Inspection on 10/01/06 for Dee House

This inspection was carried out on 10th January 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 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

Dee House 04/08/06

Dee House 04/07/05

Dee House 11/01/05

Dee House 06/07/04

Dee House 12/02/04

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

CARE HOME ADULTS 18-65 Dee House 20 Sealand Road Chester Cheshire CH1 4LB Lead Inspector Ms Julie Porter Unannounced Inspection 10th January 2006 10:30 Dee House DS0000006547.V273595.R01.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 Dee House DS0000006547.V273595.R01.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. Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dee House Address 20 Sealand Road Chester Cheshire CH1 4LB 01244 375820 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) Muir Group Housing Association Limited Ms Joy Swainson Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 9 service users in the category MD (Mental disorder, excluding learning disability or dementia) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 4th July 2005 Date of last inspection Brief Description of the Service: Dee House is care home for nine people who have mental health needs which is owned and operated by Muir Group Housing Association Limited. Located on Sealand Road, within a mile of Chester City Centre, the home was opened in 1991 and extended in July 2000 to provide three additional places. The premises comprise two terraced properties linked by a conservatory extension to the rear. Accommodation for residents comprises nine single bedrooms (dispersed between two floors), two lounge areas, a dining room, kitchen and separate laundry. Standards of décor, furnishings and fittings are good throughout the home, as are standards of hygiene and cleanliness. Residents are encouraged to participate in the running of the home, and they are supported by staff to make full use of community facilities/amenities for shopping, recreation, education and healthcare. Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a morning on 10 January 2006 and involved reviewing records held at the Commission for Social Care (CSCI). Meeting with eight residents in the home, the staff on duty, the manager and a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: Work to implement quality assurance and self-monitoring systems should continue so that the home is able to show how it obtains the views of residents, relatives and other people who are involved with Dee House, and uses this information as part of a process of continuous improvement Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 6 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. Dee House DS0000006547.V273595.R01.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 Dee House DS0000006547.V273595.R01.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): 1,3 & 4 Residents and prospective residents are provided with information about the home so that they know the home can meet their needs. EVIDENCE: The home has a comprehensive statement of purpose that provides information about the home, the facilities available and the qualities and qualifications of the staff team. Residents spoken with confirmed that they were happy living in the home and the home continued to meet their needs. One resident said he “didn’t know where he would be without the staff.” The home has one vacancy and the home manager confirmed the process in place for admission to the home would include assessment of their care needs, several visits to the home and consultation with the current residents before a new resident moved to the home. One resident spoken with confirmed that this in fact was the case before she moved in. Dee House DS0000006547.V273595.R01.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): 10 Staff are aware of the confidential nature of the information they have access to and policies are in place to protect the residents of the home. EVIDENCE: The home has a policy regarding confidentiality and data protection, all policies were updated in 2005 and are signed and dated by the manager. Staff spoken with confirmed that they knew when and with whom information could be shared. Dee House DS0000006547.V273595.R01.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: None of these standards were assessed during the inspection as they were fully met at the last inspection. Dee House DS0000006547.V273595.R01.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): 21 Policies and procedures are in place in the home to ensure residents are cared for with respect up to and including the time of their death. EVIDENCE: Residents of the home have made their wishes known to the staff regarding their religion and their wishes for after their death, this information is recorded in their care plan. One of the residents of the home passed away very recently and was able to stay at home until his death, as he wished. During this time by the residents’ doctor and community nursing staff supported him and the staff. A very complimentary card of the family’s appreciation was seen during the inspection. A review of the policy regarding death of a resident confirmed that the home had followed guidance as set out by the organisation. The manager confirmed that support and counselling would be made available to staff and residents should this be necessary. Dee House DS0000006547.V273595.R01.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): 22 & 23 The home’s complaints procedure ensures that residents’ views are listened to and acted upon. Staff receive regular training so that they can protect residents from harm or abuse EVIDENCE: A written complaints procedure, which included contact details for the Commission for Social Care Inspection (CSCI), was displayed within the home. Residents said that they were aware of how to make a complaint if they were unhappy with any aspect of the care and support they receive at Dee House. No complaints have been recorded by the home or received by CSCI about the home. Written policies for the protection of vulnerable adults were in place and the home also had a copy of the local authority’s protocols and procedures for adult protection. Staff have received training in Adult Protection in the last twelve months. Dee House DS0000006547.V273595.R01.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 – 28 & 30 The home is well maintained, clean and fresh throughout to ensure the residents live in a comfortable homely environment. EVIDENCE: During the inspection a tour of the building was undertaken, which included all the communal areas and the residents’ bedrooms when invited. The smoking lounge has been decorated since the last inspection and was fresh and clean. The windows to the front of the home have been replaced and are in keeping with the style of the home. The home has a rolling program of renewals and the manager confirmed that Muir Housing respond promptly to requests for repairs. Bathrooms and bedrooms are fitted with locks to ensure residents privacy. Dee House DS0000006547.V273595.R01.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): 31,34 & 36 There are robust recruitment and selection processes in place and an rolling staff training program. The staff are supervised to ensure the residents are supported by an effective well trained workforce. EVIDENCE: The home benefits from a stable staff team who understand their role and the work they perform. One staff file was reviewed during the inspection and contained information as required by Schedule 2 of the Care Homes Regulations Care Homes for Younger Adults. Two staff spoken with during the inspection spoke highly of the support they receive from the manager, and confirm they have regular meetings with her to discuss their role and needs relating to training. One member of staff said how much she enjoyed working in the home and the company of the residents. Dee House DS0000006547.V273595.R01.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): 38, 41 The home is run by an experienced and qualified manager and the residents receive care and support from a staff team who knows them well. EVIDENCE: The manager is registered with the Commission for Social Care Inspection and is a qualified nurse (RMN) she achieved the Registered Mangers award in 2005. Staff spoke well of the managers’ approachability and the level of support she offers to all of them. The accident record was reviewed and four accidents have been recorded since the last inspection, records were seen as appropriate. Fire records relating to fire training, alarm testing and fire alarm servicing were in order. The Fire Officers inspection on 18 October 2005 reports the home to being “satisfactory.” The responsible person has nominated an employee of the organisation to undertake monthly regulation 26 monitoring visits and records of these are available in the home. Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 16 Questionnaires have been sent out regarding quality assurance and the residents’ views regarding the service they receive. The report or its findings have not yet been published. Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 17 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 3 X 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 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 3 X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dee House Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X 3 X X 3 X X DS0000006547.V273595.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 Dee House DS0000006547.V273595.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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