Inspection on 09/06/05 for Dearne Valley Care Centre

This inspection was carried out on 9th June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Dearne Valley Care Centre 29/06/06

Dearne Valley Care Centre 06/10/05

Dearne Valley Care Centre 15/12/04

Dearne Valley Care Centre 20/04/04

Dearne Valley Care Centre 07/10/03

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Dearne Valley Nursing Home Furlong Road Bolton On Dearne Rotherham S63 9PY Lead Inspector Jayne Barnett-Middleton Unannounced 9 June 2005 09:00 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 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. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dearne Valley Nursing Home Address Furlong Road Bolton On Dearne Rotherham S63 9PY 01709 893435 01709 892128 None Guardian Care Homes (UK) Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant PC Care home only 34 Category(ies) of OP Old age (14) registration, with number of places DE Dementia (20) Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The managers hours are full time supernumary to the care staff hours. The minimum staffing levels specified in the Residential Forum Care Staffing in Care Homes for Older People must be maintained at all times, in accordance with actual occupancy levels. The upper floor is to be used exclusively for service users in the category DE, the ground floor is to be used exclusively for service users in the category of OP. 3. Date of last inspection 15 December 2004 Brief Description of the Service: Dearne Valley Care Centre is a purpose built care home in the village of Bolton on Dearne. The home provides personal care and accommodation for thirtyfour older people, including care for twenty service users with Dementia. All bedrooms have en suite facilities. Ample car parking is provided at the front of the property and there is a small, enclosed garden to the rear of the property. The home stands back from the main road. The village has a range of amenities including a railway station. The A1 motorway is approximately ten minutes drive from the home. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.00 a.m to 2.00 p.m. Eleven service users, eight staff, and the three relatives were spoken to. A sample of records was examined and a partial inspection of the building was carried out. Throughout the inspection positive and professional relationships were observed between staff and service users. The inspector wishes to thank the staff and service users for their time and co-operation throughout the inspection process. What the service does well: The home had a warm, friendly and welcoming atmosphere. Service users were relaxed and happy to talk about the care provided. All service users said that they were satisfied with the care that they received. They described the staff as “very good”, “caring” and “nothing is too much trouble”. Service users were observed to be receiving personal care in a manner that respected their privacy and dignity and it was evident that service users who required help to wash and dress had been assisted with this. Service users said that their healthcare needs were met and were able to describe the healthcare visits that they received. Routines within the home were flexible. Service users were encouraged to spend their day as they wished. There was a good programme of leisure and social activities available. An activities coordinator was employed and activities such as bingo, professional entertainment and crafts took place on a regular basis. A good choice of menu was offered and special dietary needs were catered for. Service users said that they enjoyed their meals and described the food as “very good”, “ I always enjoy the food” and “there is always a good choice.” The home was very well maintained and a good standard of accommodation was provided. There was a private enclosed garden, which service users said they enjoyed spending time there during the summer months. A training and induction programme for staff was in place that met National Training Organisation (NTO) workforce training targets. Throughout the inspection positive and professional relationships were observed within the staff team. The staff said that “we are settled” and “we help each other and work as a team”. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 6 The manager has been employed at the home for only four weeks, however it was evident that she had taken the time to introduce herself to service users, relatives and staff. All spoke positively about the new manager and described her as “very kind”, “helpful”, and “approachable and friendly”. 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. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 8 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 standard(s) 3 and 5. Service users were not admitted to the home without their needs being assessed. Service users were given the opportunity to visit the home prior to their admission. EVIDENCE: A full needs assessment was carried out for all service users prior to their admission. Staff from the home also visited prospective service users prior to their admission and a comprehensive assessment of need was completed. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. One service user said that “ The manager and staff visited me in hospital” before their admission to the home. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 9 Service users said that they had been invited to visit the home prior to their admission, to assess the quality, facilities and suitability of the home. One relative said that she had visited the home and that the staff “took the time to show me round and look at the bedrooms” and that she had chosen the home because the staff were “very kind and helpful”. The home does not provide an intermediate care service. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 10 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 standard(s) 7,8,9 and 10. Service users individual needs were assessed and their changing needs were reflected in their plan of care. Care plans had not been reviewed on a monthly basis. Service users had good access to health care services, which met their assessed needs. Service users were not receiving regular Dental checks. A policy and procedure to ensure that staff adhered to the safe administration of medication was in place. Service users privacy and dignity was respected. EVIDENCE: Three Care plans set out in detail the action that was required by staff to ensure that all aspects of service users care needs were met. One Care plan had not been reviewed on a regular basis to reflect the changing care needs of the service user. The care plan format was very good and comprehensive assessments had been carried out, which identified the specific physical and emotional needs of service users. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 11 Records of healthcare visits were maintained and these evidenced that other healthcare professionals, e.g. general practitioner, chiropodist and optician were visiting service users. There were no records to evidence that service users had access to regular dental checks. Service users confirmed, “we see the doctor and chiropodist” but were unable to confirm that they had been offered a dental check. Nutritional screening was undertaken for service users on admission. Weight monitoring records were in place. One record checked indicated that the service user had not been weighed on regular basis to ensure that any health problems could be identified. Service users said that their healthcare needs were met and described the care that they received as “ very good”. One service user described in detail the healthcare visits that they had received and said, “I am on the mend”. Comprehensive risk assessments had been completed. They clearly identified the individual risks that were presented to service users on a daily basis and the action required to reduce the risk, which enabled service users to live as independently as possible. The risk assessments in one care plan checked had not been reviewed regular to reflect the changing needs of the service user. The staff confirmed that they received excellent support from visiting healthcare professionals and said that they were “very supportive” and “we can contact them at anytime for help and advice.” There was a policy and procedure to ensure that staff adhered to safe practices regarding medication and the protection of service users. The recording and storage of medication was checked on a sample basis. Medication had been administered appropriately. Staff had received medication training, which promoted the safe administration of medication. Service users were observed be receiving personal care in a manner that respected their privacy and dignity. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 12 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 standard(s) 12,13,14 and 15. The daily routines within the home were flexible and promoted resident choice. There was a good programme of leisure and social activities available. Residents were encouraged to maintain contact with their family, friends and the local community as they wished. A good choice of menu was offered and special dietary needs were catered for. EVIDENCE: The daily routines within the home were flexible. Service users said that they could spend the day as they wished. Several service users were observed to be spending time in the lounges whilst other’s had chosen to spend the day in the privacy of their bedroom. One service user confirmed that they spent the majority of their time in their bedroom, as “I like to read and watch television”. The staff said that they encouraged service users to socialise and join in the activities but that they “respected “ service users choice should they choose to spend time on their own. An activities coordinator was employed at the home and activities such as dominoes, bingo and crafts took place on a regular basis. Service users said that “ I enjoy the word games” and “We have some good entertainment.” Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 13 One service user had recently been provided with a laptop computer from their family and was waiting for a telephone line to be installed so that “ I can e mail people and trace my family tree”. Service users said that their friends and relatives were welcome to visit them at any reasonable time. Two relatives confirmed, “We visit every day.” A good choice of menu was offered and special dietary needs were catered for. The cook consulted with service users on a regular basis to ensure that they were satisfied with the quality and choice of food provided. Service users said that they enjoyed their meals and described the food as “always good”, “I always enjoy the food”, “always a good choice “and” We can always choose an alternative”. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 14 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 standard(s) 16 and 18. The complaints procedure was clear and accessible. Complaints made by service users and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure and all staff had received adult protection training. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. Service users stated that they were satisfied with the care provided, “we have no grumbles”. They confirmed that if they did have any problems about their care, they were confident that the manager and staff were “approachable”, “I would let them know” and would listen and resolve any concerns that they may have. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. All staff had received adult protection training and were able to demonstrate how they protected service users from harm. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 15 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 standard(s) 19 and 26. The home was clean, comfortable and well maintained. Service users were provided with an environment that was safe, accessible and homely. EVIDENCE: The home was clean and tidy, which promoted a comfortable and homely environment. The handyman who was employed at the home carried out a routine programme of maintenance to promote a safe and well maintained environment. The home was decorated in a comfortable and welcoming manner including homely touches of pictures and ornaments. Service users had access to three lounges, which were bright and pleasantly decorated. The furniture and fittings were clean and of a good quality. Service users said that they liked the home, “ I enjoy living here” and “it’s a bit like a hotel”. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 16 Several bedrooms were checked and all were in the main very clean and attractively decorated. All the rooms had been personalised by the service user with small items of furniture, photographs and mementoes, which encouraged service users to retain their own identity. In one bedroom there was a strong odour of urine. The staff acknowledged that due to the healthcare needs of the service user, that the carpet was cleaned on a frequent basis, however the carpet was in need of a ‘deep clean’ or replacement to promote a hygienic environment. Several staff confirmed that they had recently attended Infection Control training and confirmed that this had proved “useful” in learning how to promote a hygienic environment to control the risk of infection. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30. Sufficient and experienced staff was provided that met the assessed needs of service users. The staffing shift patterns had recently been reviewed, which require monitoring to ensure that the reviewed working hours do not infringe on service user choice. A training and development programme was in place. Staff received regular training to update their knowledge and competence. EVIDENCE: All service users spoke positively about the staff team and described them as “very good”, “nothing is too much trouble” and “like one big family”. One relative stated, “The staff are very kind and good”. Staff rotas checked, demonstrated that the agreed staffing levels were being met to meet the individual needs of service users. Several staff had recently left the home due to securing alternative employment, positively the vacancies had been recruited to and new staff were waiting to commence at the home, subject to the required recruitment checks. The staffing shift patterns had recently been reviewed which had reduced the working day shift and increased the working night shift. Staff commented that it was taking time to adjust to the shorter morning shift in relation to attending to the personal needs of service users. Service users said that in their opinion that there was sufficient staff available in the morning to meet their needs and confirmed that “I can get up and go to bed when I want” and “they (the staff) don’t keep me waiting”. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 18 Throughout the inspection positive and professional relationships were observed within the staff team. The staff said that “we are settled” and “we help each other and work as a team”. A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of service users. Staff confirmed that they had attended various training courses that included food hygiene, adult protection, moving and handling, infection control and first aid. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 38. Residents and staff benefited from the ethos, leadership and management approach. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: The manager has been employed at the home for only four weeks, however it was evident that she had taken the time to introduce herself to service users, relatives and staff. All spoke positively about the new manager and described her as “very kind”, “helpful”, and “approachable and friendly”. There was a relaxed and friendly atmosphere within the home. Service users spoke positively about the care that they received and described the staff team as “very good”. The records sampled were organised and securely stored in accordance with the Data Protection Act. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 20 A handyman was employed at the home and a routine programme of maintenance was in place. All areas throughout the home were very well maintained which promoted a safe environment. The staff had received regular training, which promoted safe working practices and the health, safety and welfare of service users and their colleagues. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x x x x 3 Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 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 OP7 Regulation 12,15 Requirement Care staff in consultation with the service user (where practical) must review service users care plans at least once a month. Service users risk assessments must be reviewed at least monthly. Service users must be weighed on a regular basis. Records of weight loss/gain must be maintained and appropriate action must be taken. Service users must be offered routine Dental checks. The carpet in the identified bedroom must be deep cleaned or the carpet replaced. Timescale for action 31st July 2005. 2. 3. OP7 OP8 12,13,15 12,13 31st July 2005. 31st July 2005. 4. 5. OP8 OP26 12,13 23 1st August 2005. 31st July 2005. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP27. Good Practice Recommendations The manager should monitor the recent changes to shift patterns, to ensure that they do not infringe on service users choice. J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 23 Dearne Valley Nursing Home 2. OP28. A minimum of 50 of care staff should attain NVQ Level 2 in care by 2005. Dearne Valley Nursing Home J51 S36246 Dearne Valley V230362 090605 UI Stage 2.doc Version 1.30 Page 24 Commission for Social Care Inspection Ground floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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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