Inspection on 18/01/06 for Douglas Jackman House

This inspection was carried out on 18th 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Douglas Jackman House 29/10/07

Douglas Jackman House 15/06/06

Douglas Jackman House 12/05/05

Douglas Jackman House 18/03/05

Douglas Jackman House 10/08/04

Douglas Jackman House 02/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Douglas Jackman House 1 Weymouth Avenue Dorchester Dorset DT1 1QR Lead Inspector Stephanie Omosevwerha Unannounced Inspection 18th January 2006 10:00 Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 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 Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Douglas Jackman House Address 1 Weymouth Avenue Dorchester Dorset DT1 1QR 01305 251598 01305 268972 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) Dorset County Council Gillian Caroline Joslin Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 12th May 2005 Date of last inspection Brief Description of the Service: Douglas Jackman House is registered to provide accommodation and care to 14 adults who have a learning disability. The home provides for long-term and 1 short-term placements. It is situated in the town of Dorchester, within easy walking distance of the shops, restaurants, pubs and leisure facilities. The accommodation comprises of several communal areas and has a garden to the rear of the property, which has patio seating and a summerhouse. It is a three storey house, with bedrooms on the ground, first and second floors. There is no lift. Staff is provided 24 hours a day. The majority of service users attend Day Centres during the week. Staff support service users with their personal care, social, and emotional needs. Staff have experience in communicating with adults who have a learning disability, and the homes philosophy includes aiming to increase the service users independence skills and community integration. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over approximately 6 ½ hours. It was the second annual inspection carried out as part of the planned inspection programme for care homes undertaken by CSCI. The inspection also addressed the requirements and recommendation that were made at the previous inspection. During the inspection, 4 service users were home throughout the day. The inspector also had the opportunity to talk to another resident on their return from daytime activities. The manager was present for most of the inspection and the inspection also spoke to a senior member of care staff. A tour of the premises was carried out consisting of all communal areas and a sample of 5 bedrooms. Records and documentation were examined including service users files and staffing records. What the service does well: What has improved since the last inspection? Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 6 Since the previous inspection a service user who was placed out of category has left the home, which means the home is now successfully meeting the needs of all service users living in the home. In addition extra staffing hours and training have been provided which has contributed to this improvement. There has been progress on providing more opportunities for day time activities in the home and the extra staffing hours are also being used to target times that will maximise the benefit to service users by offering them more flexibility and choice. Further guidance and training has now been given to staff concerning the protection of vulnerable adults and more thorough recruitment procedures have been put in place ensuring the welfare of service users is effectively safeguarded. Improvements to records were also noted particularly in the administration of medication to service users and the management of their financial records. 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. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Improvements to the home’s admission procedures and staff training programme have increased the home’s capacity to meet the needs of all service users living there. EVIDENCE: At the last inspection, the home was accommodating a service user whose needs fell outside the home’s registration category. This service user has now moved out of the home and discussion with the manager showed more thorough assessments were taking place prior to admission to ensure the home could meet prospective service user’s needs. On the day of the inspection, a prospective service user was being shown round the home and the inspector spoke to the family who confirmed detailed assessments had been shared with the home. The files of 2 new residents who had been admitted since the previous inspection were also examined which further evidenced service users fell within the category of registration. Discussion with one of these residents confirmed that her needs were being met by the home and she liked living there. The inspector noted that the staff training programme had been expanded to include training on areas such as autism and challenging behaviour to ensure staff had the necessary skills to work with service users in the home. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. There has been some progress in up-dating the information concerning service users care needs providing clearer guidelines to staff, however, the home needs to develop a consistent approach ensuring all areas of care provided are addressed in an agreed format. The home encourages service users to make decisions in their daily lives with particularly effective use of advocacy services to facilitate their independence and choice. The home has taken a more individual approach to risk taking, which has resulted in service users being able to take responsible risks rather than imposing unnecessary limitations. EVIDENCE: A sample of 3 service users’ individual files was viewed. The home had set up a ‘task list’ for each service user that included information on personal hygiene, mobility, eating and drinking, sleeping, social and therapeutic activities, safety, communication and self care. Individual Service Plans were completed and these included reference to service user’s goals and aspirations. There was also more detailed information provided on behaviour management Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 10 setting out clear guidelines for staff to follow. One service user’s file contained a work book designed by People First that involved full participation from the service users taking a person centred approach obtaining information on the person’s likes and dislikes. The manager told the inspector that the home was working towards person centred planning and this would include expanding and up-dating information on service users files. She said this approach would provide a new system of recording information. The inspector felt there were some gaps and inconsistencies in current care plans, which would benefit from providing information on further aspects of care needs such as education/occupation details, family contact and financial management. There was evidence during the inspection that service users were encouraged to make decisions in their daily lives. For example observed practice during the inspection showed service users were asked if they wanted to go to the local market during the morning and they were asked what they wanted for lunch. The manager told the inspector that residents are able to express their views about aspects of life in the home at regular residents meetings. The home made good use of advocacy services to enable service users further choices and decisions about their lives and recently this had included support with managing their finances ensuring their present arrangements met their needs and one service user being supported by an advocate to arrange the holiday of his choice. The home had made improvements to their risk management framework and service user files now included individual risk assessments relating to areas such as medication, bathing, burns, falling and absconding at night. The inspector noted that residents have now been risk assessed regarding the use of keys and, as a result of this, two residents now have front door keys. The home is continuing to review service users abilities with regard to risk ensuring service users have opportunities to develop independent living skills. Some service users files also had joint risk management strategies set up in conjunction with the NHS and Local Authority providing additional support and advice in the management of service users care. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 16 and 17. The home is working towards providing a greater range of employment, training and educational activities to offer service users more flexibility and choice. Service users are supported to engage in leisure activities inside and outside of the home and new ideas are being explored to provide service users with the opportunity to have an annual holiday. There has been some progress towards reviewing the routines and procedures in the home to increase service users independence and development of daily living skills. EVIDENCE: There was some evidence that progress had been made on offering service users more choice about daytime activities. On the day of the inspection, four service users had remained at home, two had stayed home to attend medical appointments and the other two remained home as part of a weekly plan to spend some key worker days at the home where they are supported by staff to undertake more individual activities, e.g. on the day of the inspection they visited the local market in the morning. The manager said she had plans to Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 12 increase the activities offered by the home during the week including utilising the upstairs kitchen for activities involving daily living skills and utilising facilities in the local community such as leisure centres and libraries. It was suggested that occupation/employment needs were incorporated on individual care plans to evidence further consultation with residents about their daytime support needs. At the previous inspection, not all service users had had the opportunity to have a seven-day holiday outside of the home. The manager said that this year, most service users had had the opportunity to spend a few nights away staying in a caravan owned by a voluntary organisation. She admitted it was difficult to organise individual holidays due to staffing implications. At present, they were exploring the option of one resident being supported by an advocate and a member of staff to arrange the holiday of his choice. If this was successful, the manager was hoping to organise this for other residents. Observation during the inspection showed that residents had unrestricted access to all communal areas of the home. One resident showed the inspector around the home and confirmed that they were able to move freely around the home. Risk assessments are now in place to assess service users abilities to manage keys and this has led to two service users now having keys to the front door. It was recommended at the previous inspection that service users should be given opportunities to shop, prepare and cook their meals. The manager said that some progress had been made on this with 2 residents using the training kitchen on a regular basis, however, there is still room for improvement and one resident told the inspector that she would like more opportunity to cook in the home. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 20. Healthcare records would benefit from further structure and detail to ensure more comprehensive monitoring of service users current health needs. Further guidelines had been put in place to assist staff with administering medication to service users making sure service users’ medication needs are met. EVIDENCE: There were details of the service user’s health needs on the 3 files that the inspector sampled. There was more focus on service users’ physical health and the inspector recommended that more detailed information was included about service users’ mental health needs. The files would also benefit information being collated onto one record sheet where all health appointments attended could be noted, as although there was evidence that service user’s had attended appointments such as opticians, this information was only available by searching through the health notes and locating the relevant letter. Records also need to detail other healthcare professionals that are currently involved in the service users care, as this information is not clear. The inspector saw evidence of other health care professionals involvement such as assessments and joint risk management strategies but these did not indicate whether there was continued input or not. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 14 Medication records were checked at the last inspection and a recommendation was made that guidelines should be in place of when and how prn medication should be given. The manager confirmed they had consulted with the G.P. and guidelines had now been drawn up following the G.P.’s advice. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. The home demonstrated a commitment to improving practices in the home to safeguard the welfare of service users by training staff, up-dating policies and procedures ensuring staff had adequate knowledge and guidelines concerning the protection of vulnerable adults. EVIDENCE: There was a requirement made at the last inspection that staff receive training in restraint and physical intervention. The manager reported that the DoH guidelines on physical intervention are now available in the home and DCC are working towards a policy on this issue. There had been no further incidents of restraint in the home since a service user who was placed out of category had moved out of the home. There was evidence on staff training records that some staff had attended POVA training in July 2005. The manager said there was a rolling programme for this and all staff had been nominated to up-date there training in the protection of vulnerable adults. She said a refresher course was also being specifically designed to keep staffs knowledge up-dated on a regular basis. The home had reviewed the way they recorded service users financial records including numbering receipts so these can be easily traced and obtaining cash point receipts to ensure they can be cross referenced with bank statements. All service users have their own accounts and are support as appropriate to manage their finances. The home have made excellent use of advocacy support to ensure service users are happy with their current financial arrangements, e.g. have they the right kind of savings accounts set up for their needs. The homes accounts are monitored by an external auditor sent in by Dorset County Council every five years. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The standard of the environment within the home is good providing service users with an attractive and homely place to live. Obtaining service users feedback on the continued use of the home for short stays would indicate the impact this has on their lives and inform future views on service provision. The home is kept clean and hygienic with systems in place to ensure service users are protected from spread of infection. EVIDENCE: A tour of the premises took place as part of the inspection. All the communal rooms were seen and a sample of 5 service users bedrooms. The environment was well maintained and decorated in a comfortable and homely way. Observation during the inspection showed service users could freely access all communal areas or spend time in the privacy of their rooms. Service users said they liked their accommodation and had been able to choose the décor of their rooms. The home continues to offer short-term care although the communal space for the short-term care service users cannot be separated from that used by permanent residents. This was discussed with the manager who felt that the service provided some benefits to the permanent residents who often knew the Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 17 service users staying in the short-term accommodation from the day centre they attended. This meant it often felt like a ‘friend’ staying and did not have a detrimental effect on the home. It was recommended that service users were formally consulted about their views, e.g. at a residents meeting to provide written evidence that the service users felt there were benefits in continuing to offer this service. During the inspection, a service user who may use the service was visiting the home. The inspector had the opportunity to speak to him and his family and it was clear he had enjoyed the visit and the family felt the home would provide a valuable service. The inspector also observed him chatting to other residents living in the home and they appeared happy to show him round. On the day of the inspection, the home was observed to be clean, hygienic and free from offensive odours. There is a separate laundry room sited away from areas where food is stored, prepared, cooked or eaten. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 34, 35 and 36. There has been an increase in staffing hours provided by the home, which has meant additional staff are available in the home at peak times to offer service users more choice and support. Recruitment procedures have now been made more thorough to ensure the protection of service users living in the home. The home has addressed the deficits in its training programme, which now includes courses designed to meet the specialist needs of the residents. The home offers staff good informal support by providing senior staff support on every shift, however, formal supervisions need to be offered on a regular basis to ensure staff have allocated time for further professional guidance. EVIDENCE: The home has had a relatively stable staff team over the past few years and employs 9 care staff and 3 night staff as well as a cook and domestic support. There has been an increase in care hours since the previous inspection and the home is currently providing 431 hours each week. Taking into account the current vacancies in the home this means the home is close to meeting the Department of Health’s recommended hours, i.e. approximately 450 hours based on current occupancy levels. The impact of these additional hours has meant that there is now an extra member of staff on the rota in the evening. The inspector looked at the current rota, which showed that 3 members of Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 19 staff were on duty in the mornings and 4 in the evenings. There was reduced support during the day Mondays to Fridays as most service users were out. 4 members of staff were provided throughout the weekends. In addition to the care staff there was also a member of the senior staff team on duty to provide additional support to staff as necessary. The manager said she was currently reviewing the rota to ensure that staff hours were focussed on times according to the accessed needs of residents, e.g. additional support during the day would facilitate service users’ choice about daytime activities. The manager reported a reduction in the use of agency staff and the home has a small team of relief bank staff (mainly consisting of ex-members of staff) ensuring some continuity of care to service users. One member of staff’s file was sampled. There was no evidence that staff had been recruited prior to obtaining a clear CRB check and the manager reported that they were still awaiting a check that had been applied for in October 2005 before allowing a worker to commence employment in the home. The training records for staff were examined and there was evidence that staff had completed additional training since the previous inspection. This included courses on autism, challenging behaviour and the LDAF induction and foundation. There are currently 6 staff in the home who have achieved an NVQ level 2 and one member of staff is currently working towards NVQ level 3. Another 2 staff have commenced the LDAF induction and foundation. The home is currently meeting the target for 50 of care staff in the home achieving a NVQ 2. There was no evidence on the staff record that was checked to show that regular supervision sessions were taking place and this is carried forward from the previous inspection, i.e. staff should receive at least six one-to-one supervision sessions with their line manager each year. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. The manager is well supported by her senior staff in providing clear leadership throughout the home with staff being clear about their roles and responsibilities. The home reviews aspects of its performance through a programme of selfreview and consultations that include seeking the views of service users and staff. Records are generally well maintained containing all information required by regulation, however, providing further opportunities for service users to be involved in their maintenance would promote their rights and best interests. EVIDENCE: The manager has substantial experience of working with adults with learning disabilities and worked at Douglas Jackman house a number of years before she was promoted to manager. She has achieved NVQ 4 in management and is currently working towards NVQ 4 in care and needs to complete an additional 2 units to obtain the Registered Managers Award. There was further Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 21 evidence that she continues to keep her knowledge and skills updated by attending regular training courses. There was evidence that there were systems in place to monitor quality in the home. Service users and staff had completed an opinion survey in October 2005 and these surveys formed the basis of the homes annual report looking at issues for the forthcoming year. A business plan was in place addressing issues such as the maintenance and staffing of the home. The responsible individual of the home carries out a monthly monitoring visit and reports of these visits are forwarded on to the Commission providing further information about the quality of service provided. A recommendation was made at the previous inspection that service users should be encouraged to be involved in maintaining their personal records. Although there was some evidence that service users were consulted about issues e.g. reviews of their individual service plans, there was no direct evidence that they had been involved in the setting up of the home’s task lists. The manager said that these documents were currently under review and it is recommended consideration is given to how service users can be involved in the completion of any new format that is introduced. There was a recommendation made at the previous inspection about maintaining hot water temperatures at a temperature close to 43 degrees centigrade. This was not checked at this inspection and the recommendation is, therefore, carried forward to be addressed at the next inspection of the home. Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 2 34 3 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 X 14 2 15 X 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 3 X 3 X 3 X 2 X X Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA12 Regulation 16 Requirement There must be evidence that service users, and their representatives, have been consulted about their programme of day activities. (Previous timescale of September 2005 not met). Staffing levels in the home must be increased to the recommended levels set by the Department of Health Residential Forum staffing calculator. (Previous timescale of May 2004 not met). The registered provider must ensure staff are appropriately supervised in the home, i.e. staff should receive at least six oneto-one supervision sessions with their line manager each year. Timescale for action 30/04/06 2. YA33 18 31/03/06 3. YA36 18 (2) 31/03/06 Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 24 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 YA6 Good Practice Recommendations Each service user should have a clear care plan that details how the home is to meet their day to day needs. The care plan should cover the areas detailed in Standard 2.2. i.e. specifically including information on work/employment/ occupation, family contact and financial management. Service users should have as part of the basic contract price the option of a seven day annual holiday outside of the home. The opportunities for service users to shop, prepare and cook their meals should be more regular and flexible. Health needs should be more clearly recorded on assessments and care plans particularly any mental health issues. There should be evidence of referrals to specialist agencies where these are deemed necessary from assessments and any specialist care input should be clearly recorded on service users files. It was recommended that service users were formally consulted about their views about the home offering a respite service, e.g. at a residents meeting, to provide written evidence that the service users felt there were benefits in continuing to offer this service. Service users should be encouraged to be involved in maintaining their personal records. Hot water temperatures should be maintained at a temperature close to 43 degree centigrade. (This recommendation was not assessed on this occasion and carried forward from the previous inspection.) 2. 3. 4. YA14 YA17 YA19 5. YA24 6. 7. YA41 YA42 Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Douglas Jackman House DS0000032030.V279824.R01.S.doc Version 5.1 Page 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. 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