Inspection on 22/06/05 for Acorn Lodge

This inspection was carried out on 22nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Acorn Lodge 25/09/07

Acorn Lodge 01/08/06

Acorn Lodge 08/09/05

Acorn Lodge 12/10/04

Acorn Lodge 03/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acorn Lodge 183 Reads Avenue Blackpool Lancashire FY1 4HZ Lead Inspector Jackie Riley Unannounced 22 June 2005 09:30am nd 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Acorn Lodge Address 183 Reads Avenue Blackpool Lancashire FY1 4HZ 01253 300036 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Anand Seedheeyan Mr Daniel Lea Care home only 10 Category(ies) of DE Dementia (6) registration, with number MD Mental Disorder (4) of places Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2004 Brief Description of the Service: Acorn Lodge is a registered care home, providing residential care for ten service users, of those four are registered, Mentally Disordered and six Dementia. The care home is situated in a residential area close to all community amenities, including shops and the public transport system. Access to the home requires service users to be mobile without the need for mobility aids. The care home has two floors accommodating service users. They include five ground floor single rooms one with en- suite facilities and five first floor rooms, one double and four single. A new ground floor shower and toilet room has recently been installed. There is no lift access to the first floor therefore service user occupying first floor rooms must have good mobility. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection therefore the registered person, staff and residents were not aware of the visit. The inspection was undertaken during a four hour period of the day. The registered manager assisted the inspector to carry out the inspection process. One staff member on duty was interviewed. There were no visitors available throughout the inspection process. Four residents were spoken to, and their views were recorded, however some residents due to their level of dementia they were unable to communicate their views. Records of medication, care plans, staffing rotas and two staff recruitment files were examined. What the service does well: What has improved since the last inspection? The management and administration of medication has improved since the previous inspection. Advise and guidance provided by the Pharmacy inspector has been acted upon. All staff responsible for administration of medication has either attended training or are in line to attend training. The recording systems in the home have been developed to include all aspects of residents needs including regular reviews. Staff training is being developed, with all staff having access to vocational training, and health and safety training. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, & 3. Residents and other interested parties have access to written literature about the home, providing choice and information prior to making a decision. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The admission process is good and ensures all information about the person is gathered prior to a placement being made. There is support from a range of other professionals involved in the placement of residents. One staff member on duty gave a good account of individual residents needs, and felt involved in the assessment process. A copy of the residents contracts are in place for all residents thereby providing protection for people receiving and providing the service. People are admitted to the home, only when assessments have been carried out; by social workers or other professionals including the manager of the home, in most instances. This ensures a persons needs can be met by the home. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 9 One resident spoken to described their likes and dislikes in respect of their diet and this was clearly recognised in the written information. Contracts and other service information is included on all files, however due to limited understanding by many residents due to levels of dementia only a limited number of residents were aware of the information. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, & 9 Records recording the health care needs of residents were complete which ensure residents needs can be fully met. Medication management has been greatly improved upon to ensure the safety of residents in the home. EVIDENCE: Individual care plans have been greatly improved upon. They now provide information relating to all aspects of health, social and personal needs. The plans show where other professionals are involved, and the impact of their services on the resident. Staff spoken to had a good knowledge of the individual health needs of residents and stated “we get to know, what residents need from the manager”. There is evidence of regular reviews by the home and from social workers, ensuring there is a good monitoring system. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 11 Management of medication administration, recording and storage has greatly improved, since the previous inspection. Staff members have received training in dispensing and recording medication to ensure systems are safe. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, & 15 Social and community activities are in place but could be further developed to meet the specialist needs of residents living at the home. Meals prepared by staff members are balanced and provide a daily variation and interest for people living in the home. EVIDENCE: A number of people living in the home were spoken to and commented on how they enjoy the flexible lifestyle they lead in the home and also in the community. One resident said how they like to” go to the pub round the corner”. Another resident went out to the shops during the inspection. Staff spoken to said “we encourage residents to go out whenever they can”. Records seen, record individual choices in how they like to spend their time, based upon risk assessment. Activities and therapies designed specifically for people with dementia should be considered. Meals are prepared on the premises by staff and one resident commented “they know what I like and don’t like”. Another resident said “we can have what we want if we ask”. Meals were seen to be balanced and staff knew individual likes and dislikes. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, & 18 The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have sound knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a complaints procedure in place and a staff member spoken to was able to explain the process. Records of complaints investigations with outcomes are up to date. There have been no complaints received by CSCI in the last twelve months. There were no recorded incidents of complaints occurring in the home. Two residents spoken to were aware of the complaints procedures and said “ we can always talk to the staff if we don’t like something”. The home has a procedure in place for dealing with allegations of abuse. The registered manager had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. The registered manager is aware of the need for all staff to be aware of the procedures for Adult Protection and has access to training in this area. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The environment was not inspected. EVIDENCE: Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29, & 30 The procedures for the recruitment of staff are in place although, there is a need include a full employment history on all applications, thereby providing protection for the people living in the home. Staff have access to training, but need to update courses, which are time constrained, in order to be kept up to date with changing practices. EVIDENCE: Two staff files seen show recruitment procedures are in place, although applications must include a full employment history with any gaps being explained. One staff member described their recruitment process, and said “ I completed an application form and had an interview before I started work at the home”. Staff training is a major focus of development, as the home wants its staff team to be trained to deliver a good level of care. There is a need for staff to update training in areas where there are time limitations including First Aid and Food Hygiene. There should be more training in areas for caring for people suffering from dementia, in order to use up to date practices for people suffering from the condition. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, & 33 The home is well managed and run efficiently providing a safe and stable environment for people living there. Staff are supported and feel confident in the way the home is managed. EVIDENCE: The management structure makes sure there is shared responsibility in the operation of the home. Staff spoken to commented on how supported they felt. One staff member said; “I like the way I can ask the management team anything”. The homeowners provide support and guidance to the manager. Resources are made available for staff training, and there are no constraints on budgeting for residents needs. Monthly reports are completed and copies sent to CSCI to ensure quality assurances of services provided. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x x Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 29 Regulation 19 Requirement All applicants must provide a full employment history with any gaps explained. Timescale for action 31.7.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 12 30 Good Practice Recommendations Acitivities specifically designed to meet residents specialist needs should be developed based upon current guidance and good practice. Staff should receive updated training where time constraints are in place. Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Acorn Lodge F57 F09 S9866 Acorn Lodge V195955 230605 Stage 4.doc Version 1.40 Page 20 - 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. 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