Inspection on 24/08/06 for Drumconner

This inspection was carried out on 24th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Drumconner 16/06/08

Drumconner 18/10/05

Drumconner 18/05/05

Drumconner 07/02/05

Drumconner 06/07/04

Drumconner 08/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Drumconner 20 Poole Road Bournemouth Dorset BH4 9DR Lead Inspector Debra Jones Unannounced Inspection 24th August 2006 10:00 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 Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 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. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drumconner Address 20 Poole Road Bournemouth Dorset BH4 9DR 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) 01202 761420 01202 762158 info@drumconner.co.uk Drumconner Homes Limited (Bournemouth) Mrs Helen Margaret Colley Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (6), Physical disability of places over 65 years of age (4) Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 25 service users in need of nursing care may be accommodated. A maximum of 4 service users in the category PD(E) and 6 in the category PD may be accommodated at any one time. These service users may require either nursing or non-nursing services. 18th October 2005 Date of last inspection Brief Description of the Service: Drumconner cares for up to 35 people in an attractive period house. It is set back from the busy main road that runs between Westbourne shopping area and the town centre of Bournemouth. The home is surrounded by an attractive garden and some parking is available. The home is on 3 floors with a passenger lift between the ground and the first, and a stair lift and several stairs leading to the 2nd floor. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 27 single rooms, fifteen of which have en suite facilities. The remaining 4 rooms are all doubles with en suites. There are additional communal toilets and bathrooms around the home. The current weekly charge at this home ranges between £650 and £800 -social care rates plus primary care trust funding. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours and was the anticipated key inspection of the year. The 3 requirements and 2 recommendations made at the last inspection were followed up to see the progress made towards meeting them. Progress had been made. The recent changes to the Care Home Regulations were discussed. During the inspection some records were looked at. The inspector walked around the building and met and talked with some residents in their rooms. Helen Colley (Registered Manager) and her staff helped the inspector in her work. Prior to the inspection the Commission asked the home to send out a number of comment cards to get people’s views of the home. Twenty eight were returned. 18 were from residents, 5 were from relatives, 4 were from GP surgeries and 1 from a care manager. Comment cards returned were very positive about the staff and service provided at Drumconner and all said that they were satisfied with the overall care provided there. ‘I am very happy – everyone is very helpful and caring.’ (a resident) ‘I am very happy here.’ (another resident) ‘I am well looked after here, everybody is so kind and I appreciate it; I am a very lucky person to be here.’ (another resident) ‘Everything is very satisfactory.’ (another resident) ‘It’s always been good here.’ (another resident) ‘It’s a home from home, if only all nursing homes were the same.’ (another resident) ‘I’m lucky. I count my blessings.’ (another resident) ‘With the serious condition my sister in law is in she could not receive better care or company anywhere else. I think they are wonderful.’ (a relative) ‘Very good’ (a GP) What the service does well: Drumconner Homes Limited provide a good service for older people in a well decorated home that is furnished to a high standard. The home has a welcoming, tranquil and relaxed atmosphere and residents are clearly at ease. Drumconner is well organised and the care and contentment of residents is at the heart of the running of the home. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 6 A good admissions procedure is in place that ensures that only people whose needs can be met are offered places at the home. Prospective residents and their representatives have the opportunity to visit the home to see if they like it before they move in. Assessments and care plans are of a high standard. They are thoroughly completed and regularly updated to make sure that staff know how to care for the residents living at the home. A range of community health professionals support the nursing and care staff in caring for residents. Medication is well managed and residents can have confidence that staff look after their medicines well and administer them properly. Residents confirmed that they are treated with courtesy, patience and kindness ensuring that their privacy and dignity is respected at all times. Stimulating social activities are available at the home, which residents can join in with as they wish. Residents are able to have visitors whenever they like and visitors say they are always made welcome at the home. Meals are varied and a choice is always available. The dining room is pleasant and comfortable. The complaints and adult protection procedures reassure residents and their representatives that the well-being and comfort of residents is important to the home and that any concerns raised will be properly investigated and resolved. The home and gardens are well maintained, comfortable and safe for the residents living there and anyone visiting. The home is kept clean and smells pleasant. The numbers and skill mix of staff are sufficient to meet the needs of residents. Records relating to staff recruitment are of a good standard with almost all information required held on file ensuring that only suitable people are employed. Residents can be assured that if they wish the home to look after money for them this will be done in a responsible and professional manner. Systems are in place and records kept, that demonstrate the homes commitment to keeping residents safe. What has improved since the last inspection? Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 7 The home has carried out their annual survey to find out what they people think of the home and what they can do to improve services for the residents. All the responses have been pulled together and reports written about what they have found. Suggestions made have been acted on. Fire records now demonstrate that staff have had the regular fire training they need to keep residents as safe as possible. 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. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 8 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 Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions procedure enables prospective residents to make informed decisions about moving to the home and ensures that only residents whose needs can be met are offered places there. EVIDENCE: Files of residents admitted to the home since the last inspection showed that prior to people moving to the home their needs are fully assessed by a senior member of staff from Drumconner. Assessments are thorough and well recorded. It was clear from the paperwork where and when the assessment had taken place, who had been involved in the assessment and where information contained in it had come from. People are also given the opportunity to visit the home as are their representatives before they make any decision about moving there. The residents spoken to all talked about how they had come to move into the home Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 10 e.g., one had previously been a volunteer in the home and another had stayed there before. Residents talked of how ‘very lucky’ they were to be there. Files of recently admitted residents contained letters to the resident from the home confirming that, following the pre admission assessment, the home considered themselves able to meet their needs. The home offers respite care and trial periods. Of the 18 residents who returned comment cards 14 said that they had enough information before they moved in to the home so they could decide if it was the right place for them. The others talked of being transferred from hospital, waiting to receive details and leaving the decision to a family member. One thought they had. Fourteen people remembered being issued with terms and conditions. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is an excellent care planning system in place to make sure that staff have the information they need to meet the needs of the residents. The health needs of the residents are also well met with evidence of good support from community health professionals. Residents confirmed that they felt treated with respect and that their right to privacy was upheld. The medication at this home is well managed promoting the good health and well being of residents. EVIDENCE: Care plans seen were of a high standard. They flowed from the assessments made by the home, were easy to read, to the point and informative about the needs of the resident and how the home was to meet their needs. Manual handling plans and risk assessments are also in place and care plans reflect the outcome of these assessments. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 12 Assessments and care plans are reviewed monthly. Both day and night care plans are in place – which is excellent. Plans seen were very individual to the resident and it was clear what they could do for themselves and what they needed help with. When asked ‘do you get the care and support you need?’ Five of the 18 residents who returned comment cards prior to the visit replied ‘always’, 11 said ‘usually’ and 2 ‘sometimes’. When asked ‘do the staff listen and act on what you say.’ Fifteen residents said ‘yes’, 2 ‘most of the time, 1 ‘sometimes’ and 1 ‘not always’. One resident talked of how he had mentioned to a member of staff that he had slept badly and was finding his bed a little uncomfortable. Within an hour of the conversation a over mattress had been placed on his bed which he said had made a huge difference. All the relatives who responded by comment card said that they were informed of important matters in respect of their relatives and where appropriate are consulted about their care. The GPs who returned comment cards said that if they gave any specialist advice this was incorporated into the care plan. The care manager said that there was a care plan for the person that they had placed at the home and that it was being followed and reviewed regularly. They also confirmed that they were notified of significant events affecting their client’s well being. Daily notes support and evidence the delivery of care to residents. These are comprehensive and give a good picture of the daily lives of residents, the care that is delivered to them by staff in the home and by visiting community health professionals e.g. GPs, district nurses, Macmillan nurses, chiropodists, opticians. Separate ‘professional’ notes are also kept on care files so it is easy to track and identify where health professionals have been involved in the care of residents. The plan of one resident whose needs have greatly increased recently was viewed and how her care was being managed discussed. It was clear that the right professionals outside the home had been involved and consulted about her longer terms needs. The home also has a complementary therapist who visits the home and provides, amongst other things, reflexology, massage and counselling to residents. This is paid for by the home and is free of charge to residents. Three residents who returned comment cards said that they ‘always’ received the medical support they needed, with 7 saying ‘usually’ and 3 ‘none required.’ One resident said ‘not required but would be available if needed.’ The GP surgeries that returned comment cards to the Commission said that the home communicated clearly, worked in partnership with them and that staff demonstrated a clear understanding of the care needs of residents. They Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 13 also said that the home took appropriate decisions when they could no longer manage the care needs of residents. Medication at Drumconner is only administered by the qualified staff who are all trained to do this. Medication records sampled were up to date and properly completed. Staff record the date, and where appropriate the time, that medicines are opened/ brought into use. Medicines and dressings were tidily stored in appropriate places e.g. medication cupboards, trolleys and in the fridge. The maximum and minimum temperature of the fridge used to store medication is correctly monitored. The home regularly carries out their own audit of their medication administration system. A licensed waste dispoal company disposes of the medicines not used at the home. Records are kept of any medicines leaving the home. Where residents have medicines that are not routinely administered and where they are not in a position to say themselves that it is needed, their care plans do not currently outline the circumstances when staff would administer the medicines. It is suggested that this be added to care plans. The GPs who returned comment cards said that in their opinion medication was appropriately managed in the home. Residents confirmed that they were treated with dignity and their privacy respected by staff always knocking on doors ‘no one barges in’ and being polite and courteous. Some talked about the personal care they received and of how this could be embarrassing but due to the professionalism and kindness of staff it wasn’t. One resident talked of how she really looked forward to her bath time – ‘a highlight of the week.’ All those who returned comment cards to the Commission confirmed that they were able to see residents in private when they visited. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Stimulating social activities are available in the home and residents are able to make choices as to whether they take part in them or spend their days in pursuit of individual interests. Residents’ lives are enriched by the high degree of choice they are able to exercise in their daily lives at the home. The meals in this home are very good offering both choice and variety and are served in a pleasant environment. EVIDENCE: The home employs an activities organiser who works 4 days a week. The activities organiser runs regular activities in the home such as bingo and also arranges for entertainers to come to Drumconner. She also creates opportunities for residents to go on outings, as groups or individuals. Residents can choose whether to join in with organised events or not. Residents spoken to on the day of the visit were all aware of the activities but were not interested in joining in themselves and preferred their own company and that of their visitors. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 15 Residents have radios and televisions as they wish. On the ground floor there is a lounge with a TV, another where there is usually classical music playing and another quiet room – ‘the library’. A hairdresser visits every week. The library service also comes to the home. Of the 18 residents who returned comment cards 16 said that it was ‘always’ the case that there are activities arranged by the home that they can take part in; 1 said that this was true ‘usually’, and others said they were not interested in taking part. Friends and relatives are made welcome at the home and any restrictions would only be at the request of residents themselves. Residents and visitors spoken to said that visitors were always made welcome. Visitors talked of how they were always made drinks when they came to the home ‘as soon as we are in the cup of tea comes’ and could have meals if they wished. Residents are able to entertain their visitors where they like e.g. communal areas, the garden or their bedrooms. All relatives spoken to praised the home and staff and said it was a welcoming place. The visitors’ book further confirmed the number and range of visitors to the home. All five relatives who returned comment cards to the Commission said that they felt welcome in the home at any time. People are encouraged to make choices about how they live their lives at the home. Residents can do as they wish, choose to eat what they like and join in with activities as it suits them. Residents spoken to confirmed that they felt empowered to live as they choose. With one resident saying ‘I’m the boss!’ Nutrition assessments and plans were seen on care files as well as information about what people like to eat. Residents are offered meal choices the day before. The lunch on the day of inspection was chicken and ham pie or seafood provencal with a choice of potatoes and seasonal vegetables. For those eating in the dining room vegetables are served separately so these residents are in control of exactly what they have and how much. The home has a ‘pudding trolley’ from which residents can choose anything they like for dessert from a range of hot and cold puddings. Fruit juices, sherry, lager or beer are offered with the meal. Afternoon tea is served with cakes, which are home made. On the day of inspection home made scones with jam and cream were on offer. There is an advertised menu for supper but one resident commented ‘for supper they do have a menu but if you don’t like it they will cook anything for you.’ Special diets are catered for e.g. diabetic. One resident spoken to who was diabetic confirmed that his diet was well catered for and that there was always a diabetic sweet on offer. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 16 Residents said they could have meals where it suited them. The home has a pleasant dining room that residents can eat in if they wish. Tables are well presented with napkins and flowers on them. Staff are on hand to assist anyone who needs help or support. One resident talked of how good it was that there was always someone around to ‘sit down with them and help.’ Another said that even though they had to have their food softened that it did not lose its flavour. Prior to the inspection 18 comment cards were received by the Commission from residents. Ten of the eighteen said that they ‘always’ liked the meals at the home, 6 that they liked them ‘usually’, and two ‘sometimes.’ Residents spoken to on the day of inspection were all very positive about the food. Mrs Colley talked of how the feedback from their quality audit earlier in the year had resulted in some changes to the menu. Since the last inspection the home have bought two new freezers for the kitchen along with a new range cooker and grill. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 17 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A system is in place to deal with any complaints that might be made by residents. The home’s adult protection policy and staff training demonstrates the homes commitment to understanding abuse and of protecting residents. EVIDENCE: The home has a complaints policy / procedure that is included in the information given to residents. No complaints have been received by the home or by the Commission from any residents or relatives since the last inspection. The comment cards sent to residents asked the question ‘Do you know how to make a complaint?’ Eighteen residents sent back cards. Twelve answered ‘always’ to this question, 5 answered ‘usually’ and 1 ‘sometimes.’ Residents spoken to said that they had no complaints but would know who to speak to if they had. They also said that they would feel able to speak their minds. Four of the five relatives who returned comment cards said that they were aware of the complaints procedure. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 18 One person said that they had made a complaint and that it was ‘dealt with efficiently, sensitively and successfully.’ The home has an adult protection policy and there is ongoing staff training in this subject at the home. When this policy and other relevant policies are reviewed it is suggested that reference is made to the Protection Of Vulnerable Adults List (introduced by the Department of Health in July 2004) and the impact it has on the recruitment and potential dismissal of staff. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 19 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ongoing investment in the upkeep of the home maintains the comfortable and safe environment for the residents living there and anyone visiting. Bedrooms are well decorated, well furnished and personalised to suit the residents. Adequate facilities are available to meet the number and needs of the people living there. The home is kept clean and smells pleasant thereby making daily life for all in the home more pleasurable. EVIDENCE: The home is well decorated and it is clear that the management of the home consider that their residents should expect a high standard from them. Carpets continue to be replaced in residents’ bedrooms. Some bedrooms have been redecorated and new curtains and matching bedding was in evidence. There are a number of communal bathing areas in the home. The majority of rooms have en suite facilities. Since the last inspection the home have Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 20 continued to refurbish bathrooms and are removing baths, where they are not used in en suites, and replacing them with new sink units. As a result en suites are becoming more spacious, more useful and better used. Aids and adaptations are available throughout the home and some residents with particular needs have their own personal equipment to assist with their independence. Adjustable beds are in place for those who need them. Residents are able to personalise their rooms with furniture and general belongings. There is a passenger lift in the home, enabling easy access between the ground and first floor. A stair lift combined with some stairs lead to the top floor where only the more mobile can live. There are emergency alarm bells throughout the home. The home was clean and there were no unpleasant odours. Suitable facilities and procedures are in place in respect of laundry and the disposal of clinical waste. The laundry area was clean and tidy and has a range of machines suitable for use. A new washing machine is on order. A member of staff is dedicated to laundry duties throughout the week. Residents said that their clothes were well looked after and usually returned to them washed and ironed within 24 hours of it being sent to the laundry. They also said that their bedding was changed regularly or whenever it was needed. The inspector alerted the home to the new June 2006 Infection Control Guidance from the Department of Health. Eleven of the eighteen residents that returned comment cards said that the home is ‘always’ fresh and clean with the others saying that this was the case ‘usually.’ One resident spoken to at the visit talked of how thorough the cleaning was at the home with staff paying real attention to detail. The grounds are maintained to a high standard and new furniture has just been purchased for the back garden. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient nursing and care staff are employed and deployed to ensure that the care needs of residents can be met. Recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Not all staff are up to date with the training required to ensure that they are competent to do their jobs. EVIDENCE: On the day of inspection 30 residents were living at the home. Eighteen of them were in need of nursing care. Clear staffing rosters are in place that show who is on duty and when. A qualified nurse is on duty at all times, with 2 on duty most weekday mornings. 5 or 6 health care assistants are on duty between 8am and 8pm and three care assistants are on duty at night. Care staff are supported in their work by domestic, laundry, administrative, housekeeping, maintenance, gardening and kitchen staff. Residents were asked in the comment cards are the staff available when you need them? Seven who responded said ‘always’, 7 said ‘usually’ and 4 ‘sometimes.’ Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 22 One resident spoken to at the visit who spends most of her days in her room by choice said ‘there are always people around to ask how I am.’ Others said ‘we are well looked after………they come and see if you need anything or bring anything you want.’ ‘The girls are marvellous and they work very hard here. ……There are always enough staff. In the morning they are more pushed but you expect that.’ Four out of the five relatives who returned comment cards to the Commission said that in their opinion there were ‘always’ sufficient numbers of staff on duty, with one saying always ‘occasionally (usually weekends) slightly understaffed but not a great problem.’ One relative commented at the visit ‘staff are very attentive.’ The GPs and care manager said that there was always a senior member of staff for them to confer with when they needed to. At present the home employs 6 first level registered nurses and 21 care staff. Of these care staff 5 have NVQ level 2 in care. More care staff are interested in studying for the NVQ level 2 in care and it is hoped that they will be able to get their studies underway in the near future. Well ordered staff records/ personnel files demonstrate the homes’ recruitment procedure in action. The files of some of the latest members of staff to join the home were inspected. All documents that should be on file were. A good system is in place to check that all information is in place before staff begin working at the home. For example CRB disclosures and POVA 1st checks are applied for and received prior to the commencement of duties and appropriate references are obtained. Where there are restrictions on working hours e.g. students are only allowed to work 20 hours a week in term times, letters were on file from their colleges showing this information. The home also employs some workers from abroad. It was clear from the files that the home was gathering the right sort of information about people’s rights to work in the country and any restrictions on that work. The home is not asking prospective staff for their full employment history. The home has to supplement their staff occasionally by agency staff. The home does not have absolute assurance that staff have had the necessary pre employment checks. The home owns a number of training videos which are available to staff. Staff are given time to watch these video and complete the questionnaires accompanying them. Certificates are issued for their successful completion. A training programme has been devised and is underway to get all staff up to date with their training. Training that staff have had in the last year includes moving and handling; health and safety; fire prevention; food handling; first aid; infection control; abuse in the care home; induction and foundation training. One resident spoken to at the visit said ‘this is a wonderful place staff have been trained and taught.’ Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 23 Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 24 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well organised and the daily management and running of the home centres round the care and contentment of residents. Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. EVIDENCE: The home is managed by Helen Colley, an experienced nurse and manager. Mrs Colley has a ‘hands on approach’ to her job. This has a positive impact on the home in that staff are lead by example and residents know the head of home well. Mrs Colley has a designated deputy and it is always clear from the roster as to who is in charge. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 25 Since the last inspection the annual quality assurance survey has been carried out. This is done to find out more what residents, relatives and other people who are interested in Drumconner think about the home. Responses to the questionnaires sent out as part of this exercise have been collated and analysed and a report written about what they said. Responses were very positive and any suggestions made have been acted upon. The home also sent out and made available comment cards for the Commission as requested prior to this inspection. Those that came back were generally very positive about home. The few less positive comments made were taken up with the home as part of the inspection. The Proprietor and general manager of the company that owns the home regularly visit and reports are made of some of these visits as required by law. One such visit was in progress during the inspection visit. Some residents spoke highly of the way in which the company who owned the home took an interest in how it was run and they clearly knew the people in charge ‘they will listen if you have anything to say…….They are always buying things.’ It is suggested that as part of the visit the company representative monitors how many people at the home fall into the different categories of registration e.g. how many residents requiring nursing / how many residential care. This would, amongst other things, help the company check if they have got their staffing levels right for the number and needs of residents. All records were available as requested. An up to date insurance certificate was on display along with Drumconner’s registration certificate. The home keeps some money belonging to residents and a good system is in place to look after it. Clear records are kept of expenditure and balances along with receipts. A number were sampled and the cash held matched the recorded balances. In order to ensure a safe environment for residents to live in equipment and facilities are regularly maintained. Information about when checks last took place was submitted to the Commission before the visit. Some fire and accident records were sampled at the inspection. Fire records seen showed that internal and external checks are being carried out of the fire equipment at appropriate intervals. Fire training records for staff now clearly show that all staff are having fire training at the required frequency, with staff signing to confirm their attendance. Residents confirmed that they heard the fire bells being tested regularly. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 26 Accident records were looked at. These were well completed and analyses carried out to identify trends that may need to be addressed or measures put in place to minimise risks to residents. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 27 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 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 28 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 OP29 Regulation 19 Requirement The registered person shall not employ a person to work at the care home unless he has a full employment history, together with a satisfactory written explanation of any gaps in employment. Staff must have training appropriate to the work they perform. Timescale for action 01/12/06 2. OP30 18 01/12/06 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 OP28 OP29 Good Practice Recommendations It is recommended that 50 of all care staff have a qualification at NVQ level 2 in care or equivalent. Where agency staff work at the home it is recommended that the home obtain a written undertaking that staff coming to Drumconner have had all appropriate pre employment checks carried out and that the outcome of these checks has been satisfactory. Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 29 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 Drumconner DS0000020451.V309946.R01.S.doc Version 5.2 Page 30 - 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. 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