Inspection on 22/01/07 for Draycombe House

This inspection was carried out on 22nd January 2007.

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

Draycombe House 11/11/08

Draycombe House 06/11/07

Draycombe House 31/01/06

Draycombe House 30/07/05

Draycombe House 28/10/04

Draycombe House 22/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Draycombe House Draycombe House 1 Draycombe Drive Heysham LA3 1LN Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 22nd & 23 January 2007 15:00 rd Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 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 Draycombe House DS0000042609.V300935.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 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. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Draycombe House Address Draycombe House 1 Draycombe Drive Heysham LA3 1LN 01254 858316 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) Draycombe House Care Ltd Mr Michael Raymond Wilson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered for a maximum of 6 service users in the category of LD (Learning Disabilities) 31st January 2006 Date of last inspection Brief Description of the Service: Draycombe House is registered with the Commission for Social Care Inspection to care for six adults with a learning disability. It is a large detached property, which is relatively close to shops and local amenities. The residents accommodation is situated on the ground floor. Each resident has a single bedroom and there is a large lounge, which has tea-making facilities within it, there is a separate dining room. Two of the bedrooms have en-suite facilities and there is a communal bathroom and a separate toilet. The current fees for the home are £353 to £762 dependant upon assessed needs. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This inspection took place on 22nd and 23rd January and lasted for a total 4hrs looking at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with all the residents, 2 care staff, the care manager, the registered manager and the service provider in addition to viewing the home’s required written information such as the resident’s plans of care. Each resident has a written plan of care which is a document outlining the needs of the individual resident and how these are to be met. They cover all aspects of the individual’s life including health, personal care and social activities. The staff support the residents according to their individual needs. Thereby ensuring people are content in the care they receive. The residents the inspector spoke with were happy with life at Draycombe House. What the service does well: What has improved since the last inspection? Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 6 The home has acted upon the requirements and recommendations made during the previous inspection on 30/1/06 resulting in the residents having a fulfilling lifestyle of their choosing. The residents spoke about the activities they now enjoy such as line dancing, attending a gym. One resident enjoyed displaying some of the work out she does at the gym. The residents have become involved in helping in the kitchen and this has given them a greater sense of the fact that this is their home. The doors the residents like to have open such as the lounge door so that they can see who is coming and going, can now be held opened with devices that will release the door when the fire alarm is sounded. The management team recognise the importance of a trained staff team and have enabled their staff to achieve a National Vocational Qualification in care. The introduction of a care manager has had a positive effect upon the needs of the residents being identified and met in appropriate ways. 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. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 7 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 Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. No service user moves into the home before having their needs assessed and being assured that these will be met. EVIDENCE: There is detailed information available about the home for all residents, or possible residents, which has been developed over time into a very clear and easy to read description of the services provided, and who provides them. It is available in written and on an audio cassette to help the residents understand the content. Individual records are kept for each resident, and the management team discussed the way anyone new would be initially invited to visit the home and meet the residents. A social work assessment would be used to help the owner decide whether the home was the right place for the new person, that the staff were able to give the right care, and that the present residents were compatible with them. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 9 An assessment was seen for the last person admitted to the home and was based on the individuals diverse needs, to make sure the right care and support is given. A re-assessment of needs has taken place for this individual to ensure his changing needs are met. The three people involved in the case tracking process had lived at the home a large number of years and asessment of their need prior to living at the home were not available however their current needs are well known and recorded. There was information on the service users strengths, needs, personal goals, and choices. The residents, and families where applicable were included in deciding what the best care for them was. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are encouraged to make decisions in their lives meaning that individual needs and choices are met EVIDENCE: The care planning system is currently being re structured to ensure peoples needs are fully identified and goals set to ensure each individual achieves thier goals and aspirations. The employment of a care manager has enabled the opportunity to develop the service further including improving the lifestyle of the residents. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 11 The residents spoke of their activities including college courses of their choosing, line dancing, meals out and visits to the pub. On the second day of this visit only 3 residents were at home the others were out following their chosen activities. The management team and staff constantly talk with the residents, some of who were seen to feel free to say if they want something for instance onje resident said she did not want what was on the menu for tea and was asked what she would like, this was then provided. The staff said that the residents were encouraged to make their own decisions, and risk assessments are carried out including for residents activities. The management of the home ensure that the residents rights to equality are met in a way that best meets their individual needs, for example one resident has been enabled to have a part time job which gives her great pleasure. The employer has accepted her disability whilst recognising her ability to carry out the job. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents can choose from a variety of activities to help develop their skills. Their decisions are respected, and daily routines promote independence. The meals in this home are good, offering both choice and variety. EVIDENCE: The addition of a care manager to the home has had a good impact upon activities available to people. For instance one resident who was part of the case tracking process explained how she does cooking at college and works one day a week cleaning in a home Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 13 for older people and she loves doing this. She also works out in a gym once a week was very proud of herself for this. Another resident spoke of how she goes line-dancing and how she meets other people at this class. She also attends the local college for various courses, one of which is helping her to do things about the house, such as help in the kitchen. The third resident who was part of the case tracking process enjoys watching builders at work and goes with support to watch at various locations. He spoke of the holiday they have planned for this year and that his girlfriend is going with him with staff support. He also goes out with his brother watching football, which he smiled about as he spoke. He is began attending college and is enjoying the activity. The care manager spoke of the activities that people participate in such as going for pub meal once per week and helping with the shopping. Some of the residents attend Mencap gateway club once a week. One resident regularly goes out on his own and commented that he is rarely in the home. Residents are offered a key to their own bedroom door ensuring his or her privacy is respected. They are also offered keys to the front door of their home. The residents spoke of the meals they receive and how they help choose their meals. They said the food was good. The menus reflected a healthy balanced diet that meets the needs of the residents. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the resident’s support needs. The medication at this home is well managed, promoting good health. EVIDENCE: There is a system whereby all residents have a risk assessment of ability before it is decided whether it is safe for them to be in charge of their own medication, or whether care staff take control of administering the medication. Staff helping with the administration of medication had attended a Medication Awareness course. The medication administration records provided by the pharmacist were correctly maintained and up to date. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 15 Each resident has a ‘Health Record’ book which includes individual details about their health care needs and medical appointments. There is a health action plan as part of this process. For one resident this included how staff should care for her if she is upset. Staff and management have been very concerned about the health of one resident and have been making sure he gets the right medical attention from professionals including the hospital consultant. They have asked the hospital for a review, to ensure the treatment he receives meets his needs. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book in which to record any complaints, that may come to the manager’s attention. All the residents and/or their family receive a copy of the home’s complaints procedure which also available on an audio tape. Following the advice given during the last inspection on 3/1/06 the home has produced an audio tape containing the homes Service Users Guide, which is a detailed description of the home and the services it’s offers, including the homes complaints procedure. Neither the home nor the CSCI (Commission for Social Care Inspection) have received any complaints since the last inspection. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 17 Each resident is given a post card with their name on stating; ‘I have concerns that I would like to discuss’ this is stamped and addressed to the CSCI. This practice ensures people are enabled to raise concerns external of the home if they so wish. Residents spoken to said they would tell the staff if they did not like something. Staff said that they would note any changes in mood of residents, which would indicate that they were not happy about something, and would try to find out what it was and put it right. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. The homes policies in relation to the protection from abuse are robust and in line with the Department of Health guidance ‘No Secrets’. The external doors to the home are locked to prevent intruders. The residents stated that they feel safe living at Draycombe House. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment, and ongoing maintenance plans mean that this will continue. EVIDENCE: The home owners try to maintain the décor and furnishings to a good standard. The lounge is homely, comfortable and clean, with a television in one corner. The lounge has been re carpeted since the last inspection and this has enhanced the homes appearance. One resident often occupies a cosy chair in the lounge while doing her knitting. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 19 Residents’ bedrooms are full of their own belongings for example pictures and drawings, CD player, television whatever the whim of the resident. Bedrooms had windows routinely opened in the morning to let fresh air in. It was suggested that the residents should be consulted about the windows opening and where they choose to have this done it would be advisable during cold weather to close them after an hour or so and ensure heating is on in the bedrooms ready for when the residents return home from their daytime activities. The residents said that they enjoyed living at Draycombe House and saw it as their home. They appeared relaxed, cosy and content in their environment. The manager stated that there is an ongoing maintenance plan and parts of the home were refurbished as needed. The bathroom is to be fully refitted in the near future to make it a more inviting environment for the residents and in line with their physical needs. Fire and environmental health checks have been carried out. Doors previously held opened with wedges now have automatic closing devices fitted, allowing the doors to be held open but will close automatically should the fire alarm be sounded. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are appointed. EVIDENCE: The staffing rotas were checked and they showed that an adequate number of staff are on duty during each shift to meet the current needs of the residents. The staff said there are enough of them to provide a good quality of care to the residents. The residents confirmed that the staff meet their needs and gave examples such as ‘They take me line-dancing and I like it.’ And ‘the staff take time to Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 21 talk with us’. On the first day of this visit one carer was giving resident a manicure. On the 2nd day of this inspection 3 residents were out following their chosen activities, the 3 remaining residents had adequate staff support to meet their needs. All staff employed at Draycombe House undergo induction training when starting work at the home, using the Learning Disabilities Award Framework. Other training that is undertaken includes; Abuse Awareness Medicine Management Infection Control Fire Safety Health and Safety Food Hygiene. In addition to this 2 of the 6 care staff have achieved NVQ National Vocational Qualification in care at level 3 and 1 at level 2. 2 staff are currently training towards NVQ level 2, 1 towards NVQ level 3 and 1 towards NVQ level 4. This means that 50 of the staff have achieved an NVQ in care. When the current staff undergoing the training successfully complete their courses there will be 80 of the care staff with an NVQ. The care manager has NVQ level 3. The registered manager the service provider both have achieved the Registered managers award. This reflects the importance that is placed upon staff training at Draycombe House. The homes recruitment process is robust. 3 staff files were viewed during this inspection, these reflected that appropriate checks such as 2 written references and CRB Criminal Record Bureau clearance are taken up prior to the person commencing employment. This practice ensures that only people suitable to care for the residents are employed in the home. The residents were seen to be relaxed and free to speak with the staff. There was a good rapport between the carers and the residents which contributed to the homely atmosphere. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this site. The residents benefit from living in a home that is well managed and where their health, safety and welfare are of paramount importance EVIDENCE: In addition to a registered manager, a care manager has been appointed who has experience of caring for people with a learning disability and has Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 23 implemented good practices such as ensuring the residents care plans are kept up to date and that people are enabled to have a fulfilling lifestyle. The management team meet once a month and the contents of the meeting are recorded. The minutes of the last meeting reflect the plans that are made for home improvements. The residents are encouraged to manage their own finances, however when the resident lacks capacity or wishes to be assisted with their finances an individual record is maintained of all transactions. The manager was advised to have two signatures for all transactions ensuring residents finances are safeguarded. Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 24 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 25 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. 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 YA24 YA24 Good Practice Recommendations Residents should be consulted as to whether they wish their bedroom window to be opened during the day time The bedrooms should be maintained at a temperature to meet the needs of the individual resident Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Draycombe House DS0000042609.V300935.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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