Inspection on 24/05/05 for Dovedale Court

This inspection was carried out on 24th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Dovedale Court 30/01/07

Dovedale Court 31/10/05

Dovedale Court 15/03/05

Dovedale Court 16/12/04

Dovedale Court 19/01/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

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33 St John`s Church Road

Lyncol House

Greenacres

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

CARE HOME ADULTS 18-65 Dovedale Court Quantock Drive Ashford Kent TN24 8RR Lead Inspector Sue Gaskell Unannounced 24 May 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dovedale Court Address Quantock Drive Ashford Kent TN24 8RR 01233 611536 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) Unite Response Mr Warwick Burridge CRH 10 Category(ies) of Care Home for Younger Adults (18-65) registration, with number Learning Disability of places Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users over the age of 65 to be restricted to one whose dob is 30.12.21. Date of last inspection 15.3.05 Brief Description of the Service: Dovedale Court provides personal care and support to 9 residents who require a high level of assistance due to their learnng disabilities. The home comprises a number of self contained units situated on a housing estate within walking distance of the local town centre. Residents have their own bedrooms, bathrooms, kitchens and living space.The units, which are supervised by staff on a 24 hour basis, are part of a small complex which also includes office facilities, an activities room and a safe and secure garden. Nearby facilities include shops, health centres, churches, a cinema, and swimming pool. All healthcare and social needs are accessed within the community. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was in the home between 10.30 and 14.45 and looked at the premises and some of the records. She met with 3 of the 9 residents and spoke with the registered manager, senior staff and support workers. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 There is a clear and consistent pre-admission process which informs the care planning system. EVIDENCE: The care plan files included detailed pre-admission assessments, residents’ histories, risk assessments and guidelines. Information is also gained from other health and social care professionals and residents’ families. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 There is a clear care planning system in place and residents are consulted as much as possible according to their individual abilities. EVIDENCE: Some of the residents behaviours are monitored and recorded, with the information gained used to compile clear and useful reference charts. The staff had a good understanding of residents’ needs and referred to their input and use of the care plans as a working tool. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16,17 The relationships between residents and staff are good and create an environment where residents are encouraged to participate in a range of leisure activities. Staff are supportive and caring and residents’ rights are respected. Nutritional needs of residents are well catered for and residents are able to exercise as much choice as possible over their diet. EVIDENCE: Residents were seen to be relaxed and comfortable with staff and able to communicate with them. A range of methods, such as picture boards, are used to enable staff and residents to communicate and for residents to make their needs known. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Residents healthcare and social and emotional needs are met. The medication management systems are generally sound but storage may need reviewing. EVIDENCE: Care plans referred to monitoring residents’ health care needs and these were discussed in detail during the staff handover period. Staff have received appropriate training in the administering or medication and the records were clear and current. The systems are generally sound and storage is secure, but the current system of storing medication in domestic style kitchen cupboards should be checked to ensure it complies with current guidelines. Staff interviewed referred to the importance of offering personal support in such a way as to preserve residents’ rights and maintain their dignity. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has a satisfactory complaints process and residents are protected from harm or neglect. The home makes every effort to seek residents’ views. EVIDENCE: Staff said that every effort is made to ensure that residents can communicate their feelings if they are not happy with something. The home has adult abuse procedures in place and staff have received training on adult protection awareness. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 The standard of the environment is generally good with the exception of some minor maintenance needs.. EVIDENCE: The bedrooms and living areas were furnished and decorated to a good standard, and contained the type of furniture and equipment necessary to provide a homely environment. Kitchens and bathrooms were clean and hygienic. There are some areas, eg one residents’ bathroom, which require attention. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35 Although residents are supported by sufficient, competent and appropriately trained staff, staff would benefit from further training. Recruitment practices are generally sound but would benefit from improved checking systems. EVIDENCE: At the time of the inspection there were 5 staff on duty. There is an intercom system throughout the individual units to enable staff to respond to residents needs. Staff files showed that CRB checks and references are obtained, but references are not currently being verified by phoning the referees. Staffing is stable, with staff saying that they are well trained and supported. However staff would benefit from specific training in how to manage difficult situations, but this training should be appropriate to the needs of the particular residents. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 Residents benefit from a well managed home where their rights and best interests are safeguarded. The manager has a good understanding of the areas where the home could improve. EVIDENCE: Records, polices and procedures and maintained to a high standard and regularly reviewed as part of the organisations quality assurance system. The manager showed a high level of awareness of the need to monitor and review the methods and systems associated with providing good care. Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dovedale Court Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 16 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. 2. 3. 4. Standard 20 24 34 35 Regulation 13 23 19 18 Requirement Timescale for action 30.06.05 Check to ensure that current medication storage complies with RPS guidelines complete refurbishment of 30.08.05 bathroom Ensure written references are 30.06.05 verified Provide training for staff in 30.08.05 behaviour management techniques which are appropriate to residents behavioural needs 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 Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Dovedale Court H56-H05 S23722 Dovedale Court V226421 240505 Stage 4.doc Version 1.30 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. 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