CARE HOMES FOR OLDER PEOPLE
Amber Banks Care Home for the Elderly 53/55 Clifton Drive Blackpool Lancashire FY4 1NT Lead Inspector
Ms Janet Spink Unannounced Inspection 19th September 2005 09:00 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 Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Amber Banks Care Home for the Elderly Address 53/55 Clifton Drive Blackpool Lancashire FY4 1NT 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) 01253 341450 Mr Bruce Keith Hargreaves Ms Anne Parker 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.V250018.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered to accommodate a maximum of 46 service users to include: Up to 46 service users in the category OP (Older Persons over 65 years). Up to 8 service users in the category PD (Physical Disability). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 22/09/04 2. 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. All bedrooms except one are single, and one of these has a shower en-suite facility. There is a passenger lift and the home provides a laundry service for residents. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This is the first inspection to this home this year. The inspection was unannounced and took place over four and a half hours. There were thirtyfour people accommodated at the time of the inspection. The inspector spoke to five residents, the cook, two members of care staff and the manager. Care records were also examined. A tour of the building was not undertaken on this inspection. What the service does well: What has improved since the last inspection? What they could do better:
Social activities could be improved to ensure that individual preferences are considered as two residents told the inspector that this has declined recently. Training in a relevant qualification in care must be achieved by 50 of care staff to fully meet the training standard. Arrangements must be made to ensure that a suitably qualified manager is in post. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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): 2 and 3 New residents have a full assessment completed prior to moving in to the home, ensuring that the home can meet their needs. EVIDENCE: Three files were looked at to assess the home’s admissions practices. An appropriately trained person such as a social worker or health professional had assessed all three residents. They also included assessments carried out by a representative of the company, which included information such as dietary needs, mobility and communication. Terms and conditions were on file for each person and had been signed by the resident. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 and 10. The home ensures that residents’ health and personal care is closely monitored and reviewed so that the staff team meets individual needs. EVIDENCE: The care plans were viewed for the two people being case tracked and these are reviewed on a monthly basis. They provide clear guidance and direction for staff in relation to individual needs. Examination of care plans and daily notes confirmed that the home requests advice from other professionals such as the district nurses, GP and incontinence advisor as required. Notes are kept of the outcome of any visits or healthcare professional input, providing evidence that individual health care needs are met. Daily notes are detailed and provide relevant information to complete a weekly assessment in the form of a “well-being” chart. One resident confirmed that two members of staff always assist them with moving from their wheelchair to bed, and a hoist is used when they are bathed. This was reflected in the care plan. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 10 Medication practices were observed during the inspection and all medication was found to be stored securely. Recording of medication administered was accurate and up to date. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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): 12, 14 and 15 Residents would benefit from social activities being considered on an individual basis as well as on a communal basis to ensure personal preferences are addressed. Meals are nutritional and a varied diet is provided to residents ensuring they receive meals that promote good health. EVIDENCE: Social activities are provided, however two residents told the inspector that this has declined recently and sometimes were a bit bored. The manager agreed to consider ensuring that personal preferences are addressed to complement the existing communal activities that include a clothes show, crafts and a trip round the illuminations. The inspector was in the home during lunchtime and were able to confirm that meals are nutritious and of large portions. Fresh vegetables were being served with home made meat pie. The cook was spoken to and demonstrated sound knowledge of the people who had a special diets and allergies, for example a gentleman who is diabetic. This resident was spoken to and confirmed that a suitable alternative is always available for him. A resident told the inspector that a choice of five is offered at tea times and that she can have breakfast in bed if she chooses.
Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 12 Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 and 29 Recruitment practices are robust ensuring protection for the people living at the home. EVIDENCE: There has been one new member of staff recruited since the last inspection who was selected in a professional manner with all necessary clearances and references being undertaken prior to employment. This is an improvement since the last inspection when written references were not always being obtained. Four members of the thirteen care staff have completed NVQ level II in care, and two have enrolled to undertake this. The home is committed to training, but must continue to make progress in meeting this standard by having 50 of care staff with this qualification. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 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, The home is well managed by a team who have a mix of skills and experience. However residents would benefit from having a qualified manager to ensure knowledge is kept in line with current good practice. EVIDENCE: The present registered manager has many years experience in caring for older people, but there is no indication the NVQ level IV in care or the Registered Manager’s Award has been applied for. This must be achieved in order to demonstrate a commitment to training. However, the Deputy manager has completed her NVQ level IV in care, and a third member of the management team who works for 24 hours in the home has achieved NVQ level IV in care and the Registered Manager’s Award. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x x x Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 3 Refer to Standard 12 27 31 Good Practice Recommendations Individual preferences for social activities and hobbies should be addressed by the home with residents. 50 of care staff should achieve NVQ level II in care. The registered manager should achieve NVQ level IV in care and management. Amber Banks Care Home for the Elderly DS0000010002.V250018.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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