Inspection on 08/03/06 for Davenport Manor

This inspection was carried out on 8th March 2006.

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

Davenport Manor 04/02/09

Davenport Manor 09/01/07

Davenport Manor 08/09/05

Davenport Manor 03/03/05

Davenport Manor 09/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Davenport Manor 170 Bramhall Lane Davenport Stockport Cheshire SK3 8SB Lead Inspector Kathleen Mcall Announced Inspection 10:00 8 & 9 March 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 Davenport Manor DS0000008551.V280395.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. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Davenport Manor Address 170 Bramhall Lane Davenport Stockport Cheshire SK3 8SB 0161-483 4598 0161 483 4598 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) Davenport Manor Nursing Home Limited Mrs Wendy Drabble Care Home 34 Category(ies) of Dementia (34), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (10), Old age, not falling within any other category (34) Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 34 services to include: *up to 34 service users in the category of OP (Old age not falling within any other category). *up to 10 service users in the category of MD(E) (Mental disorder, excluding learning disability or dementia - over 65 years of age). *up to 34 service users in the category of DE (Dementia - under 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th September 2005. 2. Date of last inspection Brief Description of the Service: Davenport Manor is one of two residential care homes owned by the Davenport Manor Nursing Group. The registered provider is Davenport Manor NH Limited; directors are Mr Kieran Patel and Mr Dilip Patel. Mrs Wendy Drabble is the registered manager. Davenport Manor is registered to provide care for up to 34 older people or older people with dementia over the age of 65 years, and up to ten residents with a diagnosis of mental disorder. Davenport Manor provides permanent residential care services, respite and short-stay services. Accommodation comprises of 28 single bedrooms, 17 with en-suite facilities, and six shared rooms. There are three lounge/dining rooms. The home has a passenger lift to assist service users to the first floor. A large, fully enclosed garden is situated at the rear of the building and there are ample car parking facilities at the front of the house. Davenport Manor is situated in the Davenport area of Stockport. Local shops, churches, post office, surgeries and a newsagent are close by. There is a regular bus service and Davenport railway station is approximately a quarter of a mile away. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which took place over the course of two days. The registered manager and the deputy manager accompanied the inspector throughout the inspection process. Care plans, assessment documentation, medicines and their storage were examined. The inspector spoke with several residents and three relatives who were in the home at the time of the inspection and spoke with members of staff. Eight service user comment cards were returned; seven cards indicated that residents like living at the home and one responded sometimes. Eight cards indicated that residents felt well cared for, that staff treated them well, seven said that their privacy was respected and one said that their privacy was sometimes respected. Six service users’ comment cards said that the home provided suitable activities and two said sometimes. Eight service users indicated that they liked the food provided. Seven service users indicated that they felt safe and one service user responded sometimes. Seven service user comment cards indicated that service users knew who to speak to if they were unhappy with their care and one did not respond. One resident wrote ‘I am very comfortable’. Another resident wrote ‘I find this home very caring, comfortable and I’m content to live here. Happiness is what you make it and there are days when I could burst with happiness’. Nine relatives comment cards were returned; all nine indicated that they were satisfied with the overall care provided. All nine cards indicated that they were made welcome at the home at any time and that they were kept informed of important matters concerning their relatives. Seven cards indicated that relatives were aware of the home’s complaints procedure and two said that they were not. One relative had made a complaint. All nine cards said that they felt there was always a sufficient number of staff on duty. Comments from relatives included, ‘very satisfied’ and ‘all the staff look after all the people very well at Davenport Manor’. A comment card from a GP was returned to the inspector that indicated they were satisfied with the care provided at the home. Several residents complained about the range of activities on offer in the home. Two relatives expressed similar concerns about the lack of activities. One resident also made a complaint about staff conduct and one relative complained about a member of staff’s attitude and approach with residents. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 6 These issues were discussed with the registered manager at the time of the inspection and action was taken to resolve them. What the service does well: What has improved since the last inspection? Since the last inspection the registered manager had reviewed care plan documentation to include all aspects of residents’ care needs, including medication, mental health needs and social interests. Since the last inspection the deputy manager had introduced an activities plan for each service user, which recorded their interests and preferred activity choices. The home now had a photograph of every resident for identification purposes. Several bedrooms have been redecorated and recarpeted and the car park to the front has been resurfaced. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 7 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. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 8 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 Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 9 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): 2, 3 and 4. Not all service users’ care needs were fully assessed before admission. Service users were satisfied with the care provided. EVIDENCE: Service users admitted to the home had a written contract which detailed the terms and conditions of their stay. As part of the inspection a selection of service user files were examined. Since the last inspection, one of the care homes owned by the registered providers had closed and five service users had been transferred to Davenport Manor. Of those service users transferred to the home, only one had been reassessed prior to their move, by a member of staff from Stockport Metropolitan Borough Councils Adult and Community Directorate and Adult Social Care. One service user had since died. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 10 All other service users had not had an assessment of their needs updated prior to their admission, though updated care plans and risk assessments were in place. Care files of other service users recently admitted to the home contained a sufficient amount of assessment information in respect of each service user. It was generally the practice of the home that service users were assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission and no service users were admitted to the home without their care needs having been assessed. Both service users and relatives told the inspector that they were quite satisfied with the way in which the home met service users’ care needs. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 11 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, 9 and 10. Service users’ health and personal care needs were identified through care planning and met by care staff. EVIDENCE: All service users had a care plan. At the previous inspection it was observed that care plans did not include all aspects of a service users care needs and how care staff were meeting those needs. At the time of this inspection it was observed that there had been a significant improvement in care planning and care plans now included all aspects of a service users’ care needs and how these were being met. Care plans seen were detailed and individualised to each service user’s care needs. Care plans included health needs, personal care needs, mobility, social interests and weight monitoring. Care plans were reviewed on a monthly basis. Daily records were detailed and gave a full picture of how the home was meeting service users’ care needs and how service users had spent the day. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 12 Risk assessments were in place to address the risk of falls, the use of bed rails and service users’ moving and handling issues. Risk assessments were reviewed on a regular basis. Davenport Manor had specialist equipment in place to meet the needs of service users. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. Two relatives told the inspector that they were very satisfied with the care provided and that their relatives’ health needs were always addressed and that the home kept them informed at all times. Medication was provided in a monitored dose system, this was stored appropriately. At a previous inspection it was observed that there were a number of occasions when medication details had been handwritten on the medication administration record, these were of a variable quality and the home was required to ensure that hand written medications were verified by an additional member of staff. At the time of this inspection it was observed that this requirement had been met. Similarly, it was found that the home did not have a photograph of each service user at the home. At the time of this inspection it was observed that the registered manager had obtained a photograph of each service user in the home. Medication records were, in the main, accurately maintained with the exception of those service users who had been prescribed a variable dosage of medication. The registered manager was advised that staff must indicate the exact amount of medication that a service user has been given. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staffs approach towards service users was observed to be respectful, sensitive and caring at all times. A number of service users were unable to comment on the quality of care provided due to levels of dementia and short term memory loss. Consequently, the inspector spent time observing the practices of staff and the daily routine of the home and observed that staff’s approach towards service users was sensitive and caring. In addition, the inspector observed that the service users looked physically well cared for. At the time of the inspection a relative made a complaint about the attitude and approach of a carer towards service users in the home. One resident also made a complaint about staff conduct. These issues were discussed with the registered manager and action was taken to resolve them. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 13 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): 12, 13, 14 and 15. The day-to-day routine of the home, including mealtime arrangements, was relaxed and informal. EVIDENCE: Davenport Manor offered a flexible routine to service users. Staff encouraged service users to make choices as to how they spent their time, whether they wished to join in activities or not, what they ate and what clothes they chose to wear. Some service users preferred to spend time in their rooms and others preferred to use one of the three lounge areas. At a previous inspection a requirement was made that the home must provide a range of activities that met the needs of all service users at Davenport Manor. Previously, service users had told the inspector that they would like to see more organised activities taking place on a regular basis. It was also observed that whilst Davenport Manor was registered to provide care services for service users with a diagnosis of dementia, there was no evidence of any specific activities being undertaken with these service users. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 14 Since the last inspection the deputy manager had introduced an activities plan for each service user, which recorded their interests and preferred activity choices. At the time of this inspection several service users told the inspector that they were ‘bored’ and others said that they would like to see a greater range and variety of activities on offer. One service user said that he would like to organise quizzes for other service users to take part in. Throughout the year the home arranged a number of trips to local theatres, seaside and safari park visits. These trips were very popular with service users who spoke highly about the events. As part of the home’s quality assurance review, service users had completed questionnaires on their opinion of activities in the home and generally service users expressed a high level of satisfaction with activities provided. At the time of the inspection service users were making Easter cards and music was being played in one of the three lounges. Service users had the choice of where they sat. One lounge was for those service users who liked to sit and watch television and who preferred not to take part in activities. Two relatives visiting the home told the inspector that they did not feel there were enough organised activities taking place on a daily basis. Relatives complained that activities were often advertised on the activities board and then did not take place. A member of staff told the inspector that sometimes activities did not take place depending on the needs of service users. Visitors were made welcome at the home and service users kept in touch with family and friends. Meals were served at regular intervals and were usually taken in the dining room areas, though service users did have the choice of having their meals in their bedrooms. The lunchtime meal was the main meal of the day with a lighter snack type meal being offered at teatime, when either a hot or cold option was available. Several service users told the inspector that they had enjoyed their lunch. Others said the food was ‘very good’ and that a good choice and selection was provided, one service user described the food provided as ‘exquisite’. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 15 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): 16 and 18. The majority of service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection. EVIDENCE: The home had a detailed complaints policy and procedure. At the time of the inspection several residents complained about the range of activities on offer in the home, as did two relatives. A further complaint was made regarding staff’s attitude and approach towards service users. Another relative had discussion with the inspector regarding difficulties she had experienced concerning her relative’s care, however she was quite satisfied with the way in which the home had responded to her complaints. The home had not kept records of these complaints. Service users with whom the inspector spoke said that they knew who to complain to if they had a problem and the majority felt confident that their complaint would be resolved in a satisfactory manner. The home had a procedure for responding to allegations of abuse. The majority of staff had completed training in adult protection, either as part of their induction, NVQ training or by attending and in-house training course. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was accommodation. well maintained throughout and provided comfortable A number of service users’ rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants. At the time of the inspection the home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. Since the last inspection a number of service users bedrooms had been redecorated and recarpeted. The car park of the home had been resurfaced. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 17 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 and 30. The home was sufficiently staffed and recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was sufficiently staffed with a staff that was trained to meet the assessed needs of service users. A staff rota showing, which staff were on duty and in what capacity, was kept at the home. Since the last inspection three new members of staff had commenced employment at the home; the registered manager had followed appropriate recruitment procedures. 70 of care staff employed at the home held an NVQ qualification in care. All new staff completed a period of induction at the commencement of their employment. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 18 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, 32, 33, 35, 36 and 38 The home was well managed for the most part but the manager did not ensure that all health and safety issues within the home were addressed. Staff were supported and supervised in their work. EVIDENCE: The registered manager, Mrs Wendy Drabble, has over twenty years’ experience of working in the residential care profession and is a registered nurse. She holds an NVQ Level 4 qualification in Management and Care and holds the Registered Manager’s Award. The registered manager had undertaken periodic training to update her knowledge, skills and competence to manage the home. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 19 The registered manager had an open and approachable management style with both staff and service users. Relatives confirmed that the manager was very approachable. Davenport Manor had a number of means of seeking feedback from service users and their relatives; these included service user and relatives’ questionnaires, the key worker system, staff supervision, staff meetings and residents’ meetings. This information had been collated and published in a report that was made available to service users, relatives and other interested parties. The home did not manage service users’ monies, however small amounts of cash were kept for individual service users for day-to-day expenses, i.e., hairdressing costs. Records of all transactions were kept along with the receipts. Staff received regular supervision to support them in their work and records of such meetings were made available at the inspection. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. Evidence provided on inspection confirmed that a large number of care staff had undertaken training to assist them in their role as carers, including POVA training, dementia care, oral hygiene, eye care and moving and handling. However a number of other staff, including night care staff, had not updated their moving and handling training, drug administration training and first aid training. Certificates confirming the maintenance of the passenger lift, hoisting and lifting equipment, electrical and gas supplies to the home were seen at the time of the inspection. Certificates held in respect of the lifting and hoisting equipment were not up to date. Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 20 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 2 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 21 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 OP3 Regulation 14 Requirement The registered person must ensure that all service users admitted to the home have had a full assessment of their care needs undertaken prior to their admission. The registered person must ensure that where variable doses of medication are given that an accurate record of the actual dosage of each medication administered is recorded. The registered person must provide a range of activities that meets the needs of all service users at Davenport Manor. (Timescale of 08/01/05 not met.) The registered person must keep a record of all complaints made by service users, relatives and representatives or by persons working at the care home about the operation of the care home and the action taken. Timescale for action 08/05/06 2. OP9 13 08/03/06 3. OP12 16 08/05/06 4. OP16 Schedule 4 08/03/06 Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 22 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. 5. Standard OP38 Regulation 13 Requirement The registered person must ensure that all care staff, including night staff, have completed up to date training in moving and handling, first aid and medication administration. The registered person must ensure that all lifting and hoisting equipment is maintained on a regular basis and evidence is made available for inspection. Timescale for action 08/06/06 6. OP38 13 08/03/06 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 Davenport Manor DS0000008551.V280395.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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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