Inspection on 05/04/05 for Driftwood House

This inspection was carried out on 5th April 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

Driftwood House 23/05/07

Driftwood House 06/03/07

Driftwood House 17/10/06

Driftwood House 17/02/06

Driftwood House 09/09/05

Driftwood House 01/12/04

Driftwood House 08/11/04

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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 Lynn Road Hunstanton Norfolk PE36 5HL Lead Inspector Christopher Handley Announced 5 April 2005 9.30am 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Driftwood House Address Lynn Road Hunstanton Norfolk PE36 5HL 01485 53221 01485 53507 Telephone number Fax number Email 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 Mrs S Durham (Not Registered) Care Home 22 Category(ies) of Old Age (22) registration, with number of places Driftwood House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2004 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, and was carried out as part of the annual inspection programme. A full tour of the home was undertaken. Ten residents and five staff were interviewed during the course of the visit Ten comment cards have been received. Care records for four residents were seen and read. Other documents relating to personal care and the management of the home was also seen. What the service does well: What has improved since the last inspection? What they could do better: The elements of the care plans need to be more distinct and the presence of residents/relatives at reviews of care recorded. The content of the Daily Record needs to be more comprehensive and reflect some of the activities which go on in the home. The knowledge and practices in recruitment and selection need to improve. Increase the knowledge and awareness of Adult Abuse Awareness among all staff. The environment needs to be improved. Driftwood House Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Driftwood House Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Driftwood House Version 1.10 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 standard(s) 1, 2 and 3, The Management of the home provides a good range of documentation. The home ensures that it can meet the needs of prospective residents. All residents have Terms and Conditions, supplied by the Proprietor. EVIDENCE: Residents interviewed confirmed that they received information about the home prior to admission. Copies of this information was seen in some of the residents rooms during the tour of the home. The residents are provided with a Terms and Conditions and the residents interviewed confirmed this. A member of staff sits with the newly admitted resident and goes through the documents with them to ensure that they understand the content. At present the office does not keep a copy of this, it is recommended that they should. Driftwood House Version 1.10 Page 9 A detailed pre admission assessment visit is carried out and recorded on all prospective service users. The document used, was seen and read. When completed it will provide all information needed to make a decision as to whether the home can meet the prospective persons needs. This document should be headed “Confidential Information.” The person carrying out the assessment should carry formal identification. Driftwood House Version 1.10 Page 10 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 standard(s) 7, 8 &9 The home does meet some of the health care needs of the residents, but the care planning system needs to be improved, so that they have looked holistic needs of residents. A detailed risk assessment needs to be undertaken, and recorded. An individual detailed risk assessments need to be carried out. The Daily records needs to more accurately reflect the content of the residents day. The home’s medicine system is safe and effective. EVIDENCE: The Manager described how a wide range of services are provided to residents in the home. There is effective monitoring with written evidence in the residents notes of when health care professionals attend the home, or when residents attend for health care services outside of the home. The treatments required are identified and met. All residents have a care plan, the essential elements of care planning, assessment, planning, implementation and review are present but structure and content need to improve. Driftwood House Version 1.10 Page 11 There was no detailed risk assessment seen in the documents read. There was no written evidence of service users being involved in reviews of care. The Daily Record does not reflect the recreational/social activity that takes place in the home. The home has a comprehensive procedure and effective practice for the prevention of pressure sores. The medicine system in the home is safe and effective. The medicine trolley is kept in the dining room, and is kept locked to the wall as recommended in the inspection dated 1/12/04.The Proprietors intend to move the medicine trolley into the office. Driftwood House Version 1.10 Page 12 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 standard(s) 12 &15 The residents enjoy a good quality of life, with a wide range of activities being offered. The catering service and provision of meals in this home is well managed and residents are offered a variety of nutritious meals. EVIDENCE: The content of the resident’s day is largely decided by them, the Manager said and this was confirmed by the residents spoken to. There is a varied and comprehensive list of activities displayed around the home which was seen. Residents develop friendships within the home, representatives of religious denominations call to the home frequently. Relatives and friends visit on a regular basis and the visitors spoke highly of the staff, meals and various practices in the home. The residents interviewed said that the meals were very nice, varied, and they had a good choice, and that they can have drinks during the day or night. The Comment Cards received indicated a high level of satisfaction with the catering services. The home has printed four weeks menus which were seen, they appeared varied nutritious and interesting. Sugar free diets for residents who have Diabetes are provided, but this is not recorded. Driftwood House Version 1.10 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 standard(s) 16 and 18 The home has an effective Complaints procedure which is accessible to residents. The Management and staff are aware of Adult Abuse but they need to enhance their knowledge in this matter. EVIDENCE: The Complaints procedure is displayed around the home. There have been no complaints in the home, the Proprietors said. The Proprietors and Manager said that their practice is to deal with concerns quickly. Such action reassures residents that these matters are taken seriously, and that concerns will be quickly resolved. Residents are aware of the procedure and how they should make a complaint. It is recommended that the print size of the complaints procedure be increased in order to help residents read it more easily. The home has an Adult Protection procedure, and based on what was said, the Proprietors and the Manager are aware of the seriousness of this, though they acknowledge they have no experience in dealing with such matters. Driftwood House Version 1.10 Page 14 There have not been any cases of Adult Abuse Awareness in the home, the Proprietors said. The Inspector recommends that the Proprietors and staff undertake training in this matter. Driftwood House Version 1.10 Page 15 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 standard(s) 19, 20, 21. Residents do live in a comfortable, safe, environment, which is suitable for their needs. The environment will be further improved once the proposed developments have been completed. EVIDENCE: A detailed tour of the home was undertaken, the home was neat, clean, tidy, and there were no unpleasant odours. A wide range of specialist lifting equipment was seen. The resident’s rooms have been personalised with family photos, paintings, ornaments etc, and a number of residents said “ I’m very fond of my room” The Proprietors have just completed plans for a major improvement programme to the home, which was discussed at the inspection dated 1/12/04. The Proprietors have undertaken to send the Inspector copies of drawings of the work to be done, along with written details. It is the Proprietors intention that this work will commence within the next few weeks. Driftwood House Version 1.10 Page 16 The lounge areas and bathrooms are included in the improvement programme. Driftwood House Version 1.10 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 and 30 The Management of the home are not able to demonstrate that they properly protect the residents because of poor recruitment practice, and staff training. There is NVQ training in the home which needs to continue There is a need to improve the recruitment process. The Induction and Foundation programme are not satisfactory and need to be replaced. EVIDENCE: There are 3 members of staff who have NVQ 2, 1member of staff undertaking it, and another 1 waiting to start. There is 1 member of staff who has NVQ 3 , and another is undertaking it, and 1 waiting to start NVQ training. This training programme needs to continue. The Manager is currently taking NVQ 4. The Proprietors accept the importance of building up an effective team. They acknowledge that they have not had any training in selection and interviewing of staff and accept that they need to improve their skills in this matter. Driftwood House Version 1.10 Page 18 All staff have induction training and ongoing training programmes, but based on the documentation seen, there was no mention of an approving body, the content is not comprehensive, this documentation does not meet NTO specification. Once the Manager has completed her training it is intended that she will apply to be registered Driftwood House Version 1.10 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35,36 and 37 The home needs to take steps in achieve a recognised Quality Assurance system. Initial steps in developing the quality of services have commenced Resident’s financial interests are safeguarded, the system used for residents personal monies. Staff are appropriately supervised. Residents rights and best interest are safeguarded. EVIDENCE: The home has taken initial steps in developing quality in the home, and intends to pursue this matter by contacting Norfolk Link. The system of holding personal monies was seen, it is safe and meets the needs of the residents. Driftwood House Version 1.10 Page 20 Supervision and development of staff is carried out and recorded and the documentation was seen. The home maintains records required by regulation, were seen during the process of this inspection, they are up to date and held secure. Driftwood House Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 3 3 3 x x x x x STAFFING Standard No Score 27 x 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 2 x 3 3 3 x Driftwood House Version 1.10 Page 22 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. 1. Standard 15 Regulation Sched 4, 13 Requirement Special Diets to be recorded Timescale for action 4 weeks 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. 4. 5. 6. 7. 8. 9. Refer to Standard Standard 3 Standard 4 Standard 16 Standard 18 Standard 28 Standard 29 Standard 30 Standard 33 Good Practice Recommendations That a copy of the signed Terms and Conditions be kept in the office. That the preadmission assessment document be headed Confidential Information. That persons carrying out pre admission assessments carry identification with them That the Complaints procedure be put in a larger print. That the Proprietors undertake training in Adult Abuse,and Adult Abuse training be provided for staff. That NVQ training continue. That the Proprietors undertake training in the Selection and Interviewing of staff. That induction and foundation training to NTO specification, be provided. That the home take steps to achieve a recognised Quality Assurance system. Driftwood House Version 1.10 Page 23 Commission for Social Care Inspection 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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