Latest Inspection
This is the latest available inspection report for this service, carried out on 29th April 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Don View.
What the care home does well Feedback from people using the service, staff and health/social care professionals was positive about the service. Individuals said "Don View has a welcoming atmosphere which suggests that the majority of people are comfortable in their surroundings. People are generally relaxed and are happy to engage in discussions and show pleasure in retelling their experiences". "People`s rooms are personalised to individual tastes. Relationships between people and carers appear positive and genuine". " The service meets the people`s needs within their limited resources. There is a caring, skilled and professional staff team and approachable management. Staff have good relationships with other professionals". "The service understands the role of independent advocates and this is reflected in the advocates facilitating the meetings for people who use the service. There has been a good attempt to create a homely atmosphere". "The service treats people as individuals and gives an appropriate level of care in relation to the individual`s needs. The service has created a relaxed and friendly environment". "On the whole Don View is a well run home. Don View meets the day to day needs of people, but more could be done to improve the quality of life such as emotional and recreational needs". "The service provides a safe and healthy environment for people to live in. We are working towards providing person centred care. Staff have very high working practices and there is good team work within the home". "I find it a very friendly environment where the people who use the service are given respect and are cared for, although higher staffing levels would enable staff to give people more 1-1 and take them on more outings". "The service caters for different client needs and their diets. People have regular reviews and up to date care plans are in place. There are regular outings and attempts to give regular contact with relatives. Don View has a minibus that is used for people`s outings, this raises individual`s morale and alleviates boredom". What the care home could do better: The manager and staff work hard to deliver a good service. We have made one requirement as part of this visit and that is for the provider to ensure that enough staff are on duty at all times to meet the assessed needs of people using the service. Random inspection report
Care homes for older people
Name: Address: Don View 22 Thellusson Avenue Scawsby Doncaster South Yorkshire DN5 8QN two star good service 12/11/2008 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: Eileen Engelmann Date: 2 9 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Don View 22 Thellusson Avenue Scawsby Doncaster South Yorkshire DN5 8QN 01302785257 01302789457 NONE NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Malcolm Pass Type of registration: Number of places registered: Conditions of registration: Category(ies) : Doncaster Metropolitan Borough Council care home 25 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 25 The maximum number of service users who can be accommodated is: 25 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Don View is a care home that provides personal care for up to 25 people who are aged over 50 years with a learning disability. The home is owned and managed by Doncaster Metropolitan Borough Council (DMBC). It is situated in the small community
Care Homes for Older People Page 2 of 10 1 2 1 1 2 0 0 8 Brief description of the care home of Scawsby, which is approximately 4 miles from Doncaster. The home is well integrated into the local community. Don View is a three-storey building. There is a passenger lift from ground level to the first floor and the second floor is accessed by means of a short staircase. All people are accommodated in single bedrooms. Toilets and bathrooms are readily accessible on each floor and the dining area is located on the ground floor adjacent to the kitchen. There are several lounge areas located on both the ground and first floor; their use is varied and distinct. A copy of the homes Statement of Purpose was available in the entrance hall. Unregistered day-care and sheltered housing is provided by DMBC within the grounds of the home. Care Homes for Older People Page 3 of 10 What we found:
This unannounced visit to Don View was carried out as part of our three year inspection programme. The site visit started at 10:30am and finished at 13:30pm. We completed an Annual Service Review (ASR) for Don View on 28 January 2010. We only do an ASR for good or excellent services that have not had a key inspection in the last year. An ASR is part of our regulatory activity and is an assessment of our current knowledge of a service rather than an inspection. The published review is a result of the assessment and does not come from our power to enter and inspect a service. Our judgement for the ASR was that the home continued to offer good outcomes for people using the service, however we had some concerns about the level of staffing in the home and how it affected the quality of life for people using the service. As part of this visit we looked at all the information that we have received, or asked for, since the last key inspection which was on 12 November 2008. This included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service in December 2009. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We sent surveys out to people using the service, staff and health/social care professionals and had a good response from these. We looked at any outstanding requirements from previous reports (for this service there were none), and checked the services social activities, staffing levels and complaints/safeguarding systems. Time was spent walking around the home, chatting to people using the service and staff. The manager was given feedback during and at the end of this visit. The comments we received, within the surveys completed by people living in the home, indicated that although people are satisfied with the service they sometimes feel the social activities could be better. People told us that It is boring, there is nothing to do all day. Staff are helping me find something to do. Staff get me up last and I then choose if I want to go to the day centre. I dont do much. I go to the shop with my friend, but there are not enough staff on duty. Sometimes I would like more staff on to help me go out. I go shopping I would like to go out instead of being stuck in my bedroom all the time. I would like something else to do during the daytime. I get bored and fed up just sitting with nobody to talk to and nothing to do. Staff are trying to sort this out for me.
Care Homes for Older People Page 4 of 10 We spent some time with the assistant manager discussing activities and events taking place in the home. We found that on a Monday to Friday six people go out to an external day centre and seven other people using the service attend the day centre attached to Don View. Those individuals going to the attached service have their meals in the home and are able to come and go between the two services as they wish. This leaves four people, Monday to Friday 9am to 4pm, in the home for staff to attend to. There is an events calendar on display in the home, this shows that each week there is a trip out or in-house social event taking place throughout the summer months. The day after our visit six people were going to the theatre to see Dreamboats and Petticoats. The service has access to a minibus at the weekends and from 4pm daily. Any transport needed outside of these times is hired and individuals use their mobility allowances to fund their trips out. The day centre attached to Don View has a daily programme of activities and this service liaises with the home to ensure people living in the home have the opportunity to participate in the daily events. Don View holds a monthly meeting for people using the service, where individuals can have a say in how the home is run and discuss any issues they may have. The home has acted on the feedback from the meetings. Within the last two months a member of care staff has started doing an activity co-ordinator role alongside their caring duties. This member of staff focuses on those people who do not attend the day centres. We looked at the complaints policy and procedure for the service, this is available in a clear print format and other formats are available on request, such as large print, braille and different languages. The policy and procedure was not on display but is available in the Service User Guide. Checks of the complaints record showed that the manager has dealt with issues quickly and efficiently. All complaints made to the service have been documented and responded to, with evidence seen of the investigations carried out by the manager. Discussion with the manager indicated that the service has an ongoing rolling programme of training, which includes Dementia Awareness, Safeguarding of Adults from Abuse, the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DOLs). This knowledge and information is used to ensure that peoples choices and human rights are maintained, and that any limitations on facilities or personal choice are only made following assessment, best interest meetings, risk assessments and discussion with the person concerned or their represtentative. The manager told us that about half to three quarters of the staff have received training in the last year. We recommended that the service ensures all the staff complete this training by the end of December 2010. Seven people using the service completed our surveys, they all said they understood how to make a complaint if needed. Individuals told us that they were confident of talking to staff or the manager and that action would be taken as needed. We completed a key inspection in November 2008 and an ASR in January 2010. In both these reports there were concerns about the staffing levels in the home. The key inspection report made a good practice recommendation that
Care Homes for Older People Page 5 of 10 The service should monitor the numbers of staff working throughout the day and night to ensure that people are able to enjoy the lifestyles they choose. In the ASR we commented that We have concerns about the staffing levels within the home and how this is affecting the quality of life for the people who live there. Health and Social Care professionals who visit the home and completed our surveys, told us that The service needs to review and improve its staffing ratios. The needs of the service users have changed over time and have significantly increased, but the staffing numbers do not appear to reflect a recognition of the increase in need. This results in people receiving only basic physical care, while their emotional/psychosocial needs are neglected, by default rather than intent. Needs assessments could be improved. There is insufficient staffing for the diverse needs of a large group of people. They would all benefit from more support and increased activities. The care manager and his care team recognise the issues raised in the previous point ie staffing. The power to effect change lays with the local authority who run and fund the service. We looked at the staffing rotas for the week of our visit and were given the dependency levels of the people using the service (5 high, 8 medium and 4 low). At the time of our visit the staffing levels were as follows Each day between 7am and 10pm there is a manager on duty and two care assistants. At night between 10pm and 7am there is one waking care staff and one sleeping in (441 care hours a week) We checked the staffing and dependency levels against the Department of Health Staffing guidance and found that the home is 110 hours a week short of the minimum levels. This is with us including the managers hours in the weekly rota and the sleeping member of staff. The registered provider must ensure that there is sufficient staffing numbers and skill mix of staff on duty at all times, to ensure the assessed needs of people using the service are met. We spoke about the staffing levels with the manager who told us that he was hoping to have more staff on board within the next two months. Another home run by the Doncaster Metropolitan Borough Council (DMBC) is closing and staff from this home are being filtered into the staffing at Don View. The new staff are experienced in caring for people with Learning Disabilities and because they already work for DMBC they have a good knowledge and understanding of the working practices expected by the provider. This will make the process of adjusting to their new job roles much easier and people using the service should experience less distruption to their daily lives. What the care home does well:
Care Homes for Older People Page 6 of 10 Feedback from people using the service, staff and health/social care professionals was positive about the service. Individuals said Don View has a welcoming atmosphere which suggests that the majority of people are comfortable in their surroundings. People are generally relaxed and are happy to engage in discussions and show pleasure in retelling their experiences. Peoples rooms are personalised to individual tastes. Relationships between people and carers appear positive and genuine. The service meets the peoples needs within their limited resources. There is a caring, skilled and professional staff team and approachable management. Staff have good relationships with other professionals. The service understands the role of independent advocates and this is reflected in the advocates facilitating the meetings for people who use the service. There has been a good attempt to create a homely atmosphere. The service treats people as individuals and gives an appropriate level of care in relation to the individuals needs. The service has created a relaxed and friendly environment. On the whole Don View is a well run home. Don View meets the day to day needs of people, but more could be done to improve the quality of life such as emotional and recreational needs. The service provides a safe and healthy environment for people to live in. We are working towards providing person centred care. Staff have very high working practices and there is good team work within the home. I find it a very friendly environment where the people who use the service are given respect and are cared for, although higher staffing levels would enable staff to give people more 1-1 and take them on more outings. The service caters for different client needs and their diets. People have regular reviews and up to date care plans are in place. There are regular outings and attempts to give regular contact with relatives. Don View has a minibus that is used for peoples outings, this raises individuals morale and alleviates boredom. 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 7 of 10 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 8 of 10 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 1 27 18 The registered person must 01/07/2010 ensure that there are sufficient numbers and skill mix of staff on duty at all times, to meet the assessed needs of the people using the service. So that people using the service receive the appropriate care they require to meet their physical, mental, social and emotiional needs. 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 30 The registered person should ensure that all staff have received training in Safeguarding of Adults from Abuse, the Mental Capacity Act and Deprivation of Liberty Safeguards by the end of December 2010. Care Homes for Older People Page 9 of 10 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
