Inspection on 27/02/06 for Didsbury Court Rest Home

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Didsbury Court Rest Home 04/05/07

Didsbury Court Rest Home 15/11/05

Didsbury Court Rest Home 01/02/05

Didsbury Court Rest Home 28/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Belma

Hunters Care Centre

Manor Lodge

The Garden House

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

CARE HOMES FOR OLDER PEOPLE Didsbury Court Rest Home 17-19 Park Road St Marychurch Torquay Devon TQ1 4QR Lead Inspector Annie Foot Unannounced Inspection 27th February 2006 01:00 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 Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 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. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Didsbury Court Rest Home Address 17-19 Park Road St Marychurch Torquay Devon TQ1 4QR 01803 329735 01803 329735 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) Mr Stuart Watson Mrs Ann Watson Mrs Ann Watson Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Didsbury Court is a large detached property. It is located in the St. Marychurch area of Torquay and is within walking distance of local shops and amenities. Torquay town centre is approximately 1 mile from the home and can be reached by public transport. Didsbury Court provides accommodation with personal care to older people (65 ) both male and female. It is registered to provide a service for up to 14 residents. A small day care service is also offered for up to three service users on a daily basis. The home is laid out over 3 levels, ground, mezzanine and first floor. It has a passenger lift, which facilitates full access to each level. Current accommodation is provided in 12 single bedrooms and 1 double (which is currently being used for single occupancy). All bedrooms have en suite facilities except one, which has its own bathroom and toilet next door. It is the owners’ intention to incorporate this into the bedroom to create a full en suite facility (toilet, washbasin and walk-in bath) whilst the extension, detailed below, is being undertaken. In terms of communal space, the home currently offers a lounge, conservatory and dining room, two communal assisted bathrooms as well as an attractive and accessible garden. An extension is now well underway to provide an additional three en-suite bedrooms and enhanced communal areas. The new kitchen is now fully functional. The dining area and adjoining coffee area is almost complete. A new disabled toilet is installed alongside the dining room. New storage areas, including a new medication storage room, are also in progress as part of these works. Gardens are also being landscaped to provide improve access and sitting areas for residents. On completion the owners intend to re-register the home to provide accommodation for up to 17 residents. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place during the afternoon, of the 27th February 2006. It was the second inspection of the year. The purpose of the visit was to follow up on issues raised at the last inspection and to view the progress of the extension. No requirements had been issued at the past two inspections and any recommendations previously made had been met. The deputy manager was on duty with 3 other members of staff. Mr Watson one of the proprietors, popped in during the course of the inspection. The home has been undergoing extensive building works since last September. Work on the new extension is nearing completion and was seen. The enhanced facilities will provide improved accommodation and facilities for residents. Although the site itself appears busy, residents said they had not been disrupted by the work. They are all looking forward to the improved facilities. A partial tour of the building was made during the inspection, and discussion held with residents and staff. Care and medication records were examined. The home is currently full. All of the residents were met and all commented positively on life at the home. Two day care residents were enjoying a day at the home and there are two residents staying for respite. One of which was due to go home that day, and another resident was due to arrive. What the service does well: Didsbury Court works hard to create a relaxed homely, comfortable and cosy environment. All of the residents said how happy they were to have a place at the home. Meals were said to be “fantastic” with “excellent choice”. A resident said it was difficult “not to put weight on” because the food was so appetising and imaginative! A lot of thought and creativity is put into creating, interesting menus, which cater for the individual, likes of residents. The home celebrates special occasions, such as the recent 100th birthday of one of the residents. This included a visit from the local mayor, to join residents in a glass of champagne and a “wonderful spread”. One resident said the home provides “TLC – tender loving care” and that “the home is so much better than I had ever anticipated it would be” Staff were said by residents to be on hand at all times and that call bells are responded to quickly. Another resident said she was a different person since she moved in – much more confident and less anxious. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 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 Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 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): 1 Prospective residents benefit from clearly presented written information about the services and facilities offered by the home, in order to make a decision to stay. EVIDENCE: The statement of purpose and service users guide is on display in a file in the entrance hall. Documents are extremely comprehensive and provide all the relevant information needed about services offered at the home. The file is well organised, making it was easy to read. There are also collections of leaflets available in the entrance hall, containing useful information for visitors to the home. One of the residents on respite spoke highly about her stay in the home. She had received excellent written information about the service provided prior to arriving. She felt that her particular needs were met well and that the hone “could not be faulted”. Many of the residents living at the home initially came for a respite stay. Some said they enjoyed it so much they decided to stay permanently. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 9 Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9,10 Resident’s benefit from comprehensive care planning systems, which ensure that individual needs, are met and regularly reviewed. Residents can be confident that their medication needs will be met through comprehensive medication procedures, which are administered by trained staff. EVIDENCE: Resident’s files containing care plans and risk assessments are well organised, detailed and consistent. Random samples of resident’s files were examined. All records seen were up to date. Medication administration procedures and records were inspected. These were found to be accurate and complete. Signing systems are in place to ensure that staff have read and understand policies and procedures. There is no sample signatory/initial sheet available and this is recommended to improve good practice. There are no controlled drugs currently in use. But there is suitable storage in place for them. Other medication storage is secure. The drugs fridge is currently located outside the medication room, storing creams that require cold storage. A new medication room is under construction as part of the current work programme. When complete this will Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 11 provide a safe secure will provide an excellent facility for medicines to be stored. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Resident’s enjoy a relaxed environment and benefit from a flexible social programme that meets individual interests. EVIDENCE: On arrival for the inspection, residents were observed to be eating lunch in the lounge. This was due to the dining room being out of action for refurbishment. Residents said they were quite happy about eating in the lounge. Staff said residents seemed to like the arrangement. The dining room is due to be reopened next weekend. Meals are also served in individual rooms if residents so wish. Residents were joined in the afternoon in a game of floor quoits. This was very relaxed and enjoyable with lots of interaction and laughter between the group. Residents say there are lots of activities arranged to which they join in or not, as they choose. Residents clearly feel at ease in their surroundings and there is good rapport between individuals and with staff. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 13 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): 18 Residents can be confident that here are robust systems in place to protect individuals from abuse. EVIDENCE: A comprehensive policy file was seen, which included policies for whistle blowing, bullying, harassment, adult protection and violence /aggression. Policies are reviewed annually and last updated May 2005. Staff had signed that they had read and understood the both policies procedures. In speaking to staff they were clear about reporting systems should an allegation of abuse be made. The registered manager has attended multi-agency training in the protection of vulnerable adults. There have been no allegations of abuse within the last twelve months. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 14 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): 19,26 Residents live in comfortable, homely surroundings, which are well maintained to a high standard. Although work continues in the home to upgrade facilities, this does not intrude with resident’s comfort or privacy. EVIDENCE: The home is very comfortable, bright light and homely in design. Extensive work continues while the extension is being completed. There is evidence of work all around and at first sight appears that this might be disruptive to residents. But in discussion with them and with staff it is apparent that the programme has been planned to ensure minimum disruption. Residents said the work was sometimes noisy but they did not feel disturbed. They are looking forward to completion of the development, which is anticipated within the coming month (March 2006). Risk assessments for the safety of first floor windows, have been undertaken as recommended at the last inspection and where risk identified restrictors have been fitted. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 15 Since the radiators have been guarded, there has been a drop in temperature in some rooms. Where this is the case the proprietors have provided oil filled radiators. One arrived during the inspection. The ambient temperature of the home on the day of the inspection was warm and comfortable, despite very cold temperatures outside. Residents rooms seen were of varying sizes and layout, all were furnished to a high standard with quality furnishing, carpets and fitments. Three existing bedrooms have been refurbished. 3 vacant and as yet unregistered bedrooms have been competed and these were seen. These are of similarly high standard. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 16 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): 27 Staff are well trained and competent in their role, providing good quality care to residents. EVIDENCE: These standards were all assessed and fully met at the last inspection and not reassessed in depth on this occasion. All of the staff on duty were spoken to. All said they enjoy working at the home and all are experienced in working with older people. Staff spoken to demonstrated a good understanding of older peoples needs. The one staff member under 18 years of age does not provide personal care to residents yet. She was able to clearly explain her role and responsibilities and the Level 2 NVQ training being undertaken. Residents said that the support and care provided by the staff was consistently kind and helpful. Residents spoke warmly about the staff, making many complimentary and positive comments. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 17 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): Resident’s benefit from efficient and knowledgeable management EVIDENCE: The deputy manager was on duty and present throughout the inspection. One of the registered providers (Mr Watson) was present for part. It was clear, in discussion with Mr Watson, that he and his wife are strongly committed to providing the best possible care for the residents. They have owned the home for over 10 years and have invested heavily in making many improvements over the years. The new extension is an example of the owner’s commitment to continually make improvements. The management team provides stability and continuity to residents, who they know well. There is a clear sense of direction and leadership and from communications observed positive relationships exist. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 18 The deputy manager has been employed at the home for four years and has worked her way up to her present position. She is currently working toward achieving the registered Managers Award. The deputy manager described the residents meetings, which take place formally twice a year, but she also said that residents have good relationships with staff and talk to them a lot. She is confident that any worries or issues of concern would be raised. Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 19 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 4 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x x Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 20 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. 1. Refer to Standard OP19 Good Practice Recommendations The extension and upgrading programme currently underway, at the home should comply with the required physical standards of the National Minimum Standards and meet the requirements of any other involved agency i.e. the fire department and building control department etc. (Repeated from the previous inspection) To list specimen signatures and initials of staff, responsible for administering medication. 2. OP9 Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Didsbury Court Rest Home DS0000018347.V276079.R01.S.doc Version 5.1 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. 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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