Inspection on 01/07/09 for Chaseley Care Home

This is the latest available inspection report for this service, carried out on 1st July 2009.

CQC found this care home to be providing an Excellent service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chaseley Care Home 21/08/07

Chaseley Care Home 30/05/06

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Key inspection report Care homes for older people Name: Address: Chaseley Care Home 404 North Promenade Blackpool FY1 2LB     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: User doesnt belongs to any group     Date: 0 1 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Chaseley Care Home 404 North Promenade Blackpool FY1 2LB 01253352622 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Encompass Care Ltd care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 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 categories: Old Age not falling within any other category - Code OP, Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 24 Date of last inspection Brief description of the care home The Chaseley Care Home is situated in a prominent sea front position in the North Shore area of Blackpool. It is close to transport links, which take you into the centre of Blackpool or to other areas of the Fylde coast. The home is also close to shops and other amenities. The Chaseley Care Home provides residential care for up to 24 older people. The home has four floors and there is a passenger lift to all floors. There are a number of aids and adaptations in place throughout the care home suitable for the age range and Care Homes for Older People Page 4 of 26 Over 65 0 23 1 0 Brief description of the care home needs of residents living there. There are fifteen single rooms, nine with en-suite, and three double rooms all with en-suite facilities. There is a written Statement of Purpose outlining the homes purpose and function, and is made available in all rooms. The most recent inspection report is available to all users of the service on the notice board. At the time of the site visit the information provided to the Commission showed that care home fees were £303.52 to £364.70 per week, any additional expenses including chiropody, newspapers and additional toiletries are met by the resident or third party. Care Homes for Older People Page 5 of 26 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: three star excellent 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: A key inspection of the home was undertaken which included an unannounced visit to the service over a five hour period on 29th June 2009. We spoke to the manager, four staff members, and a number of residents. They told us about how they feel about the service they receive and what its like to work in the home. Comments were positive and some are included in this report. As part of the inspection process we asked staff about peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. We also invite others using the service to pass on their opinions if they wish. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of the service. We use this information, in part, to focus upon our Care Homes for Older People Page 6 of 26 inspection activity. We looked at recruitment and training records of two staff members. We walked around the building and watched people living and working in the home to see how everyone supported and talked to each other. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The home should continue with the process of registering a manager as this has been a requirement from the previous two inspections. However after talking to the manager we found an application has been submitted to the Commission, although it was returned for some amendments. These have now been addressed and the application is to be returned for completion. They should continue with staff training in safeguarding so that people are protected. Care Homes for Older People Page 8 of 26 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 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 9 of 26 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 10 of 26 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. The admission and assessment procedures are clear and precise to ensure the needs of people are being met. Evidence: We looked at the records of three people, they had assessment information recorded in detail, so that staff know what the individual needs are. Included in the assessment information were assessments by other professionals as well as the homes own pre assessment prior to people being admitted to the home. We talked to the manager and senior staff who said pre assessments are always undertaken so that the home knows if it can meet the needs of the person. There was also evidence of the home communicating with family or advocates so that they felt confident the home can meet their relatives needs. Comments included, the manager talked to me when I came here to find out about me, they came to see me before I came here and talked to me about it, Im only here for a short time but they made Care Homes for Older People Page 11 of 26 Evidence: me feel very welcome and talked to me at length when I came in. Staff members we spoke to told us that staff feel part of the assessment programme, by use of the key worker system, so that they get to know the person and their specific needs. Comments included, the key worker system is good because we get to know the resident and they get to know you. Care Homes for Older People Page 12 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously. Peoples welfare is closely monitored and health needs are identified and met. Evidence: The records of three people who were case tracked as part of the inspection process were up to date and complete. The information has been developed to include detailed healthcare needs as well as all other aspects of their individual needs. There was also evidence of people being involved in the care planning process. One person said, the key worker talks with me about what I need. We found the care plans are well structured with evidence of regular reviews taking place on a monthly basis so that changes can be made accordingly. Care staff are involved in the care planning process and those spoken to said, We are responsible for recording events, so that other staff can see if the needs of the people have changed. Care Homes for Older People Page 13 of 26 Evidence: The care plans have individual sections including health care. In this section the specific medical and healthcare needs of people are recorded. We saw there are excellent links with doctors and district nurses from a local practice. There is a designated member of staff who works with the surgery to arrange reviews of medication, healthcare promotion so that people receive health screening on a regular basis. We saw written records which showed healthcare is taken very seriously and the good relationship with the surgery is benefiting people living at the home. We also saw evidence of a good working relationship with social workers so that people are not disadvantaged in any way and their individual health needs are being met. Records we looked at showed there are individual risk assessments on all files. They identify the risks to the person living at the home and what action should be taken to manage the level of risk. Staff told us they regularly update this information as changes can occur between reviews. Medication practices we observed during the time spent at the inspection were seen to be safe and good records are being maintained so that the practices meet current good practice guidelines. We spoke to staff responsible for medication administration, they told us they have all received training and this was further evidenced by looking at individual training files. Staff were familiar with the homes policies and procedures and also showed us good practice guidelines being used by the home which follow national department of health guidance. Staff told us they find this information useful and keeps them up to date.Other staff comments included, I feel confident with the systems we use here, I feel supported by the manager and the training we get is good. We looked at how peoples dignity and privacy are protected and we found staff treated people with respect at all times. We spent time in communal areas throughout the inspection and saw staff talked to people in a sensitive way, they assisted residents in a dignified way and people were seen to be comfortable with the staff teams on duty. We saw staff always knocked on peoples doors and waited for a response before entering so that their privacy was protected. Comments we received said, the staff have always got time for you and they are so patient, they are always around for you. Staff said, we always respect residents privacy as I would expect mine to be respected. Care Homes for Older People Page 14 of 26 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. People have choice and support to meet their expectations and preferences regarding their lifestyle. Meals and mealtimes are designed to be a positive experience for residents. Evidence: We spoke to some of the residents and staff about routines in the home. They said they are flexible and people can get up and go to bed when they choose. We spoke to a number of people during the inspection who told us there is no problem with what time they get up and go to bed and how they choose to spend their day. We saw people moving around the home freely during the inspection. Two people we spoke to said they like to go out during the day, and at weekends they like to go out during the evening and they find the staff support them in doing this. There is a designated smoking lounge and the people we spoke to who smoke said they appreciate there is a room for them to go to. People we spoke to said they like the flexible routine in the home and they know they can eat meals when they choose, but those spoken to said they like to eat together as this is a time when they can have a good chat. Care Homes for Older People Page 15 of 26 Evidence: The time we spent at the home found people chose to use various lounges as well as their own rooms to watch television, talk , read and to play cards. It was all found to be a very relaxed atmoshpehere. Staff were seen to be available for people and they were seen spending time with individual people talking to them and assisting them at their request. The lunchtime meal was being prepared and seen to be wholesome and nutritious. A resident said, they liked the meals very much and there was always a good choice. The dining area was seen to be pleasantly arranged with a range of dining tables. Menus we looked at were balanced and the use of fresh produce is made available whenever possible. We spoke to the cook, who told us that,they know the likes and dislikes of individual residents and they respect this. We were shown new records recorded at the time of admission, demonstrating a nutritional assessment so that the cook is provided with any essential information relating to specific dietary needs. The cook told us this has been beneficial. We saw there are a range of activities available to people. People told us they; like playing cards, there is bingo as well as orgnaised entertainment on a regular basis. Comments included, I like to knit and read, but there are also other things going on if you want to join in. There is a mini bus available for people for trips out. or appointments. In addition to regular trips out, people can go out independently if they wish and are able to do this. Risk assessments take these issues into account so people are protected. By speaking to the manager, staff and some of the people who live there we were told of a holiday being organised in the coming months. This has been agreed following a successful trial last year. A residents meeting was being held after the inspection to discuss this trip. Staff spoken to said it had been so good last year it was open to people this year who are able to manage such a trip. People going this year told us they cant wait and that the staff had been really supportive. Care Homes for Older People Page 16 of 26 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. The arrangements for recording and responding to complaints are good making sure people feel listened to. Staff training for the protection of service users is being arranged for the protection of users of the service. Evidence: We looked at the homes complaints procedure, which is made available to people during the admission process. We were told by staff and residents, they are aware of the complaints procedures and how to use it. Comments included, I always go to the manager if Im not happy about something. There have been no complaints recorded in the homes records and the Commission have not received any complaints since the Random inspection in January 2009. We looked at how staff are trained in safeguarding people and found that whilst staff have received training in the past, this is being updated over the next twelve months for all staff working in the home, so they have the knowledge and skills relating to current guidance and good practice so that people are protected. Care Homes for Older People Page 17 of 26 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. People live in a suitably adapted, clean and comfortable environment. Decoration is ongoing to improve individual areas of the home. Evidence: We toured all areas of the home and found it to be clean and free from offensive odours in all parts. The home is generally well furnished and decorated, however as rooms are becoming vacant they are being decorated so that the environment is maintained to a good standard throughout. People we spoke to said they liked their rooms and the home in general. Ive been here a long time and think its really homely. The manager told us there is an ongoing maintenance programme and there is a maintenance employee on the staff team to carry out basic maintenance tasks. The two communal lounges and dining area are very comfortable with a range of seating for people with a variety of mobility issues. In addition there are suitable adaptations including walking aids, wheelchairs and hoists so that people with limited mobility are assisted. There is a limited outdoor space for people, however there is a small rear courtyard with plants and seating for people to use. The front elevated sun lounge overlooks the promenade area and people tend to use this lounge. Comments included, I like to sit Care Homes for Older People Page 18 of 26 Evidence: here and watch whats going on, there is always something to watch and in the summer months it gets very busy. A number of people said they like to go out with staff when they can. Care Homes for Older People Page 19 of 26 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. The procedures for recruiting staff are good, ensuring the safety and protection of people. Training and deployment of staff is being developed so that they are meeting the needs of people using the service. Evidence: We looked at the duty rotas and discussed staffing levels with the manager. The home has a consistent staff team in sufficient numbers with various skills and experience to meet the needs of people living there. Staff we spoke to said they were happy with the way they are supported and how they work in the home. Comments included, we work well together as a team, and feel supported, We have worked together for a long time now and its seems to work well. The way staff are trained has been reviewed and we saw there is evidence staff are going on courses to meet the needs of people living in the home. Staff training files have been reviewed by the manager so that any gaps are being identified and the necessary training updated. Staff we spoke to said they are encouraged to develop their training and they find it really useful. We looked at two staff files. There have been no new staff employed since the previous inspection, however the files showed us staff are recruited safely using Care Homes for Older People Page 20 of 26 Evidence: procedures which take into account full information about them including application records, references which have been checked, Criminal Record Bureau (CRB). Protection of Vulnerable Adults (POVA)checks to make sure they are safe to work with people who may be vulnerable. Care Homes for Older People Page 21 of 26 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 managed well with systems and policies in place for the safety and protection of residents. Evidence: We saw the manager is running the home on a day to day basis in the best interests of people using the service including staff. Comments included, we feel really supported by the manager, I feel I can go in and ask about things I am not sure about, the manager is lovely as are all the staff, they cant do enough for you We noted there remains a requirement for a manager to be registered with Care Quality Commission. However we were shown evidence of an application in place which has been returned to the manager for amendments and this process is ongoing.The manager demonstrated a very good level of knowledge and skills in the day to day management of the home. In addition she has created good management systems for staff development and has accessed a National Health Service project in managing stress for staff, staff told us they think this will be beneficial for them. The Care Homes for Older People Page 22 of 26 Evidence: management team demonstrated access to excellent health care screening for people using the service. We looked at how the home gains the views of people using the service and found there are minuted meetings taking place which have agendas, and records of issues discussed and action taken in areas which have required some action. Staff told us they feel listened to in order to improve the quality of service. Comments included, I feel really supported by the management team and can express my views and feel they are listened to. We found that most systems and records have been reviewed or are at the review stage, so that the information is comprehensive and up to date. Staff were able to follow clear instructions in the records for the health and welfare of residents. We saw there is a clear line of management responsibility and that staff communicated well with the manager throughout the inspection process. The way the home manages peoples allowances means there is a clear audit system in place which is reviewed by the management team, so that peoples money is protected. By looking at records we saw regular tests and servicing of essential equipment including, gas, electric and fire they were safe. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 31 8 There is a requirement for there to be a manager registered with Commission for Social Care and Inspection (CSCI), who will work with the registered provider to provide a good quality of care to residents living there. (Previous timescales of 31/03/06 and 31/07/06 not met) 31/10/2007 2 31 8 There is a requirement for a manager to be registered with the Commission for Social Care Inspection. As the owner is not in day to day control of the home, it is necessary for the manager to be registered with the Commission following completion of a managment qualification, as agreed with the Commissions registration team. 31/03/2009 Care Homes for Older People Page 24 of 26 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 1 2 18 31 Staff should continue with the training programme for safeguarding people so that they are protected. The manager should continue with the application to the Commission for registration as manager of the service. Care Homes for Older People Page 25 of 26 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). 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