Random inspection report
Care homes for older people
Name: Address: Drayton House 50 West Allington Bridport Dorset DT6 5BH zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: John Hurley Date: 0 2 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Drayton House 50 West Allington Bridport Dorset DT6 5BH 01308422835 01308422835 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Mary Josephine Pitcher,Mr John Stanley Pitcher,Mrs Isabella Fitzgerald,Miss Andrea Helen Quirk care home 19 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 19 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is 19. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum of 19 places Dementia aged 65 years or over on admission (Code DE(E)) - maximum of 4 places Date of last inspection Brief description of the care home Drayton House is registered to provide personal care for a maximum of 19 older people including up to four with dementia. The accommodation is on the ground and first
Care Homes for Older People Page 2 of 10 Brief description of the care home floors with a small passenger lift serving both floors. Seven of the thirteen single bedrooms have en-suite hygiene facilities and there are 3 larger rooms that may be used to accommodate 2 residents who have made a positive choice to share with each other. None of the shared use rooms have en suite facilities; all bedrooms have a wash hand basin. Communal facilities include two lounges, a small dining room and 3 bathrooms including two for assisted use. Drayton House is within walking distance of Bridport town centre with its shops and services. There is space at the front of the house to park two cars; parking is not permitted in the road in front of Drayton House. Behind the house is a steep raised garden accessible only by steps and therefore rarely used by residents of the home. There is a small patio at the side of the house accessible via patio doors from the rear lounge. Laundering of clothing and household linen is carried out at the home and arrangements can be made for chiropodists, opticians and other health and social care professionals to visit individual residents. At the time of this inspection fees ranged between GBP 473 and GBP 500 each week. Care Homes for Older People Page 3 of 10 What we found:
We attended Drayton house to carry out a Short Observational Framework Inspection (SOFI) The focus of this type of inspection is to observe the interaction between the staff and people who live at the home in a communal setting. The inspection was carried out over one and a half hours and looked at the interaction between 4 staff members and 7 people who were in residence. During previous inspections we had become concerned over the lack of good quality interaction between the two groups coupled together with a task centred approach to care. During the SOFI we noted staff not only completing tasks such as getting cups of tea and helping with personal care but taking time to stop and talk with the individuals. We observed one staff member sit and talk with one person for an extended period on a one to one basis as the person was finding it difficult to cope in a large group setting. We observed staff invite people to attended an activity and encouraged all to join in. We further noted that one young staff member sat with a older person and listened to them recount what they had done in the war. This listening was observed as active and the staff member asked a good number of open ended questions that encouraged the person to continue to talk for over half an hour. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 The registered manager 15/11/2009 must ensure that all care plans and reviews accurately reflect the needs of the person and give enough detail to guide and inform staff as to how to met the agreed needs The home must seek further advice to ensure any bed rails are fitted securely. Original date for compliance was 20/02/09 20/11/2009 2 8 12 (1) b 3 9 13 The registered manager 15/11/2009 must ensure that the receiving, administration, recording of and returning of medication is carried out in accordance with the National Pharmaceutical requirements so as not to put people at risk of harm. The registered persons must 20/11/2009 ensure that risk assessments are completed in relation to: Unguarded radiators in communal and personal areas Heavy items such as 4 25 13 (4) a Care Homes for Older People Page 5 of 10 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action wardrobes The unrestricted window opening within the first floor And undertake any action as necessary. Original date for compliance was 20/02/09 5 26 13 (3) The home must review current practice to ensure that people are not put at risk of cross infection. The flooring in the laundry is split and requires replacement. Original date for compliance was 06/03/09 10/11/2009 6 27 18 The registered manager must ensure there is sufficient staff on duty to met the needs of those who live at the home. 10/11/2009 7 29 19 The registered manager 01/12/2009 must ensure that any prospective staff member has their fitness to work with vulnerable people established in order to protect those who live at the home. The registered manager 01/12/2009 must ensure that all staff have the necessary statutory training to ensure that
Page 6 of 10 8 30 18 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action peoples needs can be met in a safe manner. 9 30 18 The management of the 01/12/2009 home need to have risk assessment training so that it can improve its understanding of this issue and in turn better protect the people at Drayton house. The registered persons must 01/12/2009 continue to regularly review the service provided and identify areas for development so that the service can continuously improve. Original date for compliance was 06/03/09 10 33 24 (1) a & b 11 37 17 The registered manager must ensure that records required by regulation are kept at all times and that systems are in place to ensure they are not discarded. The registered manager must ensure that all accidents are recorded and evaluated to maintain the safety of those who live at the home. The registered manager 10/11/2009 12 37 13 15/11/2009 13 38 13 20/11/2009
Page 7 of 10 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action must ensure that all risk assessments demonstrate how the safety of the people who use the service or work at the home is being maintained. 14 38 13 (4) c Fire doors must have smoke 11/11/2009 seals and intumescences seals as required by Dorset Fire Service during their visit on 26/9/08. Original date for compliance was 06/03/09 Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
