Care Home: Dean House

What the care home does well The service has looked at each of the requirements made and has put in place systems to ensure that the requirements are met and monitored. What the care home could do better: The service has the systems to maintain the meeting of the requirements Inspecting for better lives Random inspection report Care homes for older people Name: Address: Dean House 67 Sea Lane Angmering On Sea Littlehampton West Sussex BN16 1ND zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Val Sevier Date: 2 1 0 1 2 0 0 9 Information about the care home Name of care home: Address: Dean House 67 Sea Lane Angmering On Sea Littlehampton West Sussex BN16 1ND 01903784217 01903784217 deanhouse1@aol.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Miss Maria Ann Eagland,Mr Dean Talbot Williams care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 27 Date of last inspection Brief description of the care home Dean House is a care home registered to accommodate up to 27 residents in the category of old age. It is a detached property located in the village of East Preston, close to local amenities, and only yards from the sea. The property consists of 22 single and three double bedrooms all of which are on suite. In addition there is a sitting room, a dining room and a large sunroom to the rear. There is an accessible Care Homes for Older People Page 2 of 8 Brief description of the care home garden. Mr. Williams and Miss Eagland privately own the service. The registered managers post is vacant. The fees range between 410 and 650 pounds monthly. Care Homes for Older People Page 3 of 8 What we found: We undertook a random visit to the home to follow up on a Statutory Requirement Notice issued by the Commission regarding several areas of concern. During the site visit of January 21st 2009 between 10:15 and 12:15 we found evidence and documentation to support the written evidence from the home that the service had met the Statutory Requirement Notice issued following the inspection on 20th October 2008. The Statutory Requirement Notice has been met regarding safety around heating and windows. We walked about the home and at it was seen that all widows on both ground and first floor have had restrictors fitted. We saw that all heaters / radiators have covers on them. We did see that three heaters one in a bedroom, one in a hallway and the conservatory had no cover. The manager and responsible individual stated these heaters had an inbuilt cover. They were hot to the touch and the responsible individual stated that these would also have covers fitted. The Statutory Requirement Notice regarding privacy and dignity has been met . The home showed us letters that they had sent to the people who use the service and or their representative about door locks. The letter gave two choices I am happy for the contractor to carry out work to fit a key lock or I do not want a key lock fitted at this time. We saw that people using the service or their representative had indicated their preferences. The manager advised us that the empty rooms are to have locks fitted week commencing 26 January 2009. The Statutory Requirement Notice related to protection and health and safety has been met. It was seen that the laundry had a wash basin soap dispenser with soap and hand towels. The manager said that several carpets and lino had been changed in rooms and bathrooms. We saw that new carpets had been fitted in some rooms and lino changed in an ensuite room. We noticed that one toilet area had a strong odour that was bought to the attention of the manager. We also noticed that a fire exit door on the ground floor had a large split in it with a draft coming through. This does not stop the door opening and being used to exit the building; the manager said this door was to be replaced week commencing 26 January 2009. The manager showed us a maintenance book where issues are listed and signed and dated when completed. The home has now retained the services of a maintenance person to carry out work. The Statutory Notice issued in relation to the homes recruitment practices has been met. We looked at two files one of which related to a person who had been employed since the last inspection visit. Both files were seen to have all relevant checks and a photo of the individual. All relevant checks were seen to have been in place before employment commenced. Care Homes for Older People Page 4 of 8 The Statutory Requirement Notice related to the protection of individuals using the service has been met. The manager explained that the home is working with the local Care Training Consortium with staff having undertaken training on respect and dignity the week of the 12th January and staff were attending training on nutrition and diet the day of our visit. Other training undertaken has been moving and handling and safeguarding. We saw that the home has a training file where the manager is able to monitor what training staff have undertaken and what is planned. The Statutory Requirement Notice issued regarding the registered manager for the home has been met. The manager advised us that she has sent her application to the registration team week commencing 12th January 2009. The Statutory Requirement Notice regarding Quality Assurance and the monitoring of the service provided by the home by the registered provider has been met. We saw that the home had questionnaires that they had sent out in November 2008. Those returned had been responded to by letter and meetings had been held with individuals where issues and concerns had been identified. The manager said she plans to reissue the questionnaire in February to assess if improvements have been made from the view point of relatives and people who use the service. It was seen that since the last inspection visit a Regulation 26 visit had taken place between the hours of 11:15 and 4:30 in December 2008, a report had been completed covering standards relevant to the home . The next one is due 26 January 2009. The Statutory Requirement Notice relating to the protection of monies belonging to the people who use the service has been met. There was concern at the last visit regarding monies belonging to people who use the service. It was seen that a letter had been sent to relatives and representatives of people who use the service, where the individual concerned does not look after their own money. The letter stated that cheques should not be made out to the home where it was for an individual and that the home would invoice for purchases made for individuals. On the day of the visit the home was looking after the personal money for eight people, The money was kept in a wallet with an account of expenditure and income for each individual. We saw receipts for spending. The manager explained that she copies all receipts and where there is a person responsible for the individuals money they have the original receipt and the home keeps the copy. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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