Inspection on 16/01/07 for Dryclough Manor

This inspection was carried out on 16th January 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

Dryclough Manor 28/11/07

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Dryclough Manor 20 Shaw Road Royton Oldham Lancashire OL2 6DA Lead Inspector Carol Makin Unannounced Inspection 16th January 2007 11:00 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 Dryclough Manor DS0000067060.V327327.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. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dryclough Manor Address 20 Shaw Road Royton Oldham Lancashire OL2 6DA 0161 626 2902 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) Dryclough Manor Ltd Miss Jacqueline Byrne Care Home 42 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (42), of places Physical disability over 65 years of age (6), Sensory Impairment over 65 years of age (4) Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and competent manager who is registered with the Commission for Social care Inspection. The home is registered for a maximum of 42 service users to include: *up to 42 service users in the category of OP (old age not falling within any other category). *up to 22 service users in the category of DE(E) (dementia over 65 years of age) *up to 6 service users in the category of PD(E) (physical disability over 65 years of age) *up to 4 service users in the category of SI(E) (sensory impairment over 65 years of age) 20th December 2005 Date of last inspection Brief Description of the Service: Dryclough Manor is a privately owned care home, registered to accommodate 42 people. The home is situated a short distance from the centre of Royton, near to a junction of two main roads, and is within easy reach of shops and public transport services. The building is a detached property with pleasant gardens, a patio area, and car parking space to the front. Accommodation for residents is provided on the ground and first floors, with two passenger lifts in operation. The home has 38 single bedrooms and two double bedrooms; 36 of the rooms have en-suite facilities, with two of these being shared. There is ramped access to the front entrance. The weekly fee is £313-88 to £363-50, which does not include the following: hairdressing; toiletries; chiropody. A copy of the commission’s most recent inspection report is displayed in the reception area. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key inspection of Dryclough Manor has been carried out which included an unannounced site visit to the home on 16th January 2007. During the visit, the inspector spoke with residents, the manager and care staff, examined records and looked round the building. There was a change of ownership of the home in May 2006. The new owner, Mr. O.A. Weissbraun, purchased the company, and the Registered Provider therefore continues to be Dryclough Manor Ltd. What the service does well: What has improved since the last inspection? What they could do better: There was room for some improvement in the recording of assessments of residents’ nutritional needs, but overall this was a good inspection. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 6 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 be made available in other formats on request. Dryclough Manor DS0000067060.V327327.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 Dryclough Manor DS0000067060.V327327.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Assessments of prospective residents care needs were completed before they moved into the home, thereby ensuring that the home was able to meet the residents’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Pre admission assessments of needs from the home and care managers in the community were in place on the files that were inspected, which enabled the management of the home to form a judgement about whether the needs could be met at the home. The manager said that prospective residents are invited to visit the home to have a look round and stay for a meal if they wish to do so. Intermediate care is not offered at Dryclough Manor. Standard 6 is therefore not applicable. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Care plans provide for meeting individual needs, risks are identified, and staff are aware of how needs should be met. The control of medicines meets safe standards. Residents’ rights were respected and maintained by the staff in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files that were selected for inspection, contained good, detailed care plans, and they had been reviewed monthly. The home has the good practice of ensuring all residents have care plans regardless of length of stay for example, a resident who had been admitted for short -term care had a specific care plan which focussed on the resident’s need to manage when returning home. Risk assessments/plans were of an equally good standard, and they were written in red ink for ease of identification. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 10 Staff who were interviewed during the inspection confirmed that they found the care plans easy to follow, and made comments such as: “They’re really easy to read”; “They’re very straightforward, everything is in one place”, “They’re really good, all the needs are there”. Daily reports were completed 3 times during a 24 hour period. They were consecutive, sufficiently detailed, and had been written in different coloured ink. As with the risk assessments, this made it easy to identify the day, evening, and night reports. Various personal care charts were kept, and there were records of GP’s and other health care professionals visits. Nutritional assessments had not been consistently completed, but care staff kept individual daily records showing details of meals and the amount taken by each resident. Residents were weighed on admission and at least once a month, or more frequently if necessary. Their weight was recorded on an individual bath/weight chart, which included observations about the resident’s skin, and weight loss or gain was noted, although there was no information to show that any subsequent action had been was taken. These matters were discussed with the manager during the inspection, and she said that she would revise and improve the system for recording residents’ nutritional needs, and the action taken regarding weight loss or gain. References to promoting and maintaining residents rights were noted in care plans and risk assessments/plans, (e.g. independence, dignity, privacy, choice, freedom), and daily reports demonstrated ways in which residents’ rights were respected in practice within the home, e.g. ‘up in the lounge watching TV at 11.0pm’; ‘Self toileting’, ‘snack requested and provided, then went to bed about 11.20pm’. During conversations with residents they said that staff treated them with respect, and that their other rights were promoted and maintained by the staff. Their comments included: “I have choice, independence and privacy”; “I go out to clubs, and with my family, I use Ring & Ride”; “They always knock on my door”, “ I have a key to my room – everyone has their own key”. At interview staff confirmed that respecting residents’ rights was an integral part of the staff training programme, e.g. “Promoting residents rights, is one of the big things here”, “ We definitely promote their rights, that’s very important”. A sample number of medicine records was checked, and was found to be in order. Records showed that the 6 members of staff who were responsible for administering medication had received the necessary training. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. Residents were able to exercise choice within the daily routine of the home promoting their right to make decisions about how they live. Activities were overall sufficient to meet resident’s needs, and provide them with stimulation. Residents were able to maintain contact with relatives and friends, providing them with links with the wider community. There was evidence that residents were offered a wholesome and varied diet supporting their good health. This judgement has been made using available evidence including a visit to this service. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 12 EVIDENCE: Residents felt that the routines of daily living within the home were flexible, and enabled them to make choices. Evidence of choice and flexibility in the daily routine was also seen in daily reports as noted previously (see section 2). Residents were overall satisfied with the activities that were available for them to take part in if they wanted to do so. Comments included: “There’s usually something going on here”; “There’s bingo, and you can have your nails done”; “I go out with my daughter a lot”. “Two people had birthdays this week – the staff went out of their way to make it nice for them”; “There was a children’s choir at Christmas”; “I’m very fond of reading”, “Christmas was very, very nice”. The manager provided the following information about the activities that were on offer: bingo; arts & crafts; manicures; dominoes; cards; potting plants; outings, and entertainers come in every 6-8 weeks. An activities co-ordinator is employed on a part time basis and comes in 3 times a week, and staff said that they chat with residents and put music on for them to listen to, and there had been a trip out to Blackpool for the residents last summer. A representative from Age Concern continues to do ‘Life Stories’ with residents each week, and the manager said that a government funded project has provided a computer in the home for residents use, and a tutor from a local school to come in to give tuition and support to the residents with this. She said that it was very successful. Residents confirmed that visiting was able to take place at any reasonable time, and said that visitors were made welcome. Staff said that visiting was encouraged, and that visitors could “come in any time”. Residents were satisfied with the meals, and made comments such as: “It’s good food”; “It’s not bad at all”, “I like a change and we get it”. Choices of breakfast and teatime meals were confirmed, but not for lunch, and none were shown on the menu. The manager said that in practice there was always a choice for lunch and that residents were asked what they wanted. She said that she would make sure that the menus were amended to show all the choices of meals on offer. The inspector sampled some of the food, which was tasty and nicely presented. The manager said that the cook has an NVQ in catering, and has again been given a heartbeat award by the Environmental Health department. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Residents were confident that any complaints they may have would be listened to, taken seriously and acted upon. Training for staff in relation to the protection of vulnerable adults from abuse, improved measures within the home, for protecting residents from possible risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the home’s complaints procedure was displayed in the reception area. The address of the Commission for Social Care Inspection had been updated on the procedure. A book was kept to log any complaints made to the home. The records showed details of the complaint, the action taken by the home, and the response to the complainant. The residents who spoke with the inspector, said that they were confident the manager would deal with any complaints appropriately. Comments made included: “ I haven’t got any, but if I did I’d go to Jacky”. “I would talk to Jacky, you can talk to her any time”. Staff were also confident that complaints would be appropriately dealt with by the manager. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 14 Staff who were interviewed were able to demonstrate an awareness of different forms of abuse, and they knew what do if an incident of abuse was to occur in the home. Training regarding the protection of vulnerable adults was ongoing, and updated annually, the most recent session having been held for a group of 10 staff in December 2006, and another session was planned for later in January 2007. Oldham Social Services and Dryclough Manor’s own policies and procedures regarding the protection of vulnerable adults were available for staff in the home. Dryclough Manor DS0000067060.V327327.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 Quality in this outcome area is good. The accommodation was clean and decorated to a satisfactory standard, and residents were able to benefit from a programme of improvements, routine maintenance and renewal of furniture and fittings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards of cleanliness within the home continued to be maintained, and no unpleasant odours were detected in the parts of the home that were seen on this inspection. Residents said that the home was always clean, e.g. “It’s spotlessly clean, it’s done every day”, “It’s very clean here”. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 16 Since the last inspection the programme of installing safety guards around radiators had been completed, and some of the bedrooms had been redecorated. Some additional doors, (e.g. one leading from lounge to laundry), had been installed, which the manager said had been done in accordance with the Fire Prevention Officer’s instructions which he made following his last inspection of the home. Redecoration was needed as a result of this, which the manager said was in hand. There had been more landscaping of the gardens done since the last inspection and they looked very attractive. A photograph was also seen of how the gardens looked in the summer time when the flowers were in bloom. Residents were satisfied with their rooms, which were personalised to suit their individual needs. Their comments included: “The decorating is very nice”, “I’ve got my own bed and bedding, and other things, photo’s and such”. Dryclough Manor DS0000067060.V327327.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): 27,28,29,30 Quality in this outcome area is good. Staffing levels within the home were sufficient to meet the needs of the residents. The procedures used for recruiting new staff, provided protection for residents. Residents were able to benefit from staff being provided with a range of training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing rotas that were provided for the inspection indicated that the staffing levels within the home were good, and were sufficient to meet the needs of the residents who were living in the home at that time. The manager said that she had a very stable staff group and she had needed to take on only a small number of new staff during 2006. The files of 2 members of staff were inspected, and the procedures for recruiting new staff were found to be satisfactory. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 18 The manager reported that 19 of the 29 carers (65.5 ), had achieved the qualification, training was in progress for 5 others, potentially increasing the percentage to 82.7 should the training come to fruition, and new staff were being employed on the understanding that they enrolled for the training. Records of training, and discussions with the manager and staff, provided the following information about the staff training programme: ‘Skills for Care’ induction for new staff; medication (see S9);‘abuse’ (See S18); safe working practices (See S38), and some specialist training relating to the categories of need for which the home is registered i.e. strokes, dementia & challenging behaviour. The manager said that training regarding diabetes had been arranged for 12/12/06, but it was cancelled due to the trainer being ill, and she was waiting for a new date to be arranged. Dryclough Manor DS0000067060.V327327.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 Quality in this outcome area is good. Management and administration systems are in place resulting in the home being run in the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has completed NVQ Level 4 in care, and three units of the Registered Manager’s Award, which are needed to meet standard 31 of the national minimum standards. Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 20 Resident’s who spoke with the inspector were very complimentary in their comments about the manager and staff, e.g. “I feel better after a talk with Jacky (the manager), she’s the right person for the job, the rest of the staff are very good too”; “She puts your mind at rest”; “If she can do anything for you she will, and she’s very confidential, it doesn’t go any further”; “The staff are very good, obliging and helpful”; “They’re kind, nothing’s too much trouble”, “The manager and the staff do their best for this place”. The home’s system of quality monitoring includes an ongoing programme of surveys of residents and other interested parties, and an analysis of the responses. During 2006 residents, relatives, and visiting health care professionals, had been surveyed to find out their opinion of the service provided at the home. Staff meetings and residents meetings are held, and minutes are taken. Records of money held in safekeeping for residents were selected at random for inspection, and were found to be in order. The provider’s monthly report’s had been completed and as required in accordance with Regulation 26. Records showed that tests and checks in relation to fire precautions had been done at the prescribed intervals, and fire drills had been held frequently. The manager provided the following information, regarding training which had been provided for staff in 2006 in relation to safe working practices: Moving and handling First aid 21 staff 22 staff The manager said that Health & Safety was done annually in house, and all catering staff and carers who handle food had received food hygiene training externally, and that staff who had done or were doing NVQ’s would also cover these topics in the training. She added that she had enrolled members of staff for Infection Control training and was waiting to be notified of the date. The manager stated that an OTEX system had been fitted in the laundry in July 2006 to promote infection control. Dryclough Manor DS0000067060.V327327.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 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 3 13 3 14 3 15 3 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 4 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 Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Dryclough Manor DS0000067060.V327327.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection 11th Floor Westpoint 501 Chester Road Old Trafford Manchester M16 9HU 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. 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