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Inspection on 13/10/05 for Derbyshire House Care Home

Also see our care home review for Derbyshire House Care Home for more information

This inspection was carried out on 13th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The care and support provided at the home is good. The staff are competent, caring and have time for and commitment to the residents. The routines at the home are flexible and residents can choose their own lifestyle with minimal restrictions. The residents feel they are treated with dignity and respect and that their privacy is valued. Their opinions on the quality of service and care provided are sought and acted upon. The home is clean, safe, comfortable and well maintained offering homely accommodation to the people who live there. Residents are well protected from harm and abuse and feel safe at the home.

What has improved since the last inspection?

The money held on behalf of residents is now stored in individual packets to make checking the amounts against the records easier. This better protects the residents` interests. Various parts of the home are being redecorated and the office has been improved.

What the care home could do better:

No requirements or recommendations have been set following this inspection.

CARE HOMES FOR OLDER PEOPLE Derbyshire House Care Home Derbyshire House Residential Home Station Road East Leake Nottinghamshire LE12 6LQ Lead Inspector Linda Hirst Unannounced Inspection 13th October 2005 10:00 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 Derbyshire House Care Home DS0000008660.V258564.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 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. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Derbyshire House Care Home Address Derbyshire House Residential Home Station Road East Leake Nottinghamshire LE12 6LQ 01509 852531 01509 853945 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) Action Solicitors Mrs Wendy Newell Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/7/05 Brief Description of the Service: Derbyshire House is a well established care home providing personal care and accommodation for 19 older people. It is owned by the W. J. Yapp Trust, which is a charitable body, and has operated as a care home since 1965. The home is located in the village of East Leake, a short walk away from the village centre. The village itself offers shops, pubs, churches and health and leisure services. Derbyshire House is a detached house surrounded by large and well maintained gardens. Most of the accommodation is on the ground floor. It offers 19 single bedrooms, many of which have en-suite facilities. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit involved one inspector who was at the home for half a day (including lunchtime). The main method of inspection used was called ‘case tracking’ which involved selecting two residents and tracking the care they receive through checking their records and where possible, discussion with them. The tour of the home was undertaken, the record of complaints, health and safety servicing and the arrangements for residents’ finances were also inspected and staff were interviewed and observed in their duties throughout the visit. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations have been set following this inspection. Derbyshire House Care Home DS0000008660.V258564.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. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 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 the following standard(s): 5 Residents can visit the home before they decide on a permanent placement. EVIDENCE: Both of the residents who were interviewed said they felt happy and settled at the home. One chose the home herself after visiting a friend who lived there; the other said her relatives chose the home having looked around. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7, 8, 10 Care plans are well organised, up to date and offer guidance to staff about how to meet the residents’ needs. The residents say that the staff look after them well and treat them with dignity and respect. EVIDENCE: Care plans for the case tracked residents were inspected to make sure that they offer good guidance to staff about meeting needs. These contained information about wishes and preferences, hobbies and independence issues. There was evidence that both residents had been involved in developing and reviewing their plans and the reviews were monthly. Both of the residents who were interviewed said they had seen their care plans and confirmed that the staff discuss their needs with them, although neither needs significant help from the staff. Neither of the residents interviewed had the need for ongoing support from health care professionals but they said the GP is called in “straight away” if they are unwell. They said the staff look after them well when they are ill and make sure they have regular drinks. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 10 Those interviewed do not really need help with personal care other than getting into and out of the bath, but they commented that the staff are very discreet and leave them in the bath to wash themselves in privacy. They also confirmed that their privacy in respect of receiving mail, phone calls and visitors is always respected by the staff. They said they are treated respectfully. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 13, 14 Residents lead meaningful lives and maintain contact with their family, friends and the local community. They have the freedom to decide on their own lifestyle. EVIDENCE: The residents said they fill their day meaningfully and enjoy watching TV, doing the crossword and reading. Both go out into the community regularly with family and friends and they said that trips out to the local pub for lunch are organised. Parties are arranged and activities are done weekly. Contact with family and friends is encouraged and the residents said visitors are made welcome and offered tea and cake. The residents interviewed have their own routines, one rising early the other getting up later. Breakfast is served in residents’ own bedrooms. They confirmed that they go to bed when they choose and can decide how to spend their day. They said there are no strict routines at the home. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16, 19 The residents know how to complain and are confident to do so. The residents feel safe and secure at the home. EVIDENCE: The record of complaints was inspected but none have been received at the home or via the Commission for Social Care Inspection since the last inspection. The residents interviewed were well aware of how to make a complaint, and although neither has had cause to they said they would feel confident in doing so and felt the manager would deal with issues professionally. They feel safe at the home and have never seen staff respond inappropriately, saying they respond to difficult residents with “endless patience.” Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The home is comfortable, safe, clean and well maintained and offers pleasant accommodation to the residents. EVIDENCE: The home is very well maintained throughout. Communal areas are homely and comfortable and the residents have the option of fully furnishing their own bedrooms resulting in highly personalised bedrooms. Some rooms are en suite and in one case the Occupational Therapist has just assessed a resident for bathing equipment to enable her to bathe with more independence and safety. There are two assisted bathing facilities at the home, handrails and call alarms throughout and equipment for individuals such as wheelchairs, mattresses and so on are provided following referral and assessment by suitably qualified professionals. The home is clean, fresh smelling and hygienic throughout with suitable arrangements in place for the prevention of cross infection. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 14 The residents interviewed commented that the home is comfortable and clean. The laundry service is said to be well organised and items only “occasionally” go missing. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 The staff are committed to the residents and the feedback on their performance was overwhelmingly positive. EVIDENCE: The staff interviewed said they were a stable group, most of who have worked at the home for a long time. They said the shifts vary depending on the needs of the residents at the home, but several are self caring. Those who need a lot of help get this, and the staff said they make sure they chat to them as they assist so they know what staff are doing. They feel a great commitment to the residents and feel they know them very well. The staff feel they work well together as a team. The residents said the staff are “really lovely” and kind and would “do anything for you.” They said they do not have to wait long for assistance. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 38 Residents are encouraged to give their views formally on the quality of care and support at the home. The arrangements for managing residents’ finances are safe, secure and protect their interests. Health and Safety checks and servicing is well managed and up to date. EVIDENCE: The residents interviewed confirmed that they had been asked for their views on the service and care provided at the home. They praised the managers very highly saying they were very approachable and good at their jobs. They could not think of any improvements to the service. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 17 The arrangements for handling the residents’ finances were inspected to ensure they are properly protected. Residents’ money is now held individually. The records and the amount balances were checked and these all tallied. Good records of expenditure are maintained and evidence that all steps are taken to ensure residents’ interests are safeguarded. The health and safety checks and servicing records were inspected to make sure that residents’ health and safety is properly protected. There is a health and safety policy in place and a full audit pack has just been purchased for use at the home. Lifting equipment servicing is up to date and a contract is in place to ensure equipment is safe and working. Good records in respect of Legionella testing are maintained and the tanks have all just been disinfected. The fire safety tests are conducted as required and the servicing of fire fighting equipment is up to date. The electrical and gas safety tests are all up to date. Accident records are well maintained and do not give rise to any concerns in respect of health and safety. Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 18 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 X X X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 19 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. 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 Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Derbyshire House Care Home DS0000008660.V258564.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!