Inspection on 17/02/06 for Driftwood House

This inspection was carried out on 17th February 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 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

Driftwood House 23/05/07

Driftwood House 06/03/07

Driftwood House 17/10/06

Driftwood House 09/09/05

Driftwood House 05/04/05

Driftwood House 01/12/04

Driftwood House 08/11/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Driftwood House Driftwood House Lynn Road Hunstanton Norfolk PE36 5HL Lead Inspector Mr Christopher Handley Unannounced Inspection 17th February 2006 09:30 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 Driftwood House DS0000027358.V283835.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 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. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Driftwood House Address Driftwood House Lynn Road Hunstanton Norfolk PE36 5HL 01485 532241 01485 535037 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 Roy Alfred Kent Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th April 2005 Brief Description of the Service: Driftwood House is situated in a residential area, close to the sea front and town centre of Hunstanton. Originally a hotel, the building occupies a corner site in attractive grounds with a large car park and was adapted by previous owners as a residential care home. The registration category is for older people and accommodation is available in 18 single and 2 double rooms. At present all 20 rooms are being used for single occupancy. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was carried out as part of the annual inspection. Four staff, 6 residents, and 2 visitors were interviewed during the course of the Inspection. Care plans of three residents were read, as well a wide range of other documents relating to the care of residents and management of the home. The Proprietor, Mr Roy Kent, and the Manager, Mrs S Durham, were present during the inspection. 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. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 6 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 Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 7 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): 4&6 The Proprietor and Manager demonstrated that the home meets the needs of individuals admitted. Individuals are not admitted for intermediate care. EVIDENCE: The Proprietor and Manager said that they undertake detailed pre-admission assessments of residents and based on this have a sound knowledge of the residents physical, mental, and social needs. They also have a good knowledge of their likes and dislikes. Relatives also provide them with information. The Proprietors have detailed knowledge of the layout of their home, and can assess if this meets the prospective residents needs. The home has a wide range of hoists, and other mechanical aids, which meet the needs of residents who may have a physical disability. Residents interviewed spoke highly of the care provided and the manner in which it is provided. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 8 The home admits residents from time to time, based on social need for respite care for a short period of time. The home does not have a dedicated area for this. Based on what the Proprietor said the home does not provide intermediate care. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 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, 9 & 10 All residents have an individual care plan, and the content of these needs to improve. The home has a safe and secure medicine system. Residents are treated with privacy and dignity. EVIDENCE: All residents have an individual care plan. These documents are kept in a locked cabinet. Three sets of care plans were read. The documents have the essential elements of assessment, planning, implementation and review, though these elements need to be more distinct. As well as the care plans, each resident has a wide range of assessment documentation. In the documents seen there were a number of blank spaces. There is no evidence of residents or relatives being involved in the reviews of care. The home maintains a daily record and more detail needs to be provided in order to give a brief but complete picture of the residents’ day/night. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 10 In order to improve the care planning documentation, the Inspector recommends that the Manager undertake training in care planning, and pass the essentials of this on to staff when she has completed it. Mrs Bain, a Senior Carer, showed the Inspector the medicine system. The medicine trolley is kept locked to the wall and the keys are held by the senior person on duty. The contents of the trolley were neat and tidy, and there were no loose or unidentified medicines. The home uses a MDS system of medicines, which Mrs Bain said works well. The records of administration were neatly completed. All staff who administer medicines have had training for this. There are no residents who are self medicating, the Inspector was told. The home enjoys a good relationship with the supplying pharmacist. If staff had any concerns about the effects of medicines on residents, they would contact the prescribing GP. Medicines are reviewed every 6 months and this is recorded. The home has a detailed medicine policy which is kept in the office. Personal care would always be carried out in private the Proprietor said. Bathing, toileting, consultation, or examination by a health care professional would be carried out in private. Any meeting with financial advisors or legal representatives would be carried out in private, the Proprietor said. Residents wear their own clothes at all times. Residents are called by their preferred name. There is a pay phone available for residents and a number of residents have mobile phones, the Inspector was told. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 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): 14 & 15 Residents have a wide range of choice in their daily life. The catering service in this home is good. EVIDENCE: The Inspector was informed that relatives in the main handle the monies of residents. Residents whom the Inspector spoke to confirmed this. Residents bring in personal possessions with them and the Inspector saw many of these when he visited a number of the rooms. Residents do have access to their own notes but the Proprietor said that none had asked to see them. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 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, 17 & 18 The home has an effective Complaints Procedure which is accessible to residents. Residents’ rights are protected. Residents are protected from abuse, but more staff need to receive training in this matter. EVIDENCE: The Complaints Procedure is displayed around the home with the main copy being displayed in the front hall. In the inspection dated 5/4/05 it was recommended that this notice be put in a larger print to help residents read it more easily. This has since been done and it is much easier to read. The Proprietor is commended for this. There have not been any complaints since the last inspection the Proprietor said. Residents interviewed told the Inspector that if they had any complaints they would tell the first member of staff or the Proprietor, and they knew that the matter would be resolved quickly. The legal rights of residents are protected and, if needed, advocacy would be facilitated either by the Proprietor or Manager. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 13 Residents where possible, are encouraged to use their vote and some do use their postal vote, the Manager said. The home has an Adult Protection Procedure. The Proprietor and Manager are aware of the importance of this mater. Staff interviewed told the inspector that abuse could go on without people being aware of it. In the Inspection dated 5/4/05 it was recommended that the Proprietor and Manager undertake training in this matter. The staff who have undertaken the NVQ will have undertaken training in this matter as part of the course. As yet the Proprietor and Manager have not undertaken this training and it is recommended that they do. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 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, 22, 25 & 26 The residents live in a safe well maintained environment. The home has a wide rage of equipment to maximise the independence of residents. The services of the home meet the environmental health and safety requirements, and needs of residents. The home was clean, pleasant, and hygienic. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 15 EVIDENCE: The location and layout of the home is suitable for its purpose. It is safe and well maintained. The home carries out maintenance on an ongoing basis, and this was obvious from the observations of the Inspector. At present the Proprietor does not have a maintenance plan as such, and it is required that the home have a written plan of maintenance. The grounds are neat and tidy and are a feature of this home. Many of he residents were seen looking out at the views which the garden presents. The building complies with the local fire service, and environmental health department. The Proprietors have submitted a major improvement plan of the home, which is currently being discussed by the Proprietor and the Commission. Residents have access to all parts of the home, including the communal spaces. There are grab rails in the toilets and bathrooms. The home has a wide range of equipment of aids, hoists, and a Rota Stand which was seen by the Inspector. Door ways to communal rooms and toilets have wide openings. There is a call bell in all rooms which has an alarm facility. Residents’ rooms are individually and naturally ventilated with windows conforming to recognised standards. Rooms are centrally heated and the residents can control this. Pipe work and radiators are guarded. Lighting in residents rooms meets recognised standards. There is emergency lighting through out the home. The home was neat, clean, and free from offensive odours on the morning of the inspection. The laundry facilities are so sited that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. There are hand-washing facilities in the laundry. The laundry floor is impermeable and the walls are tiled. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 16 There are polices for the control of infection including the safe handling and disposal of clinical waste, dealing with spillages, and provision of protective clothing. The home has a sluice facility. There is an industrial washing machine in place. The service and facilities comply with the Water Supply (Water Fittings) Regulations. It is intended to build a new laundry in the proposed new development of the home. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 17 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 The numbers of staff on duty, and the training which they have had, ensures that the residents’ needs are met, based on their present dependency. The is an NVQ training programme in place and this needs to continue. EVIDENCE: The information provided by the Manager was that there were 3 Care Assistants, 1 Senior Care Assistant, 1 Domestic Staff, 1 Cook, 1 Handyman, the Manager, Mrs Durham, and the Proprietor, Mr Kent, were on duty on the morning of the inspection. Based on the observed dependency of the residents the staffing meets the current needs of residents. In discussion with residents they told the Inspector that call bells were always answered quickly, and the Inspector observed this during the process of the inspection. The Inspector was informed that there were 3 members of staff who had NVQ II and 2 Members of staff who have NVQ 3. There are no staff undertaking NVQ at present. There are a total of 15 Care Assistants in the home and this show that 33 have NVQ. The Proprietor is aware that the target for staff having NVQ is 50 , and it is required that the training programme continues and the numbers taking it increase. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 18 A recommendation was made in the report dated 5/4/05 that the Proprietor undertakes training in the Selection and Interviewing of staff, as yet this has not been done. The Inspector repeats this recommendation and also recommends that the Manager under this training as well. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 19 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): 32, 34 & 38 The ethos and leadership of the home is sound. The home is financially sound. The home needs to obtain all the documentation required by Standard 38. EVIDENCE: The Proprietor’s and Manager’s approach is to be supportive to staff, they have a clear sense of direction. The running of the home is open and transparent. The staff interviewed said that they enjoy working in the home and are supported in their undertaking of the NVQ. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 20 Based on the observations of both groups it is obvious that the Proprietor, Manager, and staff work as a team whose aim is to provide a good standard of care. Staff are supplied with copies of the Code of Practice publishes by the General Social Care Council. The home is insured to the required amount and the insurance certificate which is displayed in the entrance of the home was seen by the Inspector. The home is financially sound and the Inspector was shown documentation to this effect. Records of transactions are kept by the Proprietor. The home has all the elements of Standard 38 except 38.4, the health and safety information, and it is required that the home have this documentation. The Inspector advises that when the home has obtained this information it should be kept together in a folder in the office. Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 21 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 X X 3 X X 3 3 STAFFING Standard No Score 27 3 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X 3 X X X 2 Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 22 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 Standard OP19 Regulation 17(2) Requirement It is required that the home has a programme of routine maintenance, renewal of the fabric, and decoration of the premises with records kept. It is required that the NVQ programme to continue. It is required that the home has all the documentation required by Standard 38. Timescale for action 05/06/06 2 3 OP28 OP38 19 5 (b) 17 (2) 01/01/07 05/06/06 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 OP7 OP7 Good Practice Recommendations It is recommended that the Manager undertakes training in Care Planning. It is recommended that: The content of the care plans be improved, all questions should have a response. There should be an indication that residents and relatives are involved in reviews of care. It is recommended that the Proprietors undertake training DS0000027358.V283835.R01.S.doc Version 5.1 Page 23 3 OP18 Driftwood House 4 OP28 in Adult Abuse. It is recommended that the Proprietors and Manager undertake training in Quality Assurance, recruitment and selection of staff Driftwood House DS0000027358.V283835.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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. 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