Inspection on 25/08/06 for Dolphinlee House

This inspection was carried out on 25th 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

Dolphinlee House 02/03/06

Dolphinlee House 03/11/05

Dolphinlee House 25/10/04

Dolphinlee House 23/07/04

Dolphinlee House 11/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Dolphinlee House Patterdale Road Ridge Estate Lancaster Lancashire LA1 3LZ Lead Inspector 9Mr Ajam Auckburally Unannounced Inspection 25th August 2006 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 Dolphinlee House DS0000032609.V299077.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. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dolphinlee House Address Patterdale Road Ridge Estate Lancaster Lancashire LA1 3LZ 01524 37685 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) Lancashire County Care Services Mrs Margaret Horner Care Home 44 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (23), Physical disability (9) of places Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 44 service users in the following categories: 23 service users in the category OP (older persons) 12 service users in the category DE (dementia) 9 service users in the category PD (physical disability, 55 years and over) Service users in the Physical Disability category may only be accommodated in the 9 bedded Rehabilitation Unit 2nd March 2006 2. Date of last inspection Brief Description of the Service: Dolphinlee House is situated on the Ridge Estate on Patterdale Road in Lancaster. The home is owned by Lancashire County Care Services (LCCS). The home is currently registered to take a maximum of 44 residents in categories as described above. The home is divided in three units and each unit has its own lounge and dining room. The rehabilitation unit is staffed separately and also has input from other agencies like physiotherapists and occupational therapists. Accommodation is provided mainly in single bedrooms. Many of the bedrooms have an ensuite facility. The home is staffed 24hrs a day and care is provided according to needs. An assessment is carried out to determine the level of needs of all the residents. There were a total of thirty-six residents living at the home at the time of the inspection. Nine residents were in the rehabilitation unit, ten were in the dementia unit and seventeen were in the main part of the home. Current weekly fees are between £324 and £366 and additional extras like hairdressing, outings and newspapers are paid for by the residents. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Dolphinlee House was assessed as requiring a statutory key visit (inspection) between April 2006 and March 2007. An unannounced key site visit was carried out on 25th August 2006, which lasted for 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the manager, the staff and the residents. The area manager was present for part of the inspection. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Evidence about the inspection was gathered firstly by sending out questionnaires to residents, the families and the staff. When they were analysed, they showed that everybody was happy with quality of care provided and the facilities at the home. During the inspection, case files of residents were looked at to check that records of needs and action taken were recorded and reviewed. Residents and staff were spoken to and their comments noted. There were 36 residents living at the home at the time of the inspection and there were 5 care staff, two managers, a cook and other ancillary staff on duty. There were 3 care staff in the rehabilitation unit which is staffed separately. The number of staff on duty was well within the minimum level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: The inspection was conducted in a very friendly and cooperative manner and all the residents were very happy to tell the inspector about their home. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 6 Those spoken to said how happy they were living at Dolphinlee. The atmosphere was very relaxed and staff and residents got on well together. During the visit, the inspector spoke and observed a number of residents who all appeared to be very comfortable and relaxed in their surroundings. The residents who responded to the written survey and those consulted during the inspection were very complimentary about the quality and variety of meals provided at the home. Great satisfaction was expressed about the standard of meals and choices on offer during each mealtime. A written pre admission assessment (Customer Enquiry Form) is done to ensure that residents admitted to the home are provided with care to meet all their needs. This form covers all areas of needs such as personal care, communication, mobility, personal and medical history and other areas to meet the needs of the residents The manager and the staff were aware of equality and diversity and said that they treat everyone as equals and respect people’s different ways and habits. The staff benefit from a good standard of training. It was also pleasing to note that the home continue to meet the national target in NVQ training, with 62 of carers holding the qualification at level 2 or above. The staff were observed to be polite and respectful when talking and caring for the residents. Lancashire County Council has produced a leaflet called ‘Intermediate Care Services’ and it contains information about the purpose of the unit and what services are available. It is written in simple language and easy to understand. The main purpose of the intermediate or rehabilitation unit is to enable people leaving hospital or those needing a break to spend some time recuperating or relearning lost skills. It is not intended for respite care. What has improved since the last inspection? An extractor fan has been fitted in the smoking lounge situated on the ground floor. This followed a recommendation from the last inspection when residents complained that smoke from the lounge was circulating in the corridors. The home is now running at full capacity with different categories of residents being admitted. The staffing level has been increased to take into account the new category of Dementia. This unit can take a maximum of 12 residents and a minimum of 2 care staff is on duty during the day. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 7 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. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 8 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 Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 9 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 this service. There are good practices to ensure that new residents or their families have adequate information before choosing the home. EVIDENCE: The records of admission of the last resident admitted to the home were examined. The manager said that in this instance, information was obtained from the relatives who visited the home on behalf of the resident. A member of the management team always visit prospective residents who are unable to visit Dolphinlee, either in their own home or in hospital before admission. The manager said this helps with introduction as well gaining information. A written pre admission assessment is done at this stage to ensure that the staff of the home can meet the assessed needs. A form (Customer Enquiry Form) is used to record information under the heading of: personal care, Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 10 mobility, eating, communication and several more areas relevant to the care of the resident. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. New residents are allocated a key worker. A key worker system is operated at the home. This means that a small group of residents is allocated to a small group of staff. The staff have responsibility to ensure that the residents are well cared for and that if they have any problems they can talk to the staff. The key worker system does not exclude other staff from caring for the residents. The manager of the home and the area manager said that referrals from residents of an ethnic background would be welcomed. They said that research would be carried out, for example if the home was unsure how to meet cultural, religious and dietary needs of people from a different country or culture. The area manager said that Lancashire County Care Services is to publish its policy for Equality and Diversity soon. The residents said that the staff are very good and that nothing is too much trouble for them. Intermediate care or Rehabilitation is provided at this home. Lancashire County Council has produced a leaflet called ‘Intermediate Care Services’ and it contains information about the purpose of the unit and what services are available. It is written in simple language and easy to understand The intermediate care unit is situated in one part of the home within the main building. Intermediate care can be provided to a maximum of 9 residents. All accommodation is provided in single bedrooms with an ensuite facility. There were 9 residents in the unit at the time of the inspection. The main purpose of the intermediate or rehabilitation unit is to enable people leaving hospital or those needing a break to spend some time recuperating or relearning lost skills. It is not intended for respite care. The criteria for admission to the unit is that people should have a strong wish to return home to live independently. The period of stay in the intermediate unit is usually for 6 weeks although this may be extended. Admissions to the unit are done via the hospital and the social services. A social worker is involved. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 11 The social worker, the occupational therapist and other professionals such as the physiotherapist, doctors and nurses are involved in the assessments and referrals. Facilities in the intermediate unit include a separate lounge and dining room, a small kitchen, toilets and a bath. A treatment or therapy room is available and it is used for providing physiotherapy, occupational therapy. The unit is staffed separately to the main home and the care staff work solely in the unit. At the time of the inspection there were 3 care staff on duty. Dolphinlee House has overall responsibility for the unit. The manager of As well as the permanent staff on duty there are input from occupational therapists, physiotherapists, district nurses and other professionals as per assessment. Input from these professionals is arranged prior to admission to the unit and forms part of the care plans. All of the 9 residents were quite independent and could do most things for themselves. They said that they find all the staff to be very kind and helpful. They said that they are very grateful for the opportunity to spend some time in the unit before going home. As well spending some time improving their independence, the residents are encouraged to socialise with each other and do other activities. They play dominoes, watch television, have a chat or do what they want. The meals are prepared in the main kitchen and served in the unit’s dining room. Where cooking is part of their assessments, the residents do so in the small kitchen in the unit. The staff said that the cooking the residents do as part of their rehabilitation is usually light snacks or heating ready meals in the microwave. There was a good atmosphere in the unit and there were good interactions between the residents and the staff. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 12 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): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to meet residents’ health care and personal needs. EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. The records show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 13 The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. The care plans are reviewed monthly to meet the changing needs of the residents. The residents and their families are involved in this exercise. The two residents said that they are very well looked after by a team of very good staff. Other residents spoken were very positive about the staff and the management of the home. They described the home as being ‘marvellous’ and ‘excellent’. Five survey cards were received back from the residents and they were all positive about the staff and the care they receive. Two survey cards were received back from relatives. They both had positive comments about the home. One resident from the rehabilitation unit wrote a poem about the good quality of care he received. The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. To meet the needs of residents who need support when walking along the corridors, handrails have been fitted on the walls. All of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. All the water taps have easy to use handles and shut off automatically after use. Some of the baths and showers have easy access and facilities to help residents who are disabled. Bath hoists are available to assist residents with getting in and out of the bath. All the residents are white British, but the manager said if a resident from a minority group was to be admitted to the home, she will obtain as much information as possible by researching this group to meet care, cultural and dietary needs. Resident’s health care needs are met by involving health care professionals. Four GP’s have returned their survey cards. They were all satisfied with the services at the home. One has commented “ friendly, well run home.” District nurses and chiropodist visit when required. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 14 The medications of two residents were audit trailed and were found to be correct. Residents who are able and willing can keep and administer their own medications. The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff said that their job is to work with the residents and meet all their needs. They said that they have very good relationships with all the residents. They were observed talking and helping the residents with dignity and respect. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 15 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 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangement for activities is limited. Residents would benefit from a wider range of activities. EVIDENCE: Dolphinlee has only recently had its registration varied to take in different categories of residents. Prior to this variation, the home was running at minimum capacity of between 10 and 12 residents. Residents then were offered activities on a one to one basis. The manager said now that the home is running at full capacity, activities and social events will be organised in a structured way although individual needs and choices will still be catered for. The manager said that a weekly bingo session is due to start soon. Some of the residents said that they are looking forward to the bingo session and other activities. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 16 Families and friends of residents are encouraged to visit when they want. No relatives were present during the inspection. Some of the residents said that their relatives take them out regularly. Residents in the rehabilitation unit are very independent and a range of activities, mainly to stimulate and rehabilitate them is done everyday. Residents in the dementia unit have activities to suit their needs. The staff in the unit said that they spend time talking to the residents. The inspector observed a member of staff sitting in the lounge and talking to the residents. The manager said that when there is a social event, residents from all units are invited to join in. Several residents were in the lounges whilst others were in their rooms. They said that they could please themselves as to what they do. The staff said that they assist the residents to do what they like. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. The residents said that they do what they want and that the staff are very helpful and would assist them when required. The residents said that the food is very good and that they are offered choices at all mealtimes. On the day of the inspection, the choices for lunch were Fried or baked Fish or Eggs. A choice of potatoes and vegetables were also offered. Meals are cooked in the main kitchen and transported in heated trolleys to the different units. Meals are served in the dining rooms in each unit which are well furnished and decorated. Tea making facilities is available in the dining rooms. Residents are encouraged to eat with others in the dining rooms, but may eat in their rooms if they prefer. There is a good choice of food to choose from at breakfast and teatime. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 17 Hot drinks are served at regular times in the day, but residents can ask for one when they want. Records of meals served examined show that a good variety of meals are offered to the residents. The chef said that within reasons, he would cater for every taste. He said that he is able to cook food to suit ethnic needs and if he did not know how, he will try and find out. He said that a few of the residents like curry and spaghetti. The chef was advised to visit each unit when he can to find out what residents think about food and how he could help people with individual and regional taste. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 18 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 this service. There are good systems in place to protect residents from abuse. EVIDENCE: The home has a robust procedure for dealing with complaints. All complaints and incidents are recorded in a book. The last complaint recorded was dealt with promptly and to the satisfaction of the complainant. It was about medication (eye drops). Written information about how and who to complain to is given to residents or their families. The residents said that if they had any complaints, they would speak to the manager and had every confidence that their concerns would be dealt with. The manager said that the management team is always available to speak to the residents or their families. There are systems in place for staff to report any incident of abuse either by staff themselves or by families. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 19 The staff spoken to were aware of different types of abuse. One member of staff spoken to was able to describe abuse as being physical, emotional and financial. Several staff have attended a course on abuse awareness. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 20 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 this service. The home provides a safe environment for residents to live in. EVIDENCE: Dolphinlee House reopened last year after the building of an extension and major refurbishments to the main building. The home can now accommodate a total of 44 residents mostly in single bedrooms. Many of the bedrooms have an ensuite facility. The home has a rehabilitation unit, a dementia unit and an old people unit. The admission of residents has been gradual and the home is now almost full. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 21 The dementia unit is located on the first floor and is secure to protect residents from harm. The doors linking the unit to other parts of the home and the stairs have been fitted with keypad locks. Although residents in the dementia unit are not able to go out from the unit by themselves, they were seen to be active and not distressed in anyway. The staff were around and talking to them. Two of the residents were in their rooms. All the care staff in the home work in the dementia unit on a rotating system. There is secure garden on the ground floor, but residents form the unit cannot access it by themselves. The staff said that if residents wanted to go in the garden, they would take them. During a tour of the building, the home was found to be clean and free from unpleasant smell. All the bedrooms were found to be clean and free from hazards. The residents said that the domestic staff clean and tidy their rooms on a daily basis. They give the rooms a thorough cleaning once week or as required. One small lounge on the ground floor is dedicated as a smoking lounge. Following recommendation made during the previous inspection, an extractor fan has been fitted to protect other residents and staff from smoke inhalations. The corridors in the home are wide enough for wheelchair access. Handrails have been fitted to help residents with mobility problems. Baths and toilets have been fitted with grab rails to enable residents with disabilities to access more easily. All the water taps are easy to use and shut off automatically after use. A passenger lift is available for the residents to use independently if they wish. A team of domestic staff is employed to do the cleaning and a handyman is also employed for maintenance. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 22 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): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents care needs are met through good staff provisions who are appropriately trained. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 5 care staff, two managers, a cook and other ancillary staff on duty. Staff rotas checked showed that the staffing is well within the recommended level for the number of residents at the home The manager demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. LCCS has produced a well-written recruitment policy for its staff. The Human Resource Department of the authority is responsible for advertising and selecting new staff. When there is a vacancy for a job, it is advertised locally and interested parties are given application forms to complete. From information received, prospective staff are selected for interviews. Once a new staff has been selected, two written references are taken and POVA (Protection Of Vulnerable Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 23 Adults) and CRB (Criminal Records Bureau) checks are done. No staff starts work until satisfactory checks have been done. The manager of the home is involved in the recruitment of her staff. The staff files examined show that appropriate checks had been carried out before offers of employment were made. Such checks included CRB (Criminal Records Bureau) checks and a POVA (Protection Of Vulnerable Adults) check. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also include, Fire Procedures, Moving and Handling and many other relevant courses Training records show that the staff at the home have attended several courses. These include: Abuse, Moving and Handling, First Aid, Dementia, Medications, etc. Staff are also given basic training in Equality and Diversity as part of their skills for life training. The authority is an Equal Opportunity employer. Staff spoken to said that they treat all the residents with respect and accept any difference people may have. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff at Dolphinlee with this qualification is 62 and is commendable. The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. The residents said that the staff are marvellous and will do any thing for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 24 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good management team to run the home for the benefit of the residents. EVIDENCE: Dolphinlee is managed on a day-to-day basis by the registered manager Mrs Margaret Horner. She is supported by 3 RCO’s (Residential Care Officers). She also receives support from the area manager, Miss Susan McGrath The manager said that the home has an open door policy and that residents and staff are always welcome to come and have a chat. The inspector had the full cooperation of the manager, the staff and the residents during the inspection. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 25 The manager said that she has daily contact with the residents and will deal with any concerns they may have straight away. The inspection was carried out in a friendly environment and residents and staff said that Dolphinlee is a very good home. The area manager visits the home regularly and once a month completes a Regulation 26 form. This form is completed to ensure that owners who do not work at the home on a daily basis looks at all areas of the home and leaves a written report. A copy of the report is also sent to CSCI. Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 26 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 4 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 2 13 3 14 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 27 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. 1. Refer to Standard OP12 Good Practice Recommendations The manager needs to organised activities in a structured way Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Dolphinlee House DS0000032609.V299077.R01.S.doc Version 5.2 Page 29 - 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. 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