CARE HOMES FOR OLDER PEOPLE
Acorn Lodge 183 Reads Avenue Blackpool Lancashire FY1 4HZ Lead Inspector
Jackie Riley Unannounced 8 September 2005 10:00am
th 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 V248685 080905 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 Seedheeyan Mr 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 V248685 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: Acorn Lodge provids residential care for ten service users. 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. There is a ground floor shower and toilet room , close to the entrance of the home. There is no lift access to the first floor therefore service users occupying first floor rooms must have good mobility. Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place during a daytime period. It was the second inspection and was unannounced. During the inspection the registered manager was available and assisted the inspector with the inspection process. The inspector spoke to staff on duty. Six residents were spoken to as part of the inspection process, all said positive comments about the way they live in the home. What the service does well: What has improved since the last inspection? What they could do better:
All resident’s personal allowance records must be kept up to date, and confirm each resident has received their individual personal allowance. There were some areas of concern in respect of the homes environment. These require attention to ensure the comfort and safety of the residents.
Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 6 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 V248685 080905 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 V248685 080905 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) Not Inspected EVIDENCE: Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 9 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) 10 Privacy is upheld for residents by staff who carry out personal tasks. This makes the residents feel safe and secure. EVIDENCE: There was evidence resident’s rights to privacy and respect are met by the staff of the care home. One residents spoken to said “They help me if I need help when I’m having a bath, but they leave me alone when I ask them.” There are locking mechanisms on bedroom, bathroom and toilet doors to make sure residents using these facilities have their rights to Privacy met. Staff spoken to say “We always respect residents wishes when they are attending to personal needs, although this is based upon their individual risk assessments”. Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 10 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) Not Inspected EVIDENCE: Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 11 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) Not inspected EVIDENCE: Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 12 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) 19, 20, 21, 24, 26 Some work is required to the environment to ensure residents have the necessary facilities, to ensure their comfort and safety. EVIDENCE: There is evidence of general on going maintenance of the homes environment. Two residents were in their rooms during the inspection and said they felt comfortable in them. There was evidence of personal effects in all rooms, which helped people feel they belonged there. One resident said, “I like having my things around me”. Two rooms seen require replacement carpets and replacement sinks, in order to make sure they are a comfortable environment for the people who live in them. The ground floor toilet and shower now provides residents with better access, due to its repositioning. However there is a requirement for the work including the surrounding step into the shower to be completed, for the appearance of the room.
Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 13 Access in and out of the home requires residents to have good mobility. This is reflected in the homes written literature and addressed with residents or their representatives during the assessment process. One resident spoken to said, “So long as I can go out and about when I want it doesn’t matter”. There was evidence of a cleaning programme in place, to make sure the home is clean and hygienic at all times for the comfort of people who live and work in the home. Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 14 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) Not inspected. EVIDENCE: Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 15 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) 35, 38 Residents living at the care home are protected by systems in place for their personal health and safety. All financial records must be kept up to date for the protection of residents. EVIDENCE: The systems in place for the protection of residents and staff were examined and it was confirmed they are in general up to date. A recent fire inspection recommended a number of areas to be addressed. It was noted work is to be carried out to comply with these recommendations. The manager must ensure good records are kept for the recording of personal allowances. This should be maintained weekly with evidence of the persons signature who is receiving the personal allowance. This will ensure residents’ finances are adequately protected.
Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 16 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 2 3 2 x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 2 x x 2 Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 17 No 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 19 Regulation 23(2)(b) Requirement There is a requirement for the ongoing maintenance work to continue including replacement of the carpet in room 6, replacement sink and surround in room 7. Ground floor shower room to be completed. All personal allowance records must be complete and up to date at all times, with evidence of signatures for those providing and receiving the allowance. All recommendations in the fire report must be completed. Timescale for action 30.11.05 2. 3. 21 35 23(2)(b) 17 30.11.05 20.10.05 4. 38 23(4)(a) 20.10.05 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. Refer to Standard Good Practice Recommendations Acorn Lodge F57 F09 S9866 Acorn Lodge V248685 080905 Stage 4.doc Version 1.40 Page 18 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
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