Inspection on 01/11/07 for Amber Banks Care Home for the Elderly

This inspection was carried out on 1st November 2007.

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

Amber Banks Care Home for the... 25/06/08

Amber Banks Care Home for the... 02/02/07

Amber Banks Care Home for the... 03/03/06

Amber Banks Care Home for the... 20/09/05

Amber Banks Care Home for the... 22/09/04

Amber Banks Care Home for the... 30/04/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Amber Banks Care Home for the Elderly 53/55 Clifton Drive Blackpool Lancashire FY4 1NT Lead Inspector Christopher Bond Unannounced Inspection 1st November 2007 09:30 X10029.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 Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Banks Care Home for the Elderly Address 53/55 Clifton Drive Blackpool Lancashire FY4 1NT 01253 341450 F/P 01253 341450 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) Mr Bruce Keith Hargreaves Mrs Susan May Frost Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46), Physical disability (8) of places Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 46 service users to include: Up to 46 service users in the category OP (older persons 65 and over) Up to 8 service users in the category PD (Physical Disability) 2nd February 2007 Date of last inspection Brief Description of the Service: This home is registered to accommodate 46 older people, 8 of which can be residents in the category of physical disabled. It is situated in the South Shore area of Blackpool in close proximity of public transport, promenade and local amenities. The majority of the bedrooms are single rooms. There is one double bedroom, which has shower en-suite facilities. One of the single bedrooms also has en-suite facilities. There is a passenger lift and the home provides a laundry service for residents. There are local shops within walking distance of the home and there are other amenities close by. Blackpool promenade is a short distance away and Blackpool Pleasure Beach is at the end of the road. There are bus and tram services that stop within walking distance and serve several areas of the Fylde Coast. There is a large courtyard area to the rear of the home where the residents can sit out in good weather. There are car -parking areas to the front and the side of the home. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (01/11/07) the information given to the Commission showed that the fees for care at the home are from £359.00 to £367.00 per week, with added expenses for hairdressing and chiropody. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 1st November 2007. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The managers, residents, care staff and visitors to the home were spoken to during the inspection and the lunchtime meal was sampled. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: This home provides a valuable service for both elderly people and, primarily, those with a physical disability in the Blackpool area. All of the residents that were spoken to said that they thought the food was generally very good and that they mostly looked forward to meal times. One resident commented, “The food is usually lovely, there’s plenty of choice.” The home had an activities coordinator and there seemed to be a good range of activities for most people. A weekly schedule of activities was available for residents to see and help them choose which activity would be appropriate. All of the bedrooms at this home had en-suite facilities. All of the bedrooms that were seen were personalised and had photographs, ornaments, pictures and other personal items within them. The residents that we spoke to said that they liked their rooms and found the home pleasant and comfortable. One of the residents commented, “I like my room a lot, it’s just right for me.” The manager and care staff were seen to be polite and respectful towards the residents of the home. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The training records for the home were looked at and we found that there had been little or no training for the care staff in ensuring that people are moved safely and considerately (Moving and Handling training). We pointed this out at the last inspection of the home. A person who is competent to do so and is aware of current moving and handling techniques should give this training. All of the care staff should attend this training and their skills updated thereafter. This is essential training considering the needs of the residents of this home. There needs to be a coherent and organised training programme for all of the care staff within this home. This programme must encompass all aspects of safety and care practice and, where appropriate, external qualified trainers need to be used. Care planning within this home was in need of improvement. Care plans were poorly presented and information was hard to find. Each plan was in the same format and the home did not seem to differentiate between the needs of the older and younger residents. It would have been good to see individual person centred planning for those who had a physical disability to demonstrate that the home recognised their diverse needs. This service needs to look at better ways of reflecting these needs and ensuring that each person has a full and active life, which is reflected within their individual plan. Some work had been done on the staff personnel files since the last inspection. There was, however, important information missing from each file that we looked at. The manager should revisit these files and ensure that information complies with the Care Home Regulations. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 7 There were a number of people who lived at the home who had been assessed as having physical disabilities. The Service User Guide, however, did not mention the level of service that these residents could expect to receive and what separate facilities were available for this client group. The office area of this home was very cluttered and was in need of reorganisation. Important information was badly filed and stored. Access to some of the files posed a safety risk. There is a need for the younger people in the home to be more involved in self- help activities around the home to ensure that the skills that they have are not lost. This could include cooking, helping to clean their own bedrooms, shopping for food etc. There were no references to the interests and hobbies of individual residents in any of the care plans that we saw. The manager confirmed that the activities coordinator kept this. This information should be available to all staff within the plans. 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. The summary of this inspection report can be made available in other formats on request. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 5 (Older people) Standard 1 and 3 and 4. (Adults 18-65) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are given information about this home. They can then make an informed decision as to whether or not the service is right for them. EVIDENCE: Most of the people who chose to live at Amber Banks received plenty of information about the home before moving in. A Service User Guide was available to inform prospective residents about the services that were on offer. This information helped the residents and their families to make an informed Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 10 choice about whether the home was right for them. Most of the residents were able to confirm that they had been given this information. Each of the residents had been assessed before coming to live at the home so that a decision could be made as to whether the staff could care for them properly and address their specific needs. The manager usually visited prospective residents to complete this assessment. There was a copy of this assessment on each of the residents’ personal information files. Three people who we spoke to said that they were able to look round the home before they made a decision as to whether it was right for them. There were a number of people who lived at the home who had been assessed as having physical disabilities. The Service User Guide, however, did not mention the level of service that these residents could expect to receive and what separate facilities were available for this client group. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 (Older People). Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning in this service needs to improve to help ensure that people’s needs are fully met. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 12 Everyone who lived at this home had a plan of care that documented their daily needs and how the staff would address these needs. There was lots of information written down. The plans were kept all together in large ring binders. There were no dividers between each plan and information was very difficult to find. Each plan should be individually bound and set out clearly and precisely. There was evidence that a monthly review took place for each resident and the outcome of each review was written down. Each plan was in the same format and the home did not seem to differentiate between the needs of the older and younger residents. It would have been good to see individual person centred planning for those who had a physical disability, in order to demonstrate that the home recognised their diverse needs. This service needs to look at better ways of reflecting these needs and ensuring that each person has a full and active life, which is reflected within their individual plan. Only senior care staff were responsible for assisting the residents with their prescribed medication. The medication record sheets of each resident were looked at and they were completed appropriately. Not everyone had a photograph attached to his or her records to help identification and this needs to be rectified. Systems were in place that ensured that all medication was handled correctly and professionally ensuring the safety of the residents. Those that were able to look after their own medication had lockable spaces in their rooms to store this. Appropriate risk assessments were completed to help the home to help ensure that people were safe when looking after their own medication. Several residents were spoken to about the quality of care provided by this home. One resident commented, “I’m very content here…the staff are very good.” Another person said, “I can get up when I want, I’m thoroughly enjoying it.” We observed residents being spoken to politely and respectfully by the care staff and the manager. There were records of visits by health care professionals on file and there was a visit by the District Nurse whilst we were in the home. The training records for the home were looked at and we found that there had been little or no training for the care staff in ensuring that people are moved safely and considerately (Moving and Handling training). We pointed this out at the last inspection of the home. This training should be given by a person who is competent to do so and is aware of current moving and handling techniques. All of the care staff should attend this training and their skills updated on a regular basis. This is essential training considering the needs of the residents of this home. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 (Older People). Standards 12, 13, 15 and 17. (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities were varied and planned. Catering arrangements were good, meaning that the residents’ wishes were acted upon. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 14 All of the residents that were spoken to said that they thought the food was generally very good and that they mostly looked forward to meal times. One resident commented, “The food is usually lovely, there’s plenty of choice.” Dining tables were properly set and the meals were taken in attractive surroundings. The chef was spoken to and he confirmed that fresh vegetables and meat were mostly used and that there were regular deliveries. There were no visitors to the home at the time of the inspection. Several residents confirmed that their visitors were always welcomed, offered refreshments and asked whether or not they would prefer privacy. It is important that visitors are encouraged and valued relationships are maintained and nurtured. There were no references to the interests and hobbies of individual residents in any of the care plans that we saw. The manager confirmed that the activities coordinator kept this. This information should be available to all staff within the plans. There should be more information about family background, what people did as a job, where they lived, and what their main interests were. This is important information for care staff to use in their daily work, when they talk to people. Some information was kept in the office in a large ring binder. This was badly organised and the pages fell out when it was lifted from the shelf. The activities programme for the home had been posted on the wall in the corridor but had been taken down due to the decorators being in. The manager confirmed that there were activities available on a daily basis such as bingo, discussion groups, reminiscence, exercise sessions, carpet bowls etc. One person, who hade physical disabilities, attended a gardening group. Another attended a stroke club. Some people were playing carpet bowls whilst we were there. There was a separate room that contained computers, games, books and other activities. The manager said that the younger people who had been assessed as having a physical disability mainly used this. One resident, who had recently been admitted to the home, commented, however, “I get bored, I wish there was more for me to do.” Another resident said, “There needs to be a little bit more in the way of entertainment.” There is a need for the younger people in the home to be more involved in self- help activities around the home to ensure that the skills that they have are not lost. This could include cooking, helping to clean their own bedrooms, shopping for food etc. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 (Older People) Standards 22 and 23 (Adults 18-65) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care staff were not instructed in safeguarded issues. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: Training records showed that there had been no instruction for quite some time for the care staff in ensuring that the residents are safeguarded from harm. This is an important area of training and everyone who works at the home should have training updates to help ensure that people remain safe from harm. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that were spoken to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should abuse be suspected. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 16 The complaints procedure was usually displayed in the hallway of the home but had been taken down whilst the ground floor was being decorated. Three people who we spoke to said that they were confident that their views would be taken seriously should they have a concern. A copy of the complaints procedure was available in the Service User Guide. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 23, 24 and 26 (Older People) Standards 24 and 30 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Communal areas were being redecorated to help ensure that people lived in a pleasant environment. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 18 There was a lot of redecoration work going on whilst we were at the home. The ground floor was being redecorated and a new carpet was shortly to be fitted. A doorway to the dining room had been repositioned and widened to make it easier for those in wheelchairs to access the dining area. The corridors were wide on all three floors enabling those residents who use wheelchairs to access facilities. A tour of the building confirmed resident bedrooms had been personalised with their own belongings. All residents spoken to were happy with their rooms and said they had the choice of spending time on their own or in the lounge area’s. The rooms were generally quite large and all had en-suite facilities. The carpets in some of the bedrooms were quite stained and needed replacing. The main hallway carpets were also quite soiled, there were plans to replace these and decorate these areas. The home was clean and a domestic was working within the home during the inspection. The home smelt fresh and clean. There were two lounges. A large conservatory area had been added to the front of the building. One person commented, “I like to sit here and watch the world go by.” The other lounge was busier and younger and older residents used this space. There was an activities room just off the main lounge where those with physical disabilities congregated. There were computers, games, books and other facilities in this area. There were two yard areas to the rear of the house where people could sit out when the weather was good. These had recently been re-surfaced, along with a small car park at the front of the house. There were no disabled parking spaces to the front of the home. There was a ramp to the front door to enable access to the home. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 (Older People). Standards 32, 34 and 35 (Adults 18-65). Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of regular and appropriate staff training compromised the quality of care offered by this home. EVIDENCE: The manager confirmed that over half of the care staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 0r 3). Staff record files did not, however, contain reference to this. Only one of the 12 files that were looked at contained a copy of the certificate. Since the last inspection the manager had ensured that each of the care staff had a separate file where all of their personal information could be kept in one Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 20 place. There was, however, information missing from the majority of files for both older and newer staff. The manage needs to ensure that every file contains individual information as required by law and detailed in the Care Home Regulations (Schedule 2). The records that were available showed that there had been a limited training programme at the home since the last inspection. The manager must ensure that all of the people who work in the home have full and detailed training on how the residents should be moved properly and with dignity. A person who has full knowledge of recent techniques must provide this training. Legislation and equipment must also be part of this training. A requirement was also made at the last inspection for this training to take place but the manager has failed to provide this for the care staff and to ensure that this becomes a regular event in the training programme. Staff need to have these skills updated on a regular basis considering the needs of the people who live in this home. There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau checks. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 22 Standards 31, 32, 33, 35, 37 and 38 (Older People). Standards 37, 39, 40, 41 and 42 (Adults 18-65). Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Record keeping in this home was poor. Other aspects of the home were managed appropriately and with the interests of the residents at heart. EVIDENCE: The first thing that we noticed about the office area, where all the records were kept, was how cluttered and disorganised it seemed. Filing systems were poor and there was a general ambience of disorganisation. The manager had completed a nationally recognised qualification in management and care. This meant that she had the skills to manage the home properly and professionally. Records were being kept of safety checks within the home. These showed that professionals were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Trained maintenance people were also checking the lifting equipment in the home on a regular basis. There is still a need for the manager to demonstrate clearly that staff are being instructed in all aspects of safety within the home. This entails showing that all of the care staff have been trained in moving and handling, health and safety, food hygiene, infection control, fire safety and first aid. This training must be provided by a recognised trainer and properly recorded in care staff files in a clear and unambiguous way. There were also no records in the care staff files to show that people were being given formal, individual, one-to –one guidance and instruction regarding their performance and training needs. This should take place at least six times a year. The manager confirmed that residents’ meetings took place and that people had a say in how the care home was run. Suggestions were made regarding the choice of food and what activities were available. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 23 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 2 X 3 3 4 X 5 3 6 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 3 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 2 33 3 34 X 35 3 36 X 37 2 38 2 Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19 (1) (a). Schedule 2. Requirement Concise and accurate employment information must be held for each employee within the care home to help ensure that only suitable staff are employed in the home. Timescale of 31/03/07 not attained. 2. OP38 23 (4) (5). 13 (3) (4) (5). Updated training must be available in all core areas. These include Moving and handling, Fire safety, Food Hygiene and Infection control. This helps to ensure that the residents live in a safe home. Timescale of 30/06/07 not attained. 3 OP1 Schedule 1 An appropriate Service User Guide must be available for those residents with Physical Disabilities to ensure that they have the right information about services offered by the home. Training must be made available for all care staff DS0000010002.V354113.R01.S.doc Timescale for action 31/12/07 31/01/08 31/12/07 4 OP18 13 (5) 31/01/08 Page 25 Amber Banks Care Home for the Elderly Version 5.2 regarding adult safeguarding. 5 OP37 17 All records kept within the home must be appropriately maintained, updated and stored. 31/01/08 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 OP7 Good Practice Recommendations Care plans should be separately and individually bound and their content easy to access and contribute to. Care plans for younger adults with physical disabilities must reflect their specific and individual needs and aspirations in an appropriate ‘person centred’ way. All individual records of medication administration should contain a photograph of the resident to help ensure correct identification. Activities appropriate to the aspirations and skills of those younger adults who have a physical disability should be developed. These should be designed to ensure that specific skills and abilities are nurtured and retained. 2 OP7 3 OP9 4 YA11 Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Amber Banks Care Home for the Elderly DS0000010002.V354113.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!