Inspection on 07/03/07 for Drumconner

This inspection was carried out on 7th March 2007.

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

Drumconner 04/02/08

Drumconner 14/01/06

Drumconner 05/07/05

Drumconner 12/01/05

Drumconner 14/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Drumconner 13 - 21 Brighton Road Lancing West Sussex BN15 8RJ Lead Inspector Mrs S Gawley Unannounced Inspection 7th March 2007 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 DS0000024138.V328856.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 DS0000024138.V328856.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drumconner Address 13 - 21 Brighton Road Lancing West Sussex BN15 8RJ 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) 01903 753516 01903 851437 Drumconner Ltd Mr Roger John Kinsman (Jnr) Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (48), Physical disability of places over 65 years of age (48) Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users over the age of 50 years in the PD category may be admitted. 14th January 2006 Date of last inspection Brief Description of the Service: Drumconnor is a care home registered to provide personal and nursing care for up to 48 people who are over 65 years or people with a physical disability who are over 50 years. The home is a large detached building which has been extended. It stands in its own, well-maintained gardens with a car park to the side. It is situated in a residential area on the main coast road from Worthing to Brighton in the village of Lancing. Local shops and other community facilities are close by. It is on a bus route. The accommodation is provided on two floors with a passenger lift allowing access to the top floor. Communal areas include three lounges, a dining room and a lounge/bar area for entertaining. There are 35 single and 6 double bedrooms. A number of rooms have en-suite facilities. Some have a sea view. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit as part of the inspection process took place on 07/03/07 between 10.00 and 15.00. The registered manager facilitated the inspection. A pre inspection questionnaire had been forwarded to the commission and most documents required on the day were made available. 3 comment cards were received from residents. These comments were all positive. A nurse practitioner who visits the home was spoken to on the telephone and her comments were positive. Residents, staff and two visitors were spoken to during the inspection Five residents were case tracked. The atmosphere in the home was very relaxed and sociable. Keep fit was being conducted in the lounge. There is a well-developed activities programme This report is compiled using information as described above and also information held on file at the Commission. Residents in this home experience a very good standard of care from dedicated staff. All of the standards were met mostly Judged as good, but there are some outstanding issues relating to medicines and fire safety, which are detailed in the report. Fees charged range from £550 to £800. What the service does well: All residents spoken to confirmed that they receive an excellent standard of care from staff who treat them with respect and dignity. They have freedom of choice Their surroundings are pleasing. Meals are all well presented and enjoyed by residents. There is a well-developed activities programme Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Drumconner DS0000024138.V328856.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 DS0000024138.V328856.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 No resident moves into the home without having had a thorough assessment of needs, by people trained to do so. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: Pre admission assessment was seen in the care plans examined. The manager or a Registered Nurse from the home assesses privately funded service users. For those admitted from hospital or continuing care the assessment of the nurse practitioner or social worker is used. Family involvement is recorded. Drumconner DS0000024138.V328856.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7-10 The resident’s health, personal and social care needs are set out in an individual plan of care and resident’s health care needs are fully met. Residents are protected by the home’s Policies and procedures for dealing with medicines place but some shortfalls in practice were observed. Residents feel they are treated with respect and their right to privacy is upheld. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 11 EVIDENCE: Five residents were case tracked and all aspects of need and care provided were recorded. Care plans are in place based on a comprehensive assessment of health, social and personal care needs. Health professionals are consulted as required and this is clearly recorded. Nutritional and skin screening is in place and appropriate pressure relieving devices were observed. Pressure releiving mattresses are available if indicated. Local policies and procedures on administering medicines are in place to ensure the safety of residents, however some shortfalls in practice were observed. For residents prescribed lactulose this is dispensed from the bottle of just one resident rather than from each individuals supply. One residents chart showed that his dose had not been administered but the reason was not recorded. There was signifigant confusion around the administration and recording of controlled drugs. Although the numbers were correct, the blister packs of the two residents on temazapam looked as if there had been omissions in administration. One had Saturdays, Mondays and Tuesdays drugs still in the blisters.(Inspection on Wednesday), furthermore last nights dose was not signed for in the medicine administration chart. The second resident pack showed that her drugs were given out of sequence. This was discussed with the Registered Nurse involved in the inspection of medicines and the registered manager. Residents confirmed that they are treated with respect. Three residents were spoken to in the lounge and their comments were, “Couldn’t speak highly enough of the home” “They go the extra mile” “Treat you as a person” Two relatives were spoken to during the inspection and they stated that the staff are very polite respectful and friendly. Drumconner DS0000024138.V328856.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Lifestyle/Activities within the home meet resident’s expectations. Residents maintain contact with friends; can exercise choice in their lives. Residents receive a nutritious diet. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a comprehensive varied activities programme. Three residents spoken to in the lounge stated that they enjoy the activities very much Keep fit was ongoing in the lounge during the inspection The meal seen prepared and served was that advertised on the menu. Residents have choice and those spoken to stated that they enjoy their food very much. One vegetarian resident stated that the chef supplies a varied diet, which she enjoys. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 13 There are hot and cold drinks and sandwiches available in the dining room at all times so that residents and relatives can help themselves. Residents spoken to stated that there was flexibility within the routine of the home to allow for individual choices to be accepted, such as times of rising and retiring, where to eat, where to sit and what activities to attend. Two visitors spoken to stated that they are always made welcome. Drumconner DS0000024138.V328856.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Service user and relatives are confident that their complaints will be listened to and acted on. Residents are protected from abuse. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are adult protection procedures in the home. Staff spoken to demonstrated an awareness of these procedures. Staff training on adult protection is in place and this was evident in training records There is a complaints procedure in place which residents, relatives and staff demonstrated an awareness of. Residents spoken to stated that there is not any need to complain Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Residents live in a mostly safe and well-maintained environment. The home is clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All parts of the home inspected were neat, clean and free from offensive odour. All areas are decorated and furnished to a high quality in a domestic manner. Rooms were personalised with resident’s own belongings. The sitting areas, dining and outdoors space are attractive and comfortably furnished. Residents confirmed that they are satisfied with the comfort and furnishings in the home. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 16 There are adequate bathing, shower and toilet facilities throughout with many of the rooms having ensuite facilities. Baths have temperature control valves but sinks do not. There are currently four new ensuite shower rooms being fitted and the manager stated it is the intention to fit valves to all sinks as part of this programme. There is a hairdressing room, which the residents stated that they enjoy. Not all radiators are covered but covers were seen in the maintenance shed, which the manager stated were to be fitted as part of the refurbishment programme. It was suggested to him that this occurs as a priority following risk assessment. Many doors were still wedged open which was highlighted as a practice, which should cease and which was a requirement of the last inspection. It will be a requirement of this inspection that the registered manager consults with the fire authority as to the risks of this practice. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 The numbers and skill mix of staff meets resident’s needs. Residents are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were inspected. documentation required. These contained all of the pre employment There is an induction programme in place, which staff confirmed that they completed. A training programme was seen and evidence of staff training was seen in staff files. The home has recently purchased a series of training DVDs. Staff spoken to stated that they receive the training needed to do their jobs. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 18 The issues regarding drug administration and the need for training updates in this area was discussed with the manager. Staff rota inspected showed adequate numbers of staff on duty. There is always a Registered Nurse on duty with five or six carers. Residents spoken to stated that there are enough staff on duty and that they come when called. Comment cards also stated that staff are always available when called A nurse practitioner spoken to stated that staff carry out instructions as directed and respond well to training on specific issues. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 A suitably experienced and qualified person manages the home. The home is run in the best interests of the residents. The resident’s financial interests are safeguarded by the practices of the staff at the home. The health safety and welfare of residents is promoted and protected. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 20 The registered manager has been in post for over seven years and was familiar with the home prior to that as his parents ran the home. He is a Registered Nurse and maintains his registration with the Nursing and Midwifery Council. Staff and residents spoken to stated that they feel well supported by the management. Residents and relatives stated that they could approach the staff or manager with any request. One resident stated, “They go the extra mile”. A relative stated, “They have no complaints whatsoever” There is a staff incentive scheme in place, which rewards staff on a monthly and annual basis. A more formal quality assurance is to commence in the coming months. The home is awaiting a pack to facilitate this The home does not handle bank accounts for residents. Any monies are held securely and transactions are receipted and recorded. Formal staff supervision is not in place at present. During the inspection the registered manager requested documentation from a sister home, which he says he will now use to introduce this. Staff spoken to stated that they feel supported by management. The health, safety and wellbeing of residents and staff is ensured through the provision of a staff training programme, up to date policies and procedures and the ongoing compliance of the home with the environmental and fire authorities. Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13(2) Requirement Prescribed medicine must only be administered to the resident for whom it was prescribed and all medicines administered must be signed for. The registered person must consult with the fire authority on the practice of wedging doors open Timescale for action 30/05/07 2. OP19 23(4) 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Drumconner DS0000024138.V328856.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000024138.V328856.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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