Inspection on 09/05/05 for Deer Park Care Centre

This inspection was carried out on 9th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Deer Park Care Centre 25/06/08

Deer Park Care Centre 05/09/06

Deer Park Care Centre 21/11/05

Deer Park Care Centre 28/09/04

Deer Park Care Centre 14/05/04

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

CARE HOME ADULTS 18-65 Deer Park Care Centre Detling Avenue Broadstairs Kent CT10 1SR Lead Inspector Sandra Crosby Unannounced 09/05/2005 at 10:30hrs 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Deer Park Care Centre Address Detling Avenue Broadstairs Kent CT10 1SR 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) 01843 868666 0 Phoenix Care Homes Ltd Kate Hayward Care Home 38 Category(ies) of Mental Disorder (38) registration, with number of places Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2004 Brief Description of the Service: The Deer Park Care Centre is a large detached property with accommodation on two floors. There are 38 single bedrooms 24 of which have en-suite facilities. All bedrooms are conncted to a call bell system and have a TV point. There is a shaft lift at the home.The gardens are mainly laid to lawn with flowerbeds and shrubs. There is ample car parking space at the home. The home is located not far from the seafront at Dumpton Gap and a local bus sevice is availabe. There are a couple of local shops within walking distance and Ramsgate town centre is about fifteen minutes walk or by bus takes about five minutes. The philosophy of care aims at providing a caring and homely atmoshpere, which respects the individuality, dignity and rights to privacy of each Service User. It is based upon the establishment of a positive relationship between Service Users, their families and staff, and upon the creation of a non-institutional egime, that enables Service Users to lead a fulfilled life and to achieve the highest potential that their condition permits physically, socially, emotionally and spiritually. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and carried out over five hours on a Monday. The Inspector spoke with the Registered Manager, Deputy Manager, staff and several service users. She looked at records and saw some areas of the home. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. The Inspector spent time talking with service users, the said they liked the staff and the liked the food. She visited the activities room and spoke with one of the persons employed to provide recreational activities. The home has met the requirements and recommendations made in the last inspection report, and shows commitment towards meeting the National Minimum Standards. What the service does well: What has improved since the last inspection? The home has met the requirements and recommendations of the last inspection report. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 6 The Registered Manager has nearly completed the NVQ Level IV, and the home now has a Deputy Manager to support the Registered Manager and staff team. Rooms and corridors at the home have been repainted. A number of window ledges have been replaced, and new curtains have been provided in the Dining Room. Bedroom doors have been fitted with locks, for service users to use if they so wish. 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. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 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 standard(s) 2 To ensure that service users are appropriately placed at the home a thorough assessment is undertaken. EVIDENCE: The registered manager was undertaking an assessment for admission at the time of the inspection visit. Upon her return the assessment paperwork format was seen, and showed that all areas required by regulation and the minimum standards were covered. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 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 standard(s) 6,9 and 10 Service users know that their personal goals are reflected in their individual service user plans, and that potential risks are managed. Service users know that their views are listened to and that their records will be kept securely maintaining confidentially. EVIDENCE: Each service user has an individual service user plan. Support needs are detailed with actions taken by staff to support these needs. Potential risks are identified and the home takes steps to eliminate these risks where possible without restricting service users independence. There was evidence that plans are regularly reviewed to reflect any changes in a persons needs. Formal reviews are held regularly to ensure that the home continues to meet service user needs. Staff had a good understanding of service user needs. This was evident from the positive relationships and interactions between service users and staff witnessed by the Inspector. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 10 Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16 and 17 Links with the community are good and support and enrich service users social and educational opportunities. Service users have opportunities for personal and social development and are enabled to develop like skills. Life long learning is supported by the home. Daily routines respect service users rights, responsibilities and individuality. Service users know the relationships they form will be supported by the home. The meals in this home are good offering both choice and variety and catering for special diets. EVIDENCE: Resources on site enable service users to participate in a range of activities, including cooking art and computing. One service user said they liked to listen to the local radio stations. One person responsible for outdoor activities had just returned from an exercise session with six of the service users. She also spoke about recent visits to the Zoo and the Circus. A rive boat trip is currently being arranged Communication with family and friends is supported by the home Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 12 Service users have unrestricted access to communal areas and the grounds of the home. The atmosphere was relaxed and unhurried, interactions between staff and service users was respectful and positive. The Inspector spoke with one of the cooks. The choices of food for the day were on display on the notice board in the dining room. Service users spoken with said what they had had for dinner and that they liked the food. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 The health needs of service users are mainly well met. Some improvements on medication administration records are necessary to protect service users. EVIDENCE: Medication is stored in a medication trolley within a locked cupboard. The Inspector looked at the medication administration records. There were some gaps on the records, but it was seen that the medications had been administered. One issue in relation to a medication being ‘unavailable’ was discussed and the Registered Manager agreed to address this issue. The upstairs medication storage was also seen, and the Registered Manager agreed for any surplus supplies to be returned to the pharmacy. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 Service users are safeguarded from abuse. EVIDENCE: All staff members complete a detailed induction that includes the protection of vulnerable adults. The home has an adult protection policy. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,28,29and 30 The standard of the environment within the home is good providing service users with a homely environment. Service users bedrooms suit their needs and lifestyles. EVIDENCE: The home was clean and orderly on the day of the visit. Some improvements to the environment, the painting of rooms and corridors has been undertaken since the last inspection, and bedroom doors have been fitted with locks for service users to use if they so wish. All bedrooms are single occupancy, and bedrooms are personalised. Some carpet needs replacing for example the small TV lounge and the Registered Manager said that this has already been discussed. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34 and 35 Staff members are multi skilled ensuring good quality care and support. Service users are protected in the main by the homes recruitment procedures. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles. EVIDENCE: Staff retention is good, and some staff members have been at the home for a long time and are experienced with the service user group. Staff files were seen, and although a thorough recruitment procedure is undertaken contracts of employment need to be seen as part of the staff file. The home currently has an induction programme and the Registered Manager and Deputy Manager said that they were in the process of updating this. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,41,42 and 43 The Registered Manager has a clear vision for the home that she has effectively communicated to the service users, staff and stakeholders. The Registered Manager is supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Service users benefit from a well run home. EVIDENCE: The Registered Manager has many years experience and the necessary qualifications for running the home. She has a good relationship with staff, and service users, promoting an inclusive supportive management style. The Registered Manager was observed communicating a clear sense of direction, and she spoke with understanding of service user needs. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 18 The organisation makes a commitment to equal opportunities, and is currently applying for Investors in People certification. The home is financially viable and the Inspector was able to speak to the administrator for the home who spoke about the ongoing work and changes being made to systems. The home has the required public liability insurance cover. Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Deer Park Care Centre Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 3 H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 20 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(2) Requirement Medication administration records must be signed by staff when they administer mediciation Timescale for action 09/05/05 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 Good Practice Recommendations Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Deer Park Care Centre H56-H05 S23393 Deer Park Care Centre V223092 090505 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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