Inspection on 03/04/07 for Dovecote View

This inspection was carried out on 3rd April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Dovecote View 10/01/06

Dovecote View 12/07/05

Dovecote View 18/01/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Dovecote View Claypit Lane Westhampnett Chichester West Sussex PO18 0NT Lead Inspector Mrs A Taggart Unannounced Inspection 3rd April 2007 09:30 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.V331808.R01.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 View DS0000060635.V331808.R01.S.doc Version 5.2 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.V331808.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 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 the use of residents. Mrs. Gaynor Moore privately owns the home and is also the responsible person. The Registered Manager is Mrs Julie Buck. Current fees are £425 to £520 per week Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In preparation for this visit, a pre-inspection questionnaire was sent to the manager for completion, survey forms were sent to the people living in the home and comment cards to families and professionals. Sixteen were returned all making very positive comments about the home. The inspector also read the last two inspection reports and any other relevant correspondence or documentation and a planning document was completed. The unannounced visit was carried out at 9.15am and lasted for 4.5 hours. During this time the inspector spent time talking with residents and the staff on duty and observed staff practice. Four care plans were tracked with any issues being discussed with the resident or staff on duty and four staff files were also seen, all were current and in good order. A tour of the home was undertaken during which time all communal areas and private bedrooms were seen and residents said they were very happy with the facilities provided. Lunch, the main meal of the day was seen being prepared and served and there were many positive comments regarding the standard of meals. Four staff files, the medication system, training records, the fire book, maintenance book and complaints records were seen and all were in good order. The registered manager, Mrs. Buck was present in the home and received feedback following the visit. What the service does well: Dovecote View provided an attractive, comfortable and homely environment for the people who live there. Care plans are in place to guide the staff team to the needs of the people they support and residents say they have access to good healthcare facilities. The home excels in the number of activities it provides and there are sufficient numbers of staff on duty to support this. Many of the staff team have worked in the home for a number of years and have good relationships with the people they support. Residents and their families were full of praise for the manager and staff team and said that they always treated by them with kindness and respect. A variety of fresh, home cooked meals are available and residents confirmed that they were always given a choice. Comments about the home included, “This is a good care home with high standards” and “. I like to be independent and I am encouraged to do so. The staff who work here are absolutely wonderful and this is a good place to be, in fact excellent”. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 6 The food is the best we could wish for and is all the things we like. I couldn’t find anywhere better”. 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. The summary of this inspection report can be made available in other formats on request. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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.V331808.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides information about the service on offer. Prospective residents and their families are encouraged to visit and contracts of terms and conditions of residency are supplied. EVIDENCE: There is sufficient information available about the services for prospective residents and their families to be able to make a choice about moving in. The people living in the home confirmed that they were able to make visits and meet the other residents and staff team and records show that the manager or her deputies carry out pre-admission assessments. A family member commented that they were treated with “great kindness” and confirmed that a very comprehensive questionnaire had been completed before their relative was admitted to the home. Contracts of terms and conditions of residency, which include the fees are in place and the residents or their representative had signed samples seen during the visit. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 9 Dovecote View does not provide intermediate care. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 and 11 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. There is sufficient information in care plans to direct the staff team to the needs and wishes of the people they support, the home works with other healthcare professionals and medication is well managed. EVIDENCE: For each person living in the home there was a comprehensive plan of care in place to guide the staff team to the needs and wishes of each person. The plans contained personal histories, likes and dislikes, hobbies and interests and risk assessments regarding mobility and communication needs. A copy of the care plan was kept in each resident’s bedroom and had been agreed and signed. Regular reviews are undertaken and key workers write a short monthly update detailing any changes and this includes nutritional assessments and slips, trips and falls Records show that the home works with a variety of healthcare professionals including local doctors and district nurses and residents confirmed that their healthcare needs are well met. One person said, “ I have no complaints and Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 11 everyone is very kind. They are also very good here at calling the doctor if you are unwell”. Comments from family members about the home included, “This care service respects individuals and treats them with the dignity they deserve in old age. They include people as much as possible in the function of the running of the home”. Medication is accessed from a local pharmacy, which also provides training for the staff team and a monitored dose system is in place. Medication was securely stored and well managed and the Medication Recording Sheets were current and in good order. The home has a policy in place regarding end of life care and some of the staff have attended loss and bereavement training. Last wishes are included in the details of care plans. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers an excellent variety of activities and pastimes to ensure motivation and stimulation for the people who live there and fresh, home cooked meals are provided. EVIDENCE: Dovecote View excels in the variety of activities provided for the people who live there. Each day a different session is provided both in the morning and afternoon by the staff team and this includes reminiscence work, music, art and craft, quizzes, card games, outings and bingo. One staff member has attended a college course for providing activities in a care home situation. Many people like to go for a walk each day and if they need accompanying there are sufficient staff on duty to allow this. During the visit people were going for a walk, playing scrabble with staff support, listening to wartime music, chatting and reading books and newspapers. There was a great deal of staff interaction and overall the feel of the home was happy, busy and active. A variety of fresh home cooked meals are provided and residents said they were very pleased with the standard. Lunch, which is the main meal of the Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 13 day, was pork and apple wellington or turkey duchess with potatoes, swede and cabbage and some people said they also enjoy a cooked breakfast. Comments from the people living in the home included, “You can give them top marks here. I couldn’t be better looked after than I am by the staff here. It doesn’t matter what you want they will get it for you. I go for a walk every day and if you need it the staff will go with you. The food is always good, I had extra kippers for breakfast this morning and on special days they decorate the tables and have a special meal to suit the occasions, “It is really nice here, staff are very kind, food always good and visitors made welcome. I enjoy going for a walk every day as it keeps me independent,” and from a family member, “Dovecote has a very high standard of care i.e. the physical well-being and cleanliness. Varied menus but always something different if food is disliked. Medication, which is very important, is well monitored. Numerous events and entertainment and just simple pastimes are organised and the mini bus is a great favourite for rides out and about. Laugher!! Something we noticed when we visited the home for the first time. The atmosphere is very good, obviously helped by the continuity of the majority of excellent staff”. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home and their families are confident that any complaints will be taken seriously and acted upon and staff training and practice is designed to protect residents from risk of abuse. EVIDENCE: There is a complaints procedure in place, a copy of which is included in each resident’s file. These need to be updated to reflect the change of address of the Commission and the manager Mrs. Buck said that this would be done. No formal complaints are recorded but residents and families said that they would feel confident in making a complaint and the people living in the home have an opportunity to air any smaller concerns during the regular resident’s meetings. Polices and guidelines are in place regarding the protection of vulnerable adults form abuse and the staff team attends POVA training. The staff on duty were aware of their responsibilities should they suspect an abuse had occurred and said they would report it immediately. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Dovecote view offers an attractive and homely environment for the people who live there. The safety pf people could be further improved by ensuring that doors are not wedged open. EVIDENCE: Dovecote View offers a warm, attractive and comfortable environment for the people who live there. There is a well-furnished lounge and dining room and a large sunny conservatory area where people said they especially liked sitting. In the past year the whole of the front of the house has been fitted with new double glazed windows and doors and communal areas have been redecorated with some furniture replaced. There are large landscaped gardens that people said they really enjoyed sitting and walking in during good weather. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 16 Resident’s private bedrooms are light and airy and there is a programme of refurbishment currently underway for all rooms to be redecorated and some carpets and furniture replaced. All of the rooms had been personalised with furniture and belongings brought to the home by residents and people said they were very happy with their private space. All radiators have now been covered. During the tour of the building, one fire door and a resident’s bedroom door were wedged open, which potentially would cause a risk in the event of a fire occurring. This was brought to the attention of Mrs. Buck, who attended to this immediately and a requirement was made regarding this Standard. The home was clean and hygienic throughout. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported by a caring, competent, trained and well-supported staff team and are protected by there being a robust recruitment procedure being in place. EVIDENCE: Staffing rotas show that five care staff members are working on the early shift, three in the afternoon, plus two kitchen staff and a cleaner. The manager’s hours are in addition to the rota. Many of the staff team have worked in the home for a number of years and have very good relationships with the people they support. Observation during the visit and feedback from the people living in the home showed that this level of staffing enabled residents to enjoy one to one time with staff members and provided sufficient people to ensure that activities and outings were provided. Residents and families were full of praise for the staff team and comments included, “ I like to be independent and here I am encouraged to do so. The staff here are absolutely wonderful and this is a good place to be, in fact excellent” and from a family member, “In the 15 months Dad has been at Dovecote I have been very impressed with the care and consideration that we have both received. In my estimation the staff team regularly performs above and beyond the call of duty”. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 18 There are two deputy managers in place both with delegated responsibilities, one ensures staff training and supervision is undertaken regularly and another reviews care plans and monitors care issues. There is a programme of staff training and development in place and currently one of the deputies is reviewing and updating the records. 75 of the staff team currently have NVQ 2 or above and others are undertaking the award. There is a robust recruitment process in place, four staff files were seen and all contained the required documentation including current Criminal Bureau Checks and references. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 19 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 37 and 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is managed by a competent and caring manager and records are current and in good order. EVIDENCE: There is an experienced, competent and caring manager in place and both the staff team and residents spoke highly of the inclusive and caring way Mrs. Buck manages the home. A family member described Mrs. Buck as being “ very approachable and never officious but kind and caring”. The home does not hold any monies on behalf of residents and any expenses incurred are invoiced to relatives or legal representatives. Currently all of the policies and procedures in the home are being reviewed and updated by one of the deputy managers with guidance from Mrs. Buck. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 20 Records for the running of the business were seen including fire records and records of staff fire training, electrical appliance tests and water temperature tests and all were current and in good order. A maintenance book is in use and a local contractor is used for small repairs and maintenance issues. As previously recorded in this report one Requirement was made following this visit regarding two doors being found wedged open. Mrs. Buck made the doors safe and said she would immediately address the Requirement. Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 21 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 3 3 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 2 Dovecote View DS0000060635.V331808.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation !8 Requirement In order to ensure that residents are protected in the event of a fire occurring, the registered manager must ensure that risk assessments are completed for people who wish to keep their bedroom doors open and suitable automatic devices should be fitted. Timescale for action 30/04/07 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.V331808.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 View DS0000060635.V331808.R01.S.doc Version 5.2 Page 24 - 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. 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