Inspection on 18/11/05 for Drake House

This inspection was carried out on 18th November 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

Drake House 05/05/05

Drake House 04/11/04

Drake House 11/05/04

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Trevaylor Manor

Stallcombe House

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The Woodmill

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Bolealler House

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

CARE HOMES FOR OLDER PEOPLE Drake House 4 Nelson Gardens Stoke Plymouth Devon PL1 5RH Lead Inspector Doug Endean Unannounced Inspection 1:05 18 November 2005 th 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 Drake House DS0000003584.V251560.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. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Drake House Address 4 Nelson Gardens Stoke Plymouth Devon PL1 5RH 01752 551859 01752 564525 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) Mr George Marshall Vacant Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (32) Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Registered for max 32 DE(E) service users 65 years and over Registered for max 32 MD(E) service users 65 years and over The home may from time to time admit persons between the ages of 60 to 65 years of age. 04/05/05 Date of last inspection Brief Description of the Service: Drake House Nursing Home is situated in Stoke, a suburb of the City of Plymouth, which is a short distance away by road. It is a large semi-detached property built on four floors with a large enclosed garden at the rear. Nelson Gardens is a private road that offers some parking at the front of this building accessed directly from the road. The Service Users accommodation is provided on each of the first three floors that are accessed by stairs or the shaft lift that runs up through the centre of the home. The forth floor has a staffroom that is accessed by a staircase. The property has been totally refurbished by the present owner to provide clean, well-decorated and adapted accommodation for the Service Users who live there. The rear garden offers a safe space for the Service Users to sit in during good weather.The home is registered to provide nursing care for up to Thirty-two (32) Service Users over the age of sixty-five (65) years, of either sex, who suffer from a mental illness or dementia. The bedroom accommodation is provided in a variety of single and double rooms. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the home’s performance against the National Minimum Standards during this inspection year. The inspection was unannounced and took place on the 18th November 2005 commencing at 13.05 hours lasting two hours. In that time the inspector discussed the care of the clients with the Acting Manager and looked at a sample of staff records, four in total, including training information. He discussed administrative issues with the homes Administrator, looked at some maintenance information and carried out an inspection tour of the home meeting and talking to many of the clients during this time. The Registered Person was present and was given feedback by the inspector before he left the home. What the service does well: What has improved since the last inspection? What they could do better: The home is achieving its aims and objectives and the National Minimum Standards. The inspector cannot suggest any changes to the way they operate at present because of this. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 6 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. Drake House DS0000003584.V251560.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 Drake House DS0000003584.V251560.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): 1, 4 & 5 There is a satisfactory amount of information available to anyone who is considering a placement at the home to make an informed decision regarding this. The home has appropriately trained staff and is adequately adapted to meet the needs of the clients that live there. EVIDENCE: The core standards were assessed at the last inspection and those standards had been met. The inspector did not fully re-inspect these standards again on this occasion. The home does have a Statement of Purpose that is well prepared and available to anyone who wishes to have a copy. It is displayed in the front entrance of the home along with other information that includes a copy of the last inspection report and the complaints procedure and complaints book. The information held in the Statement of Purpose should provide a prospective client, or their advocate, with enough information to make an informed decision about arranging a stay at the home. The home specifically provides care for the elderly who suffer from a mental health problem or dementia. There is always a registered nurse on duty who Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 9 has experience in this field of care and they are supported by care staff who have received training in meeting the physical needs of the clients, such as manual handling, and also the special needs that are as a result of their mental health condition. The home has also been adapted to meet the physical care needs and reduce the risk of accidents. There are disabled bathing facilities, a variety of hoists, a shaft lift and stair gates. The home encourages any prospective client and their advocates to visit the home before a decision is made regarding a trial placement. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: All these standards were fully assessed during the last inspection and were found to be satisfactorily met. The inspector did not fully re-inspect these standards again on this occasion. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: All these standards were fully assessed during the last inspection and were found to be satisfactorily met. The inspector did not fully re-inspect these standards again on this occasion. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 12 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 & 18 The home has provided suitable arrangements for anyone to make a complaint if they wish to do so. They have also begun to address the issue of vulnerable adults training in a satisfactory way. EVIDENCE: The complaints procedure is clearly displayed on the wall inside the front entrance to the home. It also appears in the homes Statement of Purpose that is also available in the front entrance, a personal copy of which can be obtained on request. The home also has a complaints book inside the front entrance that is there for anyone to make a written complaint or concern if they wish. The inspector looked at this and there are only dates that it has been checked as part of the audit system. The Commission for Social Care Inspection has not had any complaints referred to them about the home in the last twelve months. There is also a compliments book, the inspector saw many letters of thanks from relatives and friends of past and present clients thanking them for the care they had provided. The staff are in receipt of Vulnerable Adults training that is being provided by a training consultancy. The training material was shown to the inspector who felt it was suitable for the purpose. The inspector was told that the training package will continue until all staff have attended the course and further dates for the training were seen. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 13 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): 19, 20, 21, 22, 25 & 26. The home is very well presented and maintained and provides a clean, warm comfortable environment for the clients to live in. EVIDENCE: The inspector carried out an inspection of the premises. He found that the carpet in the dining room has been replaced with a new one and therefore no longer presents an issue. The home was clean and odour free, and the lounge carpet had just been cleaned. The lounge is a large room at the rear of the home opening onto an enclosed garden area that has been made safe for the clients to be in during good weather. The dining room is off the lounge and is serviced directly from the kitchen. There is suitable dining furniture in this room. The decoration throughout the home was of a very high standard with each room being tastefully decorated and the bedrooms individualised. The home has several bathrooms spread over the three floors that clients have rooms on. The ground floor bathroom has a specialist disabled bath within it Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 14 and also wheel in shower cubicles. The bathrooms on the upper floors each have hoisting facilities available. There are toilet facilities in suitable proximity to the communal areas and the bedrooms that provide access and support to clients who have a physical disability. The shaft lift operates from the ground floor to each of the upper floors where clients bedrooms can be found. The home was fully assessed by an Occupational Therapist who made a report about the suitability of the premises. The recommendations that were made, such as grab rails, have been addressed by the Registered Person. The home is maintained by the owner who is also a builder. Specialist services are also contracted for such things as maintenance of the shaft lift. During the inspection the homes water supply was serviced and the risk of Legionella managed. The home has a macerator on the ground floor that is operational but the disinfecting sluice on the second floor is not working. This requires attention due to the inherent risk of infection involved in the task of cleaning bed pans and also managing care. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 15 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, 28 & 30. The home is staffed in adequate numbers by people who have received suitable training to prepare themselves for the task. EVIDENCE: The inspector looked at the evidence relating to how the home is staffed and felt that there are adequate arrangements for the care of the clients and also the management of the ancillary tasks at the home. There is always a registered nurse on duty over the 24 hour day. They are presently supported by 7 care staff in the morning, and six care staff in the afternoon. A twilight care assistant works with the two care staff on nights and the registered nurse up until 23.30 hours. In addition to these staff there are 2 kitchen staff, 2 cleaners and one laundry person. The home also employs an Administrator. The Manager is additional to these numbers during the Monday to Friday period. There was evidence in each of the 4 staff records that were seen of training appropriate to the position each person had in the home, the trained nurses having had professional up dating in such things as Infection Control. Other training included Food hygiene, manual handling, and fire. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 16 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): 31 The home is well managed by the management team who are regularly present at the home and include the Registered Person, Manager and Administrator. EVIDENCE: The home employs a manager who is suitably qualified and experienced to manage her team to deliver an acceptable quality of care to the clients in her charge. She will be submitting an application form within the next two weeks for the Commission for Social Care Inspection to process her to become the Registered Manager. The inspector took the opportunity to study her staff file and saw that she has maintained suitable clinical updates. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 17 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 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 4 x 3 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 18 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. 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 2 Refer to Standard OP31 OP26 Good Practice Recommendations The Manager should submit her Registered Manager application form as soon as possible. The sluice on the second floor needs to be repaired or replaced to avoid the risk of spreading infection. Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Drake House DS0000003584.V251560.R01.S.doc Version 5.0 Page 20 - 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. 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