Inspection on 01/02/07 for The Dale Residential Home

This inspection was carried out on 1st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The Dale Residential Home 28/01/09

The Dale Residential Home 15/02/06

The Dale Residential Home 20/09/05

The Dale Residential Home 17/03/05

The Dale Residential Home 01/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Dale Residential Home Dale Road Conisbrough Doncaster South Yorkshire DN12 3BZ Lead Inspector Ian Hall Key Unannounced Inspection 08:10 1st February 2007 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 The Dale Residential Home DS0000007980.V315380.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. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Dale Residential Home Address Dale Road Conisbrough Doncaster South Yorkshire DN12 3BZ 01709 862176 NONE NONE NONE Mr Valentine Kearns Mrs Alice Kearns Mrs Alice Kearns Care Home 14 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) Category(ies) of Old age, not falling within any other category registration, with number (14) of places The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration to include 4 day care places in addition to the total number of 14 residents. 15th February 2006 Date of last inspection Brief Description of the Service: The Dale is a care home that is registered to provide residential care for up to 14 people in the category of older people. The home is set within its own grounds with ample car parking spaces available. The home benefits from mature gardens that are well maintained. The grounds have level footpaths, lawn areas, shrubs, flowers and colour throughout the year. The home has views of Conisbrough Castle from both the grounds and the home. The bedroom accommodation for residents is located on both the ground and first floors. A passenger lift provides access to the first floor. The home is situated in the small village of Conisbrough, it is easily accessed from the towns of Doncaster and Rotherham and the many local villages. There is good access to both the A1M and M18 motorways that are approximately four miles from the home. A bus service stops a short distance from the home. Information gained on the 1st February 2007 indicated the current fees range from £375.00 for residential care and additional charges are made for hairdressing and chiropody. These fee charges only applied at the time of inspection, more up to date information may be obtained from the manager of the home. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at 08:10am and concluded at 12:40pm on the 1st February 2007. The emphasis of the inspection was placed upon meeting residents and the staff team. The inspector toured the home and case tracked 3 resident’s files and associated records. What the service does well: 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 Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 6 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 The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 7 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 and 6. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, and staff. The home had written information about the service for potential service users and their relatives. Assessments of service users had been completed prior to them moving into the home, to ensure that the home and staff were able to meet their needs. The staff team had received a range of training so that they understood the needs of service users. EVIDENCE: The three case records examined had copies of pre-admission service user care assessments. These are needed to ensure that the home is suitably equipped and able to meet prospective service users care needs. The service users spoken to said that they had been involved in the choice of care home, several taken the opportunity to have a tea visit before making a The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 8 decision to live at The Dale. This was confirmed during discussions with care staff. Intermediate Care is not provided at The Dale. The Dale Residential Home DS0000007980.V315380.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 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 good. The judgement was made using available written evidence, discussion with service users, staff and observations made during the visit to the home. There were plans in place to identify the help and support service users needed. Service users appeared well cared for. Service users said that the staff although busy treated them with respect and kindness. The medication system was well managed with policies and procedures in place to guide staff and protect service users. EVIDENCE: Care records of three service users were inspected; care needs assessments had been completed and contained information to enable a care plan to be constructed. A daily record was kept of the care and services received by each service user. Changes to care plans and reassessment of physical and psychological needs were clearly documented. Two service users confirmed that they had helped The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 10 draw up care plans and that they could have access to them whenever they wanted. Care plans detailed the service users religious and cultural needs and the gender of staff that they wished to support them with their personal care. Staff had received additional training for the administration of medicines, they were observed assisting service users to take their medication safely. Service users who were able, could retain control of their own medication, a lockable facility was provided to store such items. Records were kept of medication received, and disposed of. Medication was securely stored and administered according to the doctor’s instructions. Policies and procedures to inform staff and protect service users taking medications were current and available. Service users confirmed that “staff were caring and helpful” “the girls are always busy” and that “nothing was too much trouble”, they “were always willing and keen to help”. All the service users spoken to said that the staff promoted their privacy and dignity. The inspector observed staff knocking on bedroom doors waiting to be invited in before entering. Service user meetings had been held on a regular basis and minutes of these meetings were available within the home. Discussion with five service users and three staff identified that a range of health professionals visited the home to assist in maintaining health care needs. These included district nurses, chiropodist and general practitioners. A range of aids to assist service users with mobility problems were provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. The Dale Residential Home DS0000007980.V315380.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 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 for standards is good. This judgement has been made using available written evidence, discussion with service users, staff and observations made by the inspector during the visit to the home. Service users said that suitable activities were provided at the home to keep them stimulated, however opportunities to do things they enjoyed were often limited by lack of staff time to provide them with support. Visits from relatives and friends were encouraged ensuring that service users kept in touch with people who were important to them. Service users said the food was good and they were offered choice; special dietary needs and preferences were recorded in the individual care plans. EVIDENCE: Staff and service users said that relatives were free to visit at any time; several service users leave the home to visit their relatives or go shopping. None of the service users currently leave the home unless accompanied by members of their family or staff. Service users said there had been few opportunities for staff to accompany them to the shops or to a public house in The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 12 an evening. The home does not employ an activity organiser to stimulate and encourage social interaction, leaving care staff to organise activities on the occasions that staffing levels permit. These include reminiscence groups, playing the organ and quizzes. Service users confirmed that they were able to go to bed and rise as they chose. A multi denominational service is held regularly for service users who wish to follow their religious faith. Their own ministers of religion visited several service users. Service users were observed to be reading, listening to music and watching television. The inspector observed the breakfast and lunch offered to service users the food provided was of good quality, served hot, well presented and a good choice was offered. Several service users who required them had special diets provided for health reasons. Staff were observed to encourage and assist service users with meals as needed. Mealtimes were unhurried; meal size was in accordance with service user choice with extra portions available as required. The dietician had assisted with compiling the balanced diet. The menu was displayed with suitable alternatives available for service users. Adapted cutlery was available to assist service users to maintain their independence. Service users and staff confirmed that nourishing drinks and fluids were provided throughout the day and night time as needed. The Dale Residential Home DS0000007980.V315380.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 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 written evidence, discussion with service users, staff and observations made by the inspector during the visit to the home. The home had a complaints procedure to allow service users to raise any concerns. The staff had been trained in the recognition and reporting of abuse and relevant checks were made prior to them starting work, this reduced the risk of harm to vulnerable service users. EVIDENCE: Two service users were able to describe how they would raise concerns with staff. They stated that any matters they raise were acted upon promptly by staff and that they were satisfied with the outcome. The complaints procedure was available for service users, their relatives and staff. No allegations of abuse have been made to the Commission for Social Care Inspection (CSCI) since the last inspection. Service users who had no advocate or next of kin have been provided with access to advocacy services provided by Age Concern. Staff had been provided with training in adult protection procedures to ensure service users were safe, and to inform staff what to do if an allegation was made. The inspector’s discussions with staff demonstrated that they felt confident and able to respond to concerns or complaints effectively. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 14 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 written evidence, discussion with service users, staff and observations made by the inspector during the visit to the home. The home was clean, tidy and generally well maintained ensuring that service users live in pleasant and safe surroundings. The bedrooms were clean and reflected personal choice. Redecoration and refurbishment of the home had improved the service user’s environment. EVIDENCE: The service users said the home was always clean, warm, well lit and there was always enough hot water. There is level access throughout the home with handrails provided to assist service users to maintain their independence and mobility. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 15 The three service user’s bedrooms visited were homely, clean, well decorated and well presented with a variety of personal items and memorabilia. Toilets were easily accessible as they were close to both lounge and dining areas. Toilets had been adapted for service users with physical disabilities. There was an adequate number of baths, with an assisted bath within each area of the home. Appropriate seating has been provided in the garden for service users wishing to sit outside whenever the weather permitted. Service users were able to smoke in a designated smoking area. The home had an infection control policy and worked with external specialists e.g. the Health Authority, Environmental Health to ensure spread of infection was minimised. Clinical waste was properly managed and stored. Staff confirmed that they were provided with protective clothing if they needed it and that equipment was in working order, being serviced as required. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 16 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 written evidence, discussion with service users, staff and observations made by the inspector during the visit to the home. Checks had been made on staff to reduce the risks to vulnerable people. Insufficient staff were deployed to meet service user’s needs. Staff had received suitable training and supervision to equip them with knowledge and skills to meet service users need. EVIDENCE: The staff group were well motivated and enthusiastic about their work. They confirmed that they were supported by the manager and encouraged to train and update their skills. The service user group were becoming increasingly frail and their care needs continued to increase; this has placed additional pressures upon staff. Holidays, days out, one to one quality time had been restricted. Staff were keen to extend the choice of activities for service users. There is no activities person employed, this is a key component of maintaining independence and personal skills. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 17 The personnel files sampled confirmed that the home follows the staff recruitment procedures. A recently appointed staff member confirmed they had completed an application form, provided references; this was followed by an interview and following employment an induction programme. Staff recruitment policy and procedures had been followed for each member of staff employed. The manager’s staff training and development plan was examined and was seen to identify training needs, courses completed and courses being undertaken by staff. The staff group were well motivated and enthusiastic about their work. Staff had undertaken statutory training and updates e.g. moving and handling, fire prevention. They were involved in national vocational qualification training and medication administration training. The numbers of staff trained to National Vocational Qualification (NVQ) in care exceeded 50 of the workforce. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 18 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 written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Staff felt the manager was supportive and approachable and there was a wellestablished system of professional supervision. Service users were able to exercise personal choice for most areas of their lives. Checks had been made on the major systems in the home such as fire and gas installations to ensure the home was safe for service users. Fire training had been provided for staff to reduce the risk to service users in an emergency. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 19 EVIDENCE: The manager has a wide range of experience within both the public and private sectors and has achieved the registered managers award and NVQ4. The service users, relatives and staff spoken to say the manager was approachable, very professional and they felt confident in her. Staff had received training on moving and handling, fire prevention, food safety and infection control. There was no recognised quality assurance system used at the home to seek the views of service users and relatives. Regular service user and staff meetings are held minutes are kept and were available. No fire exits were clear and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. The manager handles money on behalf of some service users, account sheets were kept, receipts were available for all transactions, not all transactions were witnessed by a second individual. All staff had received management supervision this had taken place at regular monthly intervals; this is required to fully ensure individual staff development and monitoring care practices. Records were up to date and well ordered to ensure the best interest of service users. The homes policies and procedures met the required standards. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 20 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 2 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 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 2 x x 3 The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP12 Regulation 13 Requirement Timescale for action 01/04/07 2 OP27 18 3 OP33 24 4 OP35 17 Service users must be provided with varied opportunities for social and recreational activities both inside and outside the home. All service users must be 01/04/07 reassessed to determine the amount of time they need to fully meet their needs. Based on the assessments staffing levels must be sufficient to meet these needs. Effective quality assurance and 01/04/07 quality monitoring systems, based on seeking the views of service users must be implemented to measure success in meeting the aims, objectives and statement of purpose of the home. Whenever monies are kept on 01/04/07 behalf of service users transactions should be witnessed by a second member of staff. The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 22 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 The Dale Residential Home DS0000007980.V315380.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 The Dale Residential Home DS0000007980.V315380.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!