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Inspection on 25/06/08 for Amber Banks Care Home for the Elderly

Also see our care home review for Amber Banks Care Home for the Elderly for more information

This inspection was carried out on 25th June 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Amber Banks provides a valuable and respected service for both elderly people and younger adults who have a physical disability. We found that this service offered good outcomes to the people who lived there. All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A resident commented, " The staff are very caring. They always knock on my door before coming in." Everybody who lived in this home had a care plan. There was evidence to show that these were reviewed regularly and properly, with plenty of information about the health, condition and progress of each resident. The people who lived in this home who had physical disabilities had care plans that were more `person centred` and held more information about daily lives and interests. The Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 6manager and care staff had clearly worked hard to ensure that information was easily and readily available. The dining area had been recently refurbished and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents` likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. The chef was spoken to during the inspection and he confirmed that he was a ware of people`s special diets and nutritional needs. It was clear that both client groups that were living within this home had good quality outcomes, were looked after well and had their health care needs properly attended to.

What has improved since the last inspection?

People now have better care plans and the younger adults who live at the home have more `person centred` care plans that help them to receive more individual and active care. There was more information about what people were doing in the way of activities. Each care plan was reviewed monthly and we found the standard of review to be excellent. Records were well stored and easier to access, the care plans were held in a separate room where the care staff had a better environment in which to contribute to the plans. It was clear that the owners had invested in the home to ensure that it was a homely, comfortable place to live in where people could move around safely. There were new carpets throughout the building and many areas had been redecorated. Care staff are recruited properly and there had been regular training events for the staff. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally. Care staff files were more organised and information was easier to find. The manager of the home ensured that all of the people who were thinking of going to live at Amber Banks had clear and concise information about the purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. There was clear, concise and separate information for the two client groups (Older Persons and Physical Disabilities).

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 10:00 25th June 2008 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.V368638.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.V368638.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 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.V368638.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) 1st November 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, (25/06/08) the information given to the Commission showed that the fees for care at the home are from £317.00 to £385.00 per week, with added expenses for hairdressing and chiropody. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 4.5 hours on the 16th May 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the manager of the service during the inspection. Five service users were also spoken to as part of the inspection process. The Commission for Social Care Inspection also sent out surveys to service users and their relatives/ carers to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Amber Banks. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: Amber Banks provides a valuable and respected service for both elderly people and younger adults who have a physical disability. We found that this service offered good outcomes to the people who lived there. All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A resident commented, “ The staff are very caring. They always knock on my door before coming in.” Everybody who lived in this home had a care plan. There was evidence to show that these were reviewed regularly and properly, with plenty of information about the health, condition and progress of each resident. The people who lived in this home who had physical disabilities had care plans that were more ‘person centred’ and held more information about daily lives and interests. The Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 6 manager and care staff had clearly worked hard to ensure that information was easily and readily available. The dining area had been recently refurbished and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents’ likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. The chef was spoken to during the inspection and he confirmed that he was a ware of people’s special diets and nutritional needs. It was clear that both client groups that were living within this home had good quality outcomes, were looked after well and had their health care needs properly attended to. What has improved since the last inspection? What they could do better: This was a good home where the national minimum standards had been achieved. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 7 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.V368638.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.V368638.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 good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. People’s needs are assessed to ensure that the home can meet their specific requirements. EVIDENCE: The manager of the home ensured that all of the people who were thinking of going to live at Amber Banks had clear and concise information about the Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 10 purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. There was clear, concise and separate information for the two client groups (Older Persons and Physical Disabilities). There were good pre-admission assessments held on the residents’ personal files: these were completed before people came to live at the home to ensure that individual needs could be met appropriately by the care staff. Residents also confirmed that they had the opportunity to look round the home prior to making a decision about whether the home was right for them. Contracts were available within the residents’ personal files, which explained the charges and rights of the people who lived there. The home does not supply intermediate care and this standard has not been assessed. Amber Banks Care Home for the Elderly DS0000010002.V368638.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 good. This judgement has been made using available evidence including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and outcomes for residents were good. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 12 EVIDENCE: Everybody who lived in this home had a care plan. There was evidence to show that these were reviewed regularly and properly, with plenty of information about the health, condition and progress of each resident. The people who lived in this home who had physical disabilities had care plans that were more ‘person centred’ and held more information about daily lives and interests. The manager and care staff had clearly worked hard to ensure that information was easily and readily available. The care staff that we spoke to said that they found the plans easier to work with and were more of a daily tool rather than a document to store information. All of the plans were colour coded and separately bound. Some of the residents told us that they were very pleased with the way that their healthcare needs were dealt with and that they felt well looked after. One resident told us, “The girls are very caring and considerate” All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. Another resident commented, “The staff are brilliant.” There were records to show when those resident who were on prescribed mediation were given this. There were no unexplained gaps and medication was stored and administered correctly. We looked at the medication information for most of the residents and found this to be good, with plenty of information available for the senior carers who were responsible for giving out the medication. There had also been training in medication awareness for care staff. We saw that people were well dressed and looked well cared for. A hairdresser visited the home on a weekly basis, an event that people looked forward to. We spoke to the hairdresser who was working in the home whilst we were there. She commented, “I wouldn’t come here if I didn’t like it, they care very much for the residents.” An optician was visiting the home whilst we were there and the manager confirmed that people received regular advice regarding optical care. There had also been training for the care staff regarding moving people about the home properly, safely and professionally. The care staff that we spoke to confirmed this and they were able to tell us how they assisted particular relatives and what equipment was available to help with this. Amber Banks Care Home for the Elderly DS0000010002.V368638.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. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 14 EVIDENCE: The care plans held some valuable information about each resident regarding his or her life, occupation, interests and family. This is important because good information helps the carers to develop a good knowledge of the residents and initiate conversation regarding past lives. There was also plenty of information about what activities and resources were available for some of the younger people who lived within the home. One person helped with a gardening programme in the town, another person enjoyed regular outings to the cinema. There were lots of activities enjoyed by the younger people of the home that were based in the local community and the manager had sought help in organising these from the relevant agencies. There were also plenty of home-based activities, such as clothes parties, singa-longs, bingo and many other activities that stimulated the residents and kept them active. The reviews within the care plans gave us a lot of information about this kind of activity. The residents also told us that there were regular visits to the home by entertainers, and the singers were particularly enjoyable. All of the people who returned surveys to us said that there were ‘always’ or ‘usually’ activities that they could enjoy. The menus for Amber Banks were available and lunch was being prepared during the inspection. Meals, it was seen, were well planned and nutritionally balanced. Fresh fruit, vegetables and meat were delivered regularly from local suppliers. The dining area was pleasant and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents’ likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. The chef was spoken to during the inspection and he confirmed that he was a ware of people’s special diets and nutritional needs. All of the people who returned surveys to us said that the food was ‘always’ or ‘usually’ good. He confirmed that there were regular deliveries of fresh fruit, vegetables and meat, and that fresh food was used on most occasions. We sampled the main meal at the home and this was nutritious, well presented and enjoyable. All of the people who we surveyed commented that they ‘always’ or ‘usually’ liked the meals at the home. Four people who were spoken to during the inspection said that the food was good, and they looked forward to mealtimes. There were regular meetings at this home for the residents. There were also minutes available for these meetings. The younger people at the home generally had a separate meeting and areas of life at the home were discussed Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 15 and suggestions made for improvements. This meant the residents had a voice in the way that the home was run. All of the people that we spoke to said that they had visitors and that they were always welcomed by the service, one person commented, “I can have visitors at 10:00pm at night if I want to.” Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible meaning that residents and their representatives can voice their opinions easily. EVIDENCE: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. The owner of the home also confirmed this in the home’s Annual Quality Assurance Assessment. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 17 There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that we spoke 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 there be any question regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults for all of the staff. It is important that all of the care staff that work at the home have access to this information as it helps to ensure that people are safeguarded from harm. Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. There was also a ‘whistle blowing’ policy for staff to report incidents that may happen that they are not sure of. There had been recent instruction for the care staff regarding how whistle blowing works and how this helps to protect vulnerable people. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a clean, pleasant and well -maintained environment. This was a service that was ‘homely’. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 19 EVIDENCE: Each of the bedrooms that we saw was personalised with belongings, ornaments, pictures and photographs. Some the rooms we saw were en-suite, with toilet and basin facilities. There were several communal bathrooms throughout the building with both shower and bath facilities. One resident had his own plant collection in his room and had purchased his own television. There had been a lot of redecoration work done at this home since the last key inspection and most of the communal areas had been redecorated and recarpeted. The bedrooms were pleasantly decorated and contained the required lighting and electrical sockets. The rooms were generally quite large and all had en-suite facilities. 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. There was an activities room just off the main lounge where the younger residents spent time. There were computers, games, books and other facilities in this area. Amber Banks also had a large dining area and the work that we saw underway during our last visit had now been completed to ensure that everyone had good access. This area had also been completely redecorated. A resident told us whilst we were there, “It’s a nice place to live, it’s always clean and lovely.” There were large communal areas for people to sit out in good weather at the back of the home. It was clear that the owners of the home had invested in the home to ensure that it was a homely, comfortable place to live in where people could move around safely. All of the people who returned surveys to us said that the home was ‘always’ fresh and clean. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures at this home help to protect the residents from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. EVIDENCE: We looked at the way that the service recruits its new staff. There was a strong recruitment procedure in place and new staff had proper check before they began work. These checks included a Criminal Records Bureau disclosure. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 21 This process is important because it helps ensure that only suitable care staff are employed in the home and that the residents of the home remain safe. There were enough staff on duty whilst we were there to ensure that the assessed needs of the residents were properly dealt with. Over 50 of the staff had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There had been a number of training events at the home since the last key inspection. This included instruction in ensuring that residents were assisted to move around the home safely and with dignity. Good, regular training helps to ensure that the care staff have the knowledge, skills and ability to undertake their duties correctly. There were training records within the staff files and there was a training matrix on the wall of the office to show what courses had been attended by whom, and when. The care staff that we spoke to confirmed that training had taken place. Staff files were well laid out and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the people who used this service remained safe and secure. All of the residents that we spoke to said that the care staff were pleasant, courteous and helpful. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 22 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): 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 good. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 23 EVIDENCE: Several of the residents told us of how good the home was and how well managed they found the service to be. There were lots of nice complements about her style of management. The manager of the home has had several years experience in care and has achieved a nationally recognised qualification in care (National Vocational Qualification level 4). She also has the Registered Managers Award. These qualifications mean that she is trained, prepared and qualified to manage the home properly so that the people who live there receive a good service. The manager had completed a lot of work to ensure that care planning, staff files and other information was readily and easily available. The main office area was more organised and the care staff could now contribute to care plans in well -organised and spacious area. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the residents. Risk assessments had been completed for areas where the residents might need extra protection. Training had taken place in areas such as moving and handling, food hygiene, first aid and fire safety to help ensure that the staff had the necessary skills to keep the residents safe and secure. We also looked at financial records to confirm that the interests of the residents were being properly protected and safeguarded. Staff were supervised regularly by the manager to enable them to discuss important aspects of their roles and what training would be beneficial. Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 24 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 3 2 X 3 3 4 X 5 3 6 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 3 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X 37 3 38 3 Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Amber Banks Care Home for the Elderly DS0000010002.V368638.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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.V368638.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. 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