Inspection on 28/02/06 for The Old Rectory, Dymchurch

This inspection was carried out on 28th 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 Old Rectory, Dymchurch 23/04/07

The Old Rectory, Dymchurch 14/09/05

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 Announced Inspection 28th February 2006 09:50 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.V273785.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 Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 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.V273785.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users under the age of 65 are restricted to one (1) whose DOB is 03/06/1952. Service Users sharing a double room to be offered separate rooms as soon as they become available. 14th September 2005 Date of last inspection 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, 14 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.V273785.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was announced and was undertaken on 28/02/06 at 10:00 am. During the visit the Inspector was able to meet and talk with Mrs. Blundred, the Registered Provider and Manager and with the Head of Care. The opportunity was also taken to talk with some of the service users and observe staff on duty interacting with service users. A tour of the premises was undertaken and a range of records viewed. Policies, procedures and record keeping systems are generally maintained to a good standard. The general ethos of the home is well established but the practice and routines are subject to continual review. The home provides a welcoming, comfortable and varied environment for the service users. Communal areas and bedrooms appeared well maintained, adequately furnished and. reflected service user choice and involvement. The Management responds positively to the demands of the NMS and endeavours to continually develop and augment the existing good standards of administration and care practice. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations identified at this visit. The home provides a good service for the resident group allowing thoughtful and sensitive care and support. Works and alterations planned to the layout The Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 Page 6 and use of communal areas will provide further flexibility and benefit to the service users. 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.V273785.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 Old Rectory, Dymchurch DS0000023609.V273785.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): Not assessed at this visit EVIDENCE: The Old Rectory, Dymchurch DS0000023609.V273785.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): 7-11 Personal support is offered in a way that promotes service user privacy; dignity and independence. Healthcare needs are monitored and addressed. Medication systems are adequate. EVIDENCE: The staff endeavour to provide Service Users with appropriate personal support in a dignified and sensitive manner. General day to day routines and activities are flexible. It was reported that although the majority of Service Users require a degree of assistance and guidance in matters relating to personal hygiene and appearance, it is only offered when required. The health care needs of the service users are monitored and addressed. Health issues are identified, documented and acted upon with advice from specialists. Additional equipment and facilities are assessed and provided where service users have changing levels of need. 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 The Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 Page 10 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. 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. Medication storage and administration appeared to be satisfactory and up to date. The home has policies and procedures in place and staff administering medication are offered training and are competency assessed. The Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 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): 15 Meals provided are based on the wishes of the service users, but also take into account the need for a reasonably balanced diet. EVIDENCE: The Service User group is generally well established and the staff are aware of food likes, dislikes and preferences. Meals are provided mainly based on these wishes, but also taking into account the need for a reasonably balanced diet. Records are kept of meals provided. The home employs dedicated catering staff. The cook has undertaken courses on nutrition and diabetes awareness. She consults the residents daily to determine preferred option. The Old Rectory, Dymchurch DS0000023609.V273785.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): 16-18 The management indicated an awareness of issues relating to concerns and protection and have produced a written complaints procedure. Staff, service users, visitors and families are encouraged to express any concerns through the appropriate channel and forum. EVIDENCE: There is a written complaints procedure available to service users and families contained within both the Statement of Purpose and the policies and procedures file. It explains how concerns may be raised re the standard of services and facilities provided and the homes response to any concern raised. Staff have an awareness of issues of abuse of vulnerable adults obtained on NVQ training and have been given the opportunity to undertake specific Adult Protection training. The Old Rectory, Dymchurch DS0000023609.V273785.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): Not assessed at this visit EVIDENCE: The Old Rectory, Dymchurch DS0000023609.V273785.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): 27-30 Recruitment procedures provide protection for the service users. Staff are supported to access training courses to enable them to work more effectively with the service users. EVIDENCE: Mandatory training is provided and staff receive updates, refresher and service specific courses as required. The Management is aware of the expectations of the standard regarding NVQ level 2 training. The staff team is generally well established and 9 staff are trained to NVQ level 2. There is a general rota pattern that provides for 3 Care Staff plus Head of Care and the proprietor on shift during the day, 3 on afternoon /evening. Wake night staff are on duty at night. A member of the management team are always ‘on call. Care Staff members do not generally have to undertake catering, laundry or domestic duties as well as their care support duties. The Management confirmed that staffing levels are increased at times of need to ensure that choice, opportunities for social and individual activities and the management of emergencies are not diminished or compromised. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. Recruitment/induction and probation procedures are in place. Staff files contain appropriate reference checks and all staff have current CRB checks. The Old Rectory, Dymchurch DS0000023609.V273785.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): 31,33,35,38. There are robust health and safety and quality assurance processes, ensuring that the home is run according to the best interests of the service users. The health, safety and welfare of all is promoted and protected. The home benefits from a well-trained and experienced management team with clearly defined roles and responsibilities. EVIDENCE: Mrs Blundred expressed a clear vision for the direction of the home, which had been effectively communicated to staff. She is well supported by senior staff in providing clear leadership. Staff demonstrated an awareness of the expectations, duties and responsibilities of their role. Mrs Blundred has completed NVQ Level 4 and the Registered Managers Award,. The staff and service users benefit from an open and inclusive management approach and have opportunity to express opinions at regular meetings. The Inspector was informed that residents are encouraged where possible to retain control of their own financial affairs. Alternatively the task lies with The Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 Page 16 service users’ family or representative as the Management do not act as appointees. There are systems in place for regular health and safety checks and staff are offered relevant training. A range of policies and guidelines promote safe and appropriate working practices. There are formal and informal systems in place for quality assurance. The Old Rectory, Dymchurch DS0000023609.V273785.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 X X X X X x 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 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X X X X X X X x 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 X 3 X 3 X x 3 The Old Rectory, Dymchurch DS0000023609.V273785.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 Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI The Old Rectory, Dymchurch DS0000023609.V273785.R01.S.doc Version 5.1 Page 20 - 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!