Inspection on 27/09/05 for Ditton Priors Residential Home

This inspection was carried out on 27th September 2005.

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

Ditton Priors Residential Home 11/07/07

Ditton Priors Residential Home 27/06/06

Ditton Priors Residential Home 09/01/06

Ditton Priors Residential Home 01/03/05

Ditton Priors Residential Home 07/09/04

Ditton Priors Residential Home 03/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Ditton Priors Resident Home Ashfield Road Ditton Priors Bridgnorth Shropshire WV16 6TW Lead Inspector Mike Moloney Unannounced Inspection 27th September 2005 10:15 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 Ditton Priors Resident Home DS0000020719.V254382.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. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ditton Priors Resident Home Address Ashfield Road Ditton Priors Bridgnorth Shropshire WV16 6TW 01746 712656 01746 712076 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) Guardian Care Homes (UK) Ltd Mrs Margaret Alsop Care Home 23 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (13) of places Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2005 Brief Description of the Service: Ditton Priors Residential Home is registered to provide care for a maximum of 23 older people, of whom 10 may be designated as suffering from ‘dementia’ and 13 designated ‘old age’ and ‘not falling within any other category’. The Home is situated on the edge of the small Shropshire Village of Ditton Priors with most rooms enjoying uninterrupted views of the Shropshire countryside. It has extensive well-maintained grounds with many shrubs, trees, flower borders, lawns and patios, and an area where vegetable produce is grown for use in the Home’s Kitchen. The Home, purpose built as a residential care Home during the 1970’s, has since been extended to provide additional care places. Mr Gary Hartland is the Registered Responsible Person and Mrs Margaret Allsop is the Registered Manager. The Home is part of the ‘Guardian Care Homes’ Group. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two hours during the morning. Information was gained from documentation made available by the home, by discussions with the deputy manager, the staff and the service users as well as by reading documents kept within the home and by looking around the building. What the service does well: 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. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 6 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 Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 7 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 The home has an appropriate admissions assessment procedure. EVIDENCE: A number of new people had started to live at the home in recent months. The assessment system contained detailed information regarding their medical needs, social patterns and interests, personal care needs for both day and night. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 8 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, and 9 The personal and healthcare needs of the service users are met. Staff have received the training necessary to administer medication safely. EVIDENCE: Looking at the service users records showed that the pre-admission assessments enabled the home to create comprehensive care plans. These contained guidance for the staff on the range of assistance that each service user needs for both personal and health care. Talking to a number of the service users established that they were being cared for in the way outlined within the agreed plans. The home also has a system for storing and recording medication that complies with the guidelines issued by the Royal Pharmaceutical Society and staff have received training that contains all of the elements required by the National Minimum Standards for Older People. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 9 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): x EVIDENCE: None of the above standards were assessed on this occasion. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 10 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): x None of these standards were fully assessed on this occasion. EVIDENCE: The deputy manager stated that there had been no complaints made since the last inspection nor had there been any referrals made in relation to abuse. These standards will be more fully assessed at the next inspection. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 11 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, 25 and 26 The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in the village of Ditton Priors and is a property that has been developed to its present use in a sensitive and practical manner since it was originally built as a care home in the ‘70s. The home has its fully equipped laundry area situated so that access is through areas that are not used for food preparation or consumption thereby reducing the risk of cross contamination. The rooms were all seen to be bright and airy and kept at a comfortable temperature. Hot water temperatures were also seen to be monitored to reduce the risk of residents being scalded. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 12 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, 29 and 30 The home has good staff recruitment and training practices, however, there are not enough of them available during the latter part of the day. EVIDENCE: Staff records contained appropriately completed application forms, two references were seen on all files and CRB disclosures had been obtained prior to staff starting work. Records showed and staff confirmed that they had received an induction that met the standard required by TOPSS. However, on the day of the inspection there were only two staff on the staffing rota for the afternoon and the deputy manager confirmed that this was normally the case. This is insufficient to meet the needs of the residents if, for example, both staff are required to carry out personal care on someone who requires the use of a hoist then there are no staff available to monitor and respond to the needs of the others. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 13 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): 35 and 38 The home has safe systems for handling residents’ money. EVIDENCE: The home holds and records some monies on behalf of some of the residents. By checking the individual records against the amount held it was found that the system that the home uses is accurate, open and transparent ensuring that the money is managed honestly. A variety of documents were seen that showed that safety checks are carried out, incidents are monitored and safety training given to staff. Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 14 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 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x 3 3 STAFFING Standard No Score 27 2 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 3 Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 15 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 OP27 Regulation 18(1)a Requirement A minimum of three staff must be on duty throughout the day with the current occupancy levels. Timescale for action 27/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ditton Priors Resident Home DS0000020719.V254382.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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