Inspection on 15/02/06 for The Dale Residential Home

This inspection was carried out on 15th February 2006.

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

The Dale Residential Home 28/01/09

The Dale Residential Home 01/02/07

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 Unannounced Inspection 15th February 2006 09:10 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.V281710.R01.S.doc Version 5.1 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.V281710.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Dale Residential Home Address Dale Road Conisbrough Doncaster South Yorkshire DN12 3BZ 01709 862176 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) Mr Valentine Kearns Mrs Alice Kearns Mrs Alice Kearns Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 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. 20th September 2005 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 persons of pensionable age. 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. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3.0 hours and was the second of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. Three residents care files were “case tracked” and the associated records checked. 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.V281710.R01.S.doc Version 5.1 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.V281710.R01.S.doc Version 5.1 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): 1,2,3,4,5,6. Examination of case files and discussions with relatives and residents demonstrate their involvement in choosing to live at The Dale. During the officers discussion with management it was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. EVIDENCE: Residents and their advocates confirmed that they had discussed the care and service provision before admission to The Dale. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Intermediate care is not provided at the home, however respite care is provided by negotiation. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 8 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): 7,8,9,10,11. The homes owners and their team have worked hard to build links with the local community. They provide a setting, which is both welcoming and homely. The homes management provides safe systems and staff training for the safe handling of medicines. Staff has been trained to sensitively support service users and relatives throughout the process of terminal illness. EVIDENCE: The officer inspected care records of 3 residents; they contained individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. These records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 9 None of the residents was responsible for their own medication although this facility is available. Staff was observed administering medications and providing appropriate support to residents. Service users and visitors stressed that staff were always keen and willing to help them. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 10 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): 12,13,14,15. The homes owners and their team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely. Service users are facilitated and encouraged to pursue leisure activities of their own choice. The menu provides nutritional balance, variety and choice and has been compiled with the assistance of the dietician. Specialist diets being available for service users requiring this service. EVIDENCE: There were numerous visitors to the home throughout the day. They confirmed that they were able to visit at any reasonable time, with shift workers visit at any other time by appointment. Well-behaved pets were able to visit be arrangement. Activities were organised on either a one to one or small group basis. Residents were observed to be reading, listening to music and watching television. None of the residents currently leave the home unless accompanied by members of their family or staff. Nourishing fluids were readily available throughout the day. There was a choice of midday meal, staff was observed to encourage and assist with meals as The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 11 needed. Mealtimes were unhurried with extra portions available as required. Relatives were pleased to be to assist their loved ones with meals. Specialist diets are available for those requiring this service. The dietician has assisted with compiling the menu. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 12 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): 16,17,18. Staff spoken to was confident and competent to respond to concerns or complaints effectively. EVIDENCE: The registering authority has not received any concerns or complaints about the service. Residents and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to the homes owners and manager and that any small points raised were dealt with promptly. The homes owners operate policies, procedures and provide staff training to protect and maintain service users rights. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 13 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): 19,20,21,22,23,24,25,26. The home both appeared clean and smelled fresh. The homes owners and team works hard to both maintain and improve the resident’s environment. EVIDENCE: The homeowners continue to redecorate and refurbish the home in line with their business plan. Individual bedrooms have been redecorated, re-carpeted and refurbished since the last inspection. Lounge areas have benefited from redecoration and re-carpeting. Several bedrooms were visited all appeared comfortably furnished and decorated. A number of residents and their families had taken the opportunity to personalise their space with personal effects and memorabilia. Toilets and bathrooms were readily accessible and equipped with aids and adaptations as required. Service users and family members spoken with were very satisfied with the building and its cleanliness. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 14 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): 27,28,29,30. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. EVIDENCE: Newly appointed staff interviewed confirmed that the home followed policy and procedure for employing staff. This included references, interview, statutory checks to protect vulnerable adults and induction. The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff had undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and is involved in national vocational qualification training and medication administration training. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 15 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): 31,32,33,34,35,36,37,38. The home is well organised and managed with all statutory servicing and checks complete. The management teams enthusiasm and positive approach to elder care has clearly influenced the whole team and benefited the service users. The home’s owners are well qualified and experienced in elder care. EVIDENCE: Visitors to the home stated that they had ready and easy access to the homes owners and management and that they felt confident in them. Staff stated here was always a senior member of staff on duty at the home with advice and support readily available. Mr & Mrs Kearns resides on site and The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 16 is readily accessible for support. Responsibilities were shared between senior members of the team. Risk assessments had been completed and were reviewed regularly. The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 17 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 18 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 The Dale Residential Home DS0000007980.V281710.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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