Inspection on 26/04/06 for Dean House

This inspection was carried out on 26th April 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dean House 01/10/07

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 26th April 2006 10:00 Dean House DS0000018344.V289478.R01.S.doc Version 5.1 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.V289478.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 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.V289478.R01.S.doc Version 5.1 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 Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 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.V289478.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 8 hours on 26th April and the 2nd May 2006. Questionnaires were given to residents and those returned formed part of the inspection, a sample of care and health professionals were also contacted for their opinion of the home. A complete tour of the building was undertaken and residents and their relatives were asked in private for their views of the service provided at Dean House, 2 carers were also interviewed. Samples of records were examined and four residents care records were studied in detail and the way care was delivered was observed. The fieldwork element of the inspection was undertaken with the assistance of Mrs Sally-Ann Colombini the registered provider and the deputy manager of the home. What the service does well: The home has a staff team that are experienced and committed to providing a high standard of care to the residents at the home. The four residents consulted advised that they were happy at the home and had positive comments to make about their carers. Appropriate interaction was observed and good relationships were clearly demonstrated between carers and residents during the inspection. Meals are varied and appear well balanced with choice always available, these are produced from fresh produce delivered at least 3 times a week. Fresh fruit is always available and residents were keen to say how much they enjoyed the food at Dean House. Residents are consulted individually and a regular monthly meeting with all residents taking part is held to ensure that the management of the home is kept informed of residents views. One resident that was consulted individually in private advised “This is the best home I’ve been to” and another stated “I’m happy here, I enjoy the food and I’ve got plenty to do”. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 6 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. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 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.V289478.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home’s performance in this group is good. Appropriate comprehensive assessments are undertaken to ensure that the home can meet the needs of residents. EVIDENCE: Two assessments were examined in detail during the inspection and these were found to be comprehensive and covered all the needs of the person concerned. Health needs were well covered and the individual aspirations of the person. Prospective residents were encouraged to visit the home and use the services available to ensure that they would like to live there. If the prospective resident lives some distance away from the home they are offered short stays to ensure they are happy with the arrangements and would like to live there permanently. Four residents were consulted in private during the inspection and they stated that all their needs were met. Social care professionals also confirmed that a detailed assessment was undertaken by the home before they would offer their service. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The home’s performance in this group is good. An appropriate detailed care plan is available for each resident in the home. Service users are supported to make their own decisions and assisted to live an independent lifestyle through a risk-assessed approach. EVIDENCE: The home has reviewed its care planning process since the last inspection and a clearer process in now in place for each resident. Four service user plans were examined as part of the inspection process; these demonstrated what the needs were of the individual concerned and how they were met by the service provided. The individual residents, who were confident and well able to express their views, advised that they had their care plans explained to them by the care team of the home and they agreed with the content. A range of activities and interests are able to be undertaken by residents who could not suggest anything new they would like added. Residents lead an independent lifestyle that has had an appropriate analysis undertaken of the risks involved. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The homes performance in this group is good. Residents are able to take part in appropriate interests and activities of their choice and make use of the facilities in the local community. Service users have personal and family relationships as they wish. A healthy balanced diet is available at the home that residents enjoyed, with choice always available. EVIDENCE: Carers encourage residents to use the facilities of the community as they wish; the swimming pool, theatre and the cinema are used regularly as well as local dances and clubs. When asked residents could not suggest any new activity they would like to undertake. Some residents attend local churches on Sundays. Currently the home provides transport when required and no charge is made, residents that have the capacity have been supported and assisted to enable them to use the public transport system. One resident was keen to tell the inspector that she was able to take the bus to see her family. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 11 Residents are able to have visits from family and friends that are unrestricted and are also able to make visits as they wish. The management of the home ensure that residents are consulted about what food they would like to eat and any changes carried out in the menu are always agreed with the residents before being undertaken. Choice is always available to residents about what foods they would like to consume. In addition to the meals served at the home drinks and snacks are available at all hours. All the residents consulted were very complimentary about the food provided. One resident remarked, “I like the food here, I certainly would not like to go anywhere else.” Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The homes performance in this group is good. Support and assistance is provided to residents in a sensitive way with their agreement. Physical and emotional needs are met. Residents that are able can self medicate subject to a risk assessment approach. Appropriate administration medication procedures are undertaken by the home. EVIDENCE: Four residents were consulted in private during the inspection process they advised that they felt they were in charge of their life and could call on staff for support and assistance when they wanted to. Carers were seen to provide care in a sensitive way and to ensure that residents’ dignity and privacy was maintained, good-natured banter was overheard time and again between staff and residents. One resident was taken to the doctor at his request on the first day of the inspection process and he raised this with the inspector at his interview. He was pleased to say that he had been irritated by the growth of some warts and had asked a carer to take him to have them removed. This had been achieved and the resident concerned was very pleased with the outcome and the fact that he felt in charge of the process. The resident went on to remark, “I’m very well off here, it’s much better than where I came from”. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 13 Residents that have the capacity are able to self medicate subject to a risk assessment approach to ensure that this is appropriate. The recording maintained by the home of the administration of medication was examined and was found to be complete and up to date. All medication at the home was held in appropriate secure conditions that ensured that residents were appropriately protected. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The performance of the home in this group is good. Residents were confident that their views were listened to and action was taken if needed. Appropriate steps are taken to ensure that residents are protected from all types of abuse. EVIDENCE: All the residents consulted were confident that if they raised an issue with the care team this would be taken seriously and resolved quickly 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.V289478.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home’s performance in this group is good. Dean House provides a comfortable, homely and safe environment for residents. The building is well maintained and kept clean and hygienic. EVIDENCE: A complete tour of the home was undertaken as part of the inspection process, residents’ rooms were well appointed and had been decorated to the choice of the occupant. At the time of the inspection the lounges of the home were being redecorated which clearly pleased the residents. Appropriate modifications had been completed to assist the less mobile residents. The downstairs shower room had had some tiles replaced and a new lock had been fitted to the door to ensure residents’ privacy could be maintained. The home was clean throughout with high standard of hygiene apparent. The laundry of the home is in the process of being moved to another area of the building that is more suitable. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 16 Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The home’s performance in this group is good. The home has a core of welltrained experienced staff. Following appropriate recruitment procedures basic training is provided to all new carers within six weeks of the taking up their post, to enable them to meet residents’ needs. EVIDENCE: The home has an established core of carers that are experienced and committed to providing a good service to the residents. All the residents consulted advised that the entire staff group had their confidence. All new staff undertakes a detailed recorded induction programme within the first six weeks of taking up their post. The management of the home undertakes appropriate recruitment procedures to ensure that residents are protected. References are taken up and the necessary checks are made. An active training programme in place for staff that is appropriate to ensure that residents’ needs are met. Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The home’s performance in this group is good. Dean House is well run for the benefit of service users. Residents are confident that their views contribute to the development of the home. The health and safety and welfare of residents is promoted and protected. EVIDENCE: The management of the home has a detailed quality assurance questionnaire system that is undertaken with residents and this has just been repeated. 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.V289478.R01.S.doc Version 5.1 Page 19 concerning the secure storage of cleaning chemicals and the reporting of dangerous occurrences are observed. Dean House DS0000018344.V289478.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 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.V289478.R01.S.doc Version 5.1 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement The registered manager must ensure that staff adhere to the homes medication policy and procedure. The registered manager must ensure that a lock is fitted to the ground floor shower room. Timescale for action 26/04/06 2. YA27 23 14/05/06 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 Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Dean House DS0000018344.V289478.R01.S.doc Version 5.1 Page 23 - 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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