Inspection on 03/10/05 for Warren Drive

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Warren Drive 31/01/07

Warren Drive 23/01/06

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 Unannounced Inspection 3rd October 2005 10:00 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 Warren Drive DS0000021278.V251972.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. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 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.V251972.R01.S.doc Version 5.0 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 21st November 2004 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.V251972.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place form 10 am to 4pm on the 3rd of October 2005. As part of the Inspection discussions took place with the manager, two members of staff, a visiting health professional and 5 service users re the day-to-day running of the home. A range of documents were examined which included, 3 staff recruitment files, 4 care plans, a selection of the homes policies and procedures, 3 staff induction and training files, records relating to food and activities. The Inspector also had a tour of the building and ate lunch with the service users. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that the appropriate checks are completed for new members of staff before they are deployed to work in the home. Warren Drive DS0000021278.V251972.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. Warren Drive DS0000021278.V251972.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 Warren Drive DS0000021278.V251972.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): 1,3,4,5. Service users are provided with the information required for them to make and informed decision about whether to reside in the home. Pre admission assessments are comprehensive. EVIDENCE: The manager stated that all prospective service users are able to visit the home as part of the process of assessing if the home can meet their needs. Discussions with service users confirmed this. The first month’s stay in the home is a trial period for both the service user and the home to further assess the suitability of the home in meeting the service users needs. This is specified in the Statement of Purpose and the Residents’ Guide. The manager, who stated that they emergency admissions wherever possible, undertakes service users’ pre admission assessments. Four pre admission assessments were examined and were found to be informative, relevant and comprehensive. Examination of these records confirmed that these service users had not been admitted on an emergency basis. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 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): 7,8,9,10,11. Care plans are comprehensive. Service users health care needs are fully met and they are protected by the home’s medication policies and procedures. Service users are treated with respect and their wishes on death respected. EVIDENCE: Four care plans were examined and found to be relevant, informative and comprehensive. The information contained provided clear guidance for staff to follow to support service users in all aspects of their daily living. Detailed in care plans is such guidance as helping a service user to select jewellery and specifying that an individual likes to look smart for certain occasions. Information relating to service users wishes on death and dying are documented in their care plan. Records examined relating to service users medication and health care confirmed that their health care needs are fully met. Records showed evidence of multi agency working on a regular basis. They give clear instruction were needed and are informative. The homes’ medication policies and procedures are adequate. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 10 A visiting health care professional spoke highly of the management and staff. They stated that the home is very well organised and that they always know when they are coming and whom they are going to visit. They spoke highly over the care residents receive and commented that they are kept informed on a need to know basis. Discussions with service users confirmed that they are treated with dignity and respect. It was noted that staff knocked on service users doors before entering and they were observed speaking to service users in a respectful manner. Warren Drive DS0000021278.V251972.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): 12,13,14,15 Service users are supported to lead healthy and fulfilling lives. The meals provided are good. EVIDENCE: A notice board in the lounge displays information about community events and activities as well as those offered in the home. Activities and entertainment provided and offered by the home includes, board games, exercises, manicure, word games and quizzes, a visiting shop, and mobile library service, Extend classes, videos and music. In addition a chiropodist, hairdresser and holistic masseuse also visit the home on a regular basis. The home does not routinely support service users in the community but does support individuals to arrange transport should they require. Photographs illustrate events that are held throughout the year such as BBQ, X mass party, summer tea party and service users stated they had been able to invite family and friends and that they enjoyed these events. An advocacy service that service users can access if they require, is advertised in the home and there is an album containing letters of thanks from visiting family and friends. Visitors were observed to be coming and going throughout the Inspection and service users confirmed that they are welcomed into the home. Visitors can stay overnight if required and accommodation is available or they can join service users for a meal. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 12 The inspector joined service users for midday meal in the dining room. The food served was of good quality. It was homemade from fresh ingredients, hot and well presented. There was a menu on the table illustrating the choices available that day. The choices on offer were of equal quality. Service users likes and dislikes regarding food were recorded on their care plans and the chef had a copy of this information. There is a suggestion box for service users and this is often used to make comments and suggestions about food. An examination a selection of these suggestions and a discussion with the chef confirmed that comments are made and information is passed on to the chef. staff were observed asking service users what they would prefer for supper that day and recording their choices. Service users confirmed that this happens each day. Warren Drive DS0000021278.V251972.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): These standards were not inspected. EVIDENCE: Warren Drive DS0000021278.V251972.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): 19,20,21,23,24,26. The environment is clean, hygienic, well equipped and maintained to a high standard. Service users rooms are personalised, safe and comfortable. 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. Service users are able to bring their own furniture and belongings. This was confirmed when the Inspector visited three service users in their own rooms. 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 employs domestic staff to undertake the cleaning tasks. Domestic staff are required to undertake a comprehensive induction programme that includes infection control. The home was clean and tidy on the day of the Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 15 Inspection. Cleaning materials and equipment are stored appropriately and all the corridors, fire exits and thoroughfares were free from obstruction. Warren Drive DS0000021278.V251972.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): 27,28,29,30. Service users are supported by a competent staff team. Recruitment procedures need improving in respect of criminal records checks being undertaken. EVIDENCE: Three staff recruitment files were examined and were found to contain all the relevant information in respect of identity, references and health checks. However, the Criminal Record Bureaux (CRB) checks contained in one of the files had not been obtained specifically for them to work in this home. While it is accepted that information regarding such checks has been at times misleading, it is a requirement that any person employed to work in a care home must obtain a CRB check that specifies the home they are going to work in before they can be deployed to work there and that there name must also be checked against the list for the Protection of Vulnerable Adults (POVA). An immediate requirement for this to happen was made on the day of the inspection. 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. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 17 All staff receive training on what constitutes adult abuse and issues of adult protection. Both the records examined and a discussion with a member of staff confirmed this. Training records were examined. Relevant training is identified by the manager and provided to all staff as required. Records show that regular updates are available to staff for first aid, manual handling etc. There is a key worker system in operation and a key worker policy, which is on display in the office, outlines the key worker responsibilities. Key workers also have allocated time to work on a one to one basis with their key clients. This is considered to be good practice. This home is continuing to work towards meeting the requirement for a minimum of 50 the care staff to obtain an NVQ Level 2 or above in care. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 18 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): 31,32,33,37. The management, and administration systems in place, are good. This home is run in the best interest of the service users. EVIDENCE: The manager of this home is qualified and experienced. She has all the qualities required to run this home well. Throughout the inspection she was observed to be interacting appropriately with service users who approached her on a range of issues throughout the day. The information detailed in the care plans demonstrates the fact that this home is run in the best interest of the service users. This home has a lot of information about service users’ needs and preferences e.g. lists of who gets which newspaper, details of when the chiropodist is visiting different service users, a list of key workers and of their responsibilities. An annual questionnaire is undertaken and the manager explained that the results of Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 19 these are audited and improvements to the service made wherever possible. This was confirmed when past questionnaires and results were examined. A visiting health care professional confirmed that the home shared information with them on a need to know basis. All the records examined were accurate, legible, complete and stored appropriately. Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 20 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 X 3 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 4 3 X 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 X Warren Drive DS0000021278.V251972.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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. 1. 2. Standard OP29 OP26 Regulation 19 Schedule 2 16(2,k) Requirement All CRB checks must specify Warren Drive as their place of employment. A minimum of 50 of care staff must obtain an NVQ level 2. Timescale for action 03/10/05 30/12/05 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.V251972.R01.S.doc Version 5.0 Page 22 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.V251972.R01.S.doc Version 5.0 Page 23 - 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. 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