Inspection on 11/06/09 for The Dales

This inspection was carried out on 11th June 2009.

CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Dales 09/02/09

The Dales 06/03/07

The Dales 09/02/06

The Dales 26/07/05

The Dales 14/03/05

The Dales 14/01/05

Similar services:

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Snydale Care Home

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Beeches The - North Yorkshire County Council

The Grove Waltham

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Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Random inspection report Care homes for older people Name: Address: The Dales Woodhall Road Off Gain Lane Bradford BD3 7DR two star good service 10/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lynda Jones Date: 1 1 0 6 2 0 0 9 Information about the care home Name of care home: Address: The Dales Woodhall Road Off Gain Lane Bradford BD3 7DR 01274656110 01274665800 listerju@bupa.com www.bupa.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (GL) Ltd care home 108 Number of places (if applicable): Under 65 Over 65 0 108 dementia old age, not falling within any other category Conditions of registration: 108 0 The maximum number of service users who can be accommodated is: 108 The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary cre needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP and Dementia - Code DE Date of last inspection Brief description of the care home The Dales is owned by BUPA. It is in a central position on the Leeds/Bradford border. The main road, Gain Lane, is well served by public transport. Visitors on foot then have a reasonable walk up Woodhall Road to reach the main reception area. The site is know collectively as The Dales, but is split into five separate units. Four units provide nursing care to residents who have a diagnosis of dementia or related conditions. One Care Homes for Older People Page 2 of 9 1 0 0 2 2 0 0 9 Brief description of the care home unit is used for residents who may not need to be in a nursing home but can be looked after in a residential setting. Each unit is self-contained with a range of lounges, dining areas, kitchenettes and bathrooms, some of which have specialist equipment. A lot of the bedrooms have en-suite facilities. Residents are encouraged to bring personal items such as ornaments, pictures and small pieces of furniture with them when moving in. On 9 February 2009 the fees charged ranged from £500.00 per week for residential care, rising up to £600.00 per week for nursing care, depending upon the size of the bedroom to be occupied. Additional charges are made for hairdressing, newspapers and private chiropody treatment. Care Homes for Older People Page 3 of 9 What we found: The last key inspection took place on 10 February 2009.The rating for the service is two star - good service. We carried out this random inspection because we were concerned about some safeguarding issues that have been brought to our attention recently. Investigations into these incidents are ongoing and the service is not taking any new admissions at the present time. The organisation is cooperating fully with all the agencies that are involved in the investigation. We looked at staffing levels to see whether there are sufficient staff on duty to protect people from harm and we asked for information about the training staff have had about their responsibility to protect people in their care. We focused our visit on one of the units that can accommodate a total of eighteen people with dementia. When we visited, thirteen people were living there, one person was in hospital, leaving twelve people in residence. We talked to the Clinical Services Manager, to all of the staff on duty on the unit and looked around the building. We also talked to some of the people living there and spent time with them in the lounge/dining room whilst observing care practice. The unit is always staffed by a nurse and two members of care staff during the day and evening. At night the unit is staffed by one nurse and one member of care staff. The staff said they work on the same unit most of the time, this helps them to know about peoples routines and helps them to provide people with the care and suport that they require. They said they sometimes work elsewhere in The Dales if there are staffing shortages, but this would be additional work, the main area they are attached to is always fully staffed. Each member of staff said they enjoyed their work and felt supported by the staff team and management as a whole. The unit is undergoing some refurbishment. There are new carpets in the lounge/dining room and in some of the bedrooms. The work in the bedrooms is ongoing, some have been repainted, some have new furniture and curtains while other rooms are due to be upgraded very soon. The staff said the appearance of the unit has improved as a result of this work. During the day most people were in the lounge, some people were asleep, others were involved in conversation or activity with staff. The TV was on but no one watched it. Staff spent some time sitting with people looking at books and magazines and talking about the content and illustrations, they also occasionally accompanied people, arm in arm, as they walked around the corridors. Staff were always on hand, paying attention to where people were located. They managed to include most people in some form of interaction. Lunch was served at the dining tables for most people. Some individuals who required help with their meals stayed in their comfortable lounge chairs and were assisted by staff. The meal was unhurried and the atmosphere relaxed. Everyone was asked about drinks Care Homes for Older People Page 4 of 9 and meals before being served. The atmosphere on the unit was mostly calm, although one person was upset and distressed, and required additional supervision. Staff were aware of an underlying medical condition that was the probable cause of the distress and they arranged for an urgent medical consultation to take place and kept the relatives of this person up to date by telephone during the day. The Clinical Manager was present on the unit during our visit to offer additonal support to the staff providing supervision. They made sure other people on the unit were safe, maintained a calm atmosphere and managed the situation very well. We asked the Clinical Manager about staff training, particularly about staff responsibility to make sure that people living at The Dales are safe and protected from harm. We were informed that every member of staff, including all ancillary staff, have recently undertaken training on Safeguarding Vulnerable Adults, for some people this is refresher training. We saw evidence of this and additional evidence showing that recently recruited staff had received training in this area as part of their three day induction training, they will go on to complete more detailed training in this area. We have not reviewed the requirements we made in our last key inspection report as part of this visit. We will keep our inspection plan under review and we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 19 23 The shower room on Rosedale which is next to beroom 4 must have the damp problem rectified so that the corridor wall and adjoining bedroom walls are not damp. To make sure that these areas are pleasant for people who live in the home. 18/05/2009 2 19 23 The flagstones in Wharfedale 18/05/2009 garden must be made level. So that people at not placed at risk of falls. 3 38 13 Screws which are left in 17/04/2009 place after fire warning signs have been removed from bedroom doors on Littendale, must be removed. On Wharfdale the metal trellis sticking out of the plaster upstairs must be repaired. On Wensleydale the bathroom curtain track hanging down on one side must be repaired. To make sure that peoples health and safety is protected. 4 38 13 Clinical bins must have all clinical waste securely 17/04/2009 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action contained within them. To make sure that infection control is maintained. 5 38 13 Personal toiletries and 17/04/2009 strawberry bubble bath must not be kept in communal bathrooms. To prevent people from using these products inappropriatly, which may place peoples health and safety at risk. 6 38 13 Satellite kitchen doors on individual units must be securely locked when staff are not present. In the main kitchen the floor covering must be repaired to make sure that it is secure to the wall. To make sure that people cannot gain entry and be placed at risk from scalding. And to make sure the kitchen floor covering can be cleaned effectively to maintain food hygiene standards. 17/04/2009 Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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