Inspection on 27/04/06 for Dorriemay House
Also see our care home review for Dorriemay House for more information
This inspection was carried out on 27th April 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 15 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
The home benefits from a loyal, friendly staff group. Relatives and visitors to the home stated on previous comment cards that the staff are excellent, as well as friendly and sociable. Over 50% of the staff have completed the NVQ training.
What has improved since the last inspection?
The Statement of Purpose and Service User Guide documentation has now been updated by the home. Service User Plans are in the process of being updated to include all components as required by regulation. All records are being updated, and systems are being implemented to ensure that the home complies with regulation. Choice of meals provided has improved, and the written records of the main meal of the day. The room for the storage of medications has been completed and it was seen that an appropriate medication trolley was now in use at the home Medication practices have improved, however further improvement can still be achieved. Improvement was seen in the recording of records of monies held on behalf of Service Users. The system used for the recording of Service Users financial transactions has been improved. The Acting Manager has implemented a written record, recording any maintenance undertaken at the home. Infection control procedures have been reviewed. The procedures used for recruiting staff have improved. Training is ongoing at the home. The management of the home has worked hard to produce and implement the necessary policies and procedures required by regulation. The Fire Risk assessment documentation has been completed.
What the care home could do better:
The pre-admission assessments process needs to be improved and appropriate documentation implemented. An application for a variation to the registration needs to be made for those service users admitted over the age of 65 years. Service User Plans need to clearly identify all aspects of the care needed and provide staff with clear instructions on how to meet those needs. Individual Risk Assessments to be undertaken and to be part of the Service User Plan documentation.Each service user needs to have a nutritional assessment undertaken as part of the Service User plan documentation. The home is to keep written records of the food provided at teatime. Medication procedures and practices need to be improved further to ensure safe handling and administration of medicines. All records in relation to the handling of Service User monies need to be accessible in order to be able to audit train monies from the point of being received at the home. Action to be taken in relation to the position of the office door as to access this area persons have to walk through the laundry area of the home. Staffing levels should be reviewed to ensure sufficient numbers of suitably trained/experienced staff are provided to meet the needs of the service users, including the weekends. The new induction programme seen, to be implemented as soon as possible starting with new members of staff. All staff need to receive regular formal supervision. Those responsible for managing the home need to become more knowledgeable of the National Minimum Standards and Regulations and to implement these fully. An annual quality assurance system must be developed and implemented. Accident Records to be appropriately completed and stored. Environmental risk assessments need to be undertaken and documented