Inspection on 23/01/06 for Warren Drive

This inspection was carried out on 23rd 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.

Other inspections for this house

Warren Drive 31/01/07

Warren Drive 03/10/05

Warren Drive 21/11/04

Warren Drive 19/05/04

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 Warren Drive Fielden Road Crowborough East Sussex TN6 1TP Lead Inspector Elaine Green Announced Inspection 23rd January 2006 2:30 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 Warren Drive DS0000021278.V272711.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. Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Warren Drive Address Fielden Road Crowborough East Sussex TN6 1TP 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) 01892 654586 elaine@warrendrive.com Bluebell Care Homes Ltd Ms Elaine George Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated is twenty nine (29) Residents will be aged sixty five years and over on admission Date of last inspection 3rd October 2005 Brief Description of the Service: Warren Drive provides care for up to 29 older people who require assistance with personal care. Service users are supported to be as independent as possible. However, assistance is available for all aspects of daily living as needed. Accommodation is provided on three levels, with access via shaft lift or stairs. The home has a modern extension that has been blended into the building and which provides the following accommodation, 4 suites and 2 bed sitting rooms with private balconies and terraces and a large well appointed garden lounge. The home is well maintained and furnished. Service users are encouraged to personalise their own rooms. The building is surrounded by a two-acre garden and has a series of paths which provide access around the garden. Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection took place on the 56 of January 2006 between 2pm and 5.30pm. Prior to the Inspection the registered manager completed a Pre Inspection Questionnaire that provided the Inspector with statistical information about the home and service users, their relatives and visiting health care professionals were given the opportunity to complete comment cards in relation to their experiences of living in the home. During the Inspection the Inspector held discussions with the manager about the day-today running of the home and the progress made towards meeting the requirements made at the last Inspection in October 2005. The Inspector had a meal at the home, spoke with three service users, toured the building and examined a range of documents and records relating to the delivery of care and the running of the home. What the service does well: What has improved since the last inspection? What they could do better: Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 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. Warren Drive DS0000021278.V272711.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 Warren Drive DS0000021278.V272711.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): 1,2,3,4,5. Service users are provided with the information required to enable them to make an informed decision regarding whether or not to reside in the home. The contracts/terms and conditions are adequate. EVIDENCE: Service users are able to visit the home. A booking enquiry form and a service user confirmed this. The manager completes a pre admission assessment. A letter is sent to confirm the assessment and to say whether or not the home is able to meet their specific care needs. All service users receive a contract/terms and conditions that states that the first month’s stay is on a trial basis and specifies what is covered by the fees. Two pre admission assessments, letters and contracts/terms and conditions were examined and found to be adequate. An inventory of service users belongings is completed on admission. Information provided by service users is transferred onto their care plans. All service users are allocated a key worker when they move into the home. Key workers are actively involved in gathering and recording relevant information Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 9 about service users that can assist in ensuring the delivery of care is relevant and appropriate. One to one key worker time is scheduled and recorded. Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 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. Care plans are detailed and informative. EVIDENCE: Five care plans were examined and found to be detailed and informative. These care plans are reviewed on a monthly basis and updated when required. Within the care plans are specific guidance for staff to follow in relation to providing relevant and appropriate care and support to service users. Service users likes, dislikes and preferences are recorded in relation to food, social activities, clothes, music etc. Detailed background information is also recorded. Relevant risk assessments are completed and manual handling guidelines are written for staff to follow to support service users when required. Service users are reassessed following a fall and detailed guidance is provided for staff to follow to minimise the risk of this reoccurring. Warren Drive DS0000021278.V272711.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): 12,15. Service users have the opportunity to participate in relevant and appropriate group and individual activities. The food provided is wholesome, varied and nutritious. EVIDENCE: A notice board in the lounge details activities available in the home, advocacy services and information relating to activities and events in the local community. All service users receive a weekly newsletter that includes information about what is happening in the home that week, a puzzle and a poem. On the day of the Inspection a range of individual and group activities were taking place including, manicures, exercises, going for a walk, reminiscence group and one service user played piano. The midday meal provided on the day of the Inspection was hot, homemade from fresh ingredients and was wholesome and nutritious. The food was well presented and there was a menu on each table specifying the choices available. An examination of records and discussions with three service users confirmed that choice is available at each mealtime and that it is varied. Warren Drive DS0000021278.V272711.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 complaints and adult protection policies and procedures are adequate. EVIDENCE: An examination of the homes policies and procedures in relation to complaints, adult protection and whistle blowing were all examined and found to be adequate. The home has a copy of the East Sussex and Brighton and Hove, Policies, Procedures and Guidelines for the Protection of Vulnerable Adults and has an up to date copy of the contact details and procedure for making an adult protection alert should it be required. The complaints procedure is on display on the service users’ notice board and is contained within the service users’ guide. The manager explained that she is enrolled on a training course being provided by the local authority in relation to adult protection issues. Following this course it is her intention to review and update any relevant policies and procedures as required ensuring they are still in line with current local guidance and that they specify the regulatory body as the Commission for Social Care Inspection. The manager will also be trained to deliver adult protection training herself once the course is completed. Warren Drive DS0000021278.V272711.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): 19,20,21,22,26. The home and grounds are safe, clean, hygienic, well maintained and of a very high standard. There are sufficient and suitable lavatories and washing facilities. EVIDENCE: This home can meet all the needs of the service users who live here. The recreational and dining areas are large and decorated and furnished to a very high standard. All service users’ rooms are en-suite and there are communal bathrooms with specialist adaptations and equipment for those who require it. There is level access throughout the building. The garden is accessible to all service users though some service users with mobility difficulties require support to do so. The home was clean and tidy on the day of the Inspection. Cleaning materials and equipment are stored appropriately and all the corridors, fire exits and thoroughfares were free from obstruction. The home employs domestic staff to undertake the cleaning tasks. Domestic staff are required to undertake a comprehensive induction programme that includes infection control. Warren Drive DS0000021278.V272711.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): 27,28,30. Recruitment procedures are adequate. Staff induction programmes are comprehensive and training programmes are adequate. EVIDENCE: Two recruitment files were examined and contained confirmation that all the required security checks and information in respect of identity, references and health checks had been completed prior to the staff being deployed to work in the home. Each recruitment file also contains a record of the induction programme they have completed or are undertaking. The induction programme is relevant, comprehensive and is completed within the required timescales. Domestic staff are required to complete some of the induction to care standards as part of their induction and this is considered to be good practice. Training records confirm that relevant training courses are provided for all staff on a regular basis and that training records are kept up to date. It was noted although a large number of staff have yet to receive training in relation to issues of adult abuse, the manager is enrolled on a course that will enable her to deliver this training in house. Staffing rotas were examined and confirmed that the mix of qualified and unqualified staff on duty are appropriate to the assessed needs of the service users. There are adequate numbers of staff on duty at all times. Warren Drive DS0000021278.V272711.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): 33,35,38. This home is run in the best interest of the service users. Service users, financial interests are safe guarded and their health, safety and welfare is promoted. EVIDENCE: The home undertakes a quarterly plan of care update. This process fully involves the service users where the key worker asks them a series of questions relating to their health, quality of life, their experiences of living in the home and the way in which care and support is delivered. There is also a suggestion box in the lounge, regular residents meetings and a customer satisfaction survey that is completed annually. The home does not manage any of the service users finances. All service resident in the home manages their own financial affairs or have a representative that manages them on their behalf. Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 16 Records relating to health and safety were examined and found to be in order. These included records confirming training relating to safe working practices had been completed for all staff, the servicing and maintenance of equipment, regulation of water temperatures, risk assessments, fridge temperatures, health and safety checks for all rooms in the home, testing of fire equipment, fire drills and the accident book. Warren Drive DS0000021278.V272711.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 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 X X X 3 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 Warren Drive DS0000021278.V272711.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 Warren Drive DS0000021278.V272711.R01.S.doc Version 5.1 Page 19 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 Warren Drive DS0000021278.V272711.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!