CARE HOMES FOR OLDER PEOPLE
Dove Court Seaton Down Hill Seaton Devon EX12 2JD
Lead Inspector Teresa Anderson Unannounced 12 April 2005 10:30 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 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. Dove Court Version 1.00 Page 3 SERVICE INFORMATION
Name of service Dove Court Address Seaton Down Hill, Seaton, Devon EX12 2JD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01297 22451 Doveleigh Care Limited Mrs Maureen Frances Goddard Care Home 19 Category(ies) of OP Old age (19), registration, with number PD(E) Physical dis - 0ver 65 (19) of places Conditions of registration Date of last inspection NO 26 November 2004 Brief Description of the Service: Dove Court provides accomodation and personal care for up to 19 older people. The home is situated on a hill outside, overlooking the town and has lovely views over the coast of Seaton. Accomodation is provided in 3 double rooms, 2 with ensuite facilities and in 13 single rooms, 7 with ensuite facilities. Bedrooms are on the ground and first floors. These floors are linked by a passenger lift. Communal spaces are made up of a large lounge, 2 smaller lounges, a dining room and a conservatory. Outside the home there are attractive gardens, paved and sitting areas and ample parking. Dove Court Version 1.00 Page 4 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken as part of a planned programme of inspection and took place between 10.30am and 1.30pm. The inspector spoke with 11 of the 19 residents, 1 visitor, the manager, 2 members of staff and with the owner. She looked around most of the home. During the inspection First Aid training for a number of staff was taking place and the owner was interviewing applicants for the role of handy man. Despite these distractions, all staff were helpful, relaxed and willing to be involved in the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office.
Dove Court Version 1.00 Page 5 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 Standards Statutory Requirements Identified During the Inspection Dove Court Version 1.00 Page 6 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 standard(s) These standards were not inspected. EVIDENCE: Dove Court Version 1.00 Page 7 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 standard(s) These standards were not inspected. EVIDENCE: Dove Court Version 1.00 Page 8 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 standard(s) 12, 13, 14 and 15. Dove Court maintains a strong emphasis on encouraging residents to make decisions about the ways in which they like to live their daily lives. The home continues to improve the types of activities on offer. Daily in house activities are well organised but trips outside are limited. The home provides a nutritious and varied diet for the residents. EVIDENCE: All the residents spoken to said that they live their lives as they like and that routines are kept to a minimum. Some residents said that any routine was welcome as it gave structure to the day. Many commented that mornings times tended to be busy but afternoons could be quiet. Two said that the afternoons could be boring and four said they would like to go out more. These residents were hopeful that now spring had arrived, that this might be easier to arrange. One very disabled resident said he would love to go out with someone for a drive. This was discussed with the owner. Two staff members take responsibility for arranging activities and have devised a programme that includes bingo, floor snakes and ladders and darts. Some residents choose to join in, whilst others do not. The inspector discussed with the owner the benefits of linking current activities to residents’ previous leisure activities and the benefits of involving residents in decisions about what programme of activities might take place.
Dove Court Version 1.00 Page 9 All the residents said they enjoyed the food, although some commented that mealtimes could be hurried at times. Dove Court Version 1.00 Page 10 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 standard(s) 16 and 18. The home has a robust complaints procedure and residents feel they can raise any issues or concerns and these will be taken seriously and acted upon. Residents are protected by the adult protection procedures in place. EVIDENCE: The home has a detailed complaints procedure. No complaints have been made since the last inspection. Residents say that any minor ‘niggles’ or ‘moans’ are acted upon immediately. Dove Court has sound procedures for responding to allegations of abuse and staff confirmed they understand these procedures. Staff receive training in the protection of vulnerable adults. Residents are comfortable and confident in the presence of staff and say that the staff are kind and caring. Dove Court Version 1.00 Page 11 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 standard(s) 19 and 26. The environment at this home provides residents with an attractive and homely place to live. There is a potential risk to one resident as the radiator is not covered. EVIDENCE: Dove Court is well presented and maintained. On going refurbishment and redecoration takes place as needed. Residents are very complimentary about the home and the standard of décor and cleanliness. Many of the radiators have no protective guards and this poses a potential risk to residents. The owner has agreed to guard all un-protected radiators by 2007. Risk assessments determine the order in which covers are provided. The owner will arrange to have one radiator covered in the short term. This radiator potentially poses a risk to one resident whose health needs have recently changed. Dove Court Version 1.00 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected. EVIDENCE: Dove Court Version 1.00 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected. EVIDENCE: Dove Court Version 1.00 Page 14 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 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 2 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 x x x x x 1 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 Standard No 16 17 18 Score 3 x 3 x x x x x x x x Dove Court Version 1.00 Page 15 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 25 Regulation 13(4) Requirement The registered person must ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. (This refers to the covering of hot surface temperature radiators) The registered person must ensure that all parts of the home are, so far as reasonably practicable, free from hazards to their safety. (This refers to one radiator which potentially poses a risk to a service user whose health has recently changed). Timescale for action 31/12/07 2. 25 13(4) 30/06/05 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. 2. Refer to Standard 12 Good Practice Recommendations The registered provider should continue to improve the type and level of activities on offer in line with the wishes and preferences of residents. Dove Court Version 1.00 Page 16 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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