Inspection on 03/11/05 for Danmor Lodge

This inspection was carried out on 3rd November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Danmor Lodge 23/09/08

Danmor Lodge 06/09/07

Danmor Lodge 05/01/07

Danmor Lodge 04/07/06

Danmor Lodge 07/06/05

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Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Danmor Lodge 14 Alexandra Road Weymouth Dorset DT4 7QH Lead Inspector Gloria Ashwell Unannounced Inspection 3rd November 2005 11:00 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 Danmor Lodge DS0000062426.V263804.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. Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Danmor Lodge Address 14 Alexandra Road Weymouth Dorset DT4 7QH 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) 01305 775462 01305 781454 Danmor Lodge Ltd Mrs Susan Hasler Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Two double rooms numbered 10 and 12. One person as known to the CSCI within the category MD may be accommodated. Only ambulant persons who are able to understand and react to emergency situations including evacuation of the premises may be located in rooms numbered 24, 25 and 26, on the second floor. 7th June 2005 Date of last inspection Brief Description of the Service: Danmor Lodge has been owned and managed by Mr & Mrs Hasler since 1994. It is a detached property, set in its own grounds/gardens situated close to local shops and a short bus ride from the town centre of Weymouth. The home has been recently extended to provide more bedrooms and additional facilities and may now accommodate up to 27 service users over 65 years of age. Accommodation is on the ground, first and second floors; a passenger lift and the use of ramps enables smooth access to all parts of the home without the necessity to negotiate steps. Communal facilities include two lounges, conservatory, dining room, 2 assisted bathrooms, a conventional bathroom and a separate toilet. Danmor Lodge is a non-smoking home. The garden is laid to lawns with flower borders and at the front of the house is a patio. There is unrestricted street parking outside the home. Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place during June 2005; since that inspection no complaints against the home have been received or investigated. The inspector arrived (unannounced) at 11.00. She spoke with the carer in charge at the time and toured the premises speaking with 10 residents, 2 visiting relatives and 4 members of staff. The inspector observed staff interaction with service users and the carrying out of routine tasks including the preparation and serving of lunch, departing at 12.40. Additional information used to inform the inspection process included formal notifications of events provided to the Commission by the home, and a Comment Card completed by a resident’s relative. At the previous inspection high levels of compliance with the National Minimum Standards were found. Standards assessed and found met during the previous inspection were not reassessed during this inspection which was accordingly brief and focussed on discussions with residents. What the service does well: What has improved since the last inspection? Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 6 The report of the previous inspection contained only one requirement; no new staff have been employed since that inspection so the inspector was unable to assess compliance with the requirement. 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. Danmor Lodge DS0000062426.V263804.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 Danmor Lodge DS0000062426.V263804.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): (Standard 3 was assessed and found met at the last inspection) Standard 6 is not applicable because the home does not provide intermediate care. EVIDENCE: Danmor Lodge DS0000062426.V263804.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): (Standards 7, 8, 9 & 10 were assessed and found met at the last inspection) EVIDENCE: Danmor Lodge DS0000062426.V263804.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): (All these Standards were assessed and found met at the last inspection) EVIDENCE: Danmor Lodge DS0000062426.V263804.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): (Standards 16 & 18 were assessed and found met at the last inspection) EVIDENCE: Danmor Lodge DS0000062426.V263804.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): (Standards 19, 22 & 26 were assessed and found met at the last inspection) EVIDENCE: Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 Standard 29 was assessed at the last inspection and an associated requirement regarding the recruitment process was made. Since that inspection the home has not employed any new staff so compliance with the requirement has not been reassessed and the requirement has been retained for assessment at the next inspection. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: The inspector spoke to a number of staff, including care workers and household staff. All expressed satisfaction with their work, employment and training opportunities and felt that the home provides good standards of social care to residents. At the time of inspection there were sufficient staff on duty to properly meet the needs of residents, including accompaniment for one resident who spent the morning shopping in the town. Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 14 Staff receive training appropriate to their needs and are supported and encouraged to train for National Vocational Qualifications. Staff trained in First Aid and health care are on duty in the home at all times. Danmor Lodge DS0000062426.V263804.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): 31, 33 & 35 (Standard 38 was assessed and found met at the last inspection) Staff have good leadership from the Registered Manager and the Senior Care Worker. Residents are satisfied with the home and feel staff care for them well and put them at their ease. The home does not manage the finances of any resident. EVIDENCE: The Registered Manager is Mrs Hasler, who together with her husband has owned the home since 1994, most recently in the title of Danmor Lodge Limited. Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 16 Mrs Hasler is supported in her managerial duties by a senior care worker who is currently training for Level 4 of the National Vocational Qualification in care. The home arranges periodic Residents Meetings. On an ongoing and informal basis the opinions of residents about standards in the home are routinely sought by Mrs Hasler and her staff during conversation in their daily work. The home does not manage the personal finances of any resident; there are facilities for the temporary storage of monies and valuables which residents no longer wish to personally hold. Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X 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 3 X 3 X 3 X X X Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 & Sched 2 Requirement There must be evidence that the home operates a robust recruitment procedure. New staff must not commence work in the home without evidence of suitable CRB and POVA disclosure. This requirement was not assessed during this inspection because no new staff had been employed; the requirement is therefore retained for assessment at the next inspection. Timescale for action 29/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Danmor Lodge DS0000062426.V263804.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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