Inspection on 09/01/06 for Ditton Priors Residential Home

This inspection was carried out on 9th January 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

Ditton Priors Residential Home 11/07/07

Ditton Priors Residential Home 27/06/06

Ditton Priors Residential Home 27/09/05

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 Residential Home Ashfield Road Ditton Priors Bridgnorth Shropshire WV16 6TW Lead Inspector Mike Moloney Unannounced Inspection 9th January 2006 09:30 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 Residential Home DS0000020719.V267853.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. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ditton Priors Residential 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 Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 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 Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out at short notice and took place over one and a half hours during the morning. Information was gathered from documentation made available by the home, by discussions with the manager, 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. The local GP also visited during the inspection and was very positive in the comments he made about the care being provided within the home. 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 Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 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 Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 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): EVIDENCE: The key standards in this section were assessed at the last inspection on 27th September 2005 and were found to be satisfactory. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 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): 10 The service users are treated with privacy and respect. EVIDENCE: During the inspection the staff were seen to knock on the residents doors before entering and asking if they could enter. Staff were also seen helping residents with their medication in a sensitive manner. These observations were confirmed in conversations with a number of the service users and visitors who said that they find the staff to be very polite and considerate. The home was seen to have policies and procedures that guide staff on how to maintain the privacy and dignity at sensitive times. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 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): 12, 13, 14 and 15 The home provides activities the residents enjoy. They are also able to maintain contact with their families and friends and where possible and exercise choice and control over their lives. The food provided by the home is of good quality. EVIDENCE: Talking to residents, the staff, a visiting GP and looking at the records kept by the home it was established that a number of different social activities are available to the people living at there. The activities list included such things as visits to safari parks and shopping centres as well as entertainers who visit the home. A minister brings Communion to the home on a monthly basis but the manager reports that the minister visits the residents on a more frequent basis. The visitors book showed that the residents friends and families are also able to visit on a regular basis. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 10 The residents made it clear that they are offered a good range of choices in relation to activities, their meals and what is in their rooms. Looking at the menus showed that the service users are offered a variety of meals and these were seen to be of good quality. Those service users who talked about the food were very complimentary about it. The manager and her staff all confirmed that anyone who needed help with their meals would be given it. She also confirmed that any special dietary requirements would be catered for. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 11 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 and 18 The home has an appropriate complaints procedure, however, the manager did not have a full understanding of the local adult protection procedures and this could cause issues of this nature to be handled in such a way that they do not get dealt with effectively and thereby leaving others at risk. EVIDENCE: The home has a complaints procedure that contains all of the elements required by the Care Homes Regulations 2001. The manager reported that no complaints had been received since the last inspection. There had been no allegations made that would require the use of the local adult protection procedures. Talking with the manager it was clear that there was some confusion over when and how these procedures should be applied. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: The key standards in this section were assessed at the last inspection on 27th September 2005 and were found to be satisfactory. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 13 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 and 28 The home ensures that there are enough staff who have received appropriate training available to meet the assessed needs of the service users. EVIDENCE: The staffing rotas were seen and talking with the staff confirmed that these were adhered to. A number of the residents said that there are adequate numbers of staff on duty to meet the needs of the current number of service users. Talking with the manager as well as those staff on duty at the time of the inspection established that the home has a programme of NVQ assessment that ensures that the staff have the required level of training. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 14 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 and 38 The manager and her deputy have both received the training appropriate for managing this home. The home has an appropriate quality assurance procedure that is designed to review the standard of care that the service users receive. However, the safety of the service users is compromised when the fire doors to bedrooms are wedged open which is a practice that must cease and an acceptable alternative solution must be found. EVIDENCE: Both the manager and her deputy have achieved their Registered Manager Awards. The home receives a quality audit annually from a specialist company who is employed to do so by the proprietors of the home. A copy of the last years Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 15 report was made available to the inspector. Structured visits are carried out by a senior manager of the company on a monthly basis. During the visit it was noticed that the fire doors to rooms 22 and 24 were wedged open in such a way that they could not close automatically in the case of a fire breaking out. Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 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 3 17 x 18 2 x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x 2 Ditton Priors Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 17 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. 2. Standard OP18 OP38 Regulation 9(2)b(i) 13(6) 23(4) Requirement The manager must undergo further training in the local adult protection procedures Fire doors must only be held open by devices approved by the local fire authority Timescale for action 30/06/06 31/01/06 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 Residential Home DS0000020719.V267853.R01.S.doc Version 5.1 Page 18 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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