CARE HOMES FOR OLDER PEOPLE
Dallington House 228 Leicester Road Enderby Leicestershire LE9 5BF Lead Inspector
Fiona Stephenson Unannounced Inspection 09:30 25 November 2005
th 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.V261513.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. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 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 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.V261513.R01.S.doc Version 5.0 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. Named person To admit a named person into the home. 22nd August 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Dallington House is situated on the Leicester Road in Enderby adjacent to the Foxhunter roundabout. 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. 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. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken by one inspector that started at 09:30am and finished at 11:30am. The inspection primarily focused on checking whether the requirements from the previous inspection had been carried out. The inspector also spoke with residents living at the home, and checked the living accommodation and bedroom areas. What the service does well: What has improved since the last inspection? What they could do better:
The main foyer could have seating to enable residents the option of sitting down whilst awaiting transport to day care. This could be arranged without comprising fire evacuation procedures. The wall behind the newly installed toilet could be made good through replastering and decorating to provide a more pleasant environment. Although monthly reviews of care plans take place, the staff could ensure consistency as to where the information is located in resident’s individual files to make it easier for staff to find. Staff could ensure that action is taken to eliminate the unpleasant odour coming from the bedroom identified during the inspection. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 6 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. Dallington House DS0000001786.V261513.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 Dallington House DS0000001786.V261513.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): Not checked on this occasion. EVIDENCE: Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 9 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 The residents health and social needs are set out in a plan of care. EVIDENCE: The inspector checked the files of two residents and found all relevant information documented in the files. The home undertakes monthly reviews of the care plans, but these are not always documented in the ‘monthly review’ section of the records, and are instead documented elsewhere in the records. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 10 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): 15 Residents are provided with a menu that satisfactorily meets their needs. EVIDENCE: Care staff are responsible for cooking residents food. Residents spoken with were happy with the food they received, although one said there were never Yorkshire puddings on the menu, and that he would like this. The staff informed the inspector, that with a small resident group they have a good understanding of the food residents like and dislike and put the menu together accordingly. The inspector checked the four weekly menu and was satisfied that it provided sufficient choice to residents living at the home, and was also mindful of dietary needs such as Diabetes. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 11 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): Not checked on this occasion. EVIDENCE: Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 12 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 Residents live in an environment that is sufficiently maintained to meet their needs. EVIDENCE: The lounge area has recently had a new carpet fitted, and a new carpet is on order to be fitted in the ground floor corridor leading to the lounge and residents bedrooms. Bedrooms were found to be in a clean condition and tidy condition although there was an unpleasant odour coming from one of the bedrooms checked. The bed base in this bedroom was very stained, and the inspector was informed that action had already been taken to change the base. She was also informed that a further two bases were on order to replace others in the home. The shower unit has been repaired since the last inspection, and new flooring is on order and ready to be fitted at the same time as the ground floor carpet. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 13 The stair carpet is a little frayed at the edges, and is noticeable since the stair lift has been re-situated. It does not however impact on the health and safety of residents as the stair lift separates the fraying edges of the carpet from the rest of the carpet that is in reasonable condition. The inspector noted that two of the residents spend some time standing in the hallway awaiting their lift to the day centres. There is currently no seating in the hall. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 14 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 Sufficient staff are on duty to support the care of residents living at the home. EVIDENCE: The inspector observed three care staff on duty plus the manager of the home. Although one care worker was taken out of care duty to make the resident’s lunch, there remained two other members of staff plus the manager to support the care of nine residents who were in the home during the day (three regularly go out for the day). Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 15 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): Not checked on this occasion. EVIDENCE: Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? None 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. 1 2 3 4 Refer to Standard OP19 OP19 OP26 OP7 Good Practice Recommendations Continue to ensure that renewal of the fabric and decoration of the premises is carried out when required. Consider having seating in the foyer to make it more comfortable for residents awaiting transport. Ensure action is taken to remove the unpleasant odour coming from the bedroom identified during the inspection. Ensure the monthly review of the care plan is clearly located in the records. Dallington House DS0000001786.V261513.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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