CARE HOMES FOR OLDER PEOPLE
Dovecote View Claypit Lane, Westhampnett Chichester West Sussex PO18 0NT Lead Inspector
Jennifer Wright Unannounced 12 July 2005, 09:00 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. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Dovecote View Address Claypit Lane, Westhampnett, Chichester, West Sussex, PO18 0NT 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) 01243 779080 Dovecote View Limited Mrs Julie Buck Care Home (CRH 26 Category(ies) of Old age, not falling within any other category registration, with number (OP), (26) of places Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18 January 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 spaceous sun lounge at the back of the property together with a patio for residents to sit out on. The home is privately owned by Mr. and Mrs. Moore, and the registered Manager is Mrs Buck. The responsible person acting on behalf of the proprietors, is Mr. Moore. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be announced, will be undertaken later in the year. The Manager assisted the Inspector throughout the entire inspection, and both Mr.and Mrs. Moore visited the home whilst the Inspector was there. During this inspection the Inspector toured the building, visiting the majority of rooms. The inspector spoke to a large number of residents, plus several visitors about what the care was like at Dovecote View. Every body spoken with said that they were very pleased with the care, the atmosphere and the food at the home. In addition to the Manager, four staff members were also spoken to on the day of inspection about how they find working at Dovecote View. The Inspector examined records about care being provided to residents, as well as records of any accidents or concerns or complaints, to make sure that the residents at Dovecote View were being taken care of. 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, and two were exceeded. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well:
Dovecote View offers the residents who live there, good care, good food and the opportunity for many daily activities, which include gardening, trips out in the mini-bus, art and crafts, brass rubbing for the local church, aerobics and daily walks. All of the people who were spoken to at the time of this inspection responded very favourably with regard to the care on offer at Dovecote View. The building is in good decorative order, and is well maintained, with the relevant records in place to ensure the safety of the people living there. The inspector saw that staff training was ongoing at Dovecote View, and it was seen that many of the staff members have worked at the home for many
Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 6 years. Visitor spoke very highly of the care provided by the staff at Dovecote View and told the Inspector “I could not wish for a nicer place”. What has improved since the last inspection? What they could do better:
Everyone who the Inspector spoke to said very positive things about the Manager and the staff members at Dovecote View, and could not find fault with the home, however Regulation 26 reports should be forwarded to the Commission for Social Care Inspection on a more regular basis, and all residents are to sign to confirm that they were involved in their care planning. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 7 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 H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 5 and 6 Prior to moving into Dovecote View people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from Dovecote View and what is expected from them. EVIDENCE: Some residents, spoken to on the day of inspection, confirmed that they had been given information about Dovecote View, prior to admission, and that they had been invited to visit the home before they came to stay. Some residents could not remember, but said that they were very satisfied with the care provided. Residents told the Inspector that they would go to the Manager or the proprietors if they had any queries, but had no complaints whatsoever about the way they were being looked after.
Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 10 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) 7,8,9,10,11 Where possible residents are involved with the drawing up of their care plans. All residents are informed of all services available under the National Health Service, and specialist equipment is provided where necessary. Correct medication procedures were seen to be in place, to protect the people living at Dovecote View from harm. Staff member treat the residents at Dovecote View with respect and sensitivity. EVIDENCE: Where residents are not able to be involved with the drawing up of their care plans, then the residents relative or advocate is involved. This was confirmed by many of the residents who the Inspector spoke to on the day of inspection, one of who said they “couldn’t wish for more”. Records of drug administration are maintained, and the correct procedures, relating to medication, are being adhered to. The Manager confirmed to the Inspector that staff members administering medication had all received the appropriate training. By observations made on the day of inspection and from comments made by many residents and visitors, it would appear that the staff members respect the privacy and dignity of the people living at Dovecote View.
Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 11 The Inspector looked at the medication charts and the care records of some of the residents, and found them all to be satisfactory. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 12 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 People living at Dovecote View are able to make day-to-day decisions about how they want to live their life. There is a wide range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family, wherever possible. The food is of an extremely high standard, and offers a choice of menu, with people able to eat either with other residents in a sunny dining room, or in their own room should they prefer. At the previous inspection the Inspector was told that Dovecote View had introduced an “open breakfast” between 8 and 9.30 am. for any resident who wishes, to come down to the dining room for anything from a bowl of cereal to a “full English”. EVIDENCE: Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 13 There were many activities on offer Dovecote View, and the residents told the Inspector that they felt that there was plenty to do, should they wish it. The Manager informed the Inspector that risk assessments on all residents are undertaken prior to their participating in the various activities. On the day of inspection the Inspector shared a meal with the residents, which was really nice, and clearly enjoyed by all. Residents told the Inspector that they appreciated the new menus and “couldn’t wait to see what was coming next”. There was a good atmosphere between the residents themselves, and staff members throughout the meal. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with all residents being afforded sufficient time to eat their meal. Where it was necessary staff members were seen to help residents in a sensitive and unobtrusive manner. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 14 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) 16,17 and 18 Regular training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Dovecote View are protected from bad practice. EVIDENCE: Complaints are recorded in the complaint’s book, although there was none recorded at the time of the inspection. Residents told the Inspector that should they have any concerns at all, then they would have no hesitation in going to any staff member, and know that they would be listened to. The Manager confirmed that Dovecote View operates an “open door policy, and residents and visitors are aware that they can always come to her, or the proprietors whenever they want to.” Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 15 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, 21,22, 23, 24 and 26 On the day of inspection Dovecote View appeared clean and well maintained, and the location of the home is suitable for the residents who live there. The home was seen to provide a lift, aids, ramps, assisted bathing facilities and a flat area to the rear of the property for people to walk out on to. EVIDENCE: During the course of the inspection the majority of the rooms were visited to ensure that the environment was safe and comfortable for people who live there. It was noted that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Records were available to show that the home is maintained to a satisfactory standard. On the day of inspection, Dovecote View was seen to be clean, and free from offensive odours. Policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. Residents told the inspector that they liked their bedrooms, and one resident told the Inspector that she had recently moved from a room upstairs to one
Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 16 downstairs in order for her to be able to manage more easily. There is a wellmaintained garden, with a patio to the rear of the building, which residents sit out on in nice weather. On the day of inspection, the weather was extremely hot, and doors were seen to be wedged open to allow a through breeze. The Manager was made aware of the safety implications surrounding this. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 17 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) 29 and 30 Dovecote View appeared adequately staffed with employees who appear competent to care for older people. National Vocational Qualification is on going and further development training is expected. All training is recorded on staff member’s files. EVIDENCE: Many of the staff, including the Manager, has worked at the home for some time, and one staff member spoken to on the day of inspection told the Inspector that “ it is a really nice place to work in” and another said “it’s not like work, I enjoy it so much”. Residents told the Inspector that there always appear to be enough people on duty to assist them when they need it, and that their bell was always answered when they rang it. Visitors spoken to on the day of inspection confirmed that there were always enough staff on duty when they visit. Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 18 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) 31. 32, 33, 35 and 38 Mrs. Buck, the registered Manager, is qualified and experienced in working with older people. Records needed for the safe running of a care home are kept up to date. Policies and procedures are available for staff members to refer to, to ensure the safety of the people who live and work at Dovecote View. Staff members receive support and supervision. EVIDENCE: Visitors to the home, staff members and residents confirmed to the Inspector that the Manager is extremely approachable and supportive. Residents told the Inspector that they liked the way Dovecote View was run. Visitors told the Inspector that they had visited the home on many occasions, and had always been impressed with what they found.
Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4
COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 x x 3 Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 20 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 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. 1. Refer to Standard Good Practice Recommendations Dovecote View H60-H11 S60635 Dovecote View V233710 120705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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
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