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Inspection on 26/01/06 for Dapplemere

Also see our care home review for Dapplemere for more information

This inspection was carried out on 26th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service users were well cared for and on the day of the inspection were well presented and appeared to be well cared for generally. Service users spoken with were positive about the care they are given in the home. The food served was of good appearance and nicely served. It was tasty and service users informed the inspector that it was very enjoyable.

What has improved since the last inspection?

The new owners are keen to improve the environment in the home and are keen to work with this Commission to achieve the required standards.

What the care home could do better:

The Manager is aware that the information kept on service users must be updated to meet the National Minimum Standards of the Care Standard Act 2000. Care plans must be reviewed and updated. All paperwork relating to the home must be updated this includes the Statement of Purpose and Service Users Guide.

CARE HOMES FOR OLDER PEOPLE Dapplemere Shepherd`s Lane Chorleywood Hertfordshire WD3 5HA Lead Inspector Marian Byrne Unannounced Inspection 10:00 20 & 26 January 2006 th 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 Dapplemere DS0000064417.V275127.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. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dapplemere Address Shepherd`s Lane Chorleywood Hertfordshire WD3 5HA 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) 01494 488250 01484 488716 Pressbeau Ltd Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (15), Terminally ill over 65 years of age (7) of places Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31/05/05 Brief Description of the Service: Dapplemere is a two storey period house to which a modern extension has been added. The extension provides seven nursing places, all in single occupancy bedrooms, whilst the original building offers 15 individual places for elders. There is no lift and the original building is constructed on several levels, which means that service users are required to have a degree of mobility. The home is located in a rural setting a short drive of a junction for the M25 and Chorleywood railway station. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the last inspection the home has changed ownership. A new manager has been appointed and will apply for registration with this Commission in due course. The new proprietors have shared plans with this Commission for the future of the home. This involves making structural changes to the home and they have applied for appropriate planning permission. The inspection was carried out over two days. On the first day an immediate requirement was left regarding the use of door wedges to prop open the doors in the home. This had been carried out on the second day of the inspection. The inspector observed good interaction between the staff and service users. Due to the unsuitability of the lay out of the home the use of the upstairs rooms has been restricted to the use of three rooms. Of these, two service users are ambulant and one needs assistance with mobility. To assist this and to eliminate moving and handling problems the home has purchased a new piece of moving equipment to assist the service users up and down the stairs. What the service does well: 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. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 6 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 Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 7 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): 1,3 & 5. The information given to service users is under review and will reflect the current facilities at the home. Service Users are assessed to ensure that the home can meet their needs. All service users are welcomed into the home to visit prior to admission. EVIDENCE: As already stated the new providers are aware that the home must provide service users with appropriate information. Service users are assessed and are welcome to the home prior to admission. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 8 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): 7,8 & 10. Service user’s care plans do not reflect the needs of the service users and are under review. Service users were treated with respect and dignity. EVIDENCE: The new manager is fully aware that the present care plans do not meet the requirements and has undertaken to address this matter as a matter of priority and hope to have completed the task within one month. As the care plans are not up to date it is difficult to judge if the service user’s health care needs are fully met. This will be fully inspected at the next inspection. Service users informed the inspector that they were treated with respect and dignity, interaction witnessed by the inspector supported this. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 9 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): 13,14 & 15. Service users maintain contact with family and friends and are assisted to exercise choice over their lives. The food served was of good quality, tasty and well presented. EVIDENCE: The inspector witnessed a constant stream of visitors to the home on the day of the inspection. Service users spoken with informed the inspector that they are assisted with making choice and decisions in keeping with them retaining control over their lives. The inspector tasted the food and found it to be of good quality, tasty and served in congenial surroundings. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 10 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): These standards were not inspected. EVIDENCE: Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 11 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 & 26. The environment was clean, fresh and odour free. The layout of the home is not suitable to service users who have poor mobility or those who need to use equipment to assist mobility. EVIDENCE: On the day of the inspection the home was clean fresh, and odour free the proprietors are aware of the unsuitability of the home and are making every effort to ensure the safety of the service users. They have restricted the number of service users in the upstairs of the home to three. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 12 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): 27,28,29 & 30. There were sufficient numbers of staff on duty. Some training is out of date. Training and recruitment files must be audited. EVIDENCE: There was sufficient staff on duty. The new manager informed the inspector that staff training was not up to date she plans to conduct an audit on all training and recruitment files to ensure that all the appropriate training and security and identity paperwork is on all files. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 13 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 & 38 These standards were not fully inspected on this occasion. EVIDENCE: The inspection took place on the first week of the new manager’s appointment. The management of the home will be fully inspected at the next inspection. In her short time in the home she has identified many areas where the home was failing and she discussed these and time scales for the implication of them within the home. Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 14 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 2 X 2 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 2 x X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 15 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 OP38 Regulation 23 Requirement The Registered Provider must ensure that door wedges are not used to prop open doors. This requirement had been met on the second day of the inspection. The Registered Provider must ensure that an audit of training is completed and an action plan sent to this office. The Registered Provider must ensure that an audit is completed on all staffing files to ensure they contain all the necessary information on staff. The Registered Provider must ensure that an audit is completed on all care plans to ensure they contain all the necessary information on service users. Timescale for action 20/01/06 2 OP30 18 28/02/06 3 OP29 17 28/02/06 4 OP7 15 28/02/06 Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 16 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 Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Dapplemere DS0000064417.V275127.R01.S.doc Version 5.1 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!