Inspection on 07/04/10 for Sandycroft Nursing Home

This is the latest available inspection report for this service, carried out on 7th April 2010.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sandycroft Nursing Home 23/04/07

Sandycroft Nursing Home 20/12/05

Sandycroft Nursing Home 12/10/04

Sandycroft Nursing Home 11/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/05/2010.

Key inspection report Care homes for older people Name: Address: Sandycroft Nursing Home 366-368 Lytham Road Blackpool Lancashire FY4 1DW     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: Kevan Royston     Date: 0 7 0 4 2 0 1 0 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 25 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Sandycroft Nursing Home 366-368 Lytham Road Blackpool Lancashire FY4 1DW 01253349400 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Taskers (Blackpool) Limited Name of registered manager (if applicable) Mrs Jane Lyth Type of registration: Number of places registered: care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The service is registered for a maximum of 37 service users in the category OP (Old Age, not falling within any other category) Two named service users in the category PD (Physical Disability) who are below the age of 65 years may be accommodated within the maximum number of registered places. Date of last inspection Brief description of the care home Sandycroft Nursing Home provides nursing and residential care for 37 service users over the age of 65 and two named people who under 65 years of age. The home is situated within a residential area of South Shore and is close to local amenities, the promenade and bus and tram routes are situated close-by. Accommodation within the home is situated on the ground, first and second floors in single and double rooms, Care Homes for Older People Page 4 of 25 Over 65 37 0 0 2 0 6 1 1 2 0 0 8 Brief description of the care home some of these are en-suite. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what the resident can expect if he or she decides to live at the home. Information received on 08/04/10 showed that the fees for care at the home are from £478.73 to £630.00 per week, with added expenses for: Hairdressing, and newspapers all at actual cost of item. Care Homes for Older People Page 5 of 25 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: This unannounced visit was part of the key inspection process and took place on the 7/4/10. We spoke to people living at the home, staff, the manager in charge, to a group of residents in the lounge and relatives of people living here. Care, maintenance, previous inspection reports and other records were looked at, as well as a walk around the building. As part of the inspection process we talked to people using the service and asked staff about those people needs. We also looked at their rooms, care plans and daily notes, this is called case tracking. Other people who staying at the home were invited to pass their opinions to us if they wish. We received responses from surveys/ questionnaires sent to people living at the home and staff for their views on how the home is run. Comments we did receive were positive and some are included in this report. Care Homes for Older People Page 6 of 25 Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. Care Homes for Older People Page 7 of 25 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 25 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 25 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 25 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 good with clear and precise ways of ensuring peoples needs can be met. Evidence: We looked at assessment information for people who live at Sandycroft Nursing home which showed that, comprehensive information was obtained by the manager and from social services so that a care plan can be developed with all health,nursing and social needs identified, and staff can provide the right care and support for each individual. We spoke to a person who lives at the home about the time she moved in and she said, The staff were so nice to me when I first came. A staff member spoken to about the assessment process said, Anyone who is deciding to live here is welcome for dinner, tea or we can go to where they live and spend some time with them. A care plan had been developed from the information to ensure health, social and welfare needs are identified and the care and support needed can be met. There was Care Homes for Older People Page 11 of 25 Evidence: evidence of involvement from the person admitted to gather information so that all needs of people who come to live here are looked at. A survey from a member of staff said, The process for assessment is really good and provides us with information to relate to each resident on a personal basis As a course of good practice the manager tells us in the AQAA, all potential residents are visited for a pre-assessment meeting and brochures about the home and what services can be offered are discussed with the person and families prior to any trial visits. This ensures there is plenty of time before they move in to get to know the residents. One member of staff spoken to said, It works well. Standard 6 was not assessed as the home does not provide intermediate care. Care Homes for Older People Page 12 of 25 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. People who live at the home have their health, nursing and personal care needs met by staff who are caring and well trained to give respect, dignity,and privacy. Evidence: Care records looked at for people living in the home are comprehensive and set out a plan of care monitoring all nursing care, health,welfare and social interests. People have a say in the care they receive and in the way they are supported. This was evidenced by staff and residents spoken to, also residents and families signing they agreed with the care provided. Comments from staff and people who live at Sandycroft about the standard of care included, The staff are all helpful and kind. Also, The care records are always up to date and easy to follow. One person who lives at the home wrote in a survey,They provide excellent medical care. We discussed with staff the needs of people we case tracked they had a very good awareness of peoples needs and were able to discuss all aspects of the persons support and what care was required. One member of staff spoken to said, The life history which is recorded gives each member of staff an insight into the persons life which helps build a relationship. Care Homes for Older People Page 13 of 25 Evidence: Each person has risk assessments in place to ensure their safety. Looking at records of care we confirmed these are updated monthly, or when necessary to reflect any changes that may have occurred in the building or individually ensuring people are protected and safe. We looked at the medication procedures with the nurse in charge, medication of people we case tracked had safe practices in place to ensure people receive the right medicine at the right time and they are protected by the procedures in place. One member of staff spoken to said, Only nursing staff give out medicines. The nurse in charge explained to us they have a good relationship with the pharmacist who visits the home to instruct staff on medication issues when required. One staff member said, We have a very good relationship with the pharmacist who is extremely helpful. We looked around the storage area where medication is kept and found everything in order and extremely clean and tidy. We looked at records and confirmed nutritional screening of people who live at the home is monitored so that any health issues are noticed and acted upon. This was confirmed by information contained in the AQAA. Records of people who live at the home show they have access to health professionals and where possible a doctor (GP) of their choice. During our visit we talked to residents in their own room, the lounge area, individually and watched staff caring for people and helping them in a sensitive, dignified way. One person who lives at the home said to us, The staff are great. The manager tells us in the AQAA how it is important for staff to care for residents with respect, dignity and equality. They are given instruction so they are aware of how to treat people to ensure respect is shown at all times, this was confirmed by talking to staff. One member of staff wrote in a survey, We give all the residents plenty of choice in the running of their own lives and show respect at all times. Care Homes for Older People Page 14 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are well managed, creative and provide daily variation and interest for people living at the home. Evidence: Routines watched during the day looked relaxed, some people were sat in the lounge area, staff were carrying on with their daily routines. We noticed staff chatting to residents when they had time and nursing people who required attention in a dignified way. The home now employ an activities co- coordinator which has been a success and improved stimulation for the people who live at the home. Comments from surveys returned from people who live here included, Its good that a lot of effort is put in to provide entertainment. One resident spoken to said, We went to Blackpool Tower ballroom the other week it was fantastic. The manager informs us in the AQAA of planned social activities and entertainment which include trips to Southport and St Annes, choices of the people who live here. One resident spoken to said, When we have meetings we decide what we want to do. The manager tells us in an effort not to isolate people who are bedfast more effort is made by staff to ensure their social needs are being met as much as possible. One relative spoken to said, My dad was unable to join in much but the staff paid particular attention to ensure he enjoyed a quality of life as possible, they were fantastic. Records show hobbies and interests of Care Homes for Older People Page 15 of 25 Evidence: people who live at the home are written down so that staff are aware of activities individuals prefer. We had a talk to the cook and a look around the kitchen area which we found clean and tidy. We asked about training and one staff member said, I have, and all kitchen staff completed Food and Hygiene training. Comments from people who live at the home about the standard of meals provided were very good and included, Everyone has a choice of meals if they dont like something. Also,The food is excellent. One relative spoken to about the quality of food said, The meals are very good I have tried them. One of the cooks spoken to said, I always use fresh food and enjoy baking. Surveys returned from people who live at the home said about the meals provided, Meals are good and plenty of choice. Records looked at show staff monitor the intake of food and liquid of people living at the home to ensure any concerns are identified and appropriate action taken. We spoke to the cook about liquidized meals which are prepared for some residents, and the cook was well aware how to present meals so they look appetizing and are presented well, the cook said, Liquidized food is always done separately. A visitors policy is available in the Service user Guide (brochure) which says visiting times have no restrictions. All people who live and work at the home spoken to confirmed friends and relatives are welcome any time. People we spoke to who live here confirmed they were able to bring some personal items into the home which was agreed during the admission. Rooms we were invited into had personal possessions around so that people who live here felt it was home. One person who lives at the home wrote in a survey, Anything from home I could bring to my room. Care Homes for Older People Page 16 of 25 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: Policies and procedures are in place for dealing with any complaints, concerns and issues people may have to ensure they are dealt with correctly and fully investigated with outcomes recorded. One person who lives at the home spoken to said, Never dreamed of complaining but I know who to speak to. A member of staff spoken to about complaints said, I covered complaints information when I started here. More information and details about the complaints policy is given to potential residents and their families in the brochure of the home. Information the manager gave us in the AQAA tells us of how they have provided safeguarding adults training for almost all staff to ensure they are aware of any signs of abuse taking place and are able to take the appropriate action. Staff spoken to confirm they have attended training both at the home and through the National Vocational Qualification (NVQ). One member of staff spoken to said, I know staff recently have updated some safeguarding training. Care Homes for Older People Page 17 of 25 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 building is kept clean and tidy and well maintained. Evidence: We had a walk around the home and found it to be clean, tidy and maintained. The building is a large home, the furnishings and decoration are homely and ensure people live in pleasant surroundings. Comments from people who live at the home all commented on how clean it is kept. One said, The domestic staff are excellent. The manager tells us in the AQAA how they have improved the surroundings by replacing carpets and continuing a programme of decoration. However doors to bedrooms and communal doors were marked and paint chipped off, these should be repainted to ensure the building continues to be maintained. A maintenance person is employed and a record of repairs is kept to ensure any problems are attended to quickly and people are kept safe. One member of staff spoken to said, Maintenance records are kept and repairs attended to . There is a laundry facility which is situated away from the kitchen and food preparation area. Policies and procedures are in place for the control of infection to protect and safeguard people. Specific staff are employed to attend to laundry duties and we spoke to a person who said, I have, and I know other staff have completed infection control training. Care Homes for Older People Page 18 of 25 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 availability of training and good access to courses means the staff are well trained and have the skills to support people who live at the home. Thorough recruitment procedures are in place to make sure suitable staff are employed. Evidence: We looked at staffing rotas, spoke to staff and watched people being helped in a sensitive way, and found sufficient numbers of staff on duty to ensure the needs of people who are living at the home are being met. On the day of the visit there was plenty of staff so that nursing support could be given to people in need of a lot of attention. One staff member wrote in a survey, People who require a lot of help get it. A relative spoken to said, What I like about Sandycroft is the number of staff available to help the residents. Thorough recruitment procedures are in place to ensure suitable people are employed. We looked at staff records for recruitment and found all the checks required were in place and each staff member had been checked properly and received induction training. One staff member spoken to about the selection process said, The interview and initial induction training went through everything. Speaking to staff and information in the AQAA confirm there has been little change in personnel for a long time which helps staff understand each other better and provide Care Homes for Older People Page 19 of 25 Evidence: quality support for people living at the home. One staff member spoken to said,Everybody gets on well together. Training opportunities are good for staff to develop their skills and ensure people living at the home receive the right care and support from a competent staff team. One staff member said, The best place I have worked for training. The manager tells us in the AQAA over 50 of care staff have completed the National Vocational Qualification (NVQ) to level 2 which is a recognised qualification in care. One staff member spoken to said, Some staff are completing NVQ level 3. Staff spoken to said they are clear about their role and work well as a staff team to ensure the individual and collective needs of people who require a lot of nursing care receive it. One person who lives at the home said about the attitude of staff, I cannot praise them enough. Care Homes for Older People Page 20 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well with good systems in place for the protection of people who work and live at the home. Evidence: The manager is a qualified nurse and has the necessary skills and is qualified to support staff and people who come and live at Sandycroft Nursing Home, and ensure the home meets it aims and objectives. Comments from staff and surveys returned praised the manager on how the home is run,they included,The home is run to the best interest of the residents. Also, Good management makes coming to work a pleasant experience. There are good systems in place to get together staff, relatives and residents views on how the home is developing and how they feel the home is run. There are regular staff, resident meetings and questionnaires given out to people who live at the home and families periodically to get opinions on how the home operates. One staff member spoken to said, The meetings are beneficial because we can get the views of people Care Homes for Older People Page 21 of 25 Evidence: and make changes to improve the home. Records looked at for people living at the home we case tracked were found to be comprehensive,well written, easy to follow and up to date, ensuring the information contained was correct and health and social care needs are continuously monitored. We looked at health and safety records and found a procedure in place for recording any accidents, regular checks on fire safety procedures and all equipment checked, ensuring the people who live and work at Sandycroft are kept safe. Sandycroft Nursing Home has achieved the Investors in People award for setting high standards of how the home operates, staff training and development including the recruitment of staff and systems they have in place to ensure people are protected and provided with care and support they need. Care Homes for Older People Page 22 of 25 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 23 of 25 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 19 Redecoration of doorways in all areas of the home should be completed to ensure the building continues to be maintained well. Care Homes for Older People Page 24 of 25 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. 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