Care Home: Dormie House

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What the care home does well This is a small home which remains very domestic in nature, and which provides a very personal and individual service to the people living there. During our visit some of the residents told us that * that they wouldn`t live anywhere else * the food was fantastic * the staff will do anything for you * its like home from home The service clearly identifies the individual needs and likes and dislikes, and makes sure these are accommodated, and the proprietor spends much of his time with the residents. What has improved since the last inspection? Since our last inspection, much of the home has been redecorated, and new furniture provided, a new widescreen television installed and some carpets renewed, and further redecoration is planned including refitting the kitchen. Staff who help with medication have received training, and individual plans have been reviewed to ensure they show how identified needs can be met in a way suited to the individual. What the care home could do better: There were no requirements made as a result of this visit, and the planned improvements should further enhance the reputation that the home has obtained in the local area. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Dormie House 16 Cliff Road Sheringham Norfolk NR26 8JB     The quality rating for this care home is:   two star good service 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. Lead inspector: Alan Buttery     Date: 3 0 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 23 Information about the care home Name of care home: Address: Dormie House 16 Cliff Road Sheringham Norfolk NR26 8JB 01263823353 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) : Mr Roger Laval Patrick Armoogum care home 7 Number of places (if applicable): Under 65 Over 65 7 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Dormie House is a care home providing personal care and accommodation for 7 older people. The home is owned by Mr Roger Armoogum who is also the manager of the home. The home is situated close to the centre of the coastal town of Sheringham and is close to all local amenities as well as being within walking distance from the sea and beach. The home was first opened in 1982 and has continued to provide residential care to a small group of service users. The proprietor lives on the premises and is involved in the day-to-day running of the home with a small group of care and domestic staff. The accommodation is provided on two floors with five single bedrooms on the first floor and one double room on the ground floor. There is a stair lift to the first floor. The home has a small patio/garden Care Homes for Older People Page 4 of 23 Brief description of the care home area where service users can sit. Care Homes for Older People Page 5 of 23 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection, during which, we looked at various records held by the service and spoke to staff and residents in the home, and to family members who were visiting on the day of our inspection. We also looked at information provided by the service and at the surveys that were returned by a number of residents and staff members. During our visit we looked at the key minimum standards, and at the requirements which were made following our last visit, which had all been met. We were unable to look at staff records, as these were locked away on the day of our Care Homes for Older People Page 6 of 23 inspection as the proprietor was not working, but conversations with staff and surveys completed enabled us to make our judgments. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. 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 8 of 23 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 9 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed information is gathered before any new resident moves into the home to ensure that their identified needs can be met in a way suited to them Evidence: On the day of our visit, the proprietor of the home, who is also the manager, was unfortunately away, but the staff on duty were able to provide details of the procedures that they follow in the event of a new resident wishing to move to the home. Some occasional respite cases are admitted, and the same process is followed. The proprietor always ensures that a full assessment of the individuals needs is carried out, visiting the person either in their home or hospital, and ensuring that he service can meet the identified needs, and that the person would be happy living in the home. Care Homes for Older People Page 10 of 23 Evidence: The home does not offer intermediate care. Care Homes for Older People Page 11 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans show how identified needs are to be met, and how this meets the wishes of the individuals, and procedures are in place to ensure medications is administered safely. Evidence: As indicated earlier, initial visits are used to complete a detailed assessment of the needs of anyone moving to the home, and following this, individual care plans are prepared in readiness for the person to move into the home. The plans show how the needs will be met, and ensure that the individuals requirements are met in a way that is suited to them. The service prides itself on knowing the people living there very well, and this was evident from the discussions we had with both staff, residents and families during our visit. During our visit we looked at the care plans for three people living in the home, which were well written and gave details of the manner in which the identified needs could be Care Homes for Older People Page 12 of 23 Evidence: met. The only area which required some improvements within the plans was around social, activities which be discussed later in the report. Health needs are met with support from local health professionals, and the staff we spoke with during our visit told us how good the relationship with the local GP surgery was. The service uses a Boots monitored dosage system, and staff who help with medication all receive training from Boots. At the present time none of the people who live in the home wish to look after their own medication. We were able to observe how the two staff spoke with residents and family members, which was very appropriate, and the residents and family members that we spoke to during our visit were very complimentary of the staff. Care Homes for Older People Page 13 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Events and activities are available to everyone living in the home and suited to their individual preferences. Evidence: As a small home, and one in which the provider lives on site, the activities and pastimes followed by people living in the home involve everyday activities such as knitting and crochet, watching Television, listening to the radio, helping in the garden, walking down to the shops or seafront (in better weather). Family involvement is very strong, and events planned include all families and residents. A recent celebration for the birthday of the oldest resident in the home included all the residents and their families, and the families of former residents no longer with us still keep in touch and visit. The individual plans should be reviewed to ensure that the likes and dislikes of the residents are recorded, and the plans should demonstrate more clearly the activites that people take part in. Care Homes for Older People Page 14 of 23 Evidence: Facilities are very domestic in scale, and a nutritious choice of food is available, with wine , sherry and other alcoholic and non alcoholic drinks provided. A pleasant dining room is provided, or people can choose to eat their meals in their room. residents we spoke to after their lunch all complimented the cook, and were very happy with the choices of food they are given. Care Homes for Older People Page 15 of 23 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. Procedures are in place to ensure that any concerns, complaints or allegations are investigated, and people living in the home can be happy that their concerns are listened to. Evidence: We were unable to see the home records of complaints as this was locked away, and the proprietor away, but we were told by the senior member of staff that there had been no complaints made since the last inspection. The commission had not received any correspondence in this period. We spoke to four of the residents living in the home, including one who had recently moved in and they were all happy with the procedures to make concerns known, and that any concerns would be listened to and acted on. The two staff members that we spoke to were aware of safeguarding procedures, and had received training, and were aware of the procedures involved. Care Homes for Older People Page 16 of 23 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. The service operates form premises which are clean and free from any odour, and offer residents a safe and homely place to live. Evidence: The home was clean and tidy on the day of our inspection, and very domestic in scale. residents were clearly comfortable and happy with the facilities, and one resident told the inspector that it was a much nicer home than others in the area. We looked around the premises, and although an older property they were in a good state of repair with a range of equipment. Since our last visit a number of areas of the home have been redecorated, some of the chairs replaced, and a new widescreen television installed, which is very popular with the ladies living in the home. Care Homes for Older People Page 17 of 23 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. Recruitment procedures are in place, and staff we spoke to confirmed these were being followed to ensure suitable staff are employed to meet the needs of people living in the home Evidence: As already indicated, the proprietor was not available on the day we visited the home, and consequently we were unable to look at staff records. However we did speak with the two staff members working on the day of our visit, and were told of some of the training they have received, and how they were recruited. This was reinforced from the staff surveys that were completed and returned, which all indicated that training had been received, and showed a clear commitment to the residents of the home. Care Homes for Older People Page 18 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed, and the interests of people living there at the fore, with choice offered in all areas of their lives Evidence: We spoke with four of the homes residents, two staff members and three visiting relatives, and all gave a very forthright impression of how much they appreciate the home and the way it is run. We were told by one person that nothing is too much trouble, by a family member that it is a lovely place to visit, and by a staff member that she felt the home very kind and caring The proprietor is involved in all aspects of the care and support given, and living on site spends a lot of free time with the residents, watching television with them and running the home as an extended family. Care Homes for Older People Page 19 of 23 Evidence: Although the proprietor was unavailable on the day we carried out our inspection, the senior carer on duty was able to give us a lot of background information shoeing how the service involves those living there in day to day decisions, We were also told of the health and safety policies in place which ensure that people living and working in the home are not at risk of injury. Care Homes for Older People Page 20 of 23 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 21 of 23 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 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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