Inspection on 09/09/05 for Driftwood House

This inspection was carried out on 9th September 2005.

CSCI found this care home to be providing an Good service.

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 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 16/02/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE Driftwood House Lynn Road Hunstanton Norfolk PE36 5HL Lead Inspector Alan Buttery Key Unannounced Inspection 10th June 2009 09:00 DS0000027358.V376457.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Driftwood House Address Lynn Road Hunstanton Norfolk PE36 5HL 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) 01485 532241 01485 535037 Mr Roy Alfred Kent Stephanie Durham Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 28 11th June 2008 2. Date of last inspection 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.V376457.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star good. This means the people who use this service experience good quality outcomes. This was an unannounced inspection, and during our visit we discussed various aspects of the service with the registered manager and the providers, who were in the home on the day we visited. We looked at a variety of information including staff and residents records and care plans, and we also spoke to several residents and two staff members working on the day we carried out our inspection. Some of their comments are contained in the report. Prior to the inspection, the service submitted an Annual quality assurance Assessment (AQAA) and information from this has also been used in writing the report. What the service does well: The service offers a well planned package of care to the people living in the home, designed to meet the individual needs that have been assessed. The service operates from a large building in Hunstanton, which has recently been extended and improved, and which provide spacious, clean and comfortable accommodation fro the people living there. The service prides its homely approach, including resident’s families in many of the events and activities, and supporting relatives when they visit. We were told by the husband of a resident, who visits his wife every day that seeing how they run the home has shown him the ‘true meaning of a home’, another told us it was ‘head and shoulders above the rest’ (they had looked at 8 different homes before choosing Driftwood) A variety of home cooked and nutritious food is available, the only comment made was that there is ‘too much food!!’ They have an excellent relationship with local health professionals, and their recent Easter fete included a raffle raising money to help the local paramedics. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 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 Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed assessments are carried out before anyone moves into the home, to ensure that identified needs can be met. EVIDENCE: Following an initial enquiry, either from the prospective resident or family or from a local health or social care team, a detailed assessment of the care needs of the person is undertaken. This would generally be done by either the manager or one of the proprietors, and involves a visit to the person either at their home or in hospital. At the present time, the home has an equal number of privately and local authority funded packages in place. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 9 Once the assessment is completed, the service are able to ensure that the identified needs can be met, and whether any aids or adaptations are required, and then makes arrangements for the person to move, and where possible for the person to have a look around the home if they have not already done so. At this stage, initial care plans are prepared which show how the identified needs will be met., and for people funding their own care, the contract documentation is completed. The service does not offer intermediate care. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans show how support should be given, and the manner that suits the individual, although more details about the person and the desired outcome would improve them further. EVIDENCE: As was discussed earlier, initial care plans are prepared in readiness for the person’s arrival at the home, which provide the basic details needed to provide support on arrival. These care plans are reviewed over the first few days, as the person settles into the home. The care plans provide information about the [person, and their needs, and how those needs should be met, and how the person likes the support to be given. Further work on the care plans would be beneficial to the residents, to ensure that the plans show more detail on the person, their background and Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 11 likes and dislikes, and should also show what the desired outcomes are for the person the care plan is about. Procedures are in place to ensure that medication is administered safely, and all staff who assist with medication receive training. Under a new NHS initiative, the home are now receiving a 3monthly visit from a pharmacist, and a medication audit carried out. At the present time, no one living in the home has chosen to manage their own medication, but should anyone choose to do so, procedures are in place, which include a risk assessment to ensure it is a safe practice to follow. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are available for people living in the home, and they are able to choose activities suited to their likes and dislikes. EVIDENCE: The service offers a wide range of activities and events for the people living in the home, including musical entertainment, quizzes and games, arts and crafts and a library. They have also arranged a visit from the hand bell ringers from the local church, and they encouraged some of the residents to take part. An annual summer fete is held, as well as seasonal events for Christmas, Easter and Bonfire Night. These events are all open to families as well as residents, and the relationship the home has with families is extremely good. One lady, whose sister was in the home until her death recently, still visits the home on a regular basis, to meet with friends she made while her sister was resident. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 13 During our visit, we spoke to the husband of one of the residents, who although still living at home, visits his wife every day, and is often able to have a meal with his wife. During the inspection, we spoke to this gentleman who felt that the service his wife receives ‘could not be better’ and commented how they were ‘always happy to see him’ Wherever possible, residents’ are encouraged to get out, and trips to local garden centres, flower shows and the nearby lavender farm are arranged, as well as walks to the local shops. In conjunction with the local Civic Society, the home has entered their garden as part of the Britain in Bloom competition, and some of the residents are helping choose and plant the baskets and tubs. A range of home cooked food is provided, with a choice of main meal, and fresh local ingredients are used. During the inspection, we spoke to several of the residents, and they were all very happy with the meals they are given. Residents meeting are held every few months, giving people living in the home, and their families the chance to contribute to decisions made about their home. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure that any concerns, complaints or allegations are properly dealt with, and people living in the home know who to make concerns known to. EVIDENCE: Procedures are in place to deal with any concerns, complaints or allegations of abuse, and a copy of the procedure is included within the service user guide given to all new residents. No complaints have been received since our last visit. The service have also received a number of compliments, one family going so far s to place a feature in the local newspaper, following their mother’s death, thanking the home and staff for all they had done. All staff receive safeguarding training both within their induction training and regular updates, and during our visit we discussed one safeguarding issue that had occurred since our last visit, relating to the loss of some jewellery belonging to a resident. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 15 From the information available, it is clear that the service acted very appropriately, and that other issues may have led to the situation. They were well supported by the local police, who led the enquiries. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service operates from well maintained and equipped premises offering a clean and safe home to the people living there. EVIDENCE: Since our last inspection, building work has been completed, and the new rooms now in use. The proprietor is planning to paint the exterior of the property in the coming weeks, and do further work in the garden. As has already been discussed, the home is part of the town’s entry in the Britain in Bloom contest. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 17 Facilities in the home are very good, with large communal lounge and dining areas as well as well equipped bedrooms. People living in the home are given every opportunity to bring personal possessions with them, and one lady resident that we spoke with during our visit had a lot of paintings in her room. Other people have bought furniture and ornaments as well as family photographs. On the day that we carried out this inspection, we found the home to be clean and free form any offensive odours. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment and training procedures ensure people living in the home are looked after by suitable staff. EVIDENCE: Since the last inspection, the service has maintained many of their core staff, although the difficulties they experience in recruiting, particularly in the summer months where there is a wide choice of seasonal work, were discussed. During the day, the service operates with a senior carer and 3 care staff, which is reduced to 2 during the later afternoon and evening. In addition there are domestic and catering staff working in the home during the day. At night, there are 2 waking night staff. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 19 The manager is available during the day, and the proprietors are often in the home and will always assist if required, often taking residents out. As part of our inspection, we looked at the staff records held in the home for 3 of the staff. The records were generally satisfactory, although one contained a reference which had not been signed, and another had not explored the work history of an applicant. The recruitment procedure needs to be reviewed to ensure that all the required detail is in place. We also looked at the home’s training records. A clear plan of training was available showing both the training that had taken place so far this year and also the planned training taking place later in the year. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well run and the interests of people living there recognised and appreciated in all areas. EVIDENCE: Shortly before we carried out this inspection, the manager of the hoe completed g=her registration with the commission, although was still awaiting the new certificate. The manager felt that the relationship between her and the proprietors of the home and with the three senior staff was very positive, and during our visit, we observed the manager interacting both with residents and staff. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 21 The proprietors do spend a lot of time in the home, and again their relationship with the residents was seen to be very positive. On the day we visited the home, they were attending the funeral of a former resident, accompanied by the manager. Health and safety procedures are in place, and all staff receive health and safety training annually. A handyman is employed by the home who carries out the required health and safety checks. The home tries to involve the residents in all areas of their lives, as already indicated, residents meetings are held every three months, and an annual quality assurance survey undertaken. People we spoke to during our visit, all felt that the support and acre they receive was extremely good, one lady told us it was ‘like living in a hotel’, another said that moving into the home was just like ‘coming home’ The home has a good local reputation, and always involves local dignitaries in its summer fete. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 22 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 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 4 X 3 X 3 X X 3 Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 23 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. 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 OP7 OP29 Good Practice Recommendations More detail is required within care plans to show the desired outcomes for the person Recruitment processes should ensure that full details of past employment is obtained for all staff members. Driftwood House DS0000027358.V376457.R01.S.doc Version 5.2 Page 24 Care Quality Commission Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@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. 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