Inspection on 11/10/07 for Dennyshill

This inspection was carried out on 11th October 2007.

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

Dennyshill 11/05/09

Dennyshill 13/07/06

Dennyshill 15/03/06

Dennyshill 18/10/05

Dennyshill 11/03/05

Dennyshill 05/07/04

Dennyshill 15/03/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOMES FOR OLDER PEOPLE Dennyshill Glenthorne Road Duryard Exeter Devon EX4 4QU Lead Inspector Louise Delacroix Unannounced Inspection 11th October 2007 09:45 X10015.doc Version 1.40 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 Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 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 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. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dennyshill Address Glenthorne Road Duryard Exeter Devon EX4 4QU 01392 259170 NO 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) Mrs Tracey Victoria Anne Hibberd Mrs Tracey Victoria Anne Hibberd Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (9), Physical disability (9), Physical disability over 65 years of age (9) Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Main client group MH(E) mental handicap who are elderly Client group MH mental handicap (learning disability) [40 years and over] Client group MH(PH) mental handicap with physical disability [40 years and over] 13th July 2006 Date of last inspection Brief Description of the Service: Dennyshill is situated in a quiet area of Exeter, close to the university. Nine older people with a learning disability live at the home. All accommodation is provided on one level. There are two double rooms and five single bedrooms. There is one bathroom with a level entry shower and a bath, which is not assisted. The manager/owner lives on site. The cost of the service ranges from £357 - £426 per week, with additional changes for hairdressing, chiropody, transport at 40p per mile per resident, toiletries and clothes. The statement of purpose/service user guide is kept in the hall. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted four hours and forty five minutes. At the time of inspection, nine people were living at the home with two members of staff on duty. The manager also provided extra ‘hands on’ support at key periods throughout the day; for example, buying food shopping. Two members of staff and the owner contributed to the inspection, as did eight of the people living at the home. This report also includes feedback from comment cards received from health and social care professionals. Surveys were also received from four of the staff group, two relatives and one person living at the home. As part of the inspection, two people were case tracked; this means that we asked people about their experience of living at the home, we visited their rooms and looked at the records linked to their care and stay. We also asked other people about their views of the home. During the inspection, we looked around the home, and at records including training, care plans, medication, and we checked how people’s individual money was managed. We also used information from the home’s Annual Quality Assurance Assessment (AQAA) to help us judge the service. What the service does well: The home strongly encourages prospective residents to visit before moving in and the manager also visits people prior to them moving in and completes an assessment. The information that is provided about the home is written in a friendly and informative style. Staff demonstrate a caring attitude, and recognise the individual communication needs of people. Contact with friends and relatives is actively encouraged, which includes providing transport to enable people to visit friends and family. Staff show a good knowledge of the individual needs of people and help promote choice in their day-to-day lives. The home actively involves other professionals for specialist advice. The home provides a comfortable environment for people with level access throughout. The manager has undertaken a good quality audit of the service, collated this information and provided the outcomes to CSCI. There is a stable staff group, who have received mandatory training in first aid, food hygiene and moving and handling. The home is well run and staff are well supported. The manager has worked hard to introduce recording as part of the Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 6 staff’s daily routine to ensure that the good standard of care provided at the home is evidenced. What has improved since the last inspection? What they could do better: Requirements have been made in the following areas for changes in practice that must be made within a set timescale. The manager has identified that some of the care needs of people living at the home are changing and has agreed that staff would benefit from training in caring for people with dementia. We have also made a requirement that we must be notified in writing without delay of any adverse events in the home. For example, challenging behaviour directed towards other people living at the home or towards staff. Recommendations have been made to improve practice in the home in the following areas. Currently prospective residents are provided with information about the home and how to make a complaint but not necessarily in a format that is accessible to them. Care plans should show how people living at the home have been involved in their content. The home is working towards covering radiators to help protect people living at the home. Please contact the provider for advice of actions taken in response to this Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 1, 3, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides information about the service in a clear style, although the service user guide is not written in a style accessible to all current and prospective residents, which could prevent them making an informed choice about the home. However, visits are actively encouraged to enable prospective residents to make a decision about moving to the home. Information is gathered by the home about the needs of prospective residents, which help them ensure that their experienced staff group can meet their needs. EVIDENCE: The statement of purpose is well written in a friendly informative style. However, the service user guide is not written in a style accessible to the all of the client group. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 10 The manager records assessments for people moving at the home, which covers social, emotional and physical care needs. We saw that an assessment has been completed for a person who had moved to the home since the last inspection. There is a stable staff group who have known people living at the home for a long time, and those observed during the inspection showed a good knowledge of their needs. The staff were seen to be interacting appropriately with people, and understanding their individual communication methods. We saw good quality records that showed how a prospective resident was encouraged to visit the home several times to meet people living and working there to help them decide if it was the right place for them. This practice is also promoted in the statement of purpose. The person said in their survey that they were asked if they wanted to move to the home, and felt that they had enough information about the home. Two relatives also said that they had been provided with enough information to make decisions. Other people said that their relative had been helped to settle in quickly through the cooperation and help of staff. The home does not offer intermediate care. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the health and personal care needs of people living at the home, which are well documented in care plans, and provide support in a caring and individual manner to meet peoples’ changing needs. Medication is well managed to maintain the safety of people living at the home. EVIDENCE: We looked at two care plans and we met the people they concerned. The manager and staff have worked hard to continue the improvement in care planning, ensuring that essential information is available to guide staff when delivering care. Goals have been set for maintaining good health. All staff who contributed to the inspection had a good knowledge and understanding of peoples’ individual needs and preferences, which some of the people living at the home were able to confirm. Minutes from staff meetings also showed that staff were encouraged to influence the content of care plans and to comment on their accuracy. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 12 Risk assessments have improved but do not currently give staff guidelines as to how to manage inappropriate sexual behaviour, which could result in an inconsistent approach. We saw staff reminding people about inappropriate behaviour or comments, and saw that staff followed guidance in care plans. We discussed the use of language i.e. the word ‘naughty’ and staff recognised the need to be careful that their choice of words did not patronise the people living at the home. There are now high quality monthly reviews in place, which cover all aspects of people’s lives and monitor change and progress. However, the current care plans do not show that the people they concern have been consulted about the content. Staff said they were well supported by health services, and relatives said that the home called on experts when they are required. Clear records are kept regarding the contact with health professionals and the advice given. For example, contact with the optician, foot care specialist, psychologist and psychiatrist. A district nurse and a physiotherapist commented in the home’s own quality assurance survey that the home worked in partnership with them and acted upon specialist advice. They also said that the home made appropriate decisions, which was also confirmed by a letter from the local learning disability community team. One professional said, ‘Staff are very caring and take that extra care… one of our patients who died … at the home was looked after beautifully by the staff and treated like a member of their family’. A visitor said ‘ I feel it is only really down to the care (they have) received that (they) have lived so long’. Another relative said that it was ‘a caring home’ and another felt their relative’s happiness and contentment was almost entirely due to the staff. Discussion with the manager shows that the mental health needs of individuals, as well their physical health needs are recognised, and people living at the home are supported to attend health appointments. We discussed how medication was managed with a member of staff, and saw their training certificate. We saw that there have been improvements to the storage arrangements for medication, and we saw that the medication administration record sheets were completed correctly. A member of staff told us that the pharmacist had visited and been satisfied with the management of medication. During the inspection, we saw peoples’ dignity being respected and people were dressed appropriately. The home’s statement of purpose stresses that there is no communal wardrobe and this was further evidenced by records showing that people had gone out shopping and chosen their own clothes. One Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 13 person told me how they had selected their clothes from their wardrobe in the mornings. In their conversation with individuals, staff were affectionate and responded in a humorous manner, while also respecting people as individuals. For example, changing their approach for different people. A visitor commented that ‘the staff are always happy and this rubs off on (our relative) who enjoys this friendly banter’. Another relative said ‘I think it is a very happy place and they offer affection and friendship’. Health and social care professionals and visitors said that they could see the people they visited in private. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 12,13,1,4 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Contact with families and friends is actively encouraged and supported, as are social groups. People are encouraged to maintain their independence and exercise choice in their daily lives. The home endeavours to ensure individual preferences and needs are met with the meals they provide. EVIDENCE: We talked to people about how they like to spend their time and how the home supported them to do this. For some people, this meant being supported to attend a social group in Exeter, while others said they preferred staying at home watching television or films. Several people said they liked the home’s karaoke sessions, which took place on the afternoon of the inspection. A visitor said that their relative ‘has always liked music and the staff join in with them when they wish to sing and dance’. They commented that it helped keep their relative ‘focused and happy’. People’s care plans showed their interests and Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 15 how they were supported to fulfil them. Two people who responded to our CSCI surveys said that they thought people would benefit from more activities. We saw that since the last inspection more people are able to have one to one sessions with staff, such as going to the zoo, choosing furniture for their room or going shopping for clothes. Staff and people living at the home were positive about this opportunity for focussed attention, with one commenting that they are actively encouraged to spend time with people living at the home. We also saw from records that people had been on trips to the seaside, and that a musician had recently visited the home. People living at the home told us which instruments they had played during this session, a staff member said that it was hoped this could be a regular event. People told us how important it was to keep in contact with family and friends. A visitor said that staff are always helpful and supportive when their relative visited family. We saw a number of examples of how the home ensures this happens from information in care plans, visitors’ book, quality assurance surveys and cards of thanks from families. One visitor said that they have ‘always been greeted in a friendly manner’ and another relative wrote how much they appreciated the home’s role in them maintaining contact with their relative through phone calls and letters. They thanked the home for ‘the hospitality’ and being made to feel ‘so welcome’. When we talked to people living at the home, they told us they could choose what they did during the day. One person gave an example of where they ate their meals. Another person in their CSCI survey said they always made decisions about what they did each day, both in the day and evening. They were heard making choices during the day, as did other people during the inspection. Throughout the day, we heard people being offered choice, and saw staff taking time to ensure that people understood the choice they were making i.e. using visual clues. On the day of the inspection, we saw people eating different breakfasts based on their preferences. People told us they enjoyed their home cooked meal, and residents’ meeting minutes showed that people were happy with the standard of cooking. The atmosphere during the meal was relaxed and unhurried. Staff supported people with their meal in a way, which maintained their dignity. Care plans detailed how people living at the home needed an individual approach with their meals, and we saw staff following these guidelines. Staff said that people living at the home were asked about their meal preferences informally, and menus were changed to reflect their wishes. We also saw from residents’ meeting minutes that people living at the home can influence the type of meals that are served. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An improvement to the complaints policy would help ensure all people living at the home have access to the complaints procedure. Staff trained in safeguarding issues protect people living at the home. EVIDENCE: The manager has confirmed in their AQAA that the home has not received any complaints since the last inspection. None have been received by CSCI. Social and health care professionals said that they had not received any complaints about the home. People living at the home appeared relaxed with staff and generally able to express their views. Visitors to the home said that the manager was approachable, and that the home responded well to concerns. A person living at the home said that they felt that staff listened to them and acted on what they said, and they knew who to speak to if they were not happy. There is a clear complaints policy in the service user guide but is not in a format accessible to all people living at the home. In the home’s AQAA, the manager said that people living at the home are protected by regularly reviewing the home’s complaints and whistle blowing policies, as detailed in the home’s AQAA. Staff have now attended the protection of vulnerable adult training provided by Devon County Council, and we saw the certificates for this training. The home Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 17 now has a copy of the multi-agency document for the protection of vulnerable adults. This contains important local information and promotes good practice and the role of the alerter. The home’s policy on this area of care now contains local contact information. A staff member knew their duty to report on poor practice but was less certain about who they would contact outside of the home. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 19,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing people with a homely place to live. Further attention to one area in the home would help improve the safety of residents. The home is clean and odour free and staff are hygiene conscious. EVIDENCE: Dennyshill provides a homely and comfortable environment for the people living there; there is a communal sitting room and a dining area in the kitchen. The majority of bedrooms also have a comfortable chair in them. The home has level access throughout and an accessible doorway can be used to reach the outdoor decking area for people using wheelchairs or frames. The decking area is attractively decorated by tubs of flowers. Minutes from residents’ meeting showed us that this area was popular with people living at the home, and that they appreciated the flowers and plants. Bedrooms have been reDennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 19 carpeted, and the manager and staff said that there were plans to involve people in choosing new colours for their bedrooms, and to decorate the kitchen. Visitors to the home said that was well maintained. We saw during the tour of the building that the manager has worked hard to ensure that radiators have been covered to help protect people from being burnt. There are two bedrooms left where this needs to happen, which have been risk assessed as low risk by the manager. However, the manager has written to us and said they are committed to having the remaining radiators covered by the end of October. Since the last inspection, staff have completed a days training in infection control and told us that this had benefited their practice. The manager has invested in a new industrial washing machine which has a sluice facility, which staff said had really helped because of the changing needs of people living at the home. The manager has also ensured that there is liquid soap/gel and paper towels to help prevent cross infection. Staff were seen washing their hands throughout the inspection and were conscientious about hygiene. Staff were clear about their hygiene practice, including wearing appropriate protective clothing. On the day of the inspection, there was initial odour in the hall when we first arrived but this did not last. The home was clean and well cared for, which visitors and people living at the home said it always was. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a skilled and friendly staff group who have a good understanding of their needs, and who have undertaken training in key areas of care. EVIDENCE: There were suitable levels of staffing on the day of the inspection with two staff members on duty in the morning and afternoon. There are sleep–in night staff; one based in the home and the second in the adjoining building. This person can be alerted through the home’s call bell system. A member of staff told us that when this second person is not available, an extra member of staff is rostered on. Staff meeting minutes confirmed this. The manager provides hands-on care, but also provides extra cover when needed, as well carrying out her managerial duties. Staff felt well supported by the manager, which enabled them to support people on a one to one basis for trips. We spoke to staff who were positive about training, and were being supported by the manager to update their practice. Two members of staff are now undertaking NVQ 2 training in care, which will complement the two staff Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 21 members with their qualification. There are currently six members of care staff. There have been no additions to the staff group since the last inspection, so we did not look at staff recruitment records on this inspection, as this standard was met on our last visit. The home has a history of a stable and committed staff group. We looked at staff training records for two staff members, which demonstrated that staff are up to date in moving and handling, first aid, infection control, safe guarding vulnerable adults and medication training. We talked with the manager about the changing needs of some of the people living at the home as she had identified in her completed AQAA. She agreed that people living at the home would benefit from staff being trained in caring for people with a dementia type illness, as well as a learning disability. The manager wrote to us and said she had identified a suitable course and is waiting for confirmation from the training company. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run by a supportive manager. Peoples’ finances are safeguarded and they are involved in how the service is delivered. Safety checks are in place to help keep people safe but currently CSCI are not advised of some adverse events, which affects our ability to monitor how people are kept safe. EVIDENCE: The registered manager is experienced in managing a care home for people with a learning disability, and clearly knows people living at the home well. She has completed a national vocational qualification in care (NVQ 3) and confirmed that she has a City & Guilds management qualification. She has a ‘hands on’ approach and aims to work as a member of the team throughout Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 23 the week. She told us that recently she has been an extra on the daytime duty rota with other staff increasing their working hours. The manager is to be commended for her commitment to the service and the changes she has made in the last year. A staff member commented ‘I am proud to work at Dennyshill. I feel that we have something very special in the way the home is run…Much of this is down primarily to Tracey (the manager) and the standards and ideals she instils’. During in the inspection, staff said the manager was approachable, and could be seen in private if this was needed. All four staff who returned surveys said that they were well supported, and received supervision on an informal basis because the manager worked alongside them. The manager has promoted quality assurance within the home through staff meetings, residents’ meeting as evidenced by minutes, questionnaires about the service, and through informal on-going consultation as listed in the statement of purpose. The manager is currently appointee for some of the people living at the home. Finances are well managed and recorded with double signatures and receipts kept. Records can be easily audited, and two people’s balances were checked and found to match the records. The manager has helped set up one bank account to increase one person’s independence. She explained the steps she had taken to try and provide this facility for all people living at he home. She also plans to liaise with Devon County Council about their role in managing people’s money. Staff confirmed that they had regular fire training, and care plans showed us that the individual needs of people living at the home had been risk assessed. We checked and saw that the person preparing the meal on the day of the inspection had up to date food hygiene training. Mandatory training for staff is now up to date in the home. The manager told that they had risk assessed the water temperature in one of the bedrooms and as a result had ensured that the water temperature was regulated. We talked about the impact of the behaviour of one person on other people living and working in the home. CSCI have not been informed of these incidents, which needs to happen, so that we can monitor how they are managed. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 Standard No Score 16 2 17 x 18 3 3 x x x x x 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 25 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 OP30 Regulation 18(1) (c) (i) Requirement Care staff must receive training for caring for people with dementia, which need to be person centred and based on good practice, which will benefit people living at the home. CSCI must be notified in writing of any adverse events in the home without delay. For example, challenging behaviour directed towards other people living at the home or towards staff. This will help us ensure that people living at the home are safe. Timescale for action 31/01/08 2. OP38 37 (e) 30/11/07 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 OP1 Good Practice Recommendations The service user guide should be written in a style that is appropriate for the client group. Specialist advice should be sought, if necessary. DS0000021926.V338326.R01.S.doc Version 5.2 Page 26 Dennyshill 2. OP7 3. 4. OP16 OP25 Care plans should show how people have been consulted about the content of their individual records. Risk assessments should be expanded to give staff guidelines as to how to manage inappropriate sexual behaviour. The complaints policy should be written in a style that is appropriate for the client group. Specialist advice should be sought, if necessary. It is strongly recommended that all radiators should be covered to promote the safety of people living at the home. Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dennyshill DS0000021926.V338326.R01.S.doc Version 5.2 Page 28 - 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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