Inspection on 22/02/06 for Alderbank Community Care Centre

This inspection was carried out on 22nd February 2006.

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 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

Alderbank Community Care Centre 10/02/09

Alderbank Community Care Centre 09/03/07

Alderbank Community Care Centre 26/10/05

Alderbank Community Care Centre 15/02/05

Alderbank Community Care Centre 16/09/04

Alderbank Community Care Centre 10/03/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Alderbank Community Care Centre Melville Road Kearsley Bolton Lancashire BL4 8JD Lead Inspector Stuart Horrocks Unannounced Inspection 22nd February 2006 09:30 X10015.doc Version 1.40 Page 1 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 Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 2 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. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Alderbank Community Care Centre Address Melville Road Kearsley Bolton Lancashire BL4 8JD 01204 337791 01204 337794 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bolton Metropolitan Borough Council Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission For Social Care Inspection. Staff numbers to be calculated in accordance with the Residential Forum Care Staffing Guidance (Older People) by 1 April 2004. Within the maximum registered number 26, there can be up to 26 (OP) Older People. 26th October 2005 Date of last inspection Brief Description of the Service: Alderbank is owned by Bolton Council and is run by the Social Services Department. At this time the home accommodates only one long stay older person with social care needs. The home is now, and will in the future only be admitting up to 21 older people for intermediate (rehabilitation) care on a short stay basis and four respite beds are also available. The home also provides a day care service for seven days a week. The intermediate care service at Alderbank is jointly provided by Social Services and the Primary Care Trust Aderbank is in a residential area of Bolton on Melville Road Kearsley about four miles from Bolton town centre. The building is one level and there are 26 single bedrooms. The home has four small lounge/dining rooms and there is also a large central dining/lounge area. The home has a central garden and patio area with seating and there is limited parking to the front of the building. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was started at 9.30am.It took place on one day and it lasted for about four hours. The time was split between talking to the Care Supervisors and checking records, and looking around the home, watching what was happening and talking to residents and other staff. Thirteen residents and eight staff were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The Responsible Individual needs to make sure that the acting manager is approved and registered by the CSCI and staffing levels must be reviewed to make sure that enough staff are available at identified times to meet the residents needs. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 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. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 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 the following standard(s): 1 and 3. Clear written information was available that helps prospective residents make a decision about whether they wish to live at the home. The admission procedure is good which makes sure that residents needs and expectations can be met by the home. The above key Standard 6 was not examined at this inspection. It should however be noted that this standard was checked and met at the time of the previous inspection (October 2005). EVIDENCE: At the time of the previous inspection a requirement was made that the home’s “Statement of Purpose and the Service User Guide must be amended so that the current management arrangements of the home are described”. These documents have now been amended with copies being available in the resident’s bedrooms, which they were aware of. Both contain the required information, they are well laid out, properly written and easy to follow and they contain useful and valuable information. The home is no longer admitting resident for long term care. Therefore preadmission assessments were aimed at assessing potential residents suitability Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 9 for admission to the home’s Intermediate (rehabilitative) Care Service. This admission procedure was thorough and checking of care records showed that a full assessment of potential residents care needs had been completed prior to their admission to this service. From this information the home is then able to assess whether these people’s needs could be met and a care plan is then put together. The care file of the one long stay resident was looked at. This was found to contain an up to date care plan that had been properly reviewed at the required monthly intervals. The health care needs of this person was discusses with the staff with advice being given by the inspector The care files of five residents receiving rehabilitative care were also checked. These files also contained the required information. The needs and progress of these people are regularly checked during what is usually a six-week stay at the home. Those staff spoken with said that they used the above assessment and care plan information to guide them in giving care to the residents. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 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 the following standard(s): The above key Standards 7,8, 9 and 10 were not examined at this inspection. It should however be noted that these Standards were met at the time of the previous inspection. The inspector did however do a brief check of residents care plans (Standard 7) whilst assessing Standard 3 (needs assessment), please refer to this section where the home’s care planning arrangements were found to be satisfactory. EVIDENCE: Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 11 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 the following standard(s): The above key Standards 12 to 15 were not examined at this inspection. It should however be noted that these Standards were met at the time of the previous inspection. EVIDENCE: Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 16. The home has a clear complaints system ensuring that concerns are properly dealt with. The above key Standard 18 was not examined at this inspection. It should however be noted that this Standard were met at the time of the previous inspection. EVIDENCE: A complaints procedure was in place, which was prominently displayed throughout the home. This information was also available in the residents’ information guide. A record of complaints made is kept. None have been made to the management of the home since the last inspection and no complaints have been made to the CSCI. The residents spoken with were very clear that they would feel comfortable about raising concerns and that they would “talk to the staff” or one of the Care Supervisors if they had any worries. Discussion with staff showed that they were also aware of the home’s complaints process. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 19 and 26. Alderbank provides a safe, clean, comfortable and homely environment for the people living there. EVIDENCE: Alderbank is well maintained both to the inside and to the outside. Decoration, furnishings and lighting are generally to a good standard with all corridors and some bedrooms having been redecorated recently. New window blinds have been fitted in some communal areas, a bathroom has been re-sited and a new nurse call system has been installed. There is a well-kept, peaceful central garden area that is easily accessible to the residents which is provided with seating. The home has acted upon any recommendations made by the local fire service and environmental health department thus everyone’s ensuring safety. The home has a properly equipped laundry and information regarding the control of infection is available. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 14 The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29. Staffing levels must be reviewed therefore ensuring that the assessed needs of the residents can be met. The home has met the requirement to have at least 50 of the care staff trained to NVQ Level 2 or above by 2005 so making sure a good standard of care is provided. Staff recruitment could not be checked as the Bolton Council does this work centrally therefore no staff recruitment records are kept at the home. The outcome for this Standard was therefore not assessed. However the CSCI undertook a random sample of staff personnel files in the Spring of 2005 to check on the vetting arrangements for care staff working in regulated services. The findings of this sample were that Bolton Local Authority operates a sound employment procedure and that care staff are properly recruited. The above key Standard 30 was not examined at this inspection. It should however be noted that this standard was checked and met at the time of the previous inspection. EVIDENCE: Examination of staff duty rotas showed that care staff are regularly available. However at the time of the last inspection it was felt that at times staffing levels might not be enough to meet all of the residents needs. A requirement Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 16 was therefore made at that time that staffing levels must be reviewed and if necessary increased. The inspector understands that such a review was done, but that it was not considered necessary to increase staffing levels. At this inspection the staff were again saying that staffing levels were insufficient. This was in relation to the fluctuating numbers and dependency level of the residents’ and also about the size and layout of the home, which they felt, was at times difficult to supervise with the existing staffing levels. The staff said that in their opinion more staff are needed in the evening period and on weekend mornings. A number of residents also commented about low staffing levels particularly at the weekend. They felt that the staff were “pushed” at this time and that they sometimes had to wait for personal attention. In view of the comments made by both the residents and the staff the inspector again requires that staffing levels be reviewed for all evening and the weekend morning periods. The residents praised the staff generously saying that they were “smashing”, “great” and that they were “helpful” and a letter from a family stated that their relative had received “kindness and outstanding care”. A further letter said the staff were a “hardworking, caring group of people”. Of the 28 care staff employed at the home 18 have got a National Vocational Qualification at Level 2 with two other staff presently undertaking NVQ assessment at the same Level. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 17 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 35. An acting manager is presently supervising the home, this person has now to be approved and registered with the CSCI. This Standard has therefore not been able to be assessed (please see text below). A satisfactory accounting method is used which protects resident’s interests. The above key Standards 33 and 38 were not examined at this inspection. It should however be noted that these standards was checked and met at the time of the previous inspection. EVIDENCE: The home’s acting manager has been away from the home for personal reasons, but has now recently returned to work (not on duty at the time of this visit). Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 18 During this period three Care Supervisors who had been given specific management duties to do until the manager returned have run the home. From this inspection the home appears to be being run in a generally satisfactory manner. The acting manager must now apply to the CSCI for approval and registration. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 19 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP27 Regulation 18 Timescale for action Staffing levels must be reviewed 31/03/06 (for all evening and for weekend morning periods) therefore ensuring that the assessed needs of the residents can be met at these times The Responsible Individual must 31/03/06 make an application to have the acting manager approved and registered by the CSCI to ensure that 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. Requirement 2 OP31 9 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Alderbank Community Care Centre DS0000031354.V284181.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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