Inspection on 14/09/05 for The Old Rectory, Dymchurch

This inspection was carried out on 14th September 2005.

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 Old Rectory, Dymchurch 23/04/07

The Old Rectory, Dymchurch 28/02/06

The Old Rectory, Dymchurch 10/02/05

The Old Rectory, Dymchurch 13/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Old Rectory, Dymchurch The Old Rectory New Hall Close Dymchurch Kent TN29 0LE Lead Inspector Geoff Senior Unannounced Inspection 14th September 2005 10:30 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 Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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 Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Rectory, Dymchurch Address The Old Rectory New Hall Close Dymchurch Kent TN29 0LE 01303 874470 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 Trevor Charles Blundred Mrs Janet Blundred Mrs Janet Blundred Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2005 Brief Description of the Service: The Old Rectory is registered to provide care and accommodation for up to 24 older people. Mr. And Mrs. Blundred are the registered providers and Mrs Blundred is the registered manager in day to day control of the home. In addition to the Proprietors and Head of Care the Home employs, 12 care staff who work a rota which includes staff on wake duty at night. There are a further 3 who undertake meal preparation and domestic tasks. Administration is undertaken by the proprietor and management team.. Many of the staff have worked at The Old Rectory for a number of years. According to its aims and objectives the Home provides an environment in which dignity is maintained, independence encouraged and privacy respected. The Old Rectory is a detached three storey Victorian house situated in a residential area in the village of Dymchurch. A substantial extension to the home was recently completed and provides additional bedrooms, communal areas and additional facilities for service users and staff.. There is bedroom accommodation on all three floors There is a passenger shaft lift and stair lift for those who cannot manage the stairs. The Home is located in a village but with easy access to public transport. The nearest amenities (church, shops, post office and public house) are within walking distance for ambulant residents. The Home has facilities for car parking to the side of the property. The enclosed garden is well maintained and accessible for residents. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit undertaken on 14/9/05 at 10:30 am. The inspector spoke with the registered provider, staff members on duty and a number of service users. He observed staff interaction with service users, viewed a number of records and undertook an accompanied tour of the premises The Home appears to comply generally with the requirements of the NMS. Any areas for development were discussed and are identified in the body of the report. What the service does well: What has improved since the last inspection? What they could do better: Staff shift changeovers are conducted in small groups, appraising practice and the day’s events. It was felt however that there could still be changes to the system that would improve communication and be more inclusive of the night staff. It was suggested that a photo of each service user is placed in their care plan and medication documentation as well as the misper. sheet. Environmental risk assessments are in place but need up dating to reflect the increased capacity and improved facilities. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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 Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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 Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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): 1,2,3,4,5, The home provides written detail of the services it offers so that prospective service users can make an informed decision about admission to the home. The admission procedure provides for pre placement assessment to ensure that the home can meet the service user’s needs. EVIDENCE: A statement of purpose relating to the service and facilities offered to existing and prospective service users. The home also has an introductory brochure/welcome pack. The Home provides Service Users with a contract / statement detailing the terms and conditions under which accommodation and personal care is provided Many of the existing staff team have worked with this service user group for a number of years. Nine have level2 NVQ qualification or above and the home has an active training programme which helps keep up to date with current practice. . Prospective service users are offered the opportunity to visit the home, take a meal, meet and spend time with the existing residents and staff and view the accommodation before any decision is made about moving in. All The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 9 admissions are initially on a trial basis and are not generally received at short notice. One service user got to know the home through respite stays and decided then to make the arrangement permanent. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 10 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): 7,8,10, Personal support is offered in a way that promotes service user privacy, dignity and independence. EVIDENCE: All service users have an individual plan of care, drawn up by the management team with the support and involvement of staff, service users and relatives. These, and associated risk assessments, developed from the initial daily needs assessment, are subject to regular and frequent review. Service users access a range of community health care services as and when required. Staff are expected to monitor and record any changes in condition and alert line management and medical services when required. Staff members were observed interacting with residents in a non-patronising and respectful manner in what appeared to be a generally relaxed and friendly atmosphere. The majority of service users are accommodated their own room; screening is used in shared rooms to afford privacy. Service users may fund a phone connection to their own rooms Service users may seek solitude in their own rooms or congregate in the communal areas as they wish. There is a room designated as the quiet area in which to receive guests. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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 There is an open and relaxed feel to the home which fosters a culture of mutual respect and support. Service users are consulted as to their wishes and are encouraged to participate in the running of the home. EVIDENCE: A range of activities is offered at the home e.g. reminiscence afternoons, word games cards, visiting entertainers, singing & dancing, visits from local church group, etc. In addition, weather permitting there are outings for shopping and visiting local amenities. Service users are encouraged but not compelled to participate. One member of staff has undertaken a course to lead a ‘seated mobility exercise ‘ programme for the service users. Two service users confirmed that they may go out unaccompanied to do their own thing if they so wish and are deemed competent and safe to do so. The daily routine and lifestyle within the home appears to be generally flexible. Residents may rise and retire when they wish and bathe at their preferred time. Breakfast may be taken in bed, the service users are encouraged however to congregate in the dining room for the main meal of the day. . Residents are encouraged to express choices collectively at the service users meetings and individually. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 12 Visitors are encouraged and welcomed with restrictions placed only in accordance with the wishes of, and convenience to, the service user. They may be received in the communal areas, the visitors’ room or the residents own rooms. Arrangements for contact with family and friends are contained within the Statement of Purpose The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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 The home has a satisfactory complaints system that responds to service user concerns. EVIDENCE: Service users spoken to said that they would approach staff and management without hesitation if they had any concerns or complaints. They were confident that they would be dealt with in a sensitive and appropriate manner. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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): 19-26 Recent investment has significantly improved the appearance, accommodation and facilities. The home provides a comfortable and varied environment in which to work and live. EVIDENCE: The home is located in a quiet residential area and is relatively close to public transport. Service users have reported that it is a level walk to the village shops, the road however, is quite busy and only a few venture that far. The accommodation is on three floors with stairlift and shaft-lift access. As noted earlier the recently completed extension provides 10 bedrooms; lounge, bathrooms, toilet staff facilities, treatment room and conservatory. The Home appeared to be generally well maintained and in good decorative order. The communal areas contain a range of varied and comfortable furnishings arranged in a non-institutional manner Private areas are decorated and furnished according to service user choice and preference. . The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 15 Privacy locks and secure storage facilities are provided, as is screening in ‘double rooms’ if they are used as shared accommodation. Service users may call for attention/assistance from staff via the electronic call bell system The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 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): Not inspected EVIDENCE: The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 17 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): Not inspected EVIDENCE: It appeared from conversations with staff and service users and from observation that the Manager is approachable and supportive. She operates an open door policy and frequently meets with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. The Inspector was assured that the service users views are actively sought in all matters relating to their lifestyle and daily routine at the Home. Service user and management meetings are a regular feature and service users are encouraged to voice their opinions at any time. The home’s ‘quality policy’ is described in the Statement of Purpose. It was reported that the Home has a limited involvement in the financial affairs of the service users. The Manager or staff members do not act as appointee for any of the residents. The Home encourages the management of finances to be undertaken by the service user or their representatives. The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 18 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X The Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 19 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 Old Rectory, Dymchurch DS0000023609.V249245.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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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