Latest Inspection
This is the latest available inspection report for this service, carried out on 17th July 2009. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Dothan House.
What the care home does well A relative said, "I visit three times each week. The manager and staff are excellent. They are patient and there are lots of activities. It`s a real family place". A resident said, "The deputy/acting manager is good and has done a lot for us since she has been here. We do a lot more here and we go out more as well". Staff were observed to smile and talk to the residents as equals. Staff are receiving the training and the support they need to carry out their duties and to provide a good service to the people who live at Dothan House. Residents are seen and treated as individuals and receive personalised care as far as possible. What the care home could do better: The proprietor is still the registered manager for the service and does visit regularly. However the deputy is running the home on a day to day basis and is seen as the manager by staff, relatives and residents. If this arrangement is to continue an application must be made for the deputy manager to be registered with the Commission as the manager of the service. Although the Commission is notified of most of the things that happen at the home it is important that they are notified of any event in the care home which adversely affects the well-being and safety of any of the people using the service. This is to comply with regulations and also to enable the Commission to monitor the service. Random inspection report
Care homes for older people
Name: Address: Dothan House 458 Upper Brentwood Road Gidea Park Romford Essex RM2 6JB two star good 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: Jackie Date Date: 1 7 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Dothan House 458 Upper Brentwood Road Gidea Park Romford Essex RM2 6JB 01708761647 01708761647 dothan@tiscali.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) : Genesis Residential Homes Limited care home 19 Number of places (if applicable): Under 65 Over 65 0 19 dementia old age, not falling within any other category Conditions of registration: 14 0 The maximum number of service users who can be accommodated is: 19 The Registered Person may provide the following categories 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 categories: Old Age, not falling within any other category - Code OP (maximum number of places: 19) Dementia - Code DE (maximum number of places: 14) Date of last inspection Brief description of the care home Dothan House is a registered care home for 19 people aged 65 and over. The home is situated in a residential area of Gidea Park and there is parking at the rear of the
Care Homes for Older People Page 2 of 10 Brief description of the care home property. The home is a large two storey detached house with extensions. There is a passenger lift to the first floor. There is a combined lounge/dining area on the ground floor and another smaller lounge on the first floor. There are 17 single bedrooms and one double bedroom. Nine of the bedrooms have en-suite facilities. There is shower room and a bathroom. Personal care is provided on a 24- hour basis, with health care needs being provided by health professionals such as GPs and community nurses. The charge per week for each person is between 430 & 440 pounds. This information was provided by the proprietor at the time of the last key inspection. The fees charged were also in a copy of the contract in peoples files. Information about the service provided is contained in the service users guide Care Homes for Older People Page 3 of 10 What we found:
Two unannounced visits were made to Dothan House. The first was on 24th June at 10 pm and this visit lasted for approximately one and a half hours. During this time we spoke to some residents, to staff on duty and to the deputy/acting manager. We also visited the lounge and one of the bedrooms and checked some records. A second visit took place on 17th July 2009. On this occasion two inspectors arrived at the home at 9.30 am and stayed for approximately 4 hours and 30 minutes. On this occasion we again spoke to the deputy/acting manager, residents, staff and a relative of someone living at Dothan. We also toured the building and checked various records. 24th June 2009 There were two staff on duty and three residents were still up and sitting in the lounge. The rest of the residents had already gone to bed. The deputy/acting manager arrived at the home about 40 minutes after the inspector. We had the opportunity to have a more lengthy discussion with one of the staff. She was able to confirm that she has had the necessary training to carry out her duties and to clearly tell us about the tasks that night staff are required to do. She was also able to describe what would happen in the event of an emergency and confirmed that the deputy/acting manager was always available for support. One resident said that as it was only 10 it was too early for him to go to bed. However a short while later he decided that he was ready to go to bed and staff supported him to do this. Another person had been to bed for a while and had got up again. Staff made this person comfortable in an armchair and covered her with a blanket. She was offered drinks but declined to have any. She was obviously very comfortable and relaxed sitting in the chair. Staff were able to explain how they supported the third person and why it was best for him to go to bed later than other people. At the time of this visit there were sufficient staff on duty to meet the needs of residents and residents appeared to be appropriately cared for. Staff on duty were aware of residents needs and how to meet them. There were no requirements or recommendations as a result of this visit. 17th July 2009. There were 18 residents at the home with four care staff, a cook, domestic and handyman on duty. The deputy/acting manager arrived at the home shortly after the inspectors. From discussions with staff and observations on the day it was apparent that there was sufficient staff on duty to meet peoples needs. We had the opportunity to talk individually with two of the staff team. Both people were able to confirm that they had had the necessary training to carry out their duties. One person had not yet had POVA (Protection of Vulnerable Adults)training but was aware of safeguarding issues and was due to do the training in the near future. Both people were clear that they had never seen any of the residents treated badly or heard shouting and also clear that they would report this to the manager, or to social services or the Commission if they did. Both people said that they were happy working at Dothan House and that there was a good and supportive team. They also said that they get good
Care Homes for Older People Page 4 of 10 support from the deputy/acting manager and that she often checks with them if everything is okay. From looking at records, talking to staff and to residents it was evident that activities are regularly taking place both in the home and in the community. On the day before the inspection some of the residents had been in the garden planting potatoes and painting a garden bench. On another occasion previously they had been making cakes and decorating them and had a competition to see which was the best decorated cake. People had also been on a trip to the London Eye and to Southend. Some residents go to church regularly and another likes to go to the pub. One resident said that the deputy/acting manager is good and had done a lot for them. She talked about the trips and the activities and said she enjoyed these. We looked at a sample of residents care plans and found these to be comprehensive. Each person also had a night care plan. Daily logs are kept and these were detailed. Additional monitoring is carried out when necessary. For example someones food or fluid intake might be recorded. From discussions with the deputy/acting manager and with staff it was evident that they know the residents well and work hard to ensure that they are well cared for and as healthy as possible. Records are also kept of any injuries, accidents or near misses. These records were comprehensive and gave a clear picture. However not all of these had been reported to the Commission as required and the deputy/acting manager was advised of this. We checked menus and these were varied and nutritious. Some people require fortified food and when necessary the potatoes are mashed with cream rather than milk. Staff spoken to confirmed that there was always plenty of food for people and there were adequate stocks in the kitchen, store cupboard and freezer. Additionally the delivery of food was expected later that day. At the time of this visit the home appeared to be clean and hygienic and there were no unpleasant smells. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 10 The proprietor is still the registered manager for the service and does visit regularly. However the deputy is running the home on a day to day basis and is seen as the manager by staff, relatives and residents. If this arrangement is to continue an application must be made for the deputy manager to be registered with the Commission as the manager of the service. Although the Commission is notified of most of the things that happen at the home it is important that they are notified of any event in the care home which adversely affects the well-being and safety of any of the people using the service. This is to comply with regulations and also to enable the Commission to monitor the service. 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 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 7 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 31 8 If the deputy manager is to 30/09/2009 continue managing the service on a daily basis an application must be made for her to be registered with the Commission. This is to meet legal requirements and for accountability. 2 38 37 The Commission must be notified of any event in the care home which adversely affects the well-being and safety of any of the people using the service. 30/09/2009 This is a legal requirement and also enables the Commission to monitor the service. Care Homes for Older People Page 8 of 10 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 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. 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 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!
