Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Red Rose 218 Hornby Road Blackpool Lancashire FY1 4HY 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: Jacqueline Riley
Date: 0 9 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 21 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 21 Information about the care home
Name of care home: Address: Red Rose 218 Hornby Road Blackpool Lancashire FY1 4HY 01253620377 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 Robert Leslie Farley care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Red Rose is a small registered home providing care for up to three elderly people. The homeowners family, and resident share the home, although residents have independent lounge and dining space, they live as part of an extended family. Residents are encouraged to personalise their individual rooms, which are large and are equipped with shower units, en-suite facilities and tea and coffee making facilities with a fridge for storing milk or other items. The home is situated in a residential area with good access to services including shops and public transport. Community facilities are close by and the registered provider facilitates residents to access them. At the time of the site visit the fees were £241.15. Care Homes for Older People Page 4 of 21 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: A key inspection of the home was undertaken which included an unannounced visit over a two hour period, on 9th April 2009. This is a small home and we spoke to the registered provider and the one resident living at the care home at the time of the key inspection. As part of the inspection process we looked at the homes environment, 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 Care Homes for Older People
Page 5 of 21 of the quality of the service. We use this information, in part, to focus upon our inspection activity. There are no additional staff working at the home other than the registered provider. 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 7 of 21 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 8 of 21 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. There are admission and assessment procedures in place to ensure the care needs of people are met. Evidence: We looked at records and spoke to the registered provider about assessments and information about the service. We found the resident living at the home has lived there for many years now and therefore pre admission assessments were not in place, however there is an assessment format for any other admission to the home so that residents needs will be assessed by the home or other professional. We saw the home has in place a Statement of Purpose and Service User Guide should a placement be made, thereby providing a prospective resident or their advocate with information about the home and what services it can provide. Care Homes for Older People Page 9 of 21 Care Homes for Older People Page 10 of 21 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. Promotion of health is taken seriously, peoples welfare is monitored and health needs are met. Evidence: We looked at the care planning record for the resident living at the home. We found the registered provider records the needs of the resident, and carries out reviews on a regular basis so that they are being monitored and met. Comments included, I make changes accordingly, whenever there has been a doctors visit or a change in medication. Medication management is carried out by the registered provider who has daily records and documents of all medications administered and returned. In order to ensure the privacy and dignity of the resident is upheld the registered provider promotes independence and only assists with personal care when necessary. Due to sensory impairment the registered provider uses a system of flashing lights on
Care Homes for Older People Page 11 of 21 Evidence: and off before being asked to enter the residents room to ensure privacy and dignity is upheld. We spoke to the resident who said they were very happy with the way things were at the home. Care Homes for Older People Page 12 of 21 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. The resident receives the support they need to live their chosen lifestyle. Evidence: As this is small home the approach to daily living is flexible. There are no set times to get up and go to bed. The resident told us they have their own routine and the registered provider respects this. They told us they like to watch the television in their room which has sub titles so that they are not disadvantaged due to sensory impairment. We were told the resident remains fairly independent and likes to go out daily to the local shops. The resident also likes to use the garden area in better weather and go out with the registered provider for shopping trips or drives out. The resident has good contact with family members and told us they are looking forward to going to a family wedding later in the year. They said they were very happy living at the home and felt safe. Care Homes for Older People Page 13 of 21 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. There are procedures in place for residents to make complaints, and residents are protected by policies in place for safeguarding them. Evidence: We saw there is a clear complaints procedures in place for residents to follow. The resident living at the home had a copy of the procedure in their room and were familier with it. There have been no complaints made to the home or the Commission since the previous inspection. We spoke to the registered provider about how residents are protected and were informed of the local guidance and procedures used for the protection of people. There are no additional staff working in the home, however the registered provider told us they are kept up to date with guidance so that people are protected. Care Homes for Older People Page 14 of 21 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 environment is safe and clean, maintained to a high standard, providing comfortable surroundings for residents to live in. Evidence: The home is of a domestic nature set on two floors with two residents rooms which are vacant being on the first floor and one occupied room on the ground floor. We looked at the residents room and found it to be large and equipped with items of furniture and bathing facility. There is good access to the rear garden area which is not overlooked and used by the resident during the warmer months. The resident showed us their room which they like to use during the day, and appeared homely with personal items throughout. There is a separate lounge and dining room available to use. We found the home is clean and free from any offensive odours. Maintenance of the home is taken seriously by the registered provider who has a maintenance plan in place for the upkeep of the home. Care Homes for Older People Page 15 of 21 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. There are no additional members of staff working in the home. Evidence: There are no additional staff who work in the home, however in some instances the family of the registered provider may provide some support when necessary. The resident told us they are happy with the level of support they receive and felt part of the family as they have lived there so long. Care Homes for Older People Page 16 of 21 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 the best interests of the resident being taken into account. Gas and Electric servicing were out of date having the potential to pose risk to users of the service. Evidence: We saw the registered provider is running the home on a day to day basis in the best interests of residents. Comments included, Its like one big family, I like living here, its is a lovely home, all my needs are met here. By talking to the registered provider we found the home is run in a very flexible way and that the residents views are listened to in order to make improvements. Comments included, I always take into account a residents wishes and listen to what they have to say. We found that records and systems in the home are being maintained, so that
Care Homes for Older People Page 17 of 21 Evidence: residents needs are being monitored and can be responded to by the registered provider. By looking at records we saw gas and electric servicing were late. We spoke to the registered provider about this and told this was currently being arranged. All systems must be regularly tested in order to ensure the health and safety of the people using the service. All other servicing seen including fire were up to date. Care Homes for Older People Page 18 of 21 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 19 of 21 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 1 38 23 Electrical and Gas installations must be serviced annually so that people are protected. By not servicing equipment by the required date people using the service may be put at risk. 31/05/2009 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 20 of 21 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 21 of 21 - 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!