Inspection on 12/11/08 for Don View

This inspection was carried out on 12th November 2008.

CSCI found this care home to be providing an Good service.

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

Don View 30/11/07

Don View 19/01/07

Don View 03/11/05

Don View 01/11/05

Don View 24/08/05

Don View 07/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Don View 22 Thellusson Avenue Scawsby Doncaster South Yorkshire DN5 8QN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ian Hall     Date: 1 2 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Don View 22 Thellusson Avenue Scawsby Doncaster South Yorkshire DN5 8QN 01302785257 01302789457 NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Malcolm Pass Type of registration: Number of places registered: Doncaster Metropolitan Borough Council care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 25 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Don View is a care home that provides personal care for up to 25 people who are aged over 50 years with a learning disability. The home is owned and managed by Doncaster Metropolitan Council (DMBC); it is situated in the small community of Scawsby; which is approximately 4 miles from Doncaster. The home is well integrated into the local community. Don View is a three-storey building. There is lift access from ground to the first floor. The second floor is accessed by means of a short staircase. All Care Homes for Older People Page 4 of 26 Over 65 0 25 Brief description of the care home people are accommodated in single bedrooms. Toilets and bathrooms are readily accessible on each floor. The dining area is located on the ground floor adjacent to the kitchen. There are several lounge areas located on both the ground and first floor. Their use is varied and distinct. A copy of the homes Statement of Purpose was available in the entrance hall. Unregistered day-care and sheltered housing is provided by DMBC within the grounds of the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 08:15 and concluded at 14.15 on the 12th November 2008. The inspection was undertaken by Mr Care Homes for Older People Page 6 of 26 I Hall. The site visit included a tour of the building, reading records, discussions with staff and people who use the service and observation of meals provided. We also met with the manager and other members of staff. In addition the inspection took account of information recceived about the service since the last key inspection. This included records of telephone conversations with staff, events notified to CSCI and records of management visits to the home. Prior to the site visit the home carried out a self assessment of the service. This is called the annual quality assurance assessment (AQAA). People spoken with were happy to assist with the inspection. Comments were positive when describing the care and motivation of the staff, these included : I like it here, the staff are very good to me and they help me to do the things I like doing. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides people with detailed information to enable people to choose whether the home is the one for them. Detailed assessments show that the home has ensured peoples needs can be met before offering them a place. Evidence: An information pack is available that provides details of the standard of care and services available at Don View. This includes useful information about staff, their qualifications, visiting the home, choosing meals, the laundry service and how to raise concerns. We checked three case files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and Care Homes for Older People Page 10 of 26 Evidence: areas of risk when appropriate. Whenever the need for specialist caring equipment had been identified this had been obtained prior to the person moving into the home. The assessment formed the basis for the initial care plan. People said they had been able to discuss their wishes and the type of help they needed before they made the decision to live at Don View. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the case files. Copies of contracts, social work referrals and assessments were available and kept in the case file. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear information is provided to guide staff meeting peoples needs. Staff ensure that people are able to access health services as they need them. Staff attitude and approach to care is based on respect for the person, this helps to safeguard and promote peoples rights and dignity. Staff work to the homes policies for the administration of medication, this promotes the wellbeing of people who live at the home. Evidence: Three peoples care records were examined. Peoples care needs had been assessed. A range of assessment tools had been used to measure peoples needs. These included mobility, mental ability, nutrition and dietary needs. These provide a baseline for staff to measure peoples progress or increasing level of care needs. This enables staff to plan the help and support people need. There were care plans to tell staff how to meet Care Homes for Older People Page 12 of 26 Evidence: these needs. These had been reviewed regularly. Most people we spoke to knew about their care plan. Relatives were kept informed and involved whenever possible. Care plans detailed peoples religious and cultural needs and the gender of staff they wanted to help them with their personal care. Pen portraits of the person, their lives and interests provide staff with background information to improve the care and service provided. This enables staff to review peoples health and wellbeing and amend care plans as needed. The records included details of visits made by the doctor, nurses and community staff. All people were registered with a family doctor, there were good relationships with doctors and district nurses. Aids and adaptations had been provided to assist people to safely maintain their independence. We examined the homes medication policy, medication administration records and storage arrangements. We observed medicines being given to people after their midday meal. There were very few gaps on the record charts. This means there is a record kept of people receiving their medication as prescribed. Medication record files contained a photograph of the person to help ensure the medication is given to the correct person. People said the staff were caring and helped them all the time. People said staff promoted their privacy and dignity. we saw staff knocking on bedroom doors and waiting to be invited to enter. We observed interactions between staff and people living at the home. These were warm relationships with each person showing respect for the other. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable activities were provided at the home to keep people stimulated. Visits from friends were encouraged so that people keep in touch with those who were important to them. There was a good catering service which meets peoples nutritional needs and food preference. People who live at the home were encouraged to eat a healthy and varied diet. Evidence: We checked three care files. These showed that people were involved in a range of social activities. Some people leave the home to attend work and educational placements of their own choice. Transport is provided for people who require help to attend their placements. A number of people we spoke to said how much they had enjoyed their holidays and were looking forward to the next one they would have. People said staff helped them to choose their holidays and accompanied them to provide all the support they needed. Care Homes for Older People Page 14 of 26 Evidence: Staff organize activities to stimulate people and encourage social interaction. Entertainers visit the home for peoples enjoyment. People said they were able to go to bed and rise as they choose. The meals provided were appealing and smelled appetizing. People said they enjoy their meals and that they can choose other meals if they dont like the one being provided. People were seen and heard to make choices at lunchtime. Staff were seen to help and encourage people with their drinks and meals. The mealtime was unhurried with extra portions provided as required. Peoples likes and dislikes were documented and known by staff. Special diets were available as needed. Staff said they sought the dietitians advice whenever necessary. Drinks and snacks were available throughout both day and night times. We saw the cook preparing cakes and buns. He said these were freshly made each day. People said they enjoyed them with their cups of tea and there was always plenty to eat. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure enables people to raise any concerns. Concerns and complaints received were dealt with promptly and changes made to improve peoples lives. Staff had been trained in the recognition and reporting of abuse and relevant checks made prior to them starting work. This reduced the risk of harm to vulnerable people. Evidence: People were able to say how they would tell staff about any worries or concerns they had, they said they were happy with the way staff helped them with any problems they had. The complaints procedure was available for people living at the home. Two people had brought their concerns to the managers attention. Three elements of their concerns were founded. actions had been taken to deal with them to the peoples satisfaction. They had been investigated and recorded within the homes policy and procedures in a timely manner. One concern continues to be the subject of an adult safeguarding investigation conducted by Doncaster Metropolitan Borough Council. Suitable arrangements have been made to protect the person concerned until a final outcome is reached. Staff had been provided with training in adult safeguarding procedures to ensure Care Homes for Older People Page 16 of 26 Evidence: people were safe. Our discussions with staff confirmed that staff felt confident and able to respond to concerns or complaints effectively. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was clean, tidy and generally well maintained ensuring that people live in safe and pleasant surroundings. The bedrooms were clean and reflected personal choice. Redecoration and refurbishment of the home has improved the environment. Evidence: We saw the home was clean and smelled fresh. Soft furnishings, pictures and ornaments had been used to provide a homely and domestic setting. The dining room had been the subject of a recent extensive redecoration and refurbishment. New tables and chairs suitable for the needs of the people had been provided. Modern light fittings had been used to provide a domestic setting. People said they were very happy with the choices that had been made and that it was very comfortable now. A number of bedrooms had been redecorated and provided with matching curtains bedding and soft furnishings. People had personalized their rooms with favorite things and memorabilia. Bedrooms were lockable with keys available for those who wished to exercise the choice to lock their own door. Appropriate seating has been provided for people wishing to sit outside whenever Care Homes for Older People Page 18 of 26 Evidence: weather permitted. The laundry and sluice areas were both seen to be clean and tidy. This reduces the risk of cross infection. Staff confirmed that they are provided with protective clothing if they needed it and that equipment was in working order, being serviced as required. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels were maintained to meet peoples care and social needs. Staff had received training to meet general and specific needs. Appropriate support and guidance was provided to new staff, enabling them to safely care for people who live at the home. Staff files included the required information. The home operated a recruitment policy that promoted peoples protection. Evidence: Two of the people we spoke to said that there was usually enough staff working to enable them to do the things they wanted to do, however recently the staff had been very busy and things that had been planned had to be postponed. They said evenings and weekends had been affected most and it was social things that they had missed. The staff rota showed that minimum numbers were maintained with occasions when additional staff had been available. Staff reported that increased dependency levels caused by people being ill had caused the problems described by the people living at the home. Additional staff had been utilized to attempt to remedy the situation. We saw staff working with people and noted there was an atmosphere of mutual Care Homes for Older People Page 20 of 26 Evidence: respect; their conversations were relaxed and and friendly. The staff we met were well motivated and enthusiastic about their work. They confirmed that they were supported by the manager and encouraged to train and update their skills. Records sampled confirmed that the home follows the councils staff recruitment policies and procedures. Staff confirmed that they had provided written references and completed a Criminal Records Bureau check. Records of staff supervision and training were examined. we saw the staff training and development plan. Training courses completed and planned were seen. These included health and safety, moving and handling and first aid. Many staff had had achieved National Vocational Qualifications; the remaining staff were working to achieve the award. Skills for prevention of infection and fire and health and safety were updated each year. This ensures staff were trained to meet peoples care needs safely. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff said the manager was supportive and approachable and there was a system of professional supervision. People were involved in making decisions about their care and had control over most issues that affected their lives. Systems were in place to protect peoples financial interests. Checks had been made on the major systems in the home such as fire and gas installations to make sure the home was safe for people. Evidence: We saw there was always a senior member of staff on duty with support with advice readily available. Responsibilities were shared between senior members of the care team. Care Homes for Older People Page 22 of 26 Evidence: Staff said the manager was approachable and professional and they felt confident in him. He had a job description that clearly describes his roles and responsibilities. People living at the home said hes very good and I like him a lot. Staff received management supervision at regular intervals, this is needed to develop staff and monitor care practices. A senior officer visits the home to monitor care and standards at the home. A written report of his findings was available at the home. Regular meetings are held for staff and people who live at the home. These give people a voice in the running of the home. Questionnaires are used to seek people and their relatives views. This ensures people feel their opinions are valued and taken into account. The manager handles money on behalf of some people, account sheets with receipts were kept. A second person witnesses each transaction. Policies and procedures met the required standards. Records were mainly up to date and well ordered. No fire exits were instructed and hazardous substances were securely stored. Statutory servicing and equipment checks were up to date. Risk assessments had been completed and identified areas that required review to maintain a safe environment for people at the home. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 27 Monitor the numbers of staff working throughout the day and night time hours to ensure people are able to enjoy the lifestyles they choose. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!