Inspection on 13/03/06 for Dramsdon

This inspection was carried out on 13th March 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Dramsdon 28/06/07

Dramsdon 11/08/05

Dramsdon 22/02/05

Dramsdon 27/08/04

Dramsdon 18/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Dramsdon Rivar Road Shalbourne Marlborough Wiltshire SN8 3QE Lead Inspector Stuart Barnes Announced Inspection 13th February 2006 09:30 Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 Adults 18-65. 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. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dramsdon Address Rivar Road Shalbourne Marlborough Wiltshire SN8 3QE 01672 870565 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) White Horse Care Trust Mrs Elizabeth Lavis Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than five service users with a learning disability at any one time. 11th August 2005 Date of last inspection Brief Description of the Service: Dramsdon is managed by the White Horse Care Trust, which has several care homes throughout Wiltshire and beyond. The home is located on the outreaches of Pewsey, Marlborough and Devizes in a small rural village where there is a pub and one shop. The service replicates ordinary living principles. It is a spacious bungalow with an extensive and safe garden. The service provides care and accommodation for five service users under the age of 65 that have a learning disability. Some of the people who live at Dramsdon have complex needs. Typically the home is staffed with a minimum of 3 staff on duty during the day. At night there is no awake staff presence. Instead the support staff take it in turns to sleep in the home on a rotational basis. This person is expected to respond to any night-time emergencies as they arise. The home does not employ any cooks or a cleaner. Instead support staff undertake these tasks. The home provides a people carrier to transport service users out and about. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was announced, lasted approximately 3 hours. Its purpose was to focus on those NMS (National Minimum Standards) not inspected at the inspection carried out in August 2005 and to follow up the requirements and recommendations made. The inspector was unable to effectively communicate with the service users to obtain their views as to the quality of care they receive. The inspector spent time with the home manager and her supervisor as well as some of the staff who were on duty. Time was spent sitting with some of the service users observing their interaction with the staff on duty. Time was also spent viewing the accommodation and grounds and examining various paperwork including the medication policy. In total 7 NMS were inspected out of a total of 43, in line with the Commission’s methodology for this service. 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. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): 20 The arrangements for managing medication are considered to be satisfactory. EVIDENCE: The Trust has a very detailed medication policy that staff are expected to follow. It includes guidance on storage, administration, dealing with refusals, drug disposal and the use of complementary therapies. The policy which has been recently updated, guides staff to ensure that they give medication in the following way; right drug in the right dose to the right person at the right time via the right route and following any prescribed instructions. Medication is kept secure when not in use. Staff confirm that they are provided with relevant training in safe handling of drugs and medication. The home has a record of those staff that have undertaken such training. The drug policy promoted the importance of ensuring persons dignity when a drug is administered. The system in place allows for proper checks and balances and includes periodic audit and validates the need to give additional training and extra supervision to staff who staff that need it. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 the following standard(s): 24, 28, 30. Overall the home continues to provide very good standards of accommodation that is suitable for the people who live at the home. EVIDENCE: The home provides a very high standard of accommodation, which was found clean and tidy throughout. Since the previous inspection further redecoration has been undertaken to maintain what has consistently been a very good standard. All bedrooms were seen. Each service user have their own room and it can include the option of a double bed if needed. All bedrooms are highly personalised and individualised. They reflect the occupant’s character and interests. For example, in one room there was a set of drums and in another some artwork. Colours and fabrics were different in each room. All rooms appeared clean and well ordered. Furnishing, fabrics and decorations were of a good standard. All bedrooms have fire detection and heating. No bedroom has any phone points. The inspector was told that no current service user was able to use a phone safely. Service user benefit from ample shared space. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 32, 34 and 35 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, 36 A strength of this service is the way staff relate positively to those who reside at the home. EVIDENCE: It is evident that within the service there are clear lines of accountability and the support staff appear to understand the limits of their responsibilities and that of their colleagues. They are well informed about the homes stated aims and objectives. There is evidence to show that staff are given copies of the General Social Care Council’s code of conduct. Examination of job descriptions show they are relevant to the role performed and the homes stated aims and objectives. Record show that one current staff member has only met with their supervisor 4 times in the previous 12 months and two others only 5 times in the same period, when the required number should be a minimum of 6 times. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 This continues to be a well run service, which delivers very good standards of accommodation and good standards of care, consistently. EVIDENCE: There are a number of indicators that demonstrate this is a well managed service. Staff praise the manager and the Trust. The management arrangements are robust and longstanding. The manager is well qualified in management and has over 25 years relevant experience. Currently the manager is in the process of completing level 4 of a relevant National Vocational Qualification in Care. Relatives confirm the home is a caring one. There is also evidence to show that there is a good balance between support and accountability and aspects of quality assurance are well developed. Dramsdon DS0000028600.V276684.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 23 X X X X X X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000028600.V276684.R01.S.doc LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dramsdon Score X X 3 X 3 X X X X X X Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Yes 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. Refer to Standard YA36 Good Practice Recommendations It is recommended that the supervision of staff takes the form of one to one meetings with a competent and experienced person at a period of not less than every 8 weeks; and that a record is kept of areas discussed, and any agreed action. 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