Inspection on 01/10/07 for Dean House

This inspection was carried out on 1st October 2007.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dean House 26/04/06

Dean House 31/08/05

Dean House 08/12/04

Dean House 17/08/04

Dean House 19/04/04

Dean House 18/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Dean House 34-38 Reddenhill Road Babbacombe Torquay Devon TQ1 3RQ Lead Inspector James Rose Unannounced Inspection 1st October 2007 09:00 Dean House DS0000018344.V347957.R01.S.doc Version 5.2 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 Dean House DS0000018344.V347957.R01.S.doc Version 5.2 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 Adults 18-65. 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. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dean House Address 34-38 Reddenhill Road Babbacombe Torquay Devon TQ1 3RQ 01803 313117 NO FAX 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) Mr Adalino Colombini Mrs Sally-Ann Colombini Mr Adalino Colombini Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2006 Brief Description of the Service: Dean House is a two story terraced building that is situated in the residential area of Babbacombe, it is within walking distance of local shops and amenities and the Babbacombe downs. A bus service is available locally to the town centre of Torquay. The home offers 24-hour residential care to adults with a learning disability. The Registration for the home is for 12 service users of both sexes, the age range of the current persons receiving care is from approximately 40 years to 65 years. Accommodation is offered in single rooms over two floors. A stairlift is provided for persons with additional mobility issues and toileting and bathing aids are also available. There are three communal lounges and meals are taken in a separate dining room. An activities room is also available. At the rear of the property there is a courtyard garden with seating provided and on road parking is possible at the front. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6 hours during October 2007. Samples of the care records were examined and three residents were consulted individually in private about life at the home and others were seen in small groups. Healthcare professionals were also asked for their views of the service provided. A complete tour of the home was carried out and evidence was also taken from a returned questionnaire that had been completed by the manager and two of the care team were interviewed during the inspection. The registered manager and the deputy assisted throughout the inspection process. What the service does well: What has improved since the last inspection? No requirements were raised at the last inspection. The home has a running redecoration and maintenance programme in place and some new carpets have been fitted in bedrooms and soft furnishings replaced. The hall and stairs have also had new carpets. The home is currently producing a protocol as a matter of good practice to meet the legislation on sexual discrimination. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. Comprehensive assessments are undertaken by the home, which helps ensure peoples needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Full assessments are undertaken of any proposed resident prior to them being admitted to ensure that the home can meet their needs. Three of these were examined in detail and discussed with the manager of the home. Care managers and healthcare professionals are consulted as necessary. Health needs and personal needs and social needs are all covered. Social needs were discussed and it has been agreed that a more developed approach will be undertaken in future to enable a more client centred approach to be undertaken which will then inform a comprehensive service. All the residents consulted in the home advised that they felt all their needs were met by the service offered. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. A detailed individual care plan is in place for each resident. Residents are supported and assisted to make their own decisions about matters that affect them and can take appropriate risks as part of an appropriately independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An individual care plans is constructed from the assessment and is developed and agreed with the person concerned. The plan sets out health and personal needs and how these are met. An activities programme is also produced and residents are consulted about what activities they would like to do. Residents were asked about the range of things they took part in and they advised that they could do the things they wanted to and could not suggest any additions they would like introduced. The care team takes time and care to support residents to enable them to make their own decisions and choices and these processes are recorded in the care records. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 10 The care plans contain individual risk assessments, which enable residents to take appropriate risks as part of being as independent as possible, and to make full use of the community resources. Currently the home has residents that have been in residence for a long time and the care plans have been developed over that period. This process was discussed with the manager of the home and it has been agreed that a developed assessment process would enable a comprehensive care planning approach to provide a more detailed client centred plan, this is being introduced. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. The residents are able to take part in appropriate activities and the community facilities are well used. Residents are encouraged to be as independent as possible and their rights are respected. Residents’ are provided with a healthy diet, which is to their liking. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents are encouraged to use the local community facilities and the swimming pool, theatre and the cinema are used regularly as well as local dances and clubs. The home has an unrestricted visiting policy. Some residents like to go to church and the home provides transport if required. Where possible residents are encouraged and given confidence to use public transport. Residents were asked about the activities they took part in and were enthusiastic in their replies. One resident particularly liked animals and was taken on trips to sanctuaries etc. One resident said, “I can do what I want to do” another remarked, “I go out all the time and go home at week ends”. No Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 12 residents could suggest an additional activity they would like added to the programme. A balanced diet is offered, which residents advised was to their liking. Meals are served in a dedicated dining room at tables seating up to four residents. Choice is always available about what foods a resident would like to consume and any changes to the menu are agreed before being implemented. Snacks and drinks are always available. When asked about life at the home one resident remarked “It suits me here, I enjoy it and I can get help if I need it” another said “I like it here and I like my room”. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. Support and assistance is provided to residents, with their agreement, in a sensitive way. Physical and emotional needs are met. Independence is encouraged and residents that are able can self medicate subject to a risk assessment approach. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support and assistance is provided to residents in an individual way that has been agreed with the person concerned in their care plan. Personal care is provided in private. Independence is encouraged and supported with advice given where necessary. Support and assistance is available to residents to meet their emotional and health needs. There is ready access to healthcare professionals and the district nursing service visits the home when required. Three healthcare professionals were consulted as part of the inspection process and no concerns were expressed about the service provided at the home. Residents are able to self medicate subject to a risk assessed approach to ensure that they have the capacity and are safe. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 14 The recordings maintained by the home of the administration of medication were examined as part of the inspection. Medication was checked and booked in when received and an issue record is maintained. Unused medication is recorded and returned to the pharmacist. Secure storage is provided for medication and a facility is available for medication that requires low temperatures. Currently the home does not administer any medication subject to the controlled process. All the administration procedures undertaken by the home were appropriate and ensured that the residents were safe. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Residents are confident that their views are listened to and action is taken if needed. Appropriate steps are taken to ensure that residents are protected from all types of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents consulted on the day of the inspection were confident that if they raised an issue with the care team this would be taken seriously, acted on and resolved to their satisfaction. The home had a clear complaints policy and procedure available and residents understood the process involved. There is a policy and procedure available to ensure residents are protected from all kinds of abuse and all staff are trained in its use and understood the process. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. Dean House provides a safe, comfortable and homely environment that is clean and hygienic throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the home was undertaken as part of the inspection process, all residents’ rooms were seen; they were well appointed and had been decorated to the choice of the occupant. The home was clean throughout with good standards of hygiene evident. The downstairs shower room had had a damaged floor, which needs urgent attention, and a requirement has been raised in this report to ensure this is achieved. The lounges of the home have been redecorated since the last inspection with new carpets laid throughout the ground floor and stairs. Two residents bedrooms have also been refurbished and the soft furnishings have been replaced. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 17 Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. The home has a core group of well-trained experienced staff. The home operates an appropriate recruitment process when new carers are required who are then trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an established core group of experienced carers that are committed to providing a good service to the residents. All the residents consulted advised that they like all their carers without exception. All new staff undertakes a detailed recorded induction programme within the first six weeks of taking up their post. The home maintains complete personnel files that demonstrate that all the appropriate checks are carried out on carers to ensure that residents are in safe hands. An active training programme is running for carers that is comprehensive and ensures that residents’ needs are met appropriately. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. Dean House is well run for the benefit of service users. Residents felt their views contributed to the development of the home. The health and safety and welfare of residents is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management of the home has a detailed quality assurance questionnaire system that is regularly used and assists the home to obtain resident views. In addition to this process residents are consulted individually and meetings are held when appropriate. Residents’ views were actively sought and acted on. The residents consulted were confident that the management was interested in their views and were prepared to alter elements of the service provided if appropriate to assist them. Health and safety issues are seen as important and are promoted by the management of the home. All equipment is regularly serviced and appropriate fire precautions are undertaken to ensure residents are safe. The regulations Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 20 concerning the secure storage of cleaning chemicals and the reporting of dangerous occurrences are observed. The home has a current electrical installation certificate and all electrical appliances are tested. The water is also tested for unwanted bacteria. These procedures ensure that the home is safe. Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 22 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 YA24 Regulation 23(2)(b) Requirement The registered manager must ensure that the floor of the ground floor shower room is repaired. Timescale for action 20/10/07 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 Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dean House DS0000018344.V347957.R01.S.doc Version 5.2 Page 24 - 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. 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