Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 29/05/07 for Dovecote Nursing Home

Also see our care home review for Dovecote Nursing Home for more information

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 but made no statutory requirements on the home.

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 relationships between the staff of the home, families and the local community remain positive and the manager continues to promote this through regular surveys to seek their views on the quality of the service. The company is looking to employ a Family Liaison Officer. Relatives confirmed that the staff keep them informed about any changes to their relatives` condition and also on any activities that were going on or planned for the future. The home continues to maintain good contact with the local community. The manager described the success of the annual spring and summer fates that are held in the grounds of the home. These are well attended by the local community and families. Staff stated that the weekly bingos that are organised by the home are often attended by members of the local community. The activities coordinator confirmed that those who attend the bingo have known a number of the service users and this provides the opportunity for some service users to meet with old friends or people they know. The Activities coordinator is a valued member of staff and the service users and visitors commented positively on her role and the enthusiasm with which she carries out her work. The activities coordinator ensures there is a wide range of social activities for service users. This includes outings to local places of interests. The activities coordinator uses the resources of volunteers in providing recreational and social activities. There are specific one to one activities with individual service users who have been identified as needing such service. The company continues to provide good training for the staff. Staff training needs have been identified and suitable arrangements made to provide such training. The nursing staff are currently undergoing training in palliative care with the view to provide this service in the future. Examination of the staff training details indicate that training, on the whole, is good. Care Plans are generally good, setting out care needs and how those needs are to be met. In the past year or so, the company has purchased specialised profile beds with high specifications to meet the needs of the service users who have been identified as requiring such beds in order to ensure their safety and wellbeing. The manager carries out a monthly analysis of accidents in the home and corrective action put in place as part of the risk management strategy. The home carries out infection control assessment. This is used to identify areas for improvement to ensure the safety and wellbeing of the service users. This is followed by infection control training for most of the staff. The chef has put into operation the Food Standard Agency Safety Assurance system and has kept the records up to date.

What has improved since the last inspection?

At the last random inspection on 27 February 2007 two requirement were made relating to the tying up pull cords in bathrooms and a dirty table in a service user`s room. These issues have since been addressed.

What the care home could do better:

During this inspection it was noticed that one of the ground floor lounges, which is used by the night staff had an ashtray full of cigarette ends and ashes. Staff should ensure ashtrays are emptied to promote healthy environment.In examining the servicing records, it was noticed that the date when the water system was due for treatment for Legionella had expired. This needs to be done. The recommendations in a previous report for the registered manager to make necessary arrangements on the first floor to aid orientation for people with dementia has still not been done. This was raised by a relative who said that her father is not able to find his way to the toilets. She stated that because all the doors look the same, this may have contributed to the problem with finding his way to the toilets. It was noticed that staff carried lunch from the dining room to bedrooms uncovered. This is unhygienic and unsafe as the plates were not being carried on a tray neither. Staff must pay attention to requests from service users. In a particular situation, a service user had requested staff to take away her soiled clothes but this was not done for several hours causing the service user to be distressed by the lack of response by the staff.

CARE HOMES FOR OLDER PEOPLE Dovecote Nursing Home Hugar Road High Spen Rowlands Gill Tyne & Wear NE39 2BQ Lead Inspector Sam Doku Unannounced Inspection 29 May and 13 June 2007 10:00 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 Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 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. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dovecote Nursing Home Address Hugar Road High Spen Rowlands Gill Tyne & Wear NE39 2BQ 01207 544 441 01207 544 171 dc1europeancare@aol.com 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) European Care (UK) Limited Jon Barnett Care Home 61 Category(ies) of Dementia - over 65 years of age (34), Old age, registration, with number not falling within any other category (61) of places Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2006 Brief Description of the Service: Dovecote Care Home has 61 places for older persons. The home is split into two separate units; the first floor providing care for people with dementia and the ground floor for older persons only. Both units provide nursing and personal care. The home is purpose built and the internal space is generous. The bathrooms and communal WC’s have handrails and appropriate lifting equipment for disabled service users. The home is constructed in a traditional style of brick and tile and has a variety of lounge / dining areas. There is passenger lift access to the first floor. The access is level from the ground floor entrance. It stands in it’s own grounds, which are well kept. There is a generous amount of parking space. The home is located in a village, in a rural area. It is a quiet setting with local facilities close to the home including shops and a pub. The current of charges for the service users are £374.00 for residential and £635.00 for nursing. The home does not provide intermediate care. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days on 24 May and 13 June 2007 and was carried out by one inspector. The inspection process involved spending time in the lounge with the service users and talking to them, observing staff interaction with them and observing their practices. The inspector also spent time with the manager in the office to discuss the general management of the home and examined records relating to the care people receive and also records relating to the day-to-day management of the home. Some of the records examined included care plans, staff records, servicing records, policies and procedures. The examination of the care plans and risk assessments were to see if the service users are receiving good and consistent service. The record and discussions with the staff show this to be the case. Activities records were looked at to see if the service users are being offered stimulating things to do. The records and discussions with service users also show this to be the case. Prior to the inspection date, the Annual Quality Assurance Assessment form was sent to the registered manager to be completed and sent back to the Commission. This provided useful information, which helped the inspector to plan for the inspection visit. The home is well equipped with aids and adaptations suited to the client group’s age and lifestyle preferences. The home has plenty of space in all areas. It is popular with service users and their families, and there is a great deal of involvement by the local community. What the service does well: The relationships between the staff of the home, families and the local community remain positive and the manager continues to promote this through regular surveys to seek their views on the quality of the service. The company is looking to employ a Family Liaison Officer. Relatives confirmed that the staff keep them informed about any changes to their relatives’ condition and also on any activities that were going on or planned for the future. The home continues to maintain good contact with the local community. The manager described the success of the annual spring and summer fates that are held in the grounds of the home. These are well attended by the local community and families. Staff stated that the weekly bingos that are organised by the home are often attended by members of the local community. The activities coordinator confirmed that those who attend the Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 6 bingo have known a number of the service users and this provides the opportunity for some service users to meet with old friends or people they know. The Activities coordinator is a valued member of staff and the service users and visitors commented positively on her role and the enthusiasm with which she carries out her work. The activities coordinator ensures there is a wide range of social activities for service users. This includes outings to local places of interests. The activities coordinator uses the resources of volunteers in providing recreational and social activities. There are specific one to one activities with individual service users who have been identified as needing such service. The company continues to provide good training for the staff. Staff training needs have been identified and suitable arrangements made to provide such training. The nursing staff are currently undergoing training in palliative care with the view to provide this service in the future. Examination of the staff training details indicate that training, on the whole, is good. Care Plans are generally good, setting out care needs and how those needs are to be met. In the past year or so, the company has purchased specialised profile beds with high specifications to meet the needs of the service users who have been identified as requiring such beds in order to ensure their safety and wellbeing. The manager carries out a monthly analysis of accidents in the home and corrective action put in place as part of the risk management strategy. The home carries out infection control assessment. This is used to identify areas for improvement to ensure the safety and wellbeing of the service users. This is followed by infection control training for most of the staff. The chef has put into operation the Food Standard Agency Safety Assurance system and has kept the records up to date. What has improved since the last inspection? What they could do better: During this inspection it was noticed that one of the ground floor lounges, which is used by the night staff had an ashtray full of cigarette ends and ashes. Staff should ensure ashtrays are emptied to promote healthy environment. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 7 In examining the servicing records, it was noticed that the date when the water system was due for treatment for Legionella had expired. This needs to be done. The recommendations in a previous report for the registered manager to make necessary arrangements on the first floor to aid orientation for people with dementia has still not been done. This was raised by a relative who said that her father is not able to find his way to the toilets. She stated that because all the doors look the same, this may have contributed to the problem with finding his way to the toilets. It was noticed that staff carried lunch from the dining room to bedrooms uncovered. This is unhygienic and unsafe as the plates were not being carried on a tray neither. Staff must pay attention to requests from service users. In a particular situation, a service user had requested staff to take away her soiled clothes but this was not done for several hours causing the service user to be distressed by the lack of response by the staff. 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. The summary of this inspection report can be made available in other formats on request. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 8 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 Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user guide provides good information about the home and the services provided. This ensures that all prospective service users have the necessary information to assist them in making a decision about the home. The home has a policy of obtaining full assessment by a social worker or nurse assessor before a service user moves into the home. The home also carries out their own assessment before admission is arranged. This allows the staff to decide if the person’s care needs can be met. Service users are invited to visit the home and to meet staff and other service users before deciding on coming to live in the home. This arrangement gives people who want to come and live in the home the opportunity to have a feel for the place before moving in. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 10 EVIDENCE: The service user guide provides good information about the home. This contains useful information about the environment, staffing, social activities and information about the philosophy of the home. The manager confirmed that copies are made available to all service users at the point of making inquiries about coming to live in the home. It is the home’s policy to obtain full assessments from the social workers or the nurse assessor before admissions are arranged. The manager confirmed that the home also carries out their assessment of the individual in their own setting to make sure Dovecote Care Home has the necessary skills and facilities to meet the needs of the prospective service user. Evidence of this was seen when the service users files were examined. These arrangements ensure that all the agencies and individuals involved in the care of the prospective service user can be confident that the home is able to support and care for the person before they move in. Service users and relatives commented that they find the assessment process reassuring. They stated that this gave them the opportunity to ask questions about the home and the services provided. The manager and the senior staff stated that it is the home’s policy to invite prospective service users to the home to view the home and to use the opportunity to speak with staff and other service users. One senior nurse stated that sometimes people are invited to come in and have lunch or tea in the home and to stay for a time to assess the home for themselves. Service users commented positively on these arrangements by the home to allow them to visit and for the opportunity to meet with other service users and staff. Relatives also expressed such views. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide personal care and healthcare support which are consistent with the expressed wishes of the service users. Care plans and other assessment documents identify the social and healthcare needs of the service users. The detailed plans enable the staff to provide care that is effective and consistent. The home has good procedures in place for the safe administration of medicines. This promotes and health and welfare of the service users. EVIDENCE: All service users have care plans, which set out their care needs and action plan for meeting these needs. The senior staff continues to review the care plans on regular basis making sure that the current care needs of the service Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 12 users are being addressed. Where there are changes in the care needs of the individuals, the care plans are altered to reflect their current care needs. There are suitable arrangements in place for meeting the healthcare needs of the service users. Record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services are maintained. The daily report records contain details of contact with medical practitioners and other professionals. This ensures that the service users rights to proper healthcare are being safeguarded by the home. Relatives and service users confirmed that the healthcare needs are met through the arrangements for them to have access to healthcare facilities. There are suitable arrangements in place for the storage and administration of medicines in the home. The drugs administration system was examined and there were no discrepancies. Copies of prescriptions are maintained in the home to ensure medicines can easily be traced. The home carries out a weekly check of medicines to make sure that any mistakes are corrected in time. The proper drugs administrative system that is being implemented ensures that the health and welfare of the service users are promoted. The service users confirmed the view that the staff treat them with respect and dignity. This was also confirmed by relatives and also by the relatives surveys that are carried on regular basis. Staff were noted to treat service users with respect. Staff were observed to knock on service users door before making entry thus promoting their privacy and dignity. Assistance with personal and intimate care was provided in a discreet and dignified manner. However, a situation was observed where a service user was distressed because staff failed to respond promptly to her request to have her soiled clothes taken away for washing. Staff must pay attention to the needs of service users. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home continues provides activities that are meaningful and meet the social and cultural needs of the service users. This ensures that the service users interest are maintained and the opportunity for them to continue to engage in meaningful social activities. There is evidence of continued family involvement in social events run by the home and with individual service users. The local community is part of the social fabric of the home. This promotes the psychological wellbeing of the service users. The service users receive nutritious diet, which contributes to their health and wellbeing. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 14 EVIDENCE: The role and the positive impact of the activities coordinator is obvious in the home. The coordinator organises individual and group activities for the service users. Service users commented positively on her role and the enthusiasm with which she carries out her duties. She is good at utilising community facilities for the benefit of the service users. Relatives commented positively on her work and said that there is always something going on in the home. The home continues to promote good links with the local community. This includes regular contacts with people from the village through the bingo nights and other social activities. Such contact with the local community has a positive impact for a number of service users. The minister of religion continues to visit the home on regular basis to conduct church services for those who wish to take part. At the time of the inspection, an arrangement had been made for one of the service users to access community activities. This was arranged using community volunteers. This offers the opportunity for individuals to maintain their lifestyle and promote their wellbeing. The mealtime arrangements on both floors were observed. Lunch was served in a calm and organised way. Service users were given sufficient time to enjoy their lunch. Service users who require assistance with eating were offered such assistance in discreet and dignified manner. However, it was noted that plated food was being transported from the dining room to service users in the lounge or in their bedrooms without plate cover, and no trays were used. Such practices are unhygienic and unsafe and must cease. There is a four-week rotational menu in operation in the home. Past menus indicate that the home provides wholesome and nutritious meals for the service users thus promoting good health. Service users were very complimentary of the food. They confirmed that they are provided with good choice and that there is always plenty of food for them. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear and easy to understand complaints policy, which is accessible to the service users and relatives. This provides the opportunity for individuals or relatives to raise concerns and in so doing exercising their rights. The staff training and policies and practices in the home ensure that the service users are protected from all forms of abuse. EVIDENCE: The written complaints procedure is displayed in the home for the benefit of the service users and visitors. The service user guide also has summary of the complaints procedure thus making it accessible to both service users and their relatives. Service users stated that they are aware of the complaints procedure. Individuals said if they have any concerns they feel confident that the manager would address their concerns satisfactorily. The manager maintains a complaints record which, provides details of all complaints or concerns received. The record also provides details of how the complaints were dealt with and the outcome. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 16 Suitable training on the safeguarding adults has been provided for the staff working in the home. The home’s complaints procedure and the protection of vulnerable adults procedures (POVA) are in line with the Gateshead Council complaint and adult protection procedures. Staff have good understanding of the POVA procedures and an awareness of the need to protect service users from all forms of abuse. All staff have had CRB checks and staff files now contain application, references, ID checks or CRB check. Service users commented that they feel their rights are protected in the home. Practices observed during the inspection would indicate that the service users rights are protected. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers an accommodation and an environment that is safe, clean and well-maintained. This promotes the general welfare, dignity and comfort for the service users. There is lack of orientation cues within the environment on the first floor to help the service users find their way round the unit. This contributes to their confusion and wellbeing. EVIDENCE: The home is adequately maintained and provides a comfortable environment for the service users. Access into the home and within it is good. The first Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 18 floor is accessed by staircase and a passenger lift. The corridors are wide enough to allow easier access for people with walking aids or wheelchairs. The carpets in some communal areas and along the corridors have been replaced with modern wood flooring which has greatly reduced the problem of urine odour on the first floor. Most of the carpets in individual rooms have also been replaced, further reducing the odour problem on the unit. As commented in the last inspection report, the dementia unit lacks general stimulation and signs to help orientate those who are confused and cannot find their way round the unit. The lack of signs to help with orientation further compounds the memory problems that the service users have. In the last relatives survey, this was pointed out, and the person feels this lack of stimulating environment in the form of prompts has a negative impact in the mental state of the service users. A number of staff also commented on this and described instances with individuals where such signs or notices would have helped the individual orientate better thus improving on their quality of life. Records showed that safety measures regarding fire safety and the environment are being observed. The records show regular fire drills, alarm tests and equipment checks. Fire risk assessment of the building has been carried out. The fire risk assessments include detection devices, chemicals, gas installation, electrical equipments and devices. The home has detailed written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. Regular update on mandatory training continues, ensuring that the staff are up to date with current practice and to improve their practice in promoting the safety and welfare of the people in their care. The standard of cleanliness and general hygiene in the kitchen is good. Weekly fridge temperatures are kept and also a record of food temperatures is maintained. The chef has put into operation the Food Standard Agency Safety Assurance system and has kept the records up to date. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home maintains sufficient staffing levels to meet the needs of the service users. The staff are well trained and have mixed skills that meet the overall needs of the service users. The good recruitment procedures in the home are good and safeguard the safety and welfare of the service users. EVIDENCE: The manager confirmed that the required staffing levels have consistently been maintained to ensure that the care needs of the service users are met. This is confirmed by the details of the past rotas that were examined. The home continues to increase the staffing levels to take account of busy hours of the day. The manager and senior staff confirmed that extra staffing is provided if escort duty is required. Service users and relatives indicated that they feel that the staffing levels are adequate to meet their needs. The company’s recruitment policies and procedures are adhered to by the manager. The files of the most recently appointed staff members were examined. Appropriate references have been obtained and the necessary checks have been conducted, including CRB enhanced checks. Staff confirmed Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 20 that they have all had CRB checks done on them. Overseas nurses have had all the necessary check done and appropriate work permits have been obtained for them. Since the last inspection, the overseas nurses who were doing their conversion training had completed their training and are now practising as trained nurses and are registered with the appropriate professional body. All the nurses continue to update on their clinical practice and the company has supported them to continue to receive such training. The training provided for the staff included moving and handling, first aid, fire safety training, food hygiene, falls prevention and protection of vulnerable adults awareness training. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home manager by is a competent trained nurse with good management experience. This ensures competent management of the home. The home has suitable arrangements that ensure service users monies are safe and properly accounted for. There are good care practices in place that protected the safety and welfare of the service users and the staff. There is a general improvement in the supervision of care staff. This ensures that staff are adequately supported to enable them to provide good support for the people they look after. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 22 EVIDENCE: The good comments in the last inspection report have been repeated here as those positive observations still apply. The manager is registered with the Commission. He has good management experience and is a qualified nurse. The staff, again indicated that the manager runs the service in a way that benefits the service users. They commented that he continues to have positive relationship with them and the service users. Similar comments were, again made by service users and relatives. The arrangements for the supervision of staff has improved and at this rate each staff member would be able to receive the required number of supervisions per year. Care staff confirmed that they find the supervision sessions useful and feel that this helps them in their practice and professional development. There remain suitable arrangements for managing the personal allowances for the service users. Receipts for purchases made on behalf of service users are available on individual files. Withdrawals or payments made on behalf of service users are counter-signed by the service users, their relatives or staff member. The company has produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The records indicated that the staff have had training in food hygiene, fire precaution, moving and handling and first aid. This kind of training ensures that the staff maintain safe working practices which safeguard the safety and wellbeing of the service users. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. All the servicing records that were examined were up to date except for water treatment for Legionella. These included fire-fighting equipments, servicing of hoists, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 23 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 24 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 OP22 Regulation 23(1)(a) Requirement Timescale for action 01/10/07 2 OP38 12(1)(a) 3 4 OP38 OP38 12(1)(a) 13(3) The registered person must make necessary adjustments to the dementia care unit to assist service users with finding their way round the home, especially to their rooms and toilets. Food that need to be transport to 01/08/07 service users must be covered for health reasons. Te plate must also be put on a tray for safety reason and also better presentation to enhance the dignity of the service users. Ashtrays in lounges must be 01/08/07 emptied for health reasons. Water treatment for Legionalla 01/09/07 must be carried out. The date when this was due to be carried out had expired and must be done as soon as practicable. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 25 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 OP10 Good Practice Recommendations The staff should ensure that when a request made by a service user, this is attended to promptly. Failure to attend to one service user promptly led to an unnecessary distress to the service user. Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © 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 Dovecote Nursing Home DS0000018172.V338350.R02.S.doc Version 5.2 Page 27 - 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!