Inspection on 04/01/06 for Dorset House

This inspection was carried out on 4th 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

Dorset House 03/09/08

Dorset House 04/09/07

Dorset House 17/11/06

Dorset House 20/05/05

Dorset House 17/11/04

Dorset House 03/08/04

Dorset House 15/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Dorset House Off Station Road Wallsend Tyne & Wear NE28 8EN Lead Inspector Glynis Gaffney Unannounced Inspection 4th January 2006 3:30 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 DS0000033104.V259117.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000033104.V259117.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dorset House Address Off Station Road Wallsend Tyne & Wear NE28 8EN 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) 0191 200 7155 0191 200 7156 pat.golder@northtyneside.gov.uk North Tyneside Council Mrs Patricia Golder Care Home 41 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (26) of places DS0000033104.V259117.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Dorset House may also accommodate one identified service user for rehabilitation who is under 65 years of age. The Commission must be notified should this service user leave. 20th May 2005 Date of last inspection Brief Description of the Service: Dorset House is a residential care home for older people run by North Tyneside Council. The Home provides residential care for up to forty one people living in four units known as The Lakes, Ashwood, Oakwood and Rosewood. Dorset House is a single storey building set in the residential area of Wallsend. The Lakes unit provides nine respite care places for people with dementia care needs. Ashwood unit provides ten beds for people who need to be discharged from hospital but are not considered fit enough to return back to their own home. Before being discharged back home, people occupying the rehabiliation beds receive a full assessment of their care needs. A eighteen place day care service is provided five days a week. The Home has a central kitchen, a laundry, a large lounge and a dining area. Each unit has its own kitchen, dining and bathing facilities. Toilets are situated close to residents bedrooms and the lounge and dining areas. There are 41 single bedrooms, two of which have en-suite facilities. A bus route, pub and local shops are within easy walking distance. Off street parking is available. DS0000033104.V259117.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, took place over 6 hours and 30 minutes and involved one inspector. A tour of the premises was undertaken and a sample of records were examined. A number of residents and the Home’s Assistant Manager were interviewed. What the service does well: What has improved since the last inspection? DS0000033104.V259117.R01.S.doc Version 5.0 Page 6 A major programme of refurbishment has taken place at the Home. The small rehabilitation kitchens have been refitted to provide a better environment in which frail older people can practise and re-learn independence skills. Plastic windows have been fitted throughout the building. A new sun lounge is shortly due to be built, following which a new carpet will be fitted in the central lounge and dining room. All external wood cladding has been replaced. Two medi-baths, a hoist bath and a freestanding Jacuzzi bath have been fitted as part of the refurbishment. Dishwashers have been fitted in all four Units. All senior staff have undertaken training in the following areas: Sickness Management; Recruitment and Selection and Fair Access to Care Services. A range of specialist aids have been purchased such as – new beds; bed levers; pressure relieving equipment. 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. DS0000033104.V259117.R01.S.doc Version 5.0 Page 7 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 DS0000033104.V259117.R01.S.doc Version 5.0 Page 8 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): Key Standards 3 and 6 were assessed as part of the 2005 Announced Inspection. EVIDENCE: DS0000033104.V259117.R01.S.doc Version 5.0 Page 9 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): Key Standards 7, 8, 9 and 10 were assessed as part of the 2005 Announced Inspection. EVIDENCE: DS0000033104.V259117.R01.S.doc Version 5.0 Page 10 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): 13 and 14. Key Standards 12 and 15 were assessed as part of the 2005 Announced Inspection. Residents are supported to maintain contact with their families and friends and visitors are made to feel welcome. The development of new relationships is encouraged and promoted by staff. Residents are encouraged and supported to participate in making decisions about their own lifestyle in so far as they are able to do so. EVIDENCE: Residents and day care attendees spoken with confirmed that the Manager and her staff team always make families and friends welcome. They also said that visitors could be seen in private, or join residents in the lounge and dining areas, in accordance with personal preferences. A policy outlining the Home’s approach to enabling residents to maintain contact with family and residents was available. None of the residents spoken with could recall the Manager placing any restrictions upon visitors. DS0000033104.V259117.R01.S.doc Version 5.0 Page 11 Wherever possible, it is the Home’s Policy to support residents to maintain control of their own financial affairs. However, a senior member of staff said that safekeeping facilities, and day-to-day support with managing personal monies and valuables, would be given if a need to do so was identified. Residents are permitted and encouraged to bring their own personal possessions with them when visiting the Home. A number of bedrooms were visited and it was evident that residents had been encouraged to personalise their own private spaces. DS0000033104.V259117.R01.S.doc Version 5.0 Page 12 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. A satisfactory complaints procedure was available. Residents and day care attendees felt that their views and opinions were listened to. Most staff have received in-house Adult Protection Awareness Training, which enables them to take appropriate steps to protect residents from abuse. A satisfactory Adult Protection Policy was in place to ensure a proper response to any suspicion or allegation of abuse received by the Home. The arrangements for recruiting and vetting staff were robust and protected residents from the risk of harm and potential abuse. EVIDENCE: The Home’s Adult Protection Policy complied with the relevant guidance and legislation. There had been no adult protection concerns raised with either the Home, or the CSCI, since the last inspection visit to the Home. A sample of staff records contained evidence that staff had received in-house training in the protection of vulnerable adults. Arrangements were in place to ensure that remaining staff undertook the same training. A senior member of staff was able to satisfactorily describe the action that she would take to deal with an allegation of abuse. The Home has a detailed complaints procedure, which includes the recommended information. Residents and day care attendees spoken with said that they would be happy to raise any concerns they might have with a member of the staff team. Neither the Home, nor the Commission have received any complaints since the last inspection visit to the Home. DS0000033104.V259117.R01.S.doc Version 5.0 Page 13 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 and 26. The standard of the environment within this Home is good providing residents and day care attendees with an attractive and homely place to live and visit. The overall quality of the furnishings and fittings is generally good throughout with further improvements planned in the very near future. The necessary aids and adaptations have been provided enabling residents to be safely cared for. EVIDENCE: Residents live in a safe and comfortable Home. It is bright, cheerful, airy, clean and free from offensive odours. Residents spoken with said that Dorset House was always warm, clean and well kept. The Home is located in a residential area and local transport links are close by. The outward appearance of the Home is in keeping with the local area. Refurbishment work recently carried out has improved the external appearance of Dorset House. The Home’s decoration, furniture and fittings are of a good standard and quality, with those exceptions referred to below: DS0000033104.V259117.R01.S.doc Version 5.0 Page 14 • Ashwood Unit: 1. An exit door requires repainting; 2. Some of the dining chairs require re-varnishing; 3. Some of the wall corners are damaged and in need of repair and re-decoration; • The Laundry: 1. The access door requires repainting; 2. The wall plaster had cracked in places; • Corridor areas: 1. A number of bedroom doors throughout the building are in need of repainting – for example – bedrooms 35, 36, 37 and 38; The Lakes Unit: 1. The access door requires repainting. Bedroom 33: the wardrobe and bedside cabinet require re-varnishing; Bedroom 24: the walls and skirting boards need repainting. The building met with the requirements of the local Fire Service and Environmental Health Department. A system is in place to ensure that the Home’s Handyman is aware of jobs and repairs that need his attention. However, on reading the repairs book, it was not always clear when jobs/repairs entered had been dealt with. Residents/day care attendees and staff have access to a range of specialist aids to promote independence. For example, rehabilitation kitchens have recently been fitted. Specialist equipment such as perching stools, grab rails and hoists are available throughout the Home. A senior member of staff felt that the Home had been fitted with the aids and adaptations required to enable staff to safely support those individuals in their care. DS0000033104.V259117.R01.S.doc Version 5.0 Page 15 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): 29 and 30. Residents are supported and protected by the Council’s recruitment policy and practices. Staff have been provided with opportunities to develop the skills and knowledge required to effectively meet residents’ care needs in a competent manner. EVIDENCE: Staff personnel records checked during the inspection contained the required information. A comprehensive Recruitment and Selection Policy is in place. Arrangements are in place to ensure that newly recruited staff receive relevant induction and foundation training in line with the National Standards. Care staff appointed at the Home receive three paid training days per year. Each member of care staff has an individual and development assessment and profile. A senior member of staff has been delegated responsibilities for managing the provision of training within the Home. A matrix of training provided to staff, including dates of when refresher training in next required, is kept and allows the management team to monitor who has received what training. DS0000033104.V259117.R01.S.doc Version 5.0 Page 16 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): 33, 35 and 38. The Manager provides consistent leadership, guidance and direction to staff and ensures that residents receive good quality care. Staff morale appeared good. The records required for the protection of residents’ financial interests are well maintained, up to date and accurate. Arrangements have been put in place to protect the health and safety of residents and staff. EVIDENCE: A senior member of staff said that the Manager had made it clear to the care team the standards of care that they were expected to work to. This person was able to clearly describe the purpose, aims and objectives of the Home. DS0000033104.V259117.R01.S.doc Version 5.0 Page 17 Staff had previously confirmed that they knew what was going on within the Home and felt able to raise any matters of concern with their managers. Staff had been issued with a copy of the General Social Care Council Code of Conduct. The records kept in respect of residents’ monies were satisfactorily completed. Balances of monies held on behalf of residents were checked and found to match the Home’s records. Regular audits of the Home’s financial records had been undertaken. However, it was noted that: In respect of one resident, a large amount of money was being held on their behalf; Residents’ signatures were not always obtained when money was debited from their accounts. Service contracts and maintenance reports relating to such matters as gas, electrical and fire safety, servicing of the Home’s hoisting equipment were up to date and available for inspection. A range of work place risk assessments had been completed. Generally, most were signed and dated. However, a risk assessment completed in respect of the use of Oxygen within the Home was not dated. A senior member of staff agreed to resolve these matters following the inspection. A tour of the premises revealed no health and safety concerns. DS0000033104.V259117.R01.S.doc Version 5.0 Page 18 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 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X DS0000033104.V259117.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23(2) Requirement Ensure that: The dining chairs on the Ashwood Unit are revarnished; The damaged walls on the Ashwood Unit are repaired and redecorated; The laundry walls are repaired and redecorated; Bedroom doors and wood surrounds identified as being in a poor decorative condition are repainted; The wardrobe and bedside cabinet in bedroom 33 are re-varnished; The walls and skirting boards in bedroom 24 are repainted. Timescale for action 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. DS0000033104.V259117.R01.S.doc Version 5.0 Page 20 No. 1 Refer to Standard OP7 Good Practice Recommendations Ensure that the dependency levels of people living at, or visiting the Home, are completed and then updated, on a regular basis. The information obtained should be used to ensure that people are appropriately placed and, to confirm that the required staffing levels have been provided. Ensure that jobs/repairs entered in the repairs book are ‘ticked off’ when the Home’s Handyman, or Council maintenance staff, complete the required work. Ensure that: • • Wherever possible, large amounts of money are not held in the Home on residents’ behalf; Residents are encouraged to sign their financial records when monies are debited from their accounts. 2 3 OP19 OP35 DS0000033104.V259117.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000033104.V259117.R01.S.doc Version 5.0 Page 22 - 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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