Care Home: Dene Place Nursing Home

Similar services:

• Springfield House
• Sutton Lodge Nursing Home
• The Shelley
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well People who are considering moving into the home can be confident their care and nursing needs will be understood and can be met. They are provided with helpful information about what life is like in the home. People can be confident their needs are understood and their care is planned with them in a way which takes account of their individual needs and preferences. Their health is promoted and they are protected from harm through the safe handling of medication. People who live in the home are encouraged and enabled to maintain fulfilling lives. They are supported to maintain contact with family and friends. There are opportunities to take part in a broad range of activities. Individual preferences are understood and promoted. Mealtimes are relaxed and the food is good. People are listened to and protected form abuse. People who live in this home benefit from the pleasant, safe, homely and well maintained house and spacious, well kept grounds. Suitable adaptations ensure ease of access to all areas. The home is clean throughout. People are supported by staff who are well trained and competent in their roles. They are protected through robust recruitment procedures. People in this home benefit from an open and inclusive management approach to the running of the home, their views are listened to. They are protected from harm through safe working practices. What has improved since the last inspection? All staff at the home adhere to the homes medication policies and procedures to ensure the continued health and safety of the people who live there. Training and development programmes have been reviewed in order to ensure that staff training reflects the ongoing and changing needs of the residents. All of the staff at the home undertake training in respect of safeguarding adults to ensure the continued health safety and well being of the residents. Staff supervision processes are formalised. All staff receive the required number of one to one meetings with a manager and these meetings are documented. What the care home could do better: It is recommended that a concise summary of the care plan is available for all staff to ensure they can access information about each person quickly and easily. Key inspection report Care homes for older people Name: Address: Dene Place Nursing Home Ripley Lane West Horsley Surrey KT24 6JW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Ruth Burnham     Date: 2 8 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Dene Place Nursing Home Ripley Lane West Horsley Surrey KT24 6JW 01483282733 01483283360 manzit@bupa.com www.bupa.com BUPA Care Homes (BNH) Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Tracy Manzi Type of registration: Number of places registered: care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 32 The registered person may provide the following category of service: Care home with nursing (N) 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) Date of last inspection Brief description of the care home Dene Place is owned and operated by BUPA who are the Registered Providers. The home is a large period-detached house situated in grounds owned by the National Trust, surrounded by farmland, in a village location in Leatherhead Surrey. The home benefits from a large well maintained garden with wheelchair accessible path that runs along the house. This establishment provides nursing care for up to 32 service users. There are good road links, but the home is not well served by public transport. Care Homes for Older People Page 4 of 25 Over 65 32 0 Brief description of the care home Accommodation is generally provided in single rooms, a proportion of which has ensuite facilities. The home has five bedrooms which are available for double occupancy, or in the event of a couple wanting to share. The home is furnished and decorated to a high standard. The fees at the home range from 899 to 1450 pounds per week. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection peterchart Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: This inspection of the Service was an unannounced Key Inspection. The inspection included a site visit. We arrived at the Service at 09.15 and was in the Service for five hours during which time we spoke to a number of residents, staff, a visitor and the person in charge. A number of documents were examined. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service manager and any information that the Commission has received about the Service since the last inspection. We asked the views of the people who live at the home and other people seen during the visit or who responded to surveys we sent as part of the inspection. Responses to surveys were positive. We have not received any complaints about this service. We looked at how well the service is meeting the standards set by the government, we made judgements about the standard of the service. Care Homes for Older People Page 6 of 25 There are no Required Developments at the end of this Report. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 25 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into the home can be confident their care and nursing needs will be understood and can be met. They are provided with helpful information about what life is like in the home Evidence: People who are considering moving into the home can be confident their needs will be understood and can be met. They are provided with helpful information about what life is like in the home and facilities and services available to them. This information is contained in the statement of purpose and service user guide which is also placed in each persons bedroom. The home has a comprehensive care needs assessment document, which provides detailed information about peoples needs. Following a referral and telephone discussion, the prospective resident or their representative is invited to the home to Care Homes for Older People Page 11 of 25 Evidence: look around and meet people who live and work in the home. Following this visit the manager or deputy visit the prospective resident at their home or at hospital to carry out the care needs assessment. One person who has recently moved in and their relative were spoken to. They said they were very happy with the way in which their transition into the home had been managed. Four care needs assessments were sampled and were found to provide a comprehensive overview of peoples needs. These documents contained detailed information about the persons care and nursing needs, daily living activities and individual preferences. The home does not provide an intermediate care service. Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident their needs are understood and their care is planned with them in a way which takes account of their individual needs and preferences. Their health is promoted and they are protected from harm through the safe handling of medication. Evidence: People who live in the home can be confident their needs are understood and their care is planned with them in a way which takes account of their individual needs and preferences. Four care plans were examined. They include all daily living activities and goals and provide clear guidance for staff. All of the care plans sampled had been signed, dated and regularly reviewed by staff, they are also signed by the resident or their representative wherever possible. Some discussion took place about the need to provide staff with a concise summary of the care plan as the files are large and care planning documentation is somewhat fragmented. A number of people spoken to during the visit said they were very happy with the care they receive in the home. People who live in the home are protected through good Care Homes for Older People Page 13 of 25 Evidence: policies and procedures for the safe handling of medication. Medication administration was observed and was seen to be carried out in a sensitive manner. Safe storage is provided for all medication and records are up to date and well maintained. Staff have a good understanding of the policies and procedures and only suitably trained staff administer medication. Interaction between staff and people who live in the home was observed throughout the visit. Support is offered in a respectful, sensitive and dignified manner. People who we spoke to confirmed that all of the staff are kind and treat them with respect. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are encouraged and enabled to maintain fulfilling lives. They are supported to maintain contact with family and friends. There are opportunities to take part in a broad range of activities. Individual preferences are understood and promoted. Mealtimes are relaxed and the food is good. Evidence: People who live in the home are provided with opportunities to take part in a broad range of activities and outings. Routines in the home are flexible and there is a warm and relaxed atmosphere. People are encouraged and supported to maintain their relationships with their family and friends. One visitor was spoken to during the visit, they confirmed they are always made welcome. Various flyers on the homes notice boards contain information for people who live in the home about activities and trips. A number of people recently enjoyed a trip to Wisley to see the gardens. People are also able to take part in art and craft sessions, some of the arts and crafts were on display. On the day of our visit several residents were observed taking part in an excercise class in the activities lounge. Others were watching the television, listening to music or reading. Care Homes for Older People Page 15 of 25 Evidence: The home encourages people to practice their faith. The local vicar has recently retired and the village is awaiting a new appointment when it is hoped regular services in the home will resume. People who live in the home enjoy freshly cooked meals with a good choice of food on offer. There are two choices of main course for each meal and menus are displayed. All the people we spoke to said the food was good. The chef is aware of peoples individual likes and dislikes and caters accordingly. Specialist diets are provided where needed. Some people require support with their meals, and this support is offered in a sensitive, dignified and unhurried manner. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are listened to and protected form abuse. Evidence: People who live in the home are listened to and know who to speak to if they are unhappy about anything. No complaints have been received by the Commission since the last inspection. Any complaints are recorded in a complaints log and records are kept of investigation, action and feedback to the complainant. The complaints procedure is prominently displayed in the home. People who live in the home are protected from abuse. The home has robust policies and procedures for safeguarding people. Staff are all trained in the homes safeguarding adults and complaints procedures. The home has a copy of the Local Authority safeguarding procedures. BUPA Care Homes has a national team of Quality and Compliance experts available to provide advice and help where needed. One incident has been referred by the home under the local authority multi agency Safeguarding Adults procedures, the outcome of this referral is not yet known. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from the pleasant. homely and well maintained house and spacious, well maintained grounds. Suitable adaptations ensure ease of access to all areas. The home is clean and safe throughout. Evidence: People who live in the home benefit from the well maintained and homely environment.The home is an older property and has been refurbished since the last inspection. Considerable work has been undertaken and the improvements have enhanced the quality of life of residents and provided a safe working environment for staff. The home is furnished and decorated to a good standard throughout. The grounds of the home are spacious and well maintained. A small small sensory garden has been created close to the house with raised beds to enable people to get involved in tending the plants. All areas of the home are accessible and adaptations have been provided to assist people with mobility difficulties. The home is clean and hygienic with good systems in place to prevent the spread of infection. There is a well equipped kitchen and laundry. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are supported by Staff who are well trained and competent in their roles. They are protected through robust recruitment procedures. Evidence: People who live in the home can be confident staff are well trained and competent to provide appropriate care and support for them. There are sufficient numbers of staff on duty to meet peoples needs. It was noted during the site visit that a number of the people have high dependency needs and some have communication difficulties, support is provided in a way which promotes dignity and privacy. People who were spoken with commented that all of the staff were kind, helpful and good at their jobs. People are protected through robust recruitment policies and procedures. Five staff files were sampled. These were well maintained and up to date. All had the required documentation in place, with evidence of Criminal Records Bureau and Protection of Vulnerable Adults checks; two references and detailed application forms. Staff are clear about their roles and responsibilities. Observations throughout our visit showed staff are competent and confident when carrying out their various tasks. People can be confident staff are well supervised and understand how to care for them and keep them safe. Training records show that basic statutory training is up to date. Staff are trained in Health and safety, Food Hygiene, First Aid, Fire Safety, Moving and Care Homes for Older People Page 19 of 25 Evidence: Handling and COSHH (Control of Substances hazardous to health). Additional good practice training is also offered such as dementia care or challenging behaviours. The home is proactive in promoting NVQ (National Vocation Qualifications), with at least 50 of care staff with NVQ2 or above. Equality and Diversity issues are addressed during the staff induction training, on a day- to- day basis and in the NVQ modules. There are clear lines of accountability in the staff and management team with all staff receiving regular supervision. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from an open and inclusive management approach to the running of the home and their views are listened to. People are protected from harm through safe working practices. Evidence: People who live in the home can be confident the home is well managed and run in their best interests. The person in charge has submitted an application to register with the Commission as manager of the home. She is well qualified and has been successfully managing the home for a number of months. There are effective quality assurance systems in place to ensure people continue to receive a good service. The Annual Quality Assurance Assessment sent to the home was completed within the required timescales and returned to the Commission. This contained all the information we asked for.The home is run in the best interests of people who live here, their views are taken account of and obtained through a variety of means: The person in charge has an open door policy, is approachable and clearly Care Homes for Older People Page 21 of 25 Evidence: knows all the residents well. Regular resident and relatives meetings take place where people are encouraged and supported to express their views, minutes are recorded. The organisation seeks the views of all stakeholders annually. Surveys are sent to residents, relatives and staff and a report is compiled following feedback. People can be confident staff are well supervised. There are clear lines of accountability in the staff and management team. All staff receive regular one to one supervision. Regular staff and head of department meetings are held. The health and safety of people who live and work in the home is promoted through safe working practices. Regular health and safety checks are routinely carried out at the home. The home has been awarded 5 stars following a recent Environmental health inspection. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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 1 7 It is recommended that the care plan should include a concise summary of peoples individual social, religious, cultural, emotional and physical care needs, preferences, expectations and aspirations. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!