Alma McFadyen Care Home Service Mill Street Dalbeattie DG5 4HE Telephone: 01556 610539 Type of inspection: Unannounced Inspection completed on: 23 May 2017 Service provided by: St Philips Care Limited Service provider number: SP2003003516 Care service number: CS2005111354
About the service The service has been registered since 2006. The current manager was appointed in June 2015. Alma McFadyen House is situated in a quiet area in the centre of Dalbeattie and is registered as a care home for up to 24 residents. The service offers a 24 hour residential service and has respite accommodation. The service aims to enable residents to maintain their own level of independence and contact with family and community groups. The home comprises the former Alma House which adjoins McFadyen House, a large single storey purpose built extension. A passenger lift is provided to the first floor level in Alma House. What people told us We spoke to residents and relatives, individuals also made comments in care standard questionnaires. Comments made included. "The people who work here are fine." "The staff are very good, I get on well with them all." "Every one is very nice find them all very friendly" "Always a choice of food if you don't like something they will find you something else." "It's a comfortable here." "My relative is happy and well cared for in Alma, the carers are hard working and professional." "My relative has bonded with the carers." "Staff very good and caring." "No adverse comments on care provided." "The foods good." "Very happy with the way my relative is cared for." Self assessment Self assessment not requested From this inspection we graded this service as: Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good not assessed 5 - Very Good not assessed page 2 of 7
What the service does well People who used the care service told us they were satisfied with care they received. Relatives told us they were confident in the care provided. People described good working relationships between staff and residents and a relaxed pleasant atmosphere. This was consistent with what we saw during the inspection. Staff were good at offering choices and giving people time to express their preferences. The care home were introducing a new electronic system for recording care. We found improvements in the quality of recording. This new system had further improved the quality of personal plans making them more structured with information being more easily accessible. The new system ensured that all planned care was provided. If an aspect of care was missed the manager and senior staff were alerted. The new recording system had also improved the provision of activities in the care home with improved planning and monitoring systems for activities. The electronic system allowed staff to record information quickly and the time saved was being used to provide activities. We saw this happening during visits to the care home. Personal plans were well maintained and were being updated on the new electronic recording system and we saw an improved level of detail. We saw examples of person centred planning. Medication storage and administration sampled was correct with accurate records being maintained. It was evident that staff were working to ensure safe medication practice. Reviews were being maintained and we found evidence that relatives were being routinely involved in reviews. Dependency assessments linked to staffing levels in the care home were also being maintained and regularly updated. Additional staffing had been provided to enhance the care provided overnight. Staff were well supported and communication and morale were described in positive terms. Files sampled evidenced safe recruitment practice was being followed to safeguard residents. Maintenance records sampled were up to date. What the service could do better The main weakness of the service was the lack of communal space. The shape and size of the main lounge area restricts the number of people who can be accommodated comfortably at any one time. This is partially offset by the smaller lounge area which had been redecorated and was pleasantly maintained. The dining room has been redecorated and provides a pleasant area however it is small and could not comfortably accommodate all residents at a single sitting. The previous inspection report included a recommendation about the need to take into account this lack of communal space in any future planning for the development of the care home. (See recommendation 1 ) During the inspection feedback we discussed an improvement which could be made to the recording of "as and when required medication". The manager confirmed these would be acted on. Requirements Number of requirements: 0 page 3 of 7
Recommendations Number of recommendations: 1 1. Any future plans to increase the number of service users to be accommodated would need to take into account the need to expand the communal space available to residents. National Care Standards. Care homes for older people. Standard 4 your environment. Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at www.careinspectorate.com. Inspection and grading history Date Type Gradings 22 Jul 2016 Unannounced Care and support 5 - Very good Management and leadership 5 - Very good 29 Mar 2016 Unannounced Care and support Management and leadership 8 Jul 2015 Unannounced Care and support Management and leadership 6 Mar 2015 Unannounced Care and support Management and leadership 16 Jul 2014 Unannounced Care and support page 4 of 7
Date Type Gradings Management and leadership 15 Aug 2013 Unannounced Care and support Management and leadership 13 Dec 2011 Unannounced Care and support 5 - Very good Management and leadership 8 Dec 2010 Unannounced Care and support 5 - Very good Management and leadership 1 Jun 2010 Announced Care and support Management and leadership 22 Jan 2010 Unannounced Care and support 2 - Weak Management and leadership 17 Jun 2009 Announced Care and support Management and leadership 6 Mar 2009 Unannounced Care and support Management and leadership 23 May 2008 Announced Care and support page 5 of 7
Date Type Gradings Management and leadership page 6 of 7
To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at www.careinspectorate.com Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 Find us on Facebook Twitter: @careinspect Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 7 of 7