Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/10/05 for Dean House

Also see our care home review for Dean House for more information

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Since the transfer of this home to a new company`s ownership, the original staff team have been re-employed to provide continuity for the service users. One of the service users has moved into another home run by the company where service users are encouraged to further develop independent living skills. Currently eight people live at Dean House. Mr Constant emphasised that, following the transfer of the home to his company, a programme of refurbishment for Dean House had been planned. In the first six months priority has been given to removing office cabinets to a newly constructed office space, replacement of larger domestic items such as kitchen equipment and during the inspection the central heating boiler.

What has improved since the last inspection?

This is the first inspection of the home following purchase by the current owners.

What the care home could do better:

Although Community Care Solutions have a plan for the improvement and development of Dean House, it was found at this inspection that standards of housekeeping were unacceptable and that supplies of bedding and bed linen for the vulnerable service users in their care were in very poor unacceptable condition. Having telephoned to alert Mr Constant to these issues it was pleasing to find by the following day that he had arranged new bedding and bed linen for each service user and for household cleaning and maintenance work to be done. In response to the first inspection visit, Mr Constant also brought forward the replacement and refurbishment of two bathrooms scheduled for the next week. The home`s environment must be clean, fresh and be safe for use by service users. A detailed action plan, with timescale proposals, of update and refurbishment of each room including communal areas must be submitted to CSCI for consideration. Reviews of all service user care plans are required with the involvement of the clients and their families/advocates and representatives as appropriate. Staff who are given responsibility for managing and administering medication must be trained and competent for this care task.

CARE HOME ADULTS 18-65 Dean House 267 Wellingborough Road Rushden Northants NN10 9XN Lead Inspector Mrs Helen Wilson Unannounced Inspection 3rd October 2005 02.00p Dean House DS0000063723.V249903.R02.S.doc Version 5.0 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 DS0000063723.V249903.R02.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 DS0000063723.V249903.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dean House Address 267 Wellingborough Road Rushden Northants NN10 9XN 01933 350225 01536 726496 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) Community Care Solutions Limited Vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection with this provider. Brief Description of the Service: Dean House, an existing registered care home purchased in April 2005 by new owners Community Care Solutions Ltd, provides personal care for a maximum of nine adults with care needs due to Learning Disabilities. The premises are located anonymously in a Victorian terrace within easy walking distance of the small towns shopping centre and local leisure facilities. Service users share a communal living area, dining room, kitchen and two bathroom facilities. There are five single bedrooms and two double rooms. Laundry services are provided in-house. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of Inspections undertaken by the Commission for Social Care Inspection (CSCI) is on the outcomes for people who use the service and their views about the service they receive. Dean House was purchased in early 2005 as a going concern and registered for a maximum of nine service users. Community Care Solutions Ltd is an experienced provider of care services owning and operating an increasing group of homes in the East Midlands region. The inspection involved a review of service user records, a tour of the premises and lengthy discussion with the acting manager. Brief conversations were held with care staff and with service users on their return from day placements. This Inspection was arranged at short notice and took place over two separate afternoons for a total period of five hours with time spent inspecting records and discussing the day-to-day running of the home with the acting manager. At the request of CSCI, Mr Mark Constant, the company’s Responsible Individual, was present on the second visit. What the service does well: What has improved since the last inspection? This is the first inspection of the home following purchase by the current owners. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 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. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 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 DS0000063723.V249903.R02.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 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): 6,7,9 There has been no progress made in establishing the care plans for service users. EVIDENCE: There have been no reviews held of individual service user’s care plans to establish current care needs and personal goals. Urgent reviews are needed. There is evidence of new risk assessments in one case file however these assessments were generic and not specific enough to identify and minimise risks for the particular individual service user. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 11 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): 20 The home has failed to ensure that service users receive medication as prescribed and therefore puts service users at risk. EVIDENCE: The medication for four service users is administered by staff. A check of these stocks and records evidenced that there were errors made for three service users relating to non-administration and incorrect dosage. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 12 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): EVIDENCE: These standards were not assessed. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 13 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): 24,30 The Registered Provider has failed to provide a safe, clean living environment and this leaves service users potentially at risk. EVIDENCE: The home was unkempt, bedding including pillows, all duvets and bed linen required replacing, some curtains and curtain tracks required replacement, specific windows on the first floor required window restrictors to be fitted to prevent falls, several carpets were heavily stained or in unacceptable worn condition, some bedrooms and both bathrooms were malodorous. Both bathrooms require total refurbishment and attention to flooring. Broken items of bedroom furniture were being used in two bedrooms and therefore unsafe for service users. As a direct result of telephone discussions with Mr Constant, by the second visit some of these issues had been rectified by the reactive purchase of bedding, removal of broken furniture and fitting of window restrictors. The home was also cleaner and fresher by the second visit. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 14 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): EVIDENCE: These standards were not assessed. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 15 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): 42 The Registered Provider has failed to ensure that the home is operated to protect the health and safety of service users. EVIDENCE: The condition of the home evidenced lack of attention to basic elements required for the care of vulnerable service users. Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 1 x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X X X x 1 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dean House Score X X 1 x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x DS0000063723.V249903.R02.S.doc Version 5.0 Page 17 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 YA9YA7YA6 Regulation Requirement Timescale for action 31/12/05 12,13,14,15 Reviews of all service user care plans are required with the involvement of the clients and their families/advocates and representatives as appropriate. 12,13,18 Staff who are given responsibility for managing and administering medication must be trained and competent for this care task. There must be a housekeeping and maintenance system to ensure that the home’s environment is clean, fresh and safe to meet the care needs of service users. A detailed action plan, with timescale proposals, of update and refurbishment of each room including communal areas must be submitted to CSCI for consideration. 2 YA20 31/10/05 3 YA24YA30YA42 12,13,16 31/10/05 4 YA24YA30YA42 13,16 30/11/05 Dean House DS0000063723.V249903.R02.S.doc Version 5.0 Page 18 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 DS0000063723.V249903.R02.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000063723.V249903.R02.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!