Inspection on 01/08/06 for Digby Court

This inspection was carried out on 1st August 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Digby Court 29/11/05

Digby Court 12/07/05

Digby Court 08/12/04

Digby Court 24/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Digby Court St Christopher`s Lane Bourne Lincs PE10 9AG Lead Inspector Julie Western Unannounced Inspection 1st August 2006 09:00 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 Digby Court DS0000002352.V305182.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. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Digby Court Address St Christopher`s Lane Bourne Lincs PE10 9AG 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) 01778 422035 The Orders Of St John Care Trust Mrs Tina Elizabeth Stebbings Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following category:Old age, not falling within any other category (OP) - 37 The maximum number of service users to be accommodated is 37. Date of last inspection 29th November 2005 Brief Description of the Service: Digby Court is a purpose-built home for up to 37 older people, which was formerly owned by the local Authority and is now owned by the Orders of St. John Care Trust, who manage a group of 16 homes across the county. The home is a two-storey building set in its own grounds close to the town centre of Bourne, which has a good range of shops and facilities. Accommodation comprises 33 single rooms and 2 shared rooms and on the day of the inspection the home was accommodating 34 residents. There are gardens to the rear and a car park to the front of the building. The home has a day care centre for up to 10 people daily, which is part Local Authority funded; it did not form part of the inspection. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 2 hours. This key inspection was unannounced and took into account any previous information held by CSCI including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the Commission prior to this inspection. The site inspection consisted of case tracking a sample of two residents’ records and assessing their care. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Three residents, three care and ancillary staff and two visitors were spoken with. The Manager was not present and the inspection was conducted with the assistance of the Senior Care Leader on duty. What the service does well: What has improved since the last inspection? The rolling maintenance programme was still in progress and recent improvements have included the complete refurbishment of the entrance hall, ground floor corridor and two staircases, including new furniture and curtains. Recent purchases have included a new carpet for Room 3, a hoist and a new lift. The activities co-ordinator’s hours have been increased from 7 to 20, allowing her to increase the range of events. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 6 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. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 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 Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 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): 3,6 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to the service. The home clearly sets out what it intends to do for its residents and this information is freely available to residents. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: The statement of purpose and the residents’ handbook were examined and were very comprehensive. The service user guide was easy to read and residents also received a copy of the Quarterly Trust magazine. The day care room, which was located off the main entrance, gave prospective residents a chance to experience life in a residential care home, since they ate meals with the residents and shared some of the activities. One resident was staying at the home for respite care and said that this gave her a chance to get used to being in long term care when the time came. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 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): 7-10 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. The home’s records give a clear indication of the needs of residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: The three care plans looked at in depth contained clear and comprehensive assessments, were reviewed regularly and were signed where possible by the service user or relatives/advocates. There was a clear medication policy and the last visit from the pharmacist was last week; there were no issues from this. A visiting district nurse said that in her opinion the standard of care was good, there was a pleasant atmosphere and the staff team were knowledgeable. Staff members were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 10 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): 12-15 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to the service. Social activities are extensive and well promoted, creating a variety of events and activities which residents are informed about. The residents can exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: The home employs an activities organiser who now works 20 hours weekly; she is responsible for seeking the views of residents about what they wish to take part in. On the day of the inspection some residents were painting decorative flower-pots, with a view to planting winter hyacinths in them. Residents and staff confirmed that there was a great deal of choice regarding the activities and events at the home and all said they enjoyed the activities provided. Each resident had a record of activities including a list of preferred hobbies/interests and a family history. The activities calendar showed that regular events included film shows, communion, exercise, handicrafts, bingo and coffee mornings and the week’s activities were displayed on a notice board in the entrance hall. The outdoor marquee in the grounds was used last week for the home’s annual summer supper organised by the Friends of Digby Court, who are volunteers. One resident described how he had recently been for a Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 11 holiday to a bungalow in Mablethorpe owned by the Trust The midday meal was nutritious and residents said how much they enjoyed the meals. There was a menu board displaying the day’s meals including the alternative choice. Residents confirmed that they were frequently asked for their choices of future meals; monthly meal satisfaction forms were completed. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure. EVIDENCE: Residents spoken with said they did not wish to complain but knew how to make a complaint. The home had received one complaint in the last twelve months; this had been responded to appropriately and within the given time. A suggestions box was located in the front entrance hall but the Manager said that residents preferred to come to her directly. There was a clear adult protection procedure, which was linked to the Local Authority procedures. All staff members spoken with had received training on adult abuse and were knowledgeable about complaints. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. The residents live in a comfortable and pleasant environment with both private and communal space, which is generally suitable for their needs. Seating space is limited in the main lounge. EVIDENCE: The home has a rolling maintenance rota and recent improvements have included the complete refurbishment of the hall, staircase and ground floor corridors. Risk assessments are carried out on the premises to ensure that residents are safe from any potential hazards. The main lounge is not large enough to accommodate all residents at one time and seating is very cramped; plans have been approved and work will commence shortly to extend it by some 4 metres. Overall the standard of decoration internally was good and afforded residents a great degree of comfort. The grounds were attractive and offered seating areas in good weather, with a marquee erected throughout the summer for residents to use as an alternative outdoor room. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 14 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): 27-30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent. EVIDENCE: The staff rota showed that there were enough staff numbers according to the staffing matrix and shifts were arranged to accommodate the needs of residents; staff confirmed that there were enough staff members on duty to complete their tasks. The most recent staff member to be appointed said she had given two references, which were followed up, had a CRB check and had undertaken a three-day induction programme before commencing work. Three staff members had also recently returned from a two-day induction course at the Wellingore headquarters. Training records showed that seven carers had achieved the National Vocational Qualification at Level 2, with one working towards it and five had achieved it at Level 3 with one working towards it Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 15 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): 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to the service. The home is managed competently and the staff are supported and supervised in carrying out their respective roles. The audit and policy systems ensure that residents’ views are listened to and acted upon. EVIDENCE: Residents’ finances held by the home were checked and found to be in order. Finances are audited regularly from the headquarters in Wellingore. The quality assurance manual demonstrated a positive approach to seeking the views of residents and residents spoken with said they were constantly asked for their views on matters concerning the running of the home. Quality assurance questionnaires were in residents’ folders and sent to the quality assurance manager at headquarters. The Trust also has a training manager, who organises an extensive programme of training for all staff. The home has the ISO 9000 award and the Investors in People award. Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 16 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Digby Court DS0000002352.V305182.R01.S.doc Version 5.2 Page 19 - 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!