Inspection on 23/11/05 for Drayton House

This inspection was carried out on 23rd 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

Drayton House 02/02/10

Drayton House 17/09/09

Drayton House 15/01/09

Drayton House 16/07/08

Drayton House 22/01/08

Drayton House 17/10/07

Drayton House 19/06/06

Drayton House 09/08/05

Drayton House 13/09/04

Drayton House 13/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Drayton House 50 West Allington Bridport Dorset DT6 5BH Lead Inspector Gloria Ashwell Announced Inspection 23rd November 2005 11:00 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 Drayton House DS0000036054.V255591.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. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Drayton House Address 50 West Allington Bridport Dorset DT6 5BH 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) 01308 422835 01308 422835 Miss Andrea Helen Quirk Mrs Isabella Fitzgerald, Mr John Stanley Pitcher, Mrs Mary Josephine Pitcher Mrs Sharon Louise Dean Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That four persons may be accommodated within the category DE(E). Date of last inspection 9th August 2005 Brief Description of the Service: Drayton House is registered to provide personal care for a maximum of 19 older people including up to four with dementia. Miss Andrea Quirk is the Responsible Individual; she also owns other registered care homes including Glencairn in Dorchester. The registered manager of Drayton House is Mrs Sharon Dean. The accommodation is on the ground and first floors with a small passenger lift serving both floors. 7 of the 13 single bedrooms have en-suite hygiene facilities. There are also 3 larger rooms which may be used to accommodate 2 residents who have made a positive choice to share with each other. None of the ‘shared use’ rooms has en suite facilities; all bedrooms have a wash hand basin. The communal facilities include two lounges, a small dining room and three 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. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. Since the last inspection registered provider Miss Quirk and registered manager Mrs Dean met with Gloria Ashwell (Regulation Inspector) and Sue Barber (Regulation Manager) to discuss the means by which the home would make the necessary improvements to meet the 21 requirements and 8 recommendations included in the report of the previous inspection. As arranged during that meeting this inspection was announced and was carried out by both Gloria Ashwell and Sue Barber. The inspectors spoke with Miss Quirk, Mrs Dean, care staff and 10 residents. They observed staff interaction with residents and the carrying out of routine tasks in the home. The inspectors arrived at 11.00, departed for a hour long lunch break at 13.00 and concluded the inspection at 15.30; the duration of the inspection was 3.5 hours. Before departing the home the inspectors issued an Immediate Requirement in respect of one bedroom door. Additional information used to inform the inspection process included the preinspection information and regular monthly reports provided to the Commission by Miss Quirk. Standards assessed and found met during the previous inspection were not reassessed during this inspection. The registered manager is enthusiastic and keen to expand and update her overall knowledge; she conversed with the inspectors regarding her particular interests and to ensure her access to appropriate resources some website addresses have been included in this report. What the service does well: Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 6 The home provides good care to residents who are mainly of low and medium levels of dependency, and thereby able to remain actively involved in decisions regarding their lives and activities. Residents are assisted to maintain as much independence as possible and are encouraged to maintain contact with the local community. Meals are appetising and of good quantity and quality. The premises are comfortable, with 2 lounges and a separate dining room. Residents are treated with respect, their privacy is protected and staff understand and meet their needs. Residents feel safe and well cared for. 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. Drayton House DS0000036054.V255591.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 Drayton House DS0000036054.V255591.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): 3 Standard 6 is not applicable because the home does not provide intermediate care. Prior to admission, the needs of each proposed resident are assessed to ensure that the staff will know and understand their needs and circumstances and in consequence can properly care for them. EVIDENCE: The records of a recently admitted resident included those of a pre-admission assessment carried out by the manager at the resident’s private address. All relevant aspects had been assessed and recorded and formed the basis for the subsequently produced care plan. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 9 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): 7, 8, 9 & 10 The standard of health, personal and social care is good and is delivered in accordance with a written plan of care, to ensure staff have information necessary to provide correct care to each resident. Doctors and nurses visit the home to carry out specific actions for individual residents, ensuring their health care needs are met. Residents receive prescribed medicines at the correct times and in correct amounts thereby protecting residents from medicine errors. Residents wishing to do so can manage their own medicines. Residents said they are treated with respect and their privacy and dignity is protected at all times. Medicines prescribed by doctors are safely stored and carefully administered to residents by staff who are being trained in this work, to protect residents from medicine errors. Residents receive prescribed medicines at the correct times and in correct amounts. Residents wishing to do so can manage their own medicines. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 10 EVIDENCE: All residents with whom the inspectors spoke said they felt well cared for and safe. Risk assessments form the basis for care plans and daily records describe the care of each resident. A particular aspect of one residents care plan was discussed and it was recommended that more specific information be provided. As a result of examination of the care documentation discussion took place between the inspectors and registered manager regarding principles of ‘Living Wills’ and resuscitation; the manager was advised to obtain further knowledge in these regards from the Resuscitation Council UK (www.resus.org.uk). The registered manager is keen to expand her knowledge of care practices and consequent brief discussion took place regarding the Department of Health’s initiative ‘Essence of Care’; the manager was given basic information on how to access comprehensive details (www.nipec.n-i.nhs.uk/essencetk.htm). Residents wishing to do so can manage their own prescribed medicines, although at present all prefer this to be done by the staff. Residents said that staff give them the correct medicines, at the correct times. Medicine records were accurate and medicines were properly stored. Staff involved in handling medicines are at present undertaking a course of related training. Since the last inspection medicine handling and record keeping has been improved; to further enhance the safety processes it is recommended that a photograph of each resident is attached to the current medicine record and that a list of staff signatures and printed names is kept to aid identification. Drayton House DS0000036054.V255591.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): 12, 13, 14 & 15 The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. Most residents take meals in the dining room, some receive them in their bedrooms. EVIDENCE: The inspectors spoke to a number of residents; all expressed satisfaction with the home, including the meal provision, staff and premises. Since the previous inspection the range and frequency of recreational activities has been expanded; the inspectors observed staff engaging residents in appropriate activities and during the afternoon a visiting therapist led a musical session. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 12 Visitors are welcome at any time and residents can go out of the home whenever they wish, and for as long as they wish. Residents select meals in advance, from a planned menu. Most residents eat main meals in the dining room, some prefer to remain in their bedrooms. The inspectors observed the serving of lunch; the meals were appetising, nutritious and plentiful in quantity. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 13 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): 18 (Standard 16 was assessed and found met at the previous inspection) The home has introduced measures to protect residents from abuse. EVIDENCE: The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and has provided staff with associated training. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 14 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 & 26 The home is comfortable, clean and suited to the needs of the residents. EVIDENCE: Since the previous inspection an extensive programme of improvement to the standard of décor, furnishings and fittings has been commenced and work already completed has resulted in a pleasing, safe and comfortable environment for residents. Similarly, the standard of premises and equipment hygiene has been greatly improved and was satisfactory on the day of inspection. The home has met the recommendation of the previous report to provide written evidence of compliance with the Water Supply (Water Fittings) Regulations 1999, thereby ensuring that service users have a safe water supply. Drayton House DS0000036054.V255591.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, 29 & 30 The home employs enough staff to meet the needs of residents and to ensure their safety and comfort. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training to ensure they are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents and are recorded on a rota. The inspectors spoke to a number of staff, including care workers and household staff; all expressed support of management and the home, and were motivated and encouraged by the many improvements to the premises and working practices made since the previous inspection. The records of two recently employed staff members were examined and found to contain required information, indicating the use of a reliable recruitment procedure, although one set of records no longer contained the application form and evidence of personal identification; these documents having apparently been misfiled. It is recommended that a robust filing system be Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 16 introduced, to reduce the number of loose papers within folders and thereby minimise opportunities for loss. Arrangements for staff training have also been improved; individual staff have recently received training on subjects including ‘moving and handling’, adult protection and fire safety. All new staff undergo induction training, in accordance with the standards of ‘Skills for Care’ (previously known as TOPSS). Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 17 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, 33, 35, 37 & 38 Staff have good leadership from the registered manager. Residents are satisfied with the home and feel staff care for them well and put them at their ease. The home periodically issues ‘user satisfaction’ questionnaires to ensure that residents and their representatives remain satisfied with all aspects of the home. The home does not manage the finances of any service user. The home has implemented written policies and procedures to promote residents rights and well-being. Some improvements are necessary to ensure that premises and equipment are properly maintained in a safe condition, to protect residents, staff and visitors from harm and injury. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 18 EVIDENCE: Mrs Sharon Dean has been the registered manager of Drayton House since February 2005. Residents indicated they are satisfied with Drayton House; they said they feel safe and well cared for. The home does not manage the finances of any service user; residents either manage their own monies or have relatives or lawyers undertake this on their behalf. Staff work in accordance with a collection of written policies and procedures to ensure continuity of approach and safe working practices. At least once each month the registered provider visits the home to monitor standards, and forwards to the Commission a written report of her findings. As described for Standard 29 of this report, some improvements to the filing system are recommended, to ensure accuracy of document retrieval. At all times there are staff on duty in the home with knowledge of how to deal with accidents and health emergencies, arrangements have been made to train more staff in First Aid. The premises and equipment are generally maintained in a safe condition to ensure residents, staff and visitors are protected from harm and injury, but the home must provide evidence of the safety of specified aspects. Records of fire safety equipment checks and tests and staff fire safety training that these essential aspects receive appropriate attention, although a short dated requirement was made during the inspection for the adjustment of a bedroom door, to ensure it provides the required standard of protection from fire. The inspector was shown records indicating the safety of the passenger lift, mobile hoist and the electrical installation. Records indicated that during routine servicing of the gas installation some necessary improvements were identified; there was no written evidence that the necessary remedial work has been completed so a related requirement is included in this report. A comprehensive Health & Safety assessment of the premises must be recorded; where risks are identified the record must state how each will be Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 19 minimised/managed and the associated timescale, to ensure they meet criteria set by the Health & Safety Executive (www.hse.gov.uk). During the tour of the premises it was noted that the floor covering of the laundry (located in the cellar, an area to which residents do not have access) had curled up where sections had been previously joined, but now were separated, exposing sections of concrete which cannot be effectively cleaned. This report contains an associated requirement, to overcome the tripping hazard and present a surface which can be effectively cleaned. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 21 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. 1 2 3 4 Standard OP3838 OP3838 OP3838 OP38OP38 Regulation 23(4) 13 13 13 Requirement The specified fire door must be adjusted to fully close to latch. There must be written evidence confirming the safety of the gas installation. A comprehensive Health & Safety risk assessment of the premises must be recorded. The floor covering of the laundry must be repaired or replaced to remove the tripping hazard and present a surface suited to effective cleaning. Timescale for action 26/11/05 01/01/06 01/02/06 01/01/06 Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 22 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 3 Refer to Standard OP77 OP99 OP2929 (&37) Good Practice Recommendations More specific information be provided to fully describe the particular aspect of one residents care plan, as discussed. A photograph of each resident should be attached to the current medicine record and that a list of staff signatures and printed names kept to aid identification. A robust filing system be introduced, to reduce the number of loose papers within folders and thereby minimise opportunities for loss. Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Drayton House DS0000036054.V255591.R01.S.doc Version 5.0 Page 24 - 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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