Care Home: Delaheys Nursing Home

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What the care home does well We received a good response to our written survey and a number of completed questionnaires were received from residents and staff members. Everyone who responded was very complimentary about the care provided and some very positive comments were made. These included; `Gives excellent care and works to very high standards.` `Does well in every aspect.` `I am very happy.` `Very high standard of care. The owners care about the staff and the residents.` `I`ve worked at the home for many years and the home has always been consistent in its quality of care.` `Brilliant, caring staff.` `The Delaheys is wonderful, we couldn`t ask for more.` Throughout our visit we met a number of people who live at the home and they allappeared very happy and relaxed in their surroundings. One resident told us that she thought the manager and staff were `absolutely wonderful,` and another resident said, ``They are all grand here.`` We observed staff going about their duties in a cheerful and professional manner. There appeared to be ample numbers of staff on duty and we noted carers had time to sit with residents for a chat. In discussion, the manager demonstrated that she was committed to person centred practice and this was evident throughout the inspection. We noted that the manager was aware of recent good practice guidance in relation to caring for people with dementia and had incorporated this guidance into the home`s policies and procedures. We viewed a sample of care plans and found that they contained a very good level of information about residents` daily care needs. In addition, more person centred information such as social histories and preferred daily routines was included. Care plans were well organised and we were also able to confirm that risk assessments were in place for all residents in areas such as pressure care, moving and handling and nutrition. Residents` daily diary notes provided evidence that the home work well with various community health care professionals such as district nurses and GPs. We noted that the home has a good system in place to ensure that residents` care plans are constantly updated so that any changes in a resident`s daily care needs can be addressed quickly and efficiently. The home has procedures in place for the safe receipt, storage, administration and disposal of medication. We viewed some records relating to medication and medicines stock and found that these were all in good order and well maintained. We were able to confirm that there are processes in place for the manager to ensure that all staff responsible for administering residents` medication are competent to do so. In addition the manager carries out regular audits of medicines stock and records. This is good practice because it helps ensure that any errors are identified and addressed quickly. We were able to confirm during this inspection that there are processes in place to safeguard residents and to enable people to raise any concerns they may have. In discussion, the manager demonstrated a very positive view of complaints, rightly describing them as opportunities for improvement. The manager advised us that she maintained a frequent presence in the home and always attempted to be approachable to residents, relatives and staff. The home has processes in place to record any complaints received and also to audit all complaints received so as to identify any patterns or areas for improvement. However, at the time of our visit we found that the home had not received any complaints since their last inspection in May 2007. The manager confirmed that all staff members receive training in safeguarding vulnerableadults at the point of their induction. We were also able to determine that the home`s safeguarding adult policies and procedures had been regularly reviewed and updated by the manager to ensure that they were in line with national standards and guidelines. What the care home could do better: No requirements were made as a result of this inspection. We noted that the manager continues to monitor all aspects of the service provided and found evidence that the service is continually developed to ensure that high standards are maintained. Random inspection report Care homes for older people Name: Address: Delaheys Nursing Home 215 Clifton Drive South Lytham St Annes Lancashire FY8 1ES three star excellent 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Marie Cordingley Date: 0 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: Delaheys Nursing Home 215 Clifton Drive South Lytham St Annes Lancashire FY8 1ES 01253714946 01253782097 delaheysuk@btconnect.com www.delaheys.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Carolyn Wilson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Alan Wilson,Mrs Carolyn Wilson care home 28 Number of places (if applicable): Under 65 Over 65 28 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 with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 28. Date of last inspection Brief description of the care home Delaheys is a Care Home with Nursing that is registered to offer care and nursing for 28 older people. The home is a detached property with ground, first and second floor levels. There is a passenger lift in place. Gardens are to all sides of the home and a Care Homes for Older People Page 2 of 9 Brief description of the care home large conservatory is at the front. Accommodation is in single and double rooms, some with en-suite facilities. The home is furnished to a high standard. The registered providers are Mr and Mrs Wilson and Mrs Wilson manages the day-to-day care of the home. Care Homes for Older People Page 3 of 9 What we found: It should be noted that the above conditions of registration are currently being reviewed as the conditions relating to age limits are no longer applicable. The inspection of this home included an unannounced site visit. As the visit was unannounced the manager, staff and residents did not know it would be taking place until we arrived. During the visit we held discussions with the manager of the home and observed staff and residents going about their daily routines. We also viewed a selection of records including residents care plans and the homes complaint records. Prior to the visit we asked the manager to complete an Annual Quality Assurance Assessment (AQAA). This gave us a lot of information about how the home is managed and also details such as numbers of staff employed at the home and their qualifications. We also wrote to a selection of residents and staff and asked them to share their views on various aspects of the service provided. The purpose of the inspection was to ensure that the home was maintaining excellent standards as assessed in the key inspection carried out in May 2007. The inspection concentrated on two outcome areas for which the home were rated excellent in their last key inspection, namely Health and Personal Care and Complaints and Protection. What the care home does well: We received a good response to our written survey and a number of completed questionnaires were received from residents and staff members. Everyone who responded was very complimentary about the care provided and some very positive comments were made. These included; Gives excellent care and works to very high standards. Does well in every aspect. I am very happy. Very high standard of care. The owners care about the staff and the residents. Ive worked at the home for many years and the home has always been consistent in its quality of care. Brilliant, caring staff. The Delaheys is wonderful, we couldnt ask for more. Throughout our visit we met a number of people who live at the home and they all Care Homes for Older People Page 4 of 9 appeared very happy and relaxed in their surroundings. One resident told us that she thought the manager and staff were absolutely wonderful, and another resident said, They are all grand here. We observed staff going about their duties in a cheerful and professional manner. There appeared to be ample numbers of staff on duty and we noted carers had time to sit with residents for a chat. In discussion, the manager demonstrated that she was committed to person centred practice and this was evident throughout the inspection. We noted that the manager was aware of recent good practice guidance in relation to caring for people with dementia and had incorporated this guidance into the homes policies and procedures. We viewed a sample of care plans and found that they contained a very good level of information about residents daily care needs. In addition, more person centred information such as social histories and preferred daily routines was included. Care plans were well organised and we were also able to confirm that risk assessments were in place for all residents in areas such as pressure care, moving and handling and nutrition. Residents daily diary notes provided evidence that the home work well with various community health care professionals such as district nurses and GPs. We noted that the home has a good system in place to ensure that residents care plans are constantly updated so that any changes in a residents daily care needs can be addressed quickly and efficiently. The home has procedures in place for the safe receipt, storage, administration and disposal of medication. We viewed some records relating to medication and medicines stock and found that these were all in good order and well maintained. We were able to confirm that there are processes in place for the manager to ensure that all staff responsible for administering residents medication are competent to do so. In addition the manager carries out regular audits of medicines stock and records. This is good practice because it helps ensure that any errors are identified and addressed quickly. We were able to confirm during this inspection that there are processes in place to safeguard residents and to enable people to raise any concerns they may have. In discussion, the manager demonstrated a very positive view of complaints, rightly describing them as opportunities for improvement. The manager advised us that she maintained a frequent presence in the home and always attempted to be approachable to residents, relatives and staff. The home has processes in place to record any complaints received and also to audit all complaints received so as to identify any patterns or areas for improvement. However, at the time of our visit we found that the home had not received any complaints since their last inspection in May 2007. The manager confirmed that all staff members receive training in safeguarding vulnerable Care Homes for Older People Page 5 of 9 adults at the point of their induction. We were also able to determine that the homes safeguarding adult policies and procedures had been regularly reviewed and updated by the manager to ensure that they were in line with national standards and guidelines. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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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