CARE HOMES FOR OLDER PEOPLE
Dovecote View Claypit Lane Westhampnett Chichester West Sussex PO18 0NT Lead Inspector
Mrs J Wright Announced Inspection 10th January 2006 09:45 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 View DS0000060635.V266287.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Dovecote View Address Claypit Lane Westhampnett Chichester West Sussex PO18 0NT 01243 779080 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) Dovecote View Limited Mrs Julie Buck Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Dovecote View is a care home offering personal care to 26 residents in the category older person. Dovecote View is a detached property situated close to the city of Chichester, with a large garden to the rear. There is a spacious sun lounge at the back of the property together with a patio for residents to sit out on. Mr. and Mrs. Moore privately own the home, and the registered Manager is Mrs Buck. The responsible person acting on behalf of the proprietors is Mr. John Moore. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was unannounced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report or concerns raised about the home since the last inspection. Some standards that were assessed at the previous inspection were not assessed on this occasion; the reader is advised therefore to look at the reports of both inspections for a fuller picture of the home. The Manager was present throughout the inspection. During this inspection the Inspector examined records of care being provided to the residents; as well as records of any accidents, issues, or complaints, to make sure that the residents at Dovecote View were being taken care of. In addition to talking to the Manager, the Inspector spoke with Mr. and Mrs. Moore, plus a staff member, several residents, six visitors and a GP. The Inspector joined the residents for lunch to listen to their views about the home. All the comments received from everyone that the Inspector spoke to were very complementary with regard to the home, the food, and the staff members. At this inspection Dovecote View was audited against the National Minimum Standards for Older Persons. All the elements in each of the standards assessed were met. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well:
The residents, who the Inspector met on the day of inspection, spoke highly of the staff members, the cooking and their bedrooms. The building is maintained safely, and to a high standard. Records required by the Inspector on the day of inspection, were found to be in order. One visitor to the home told the Inspector that he was made to feel very welcome when he visited the home, and another visitor remarked that the person she visited was very happy at Dovecote View. The Inspector spoke to six visitors on the day of inspection and all said that they were really pleased with the standard of the home and of the care being provided, and said there was “always something going on”. A GP told the Inspector that he had no concerns about the care being provided at Dovecote View at all. The Inspector was told that Dovecote View does not use outside agency workers, thus ensuring that the residents always know their carers. There are many activities on offer at the home, which include “Seniorcise”, exercises for senior citizens, outings, outside entertainers, art and craft and going out for daily walks with a staff member, weather permitting.
Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 6 Residents taken out on the day of inspection told the Inspector that they really enjoyed getting out in the fresh air, and one resident said she had improved so much she was now able to take a short walk on her own “whenever I feel like it”. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Each resident has a written contract/ statement of terms and conditions with the home. Residents and their representatives know Dovecote View will meet their needs. EVIDENCE: The Inspector was shown a copy of the home’s statement of the terms and conditions, which contain all the requirements of the National Minimum Standards. The person in charge assured the Inspector that all residents and their representatives receive a copy. Evidence from care plans and staff training records confirmed that Dovecote View was able to meet the assessed needs of the residents accommodated there. The Inspector was informed that specialist advice is sought where appropriate. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8 The resident’s health, personal and social needs are set out in an individual plan of care, and are reviewed regularly. Resident’s health care needs are fully met. EVIDENCE: Care plans of some residents were looked at during the course of the inspection, and it was noted that the care plans, including risk assessments, had been reviewed regularly. The Manager assured the Inspector that all residents are informed of all services available under the National Health Service, and that specialist equipment is provided where necessary. A GP spoken to on the day of inspection said that he had no concerns about the care on offer at Dovecote View. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: On the day of inspection the Inspector shared a meal with the residents, which was clearly enjoyed by everyone. There was much good-humoured banter between residents and staff members during the course of the meal, with Mrs. Moore sitting chatting to residents at one of the tables. Residents told the Inspector that the food was “far better than I ever had when I lived on my own”, that ”the food is really, good and so much!” and “it’s always hot and beautifully served”. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Residents told the Inspector they would be happy talking to the Manager, any staff member or Mr. or Mrs. Moore about any issues they might have, and felt that any concerns would be addressed immediately. There were no complaints recorded at the time of this inspection. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 and 25 Residents live in a safe, reasonably well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. EVIDENCE: Records were available to show that the home is maintained to a satisfactory standard. On the day of inspection, Dovecote View was clean, warm and welcoming. Some residents were sitting in the lounge, some in the conservatory having their coffee, whilst some were taking their coffee in their rooms, with their visitors. Some of the radiators still need covering, and the Manager informed the Inspector that this would be addressed shortly as part of Dovecote View’s maintenance plan. Progress of the work on this will be monitored at the next inspection. Dovecote View provides sufficient communal space for the residents, which consists of separate lounge and dining areas, plus a conservatory. There are enough washing facilities available in the home, with accessible toilets close to the communal sitting areas and the dining room. On the day of inspection several doors were wedged open, the Manager was made aware of the safety implications with regard to this.
Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 Resident’s needs are met by the number and staff mix of staff members. Residents are in safe hands at all times EVIDENCE: Dovecote View was adequately staffed on the day of inspection. The Inspector saw evidence of ongoing training by the staff members at the home. National Vocational Qualification is on going and further development training is expected. The Inspector was assured by the Manager that that all staff members had received manual handling training, fire training, Health and Safety training, medication training and food hygiene training. The Manager and a senior carer are due to go on a risk assessment training course shortly. All training is recorded on staff member’s files. Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 36 and 37 The home’s accounting and financial procedures, record keeping and policies and procedures safeguard residents. Staff members are appropriately supervised. EVIDENCE: It is apparent that the needs of the residents are uppermost at Dovecote View, and that the home ensures that resident’s rights and best interests are safeguarded at all times. The inspector saw that insurance cover is in place to meet the National Minimum Standards, and there is a business and financial plan for the home, which would be made available upon request. Residents are encouraged to manage their own affairs with the help of relatives or advocates. Dovecote View was seen to offer formal bi-monthly supervision to all care staff, the Manager supervising the three senior care workers, who in turn supervise the remainder of the staff members.
Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X 3 X X X X 3 X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X 3 3 X Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? NA 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Dovecote View DS0000060635.V266287.R01.S.doc Version 5.0 Page 18 - 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!
