Care Home: The Dene Lodge

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well This inspection was carried out to look at progress being made to meet the requirements set at the last inspection. What the care home could do better: No new requirements have been made as a result of this inspection. 4 requirements have been met, two have been partially met and 1 has not been met. The three unmet requirements will remain in place and will be looked at again at the next inspection. The home has a specialist unit which cares for people who have a dementia. Some people living within this unit may lack capacity to make some decisions for themselves. It is therefore strongly recommended that all staff receive comprehensive training on the Mental Capacity Act 2005 and its implications for practice. Random inspection report Care homes for older people Name: Address: The Dene Lodge Bircham Road Alcombe Minehead Somerset TA24 6BQ one star adequate 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: Jane Poole Date: 2 8 0 1 2 0 1 0 Information about the care home Name of care home: Address: The Dene Lodge Bircham Road Alcombe Minehead Somerset TA24 6BQ 01643703584 01643708550 info@thedenelodge.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) : Hazelgate Ltd care home 33 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Conditions of registration: 6 0 The maximum number of service users who can be accommodated is 33 including a maximum of 6 service users with a dementia care need. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Date of last inspection Brief description of the care home The Dene Lodge is a care home proving care and support for up to 33 people over the age of 65 years, with a wide range of support needs. There is a self-contained unit for six people with a primary diagnosis of dementia. The home is located in Alcombe on Care Homes for Older People Page 2 of 10 Brief description of the care home the outskirts of Minehead. It is close to local shops and services and public transport links. Accommodation is arranged on three floors with the communal areas located on the ground floor. The home has two through floor passenger lifts and a range of adaptations have been made to the home to ensure it is accessible for those who live there. The home is set back from the road and has attractive garden areas. The home is owned by Hazelgate Ltd and there is currently no registered manager in post. Care Homes for Older People Page 3 of 10 What we found: This random inspection was carried out by one inspector over a period of 2.5 hours. The purpose of the inspection was to follow up on progress being made to meet the requirements set at the last key inspection on the 6th October 2009. During the inspection we, The Commission, discussed issues with the homes management, met with people living and working at the home, looked at care plans, staff training records and the complaints log. 5 care plans were looked at; 3 for long term residents, 1 for a person who had recently moved to the home and another for a person who was due to stay at the home for a period of respite. Requirement 1 Standard 9 Regulation 13(2) The home must ensure that people receive their medicine as prescribed to protect their wellbeing. There was no evidence to suggest that the people living at the home were not receiving medication as prescribed. The new head of care is now auditing Medication Administration Records on a monthly basis to monitor practice and identify any errors. THIS REQUIREMENT HAS BEEN MET. Requirement 2 Standard 16 Regulation 22 The registered person must ensure that all complaints are dealt with using the homes complaints policy. We saw evidence that one complaint had been received since the key inspection. This had been responded to by the homes general manager within the timescales set out in the homes complaints policy. THIS REQUIREMENT HAS BEEN MET. Requirement 3 Standard 31 Regulation 12. The registered person is required to ensure that care provided at the home is monitored and audited to ensure good practice is maintained. A new head of care has been appointed to the home and has been in post for 4 weeks. They have begun to review care plans with the person concerned and/or their representative. They are planning to carry out regular care plan audits. Staff have begun receiving formal supervision to identify strengths and weaknesses and to ensure that all staff are working in a consistent manner. The management of the home are planning to put in place formal care audits to ensure that any shortfalls in the service are identified and addressed without delay. Care Homes for Older People Page 4 of 10 THIS REQUIREMENT HAS BEEN PARTIALLY MET. It will be looked at again at the next inspection. Requirement 4 Standard 3 Regulation 14 (1) The registered person must ensure that anyone wishing to move to the home has their needs assessed by a suitably qualified person. Since the last inspection one new person has moved to the home. Before moving in the person was living a distance away from the home so it was impractical to carry out a pre admission assessment. They did however acquire a copy of a full needs assessment and speak with the persons family representative. Another person is due to have a respite stay at the home and a full pre admission assessment had been carried out. The home has also received a copy of a full assessment carried out by professionals outside the home. From these documents an initial care plan and risk assessments had been put in place in preparation for their stay. THIS REQUIREMENT HAS BEEN MET. Requirement 5 Standard 7 Regulation 15(1) The registered person must ensure that care plans clearly set out the needs of people and the action to be taken by staff to address needs. Care plans must be measurable to ensure that their effectiveness can be monitored. The plans must also record the wishes and preferred routines of people living at the home. 5 Care plans were looked at during this inspection. The 3 for long term residents had all been reviewed but did not give clear guidance in respect of all needs. For one person with diabetes there was no care plan in respect of this. Although the home were providing a specialist diet and monitoring blood sugar levels there was no care plan to say what the specialist diet was. There was no guidance in place to say how often or when blood sugar monitoring should occur, no information about what the persons normal level was or what to do if the level was outside the normal range. Another care plan was for someone who had been loosing weight. There was evidence that the person had been seen by their doctor but again no care plan. Staff were recording food and fluid taken but the recordings were poor. There was no care plan in place to say what the person was expected to eat and drink in a day, the records written did not give clear amounts and there were no totals in place for each day. A third care plan was for someone who had a dementia and lacked capacity to make some decisions. There was no care plan to show how the person would be assisted to make choices and no evidence that the home were working in line with the Mental Capacity Act. Decisions were being made by family members and these were being recorded. There was no evidence that the home were following the Best Interests guidance set out in the Mental Capacity Act and staff had a poor knowledge of the Act and its implications. THIS REQUIREMENT HAS NOT BEEN MET. Care Homes for Older People Page 5 of 10 Requirement 6 Standard 30 Regulation 18 (1) [a] The registered person must ensure that there is an ongoing training programme for all staff. Each person working at the home now has a personal development programme with targets for when each training module should be completed by. A training matrix has been put in place to show that all staff have completed statutory training. One new member of staff is working through an induction programme. The head of care said that they are currently looking for additional training for staff in dementia care. 7 of the 15 care staff (46 ) have completed a National Vocational Qualification in care at level 2 or above. A further two people have registered for the award. THIS REQUIREMENT HAS BEEN MET. Requirement 7 Standard 33 Regulation 24 (1) The quality assurance systems must include the formal auditing of care practices and documentation. Some auditing has been put in place and this is in the process of being more formally organised and recorded. THIS REQUIREMENT HAS BEEN PARTIALLY MET. It will be looked at again at the next inspection. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15(1) The registered person must 30/11/2009 ensure that care plans clearly set out the needs of people and the action to be taken by staff to address needs. Care plans must be measurable to ensure that their effectiveness can be monitored. The plans must also record the wishes and preferred routines of people living at the home. This is to ensure that everyone receives appropriate care in their chosen manner. 2 31 12 The registered person is 31/10/2009 required to ensure that care provided at the home is monitored and audited to ensure good practice is maintained. This is required for the health, safety and well being of people using the service. (This requirement was made at the previous key inspection and the timescale of 08/06/09 has not been met) The quality assurance 30/11/2009 Page 7 of 10 3 33 24 (1) Care Homes for Older People 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 systems must include the formal auditing of care practices and documentation. To ensure that shortfalls are identified and action taken to improve services. 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 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 14 It is strongly recommended that all staff receive full training on the Mental Capacity Act 2005 and its implications for practice. 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!