Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/01/06 for The Devonshire Nursing Home

Also see our care home review for The Devonshire Nursing Home for more information

This inspection was carried out on 16th January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are encouraged to regard The Devonshire as their home and are supported in making choices about all aspects of their day to day living if appropriate. Residents chose how to spend their time, some were in the lounges while other were in their rooms. Residents who expressed an opinion said they felt the staff provide the care and support they need, they were positive about all aspects of the services provided and stated they had no concerns. Relatives and friends were equally positive and this was supported by the staff who were spoken with during the inspection. The atmosphere in the home was relaxed and comfortable, with communication between staff, residents and visitors open and friendly.

What has improved since the last inspection?

There were no requirements from the last inspection and the home continues to provide appropriate care and support.

What the care home could do better:

There were no requirements concerning the standards assessed during this inspection.

CARE HOMES FOR OLDER PEOPLE The Devonshire 95 - 97 Carlisle Road Eastbourne East Sussex BN20 7TB Lead Inspector Kathy Flynn Unannounced Inspection 16th January 2006 02:00 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 The Devonshire DS0000013977.V261576.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 Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Devonshire Address 95 - 97 Carlisle Road Eastbourne East Sussex BN20 7TB 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) 01323-736983 Mr Bernard Edward Clarke Mrs Barbara Ann Clarke, Mrs Caroline Mills Mrs Bernadette Wilde Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (42) of places The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users must be older people aged sixty-five (65) years or over on admission. Service users with physical disabilities under sixty-five (65) years of age may be admitted. The maximum number of service users to be accommodated is forty two (42). 22nd July 2005 Date of last inspection Brief Description of the Service: The Devonshire is registered to provide nursing care for up to 42 residents, older people over 65 years and individuals with physical disabilities. The home is situated in a residential area, close to Meads village in Eastbourne with local shops and amenities, including public transport nearby. The home is made up of two buildings linked on the ground floor by a corridor. The building has been adapted and converted with limitations on the allocation of some rooms due to the physical restrictions of the building. There is a shaft lift in one part of the home and a stair lift in the other, with prospective residents offered rooms in the part of the home that is appropriate to their assessed needs. There are lounges in each part of the home, with dining areas and sufficient space for social and religious activities. There are attractive gardens to the rear that are accessible to wheelchair users and are used by residents when the weather permits. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the year and should be read in conjunction with the first inspection that was carried out on 22nd July 2005 to give an overview of all the standards assessed within this period. This was an unannounced inspection and the aim was to assess if the home meets the standards not assessed in July, identify any areas of practice that have improved and how the home could develop its practice for the benefit of residents. The reader should be aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the terms service user to describe those living in care home settings, for the purpose of this report those living at The Devonshire will be referred to as residents. The inspection took place over three hours from 13.00 and included a tour of the home, an examination of medication procedures and MAR charts, policies, training and discussions with staff. There were 37 residents in need of nursing care at The Devonshire during the inspection. Twelve residents and a number of friends and relatives were happy to talk about the care and support provided by the home. The manager, the administrator, the cook and four members of staff were also pleased to discuss the services the home offers. What the service does well: What has improved since the last inspection? The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 6 There were no requirements from the last inspection and the home continues to provide appropriate care and support. 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 Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 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 The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards not assessed at this inspection. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 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): 9 The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure resident’s medication needs are met. EVIDENCE: Policies and procedures are in place for the receipt, storage and administration of medicines and medicine administration records are completed appropriately. Because of the layout of the building two independent systems for administering medicines have been developed. The shaft lift in one part of the building enables staff to use a medicine trolley, and in the part where a stair lift is in place a portable lockable case is used, this ensures the safety of residents. The Devonshire DS0000013977.V261576.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): EVIDENCE: Standards not assessed at this inspection. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 11 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 and 18 The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Staff showed a good knowledge and understanding of Adult Protection issues, which protects residents from abuse. EVIDENCE: Appropriate complaints policies and procedures are in place. The Commission has received no complaints about the services provided by the home. Residents are encouraged to participate in any decisions about the care and support they receive if appropriate. A number of residents take part in local elections using the postal voting system. Training in Adult Protection is provided for all staff. Those spoken with were able to demonstrate a clear understanding concerning the protection of adults and what action they would take if they had any concerns. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: Standards not assessed at this inspection. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 13 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 and 30 There are sufficient trained and competent staff on duty at all times to meet the assessed care needs of residents. Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. The arrangements for the induction of staff are good with staff demonstrating a clear understanding of their roles. EVIDENCE: The manager confirmed that a sufficient number of staff, with an appropriate skill mix, are allocated to each shift to ensure that the assessed needs of residents are met. Induction and foundation training is provided for all new staff, with many continuing to work towards NVQ qualifications when it is felt appropriate. Members of staff spoken with during the inspection confirmed that they have a job description and are aware of their roles and responsibilities within the home. They are also provided with a staff handbook and a written contract, detailing the terms and conditions of their employment. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 14 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): 33, 35 and 38 The systems for resident consultation are good with evidence that resident’s views are sought and acted upon. Appropriate health and safety training is provided for staff which ensures that safe practices protect residents. EVIDENCE: A quality audit is completed yearly and assesses all parts of the home and the services provided for residents. Residents who expressed an opinion said that they feel they can discuss the care they receive with staff, and feel that staff listen to them. The home does not accept responsibility for resident’s finances. Some manage their own money while others receives support from relatives or solicitors. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 15 Training required by legislation is provided for staff and includes, fire training, moving and handling, first aid and adult protection. The staff spoken with said that there are opportunities attend training that is relevant to the care needs of the residents. The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 The Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 17 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 Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Devonshire DS0000013977.V261576.R01.S.doc Version 5.1 Page 19 - 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!