with. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are being made to the assessment process to ensure the safety and well being of residents. EVIDENCE: We checked four assessment plans. Three of the four assessments were not detailed and did not contain sufficient information to enable staff to ensure that they could meet the resident’s needs. The records show that the plans are being reviewed at least once each month. This process is recorded as diary entries with ‘no change’ written and signed by staff. This does not show that a meaningful review has been conducted in consultation with residents or advocates. It is particularly important given that Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 11 most residents cannot communicate effectively, that representatives, are being involved in the review process. they or their Three resident’s plans also did not contain risk assessments. These need to be completed to ensure the safety of residents and staff. However the proprietor showed us a new care plan, which showed they are doing something about this. This care plan belonged to a new resident and was very detailed. It showed all the things that this person needed help with and how the staff should do this. It explained what this person could do for themselves and that this should be reviewed on a regular basis. This is a great improvement. It is important that all the people living at Dallington House have their details transferred to this working document and are assessed in this way. We also saw evidence on care plans that people have been appropriately referred to health care professionals such as district nurses and General Practitioners. We observed care staff during the visit interacting professionally when assisting residents. Both of the residents spoken with, commented positively on the conduct and attitude of the staff. They reported that the staff were ‘very kind people’. Staff training records evidenced that medication training was provided for staff responsible for the administration of medication. The homes medication administration systems have been well maintained. There is a policy and procedures for receiving, recording, storing, handling, administering and disposal of medicines. The home is registered with the local pharmacist and support and advice obtained as and when needed. The pharmacist visits twice a year and conducts and audit of the homes medicines. The deputy manager showed the inspector the storage and records for medicines, which is generally managed appropriately. We looked at the records of one resident who had been prescribed controlled drugs. Records showed that their doctor had reviewed this person’s medication and they no longer required it. The controlled drugs were still on the premises some time after this and should be disposed of appropriately. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are helped to retain much of their independence and maintain contact with family and friends after moving into the home. EVIDENCE: The new care planning process was observed. This will help each individual to express their preferences of how support is to be given and how social stimulation is to be offered. The new care plans observed showed records of consultation as to what residents might like to do on a daily basis and throughout the year. Both of the residents spoken with, said they were content with the level of activities within the home and outside. One resident said that staff often came to sit and talk with them, when they had time away from essential duties. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 13 We observed staff doing this throughout the day, either playing games with residents or just talking with them. One resident said this was quite usual. All the staff told us that they encourage residents to participate in events and outings. They appeared well aware of residents individual preferences and described how they respect resident’s choices on occasions where they do not wish to participate in events. The staff commented that residents are also encouraged to interact within the broader community and trips to local facilities or a nearby shopping centre are arranged. Residents stated that they enjoyed food at the home. We saw that a selection of meals and choices are available throughout the day. It was established that an effective system is in place to provide each resident with specific meals. The staff described the catering arrangements. From observations it was clear they ensure that the kitchen and food preparation areas are hygienic and maintained to a safe standard. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded by the homes complaints and adult protection procedures. EVIDENCE: The inspector observed a satisfactory complaints policy and procedure, on display. We observed records that are well maintained and very few complaints are received. We spoke with two residents, one stated they would raise concerns with the staff if they felt the need to. The inspector observed an appropriate Whistle Blowing Policy and a policy detailing Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are generally satisfactory. All of the staff spoken with said they had received training in adult protection issues and were fully aware of their responsibilities to safeguard older people. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 15 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Dallington House is well maintained and furnished, providing residents with a homely and spacious environment. EVIDENCE: We observed mainly communal areas of the home and these were well furnished and maintained. The residents spoken with stated they liked the homes décor and furnishings. We saw evidence in maintenance schedules that confirmed there was ongoing investment in the furnishing and décor and servicing within the home. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 17 We felt that the atmosphere throughout the home is calming and relaxing. The bathrooms, bedrooms and communal areas such as the lounge and kitchen were well kept. The bathroom and toilet facilities viewed are in good condition and decorated to a good standard. They were also clean and free from odour. The kitchen is clean and well maintained. The two bedrooms viewed were fairly well personalised with resident’s personal possessions including photographs and ornaments. Each room viewed was individually decorated and clean. We were shown some of the equipment used by the staff to help prevent pressures sores. The staff were able to describe how they supported residents with this equipment. The laundry area viewed was well organised and clean. The laundry facilities included appropriate equipment. The inspector observed cleaning and maintenance schedules with designated areas of responsibility for each staff member Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service makes sure the right staff are employed to look after vulnerable people. Training and support for staff ensure that good practice is maintained and promoted within the service. EVIDENCE: Residents told us they never had to wait long for support and that it was timely and flexible. Staff told us that they usually had enough staff on duty and this helped them to spend time talking with residents, or doing things other than just helping with care. Three staff files were seen. They contained all relevant recruitment documents and were very well maintained. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 19 All of the staff files that were looked at showed that pre- employment checks are carried out. The staff spoken with confirmed all the recruitment procedures had taken place. The staff explained their roles and how each member of staff operated within the structure. They also told us that the manager and owner, provides support and guidance to help staff improve their skills. We observed training certificates on staff files. These covered all mandatory training subjects and other training subjects relating to the different support needs of older people. Staff spoken with, commented positively on the training and support offered. Two members of staff described the supervision process. The staff files contained records of supervision meetings. Evidence from staff confirmed that they received regular supervision and meetings with their colleagues. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s interests, health and welfare are promoted and safeguarded by the activities within the home. EVIDENCE: Two residents said they felt the home ‘very nice’ and the management team were always on hand for support and advice. Staff spoken with, confirmed that they felt supported by the manager and that they are approachable to discuss any issues. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 21 The staff told us they can always talk with the managers if they have a problem or need advice and attend regular team meetings. Supervision records were observed. Residents could not confirm whether they were consulted about day to day issues. We did observe how staff consult with residents who have different ways of communicating, throughout the inspection. They were patient and showed us how they have developed ways of understanding people. This will be able to be further developed with the new care planning process, which seems to focus more on the individual. Staff files also showed us that staff have undertaken training in mandatory health and safety subjects. Staff spoken with, were aware of health and safety procedures and commented positively on the training provided. A relevant policy with regards to the safe keeping of resident’s personal allowances is in place and followed. Running records of one resident’s accounts were checked as part of this inspection. Risk assessments were observed on the new care plans and are in place for the building, environment and staff activities. We observed records for Health and Safety monitoring and the servicing of systems and appliances. These were detailed and confirmed that health and safety is considered a priority at Dallington House. Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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 3 X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 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 3 X 3 X 3 X X 3 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 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 OP7 Regulation 14(1,a) Requirement Timescale for action 22/05/07 2 OP7 14(2.a,b) 3 OP9 13 (2) All residents must have a suitable assessment of their needs to ensure their health safety and well being. All residents must have their 22/05/07 care plan reviewed with evidence of consultation, to reflect any changes in their circumstances and promote their well being. All medicines (identified 22/04/07 controlled drugs) must be appropriately disposed of when no longer required. 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 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 24 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dallington House DS0000001786.V323207.R01.S.doc Version 5.2 Page 26 - 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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