Inspection on 14/09/05 for Danescourt

This inspection was carried out on 14th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Danescourt 06/11/07

Danescourt 26/10/06

Danescourt 04/01/06

Danescourt 13/01/05

Danescourt 27/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOMES FOR OLDER PEOPLE DANESCOURT 1 Rectory Gardens Doncaster DN1 2JU Lead Inspector Ian Hall Unannounced 14 September 2005 08:30 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 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. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Danescourt Address 1 Rectory Gardens Doncaster DN1 2JU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01302 328455 Doncaster and South Humber Healthcare NHS Trust Josie Rollings Care Home 10 Category(ies) of Learning disability (10) registration, with number Learning disability over 65 years of age (10) of places DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13 January 2005 Brief Description of the Service: Danescourt is a residential home owned by Doncaster & South Humber Healthcare Trust who, in conjunction with the independent, private and voluntary organisations, provides small community homes for people with learning disabilities needing long-term care. Danescourt is one such establishment, providing care for people who have previously spent many years living in large institutional hospitals.The home is registered to provide personal care and accomodation for up to ten elderly persons within the category of Learning Disability. The care manager who has responsibility for day- to- management of the home is Mrs J Rollins. Danescourt is a large detatched house that is situated at the junction of Rectory Gardens and Thorne Road. It has a prominent position overlooking Town Fields. The home was formerly a private family residence that has been extended and adapted to meet the specific needs of the residents. There is a choice of two lounges and a dining room that overlook the well maintained gardens. A passenger lift provides access to the first floor bedrooms.The home is set within well-stocked and maintained gardens. There is a private and well secluded area at the rear of the property that is regularly used for barbecues and activities. Pathways within the grounds are level to enable easy access. There are limited car-parking spaces available at the home that home is located upon a bus route. Residents use the local shops and are able to access the town centre for shopping. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6.5 hours and was the first of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. Three residents care files were “case tracked” and the associated records checked. What the service does well: What has improved since the last inspection? The homes owners have continued to invest in their ongoing programme for updating and refurbishment of the home. Lounge seating had been renewed with individually tailored armchairs being provided to facilitate and aid mobility. Residents whose rooms had been redecorated were happy with the outcome and choice of colours used DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 6 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. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 standard(s) 2, 3, 4, 5, 6. Examination of case files and discussions with care staff and residents demonstrate their involvement in choosing to live at Danescourt. During the officers discussion with management it was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. EVIDENCE: Residents and staff confirmed that they had discussed the care and service provision before admission to Danescourt. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Intermediate care is not offered at Danescourt. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 standard(s) 7, 8, 9, 10, 11. The Manager and her team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely. EVIDENCE: The officer inspected care records of 3 residents; they contained individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. These records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. None of the residents was responsible for their own medication although this facility is available. Staff were observed administering medications and providing appropriate support to residents. Service users and visitors stressed that staff were always keen and willing to help them. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 standard(s) 12,13,14,15. The homes owners and their team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely EVIDENCE: There were numerous visitors to the home throughout the day. They confirmed that they were able to visit at any reasonable time, with shift workers visit at any other time by appointment. Well-behaved pets were able to visit be arrangement. The home employs an activities co-ordinator. Activities were organised on either a one to one or small group basis. Residents were observed to be reading, listening to music and watching television. None of the residents currently leave the home unless accompanied by members of their family or staff. Nourishing fluids were readily available throughout the day. There was a choice of midday meal, staff was observed to encourage and assist with meals as needed. Mealtimes were unhurried with extra portions available as required. Relatives were pleased to be to assist their loved ones with meals. Specialist diets are available for those requiring this service. The dietician has assisted with compiling the menu. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 standard(s) 16. Staff spoken to were confident and competent to respond to concerns or complaints effectively. EVIDENCE: Residents and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to the homes manager and that any small points raised were dealt with promptly. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26. The home both appeared clean and smelled fresh. The homes owners and care team works hard to both maintain and improve the resident’s environment. EVIDENCE: The homeowners continue to redecorate and refurbish the home in line with their business plan. Individual bedrooms have been redecorated, re-carpeted and refurbished since the last inspection. Lounge areas have benefited from the purchase of a range of armchairs with a variety of heights, redecoration and re-carpeting. Several bedrooms were visited all appeared comfortably furnished and decorated. A number of residents and their families had taken the opportunity to personalise their space with personal effects and memorabilia. Toilets and bathrooms were readily accessible and equipped with aids and adaptations as required. Service users spoken with were very satisfied with the building and its cleanliness. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 30. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. EVIDENCE: The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff has undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and are involved in national vocational qualification training and medication administration training. The dependency level of residents continues to increase as the residents age and their needs change, the Authority must develop a tool to monitor this and respond by increasing numbers of staff on duty to meet these needs. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 38. The home is well organised and managed with all statutory servicing and checks complete. The management teams enthusiasm and positive approach to elder care has clearly influenced the whole team and benefited the service users. EVIDENCE: Visitors to the home stated that they had ready and easy access to the homes owners and management and that they felt confident in them. Staff stated here was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. Risk assessments had been completed and were reviewed regularly. DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x 3 x 3 DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 16 no Are there any outstanding requirements from the last inspection? 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 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. Refer to Standard Good Practice Recommendations DANESCOURT 20050831 Danescourt X00015 UI Stage 4 S7990 V215355 J55.doc Version 1.40 Page 17 Commission for Social Care Inspection 1st Floor, Barclay Court Heavens Walk Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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