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 09:00 3 March 2006
rd 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.V259686.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 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 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.V259686.R01.S.doc Version 5.1 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 20th September 2005 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.V259686.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over four hours. There were 32 residents accommodated at the time of the inspection. The inspector spoke to residents, the registered manager, residents and viewed staff records. What the service does well: What has improved since the last inspection? What they could do better:
Personal money that is kept on behalf of residents is safeguarded and accurately accounted for, however, it is recommended that this be kept separately for each resident. It is recommended that the registered manager complete a suitable management qualification, however it is acknowledged that the deputy manger
Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 6 has achieved the Registered Manager’s Award and is making arrangements to apply to become registered with the Commission for Social Care Inspection. 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.V259686.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents are encouraged to voice their opinions so that concerns are dealt with prior to them becoming formal complaints. Systems are in place to reduce the risk of abuse to vulnerable older people. EVIDENCE: The complaints procedure is displayed in the hallway along with numerous letters and cards of thanks. There is a positive approach to complaints where residents are encouraged to voice any concerns they have. The inspector spoke to residents who made comment that “all the staff are helpful if you are not happy with something.” They spoke highly of the owners, the manager and assistant manager saying “you can talk to them about anything.” The registered manager was on duty at the time of the inspection and she was able to provide records of complaints, the last one being made in April 2005. The home responds professionally to complaints with letters of acknowledgement and written outcomes of investigations being sent. There was evidence of residents’ meetings being held monthly to give people opportunity to voice concerns prior to them becoming formal complaints. An example of this is where residents had remarked that laundry was being placed in the wrong rooms. Discussions with residents confirmed that this has now been rectified. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 12 The inspector was shown the policy and procedures for protecting vulnerable adults from abuse and Whistleblowing, which were displayed in the staff room and were signed by staff as confirmation that they had been read. The policies are also reviewed in supervision sessions with staff and this was confirmed by viewing individual staff files. The training plan was viewed and this provided evidence that training in the protection of vulnerable older people is provided, and certificates also confirmed this. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is clean and provides a comfortable environment for the patients accommodated. EVIDENCE: The home was found to clean and airy and there were no unpleasant odours. The inspector was informed that the domestic has completed NVQ level I. All accommodation is single and bedrooms were seen to be comfortable with personal items such as books, photographs etc apparent. There is a choice of lounges with TV, video, books being provided for residents use. A separate laundry assistant is employed and the laundry is situated where soiled clothes are not taken through an area where food is being prepared or eaten.
Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30. The manager ensures that there is sufficient staff on duty to meet the needs of the residents, and staff are provided with relevant training in a care qualification. EVIDENCE: This inspection was unannounced and the manager was on duty with 4 care assistants, a laundry assistant, the domestic and the cook. There were 32 residents accommodated at the time. The duty rota was viewed for the month of February, which showed that staffing levels have been sufficient for the period during days and nights. The homeowners are also involved in the home on a daily basis and are additional to the staff shown on the rota. The owners and managers are supportive and encourage staff to undertake training in National Vocational Qualification level II in care. This home has reached the target of having 50 of the team with this qualification. The training plan showed that other training is provided relevant to staff roles including health and safety, infection control and moving and handling. The cook, domestic and laundry assistant have also achieved NVQ qualifications. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31,32,33,35 and 38 The home is well managed and run in the best interests of the residents. There is good leadership, guidance and direction to ensure that they receive consistent care. The company has systems in place for accounting of residents’ personal money so this is safeguarded. The manager makes sure that the home is a safe environment for residents and staff. EVIDENCE: There was evidence to suggest that residents are consulted about the daily running of the home. Regular residents’ meetings are held and individual consultation occurs through reviews. The home provides comment cards for visitors to complete, which are placed in the entrance hall for all to see. The home has also been successful in gaining 5 stars in the Residential and Domiciliary Benchmarking scheme. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 Page 16 The management team is experienced and well trained. At present the registered manager works during weekends and the deputy is on duty during the week. There are intentions for the deputy to apply to become registered with the Commission for Social Care Inspection due to her working the majority of hours in the home and her having the Registered Manager’s Award. Mrs Hargreaves (the homeowner) has also achieved NVQ level IV in care and the Registered Manager’s Award. Regular supervision is provided for all staff with a record being kept of these. Most residents have chosen to keep personal money in the home’s safe. The records were seen for this and were accurate and up to date ensuring that the residents’ finances are safeguarded. However, it is considered good practice to keep individual resident’ money separately. Documentation was viewed in relation to the servicing and testing of equipment. This confirmed that the managers make sure that electrical installations, the passenger lift and gas safety certificates are all up to date and satisfactory. Staff are provided with training to make sure they are safe when assisting residents to move. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 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 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 2 x x 3 Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 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 Refer to Standard OP31 OP35 Good Practice Recommendations It is recommended that the registered manager has a suitable management qualification. It is recommended that residents’ cash should be stored separately in the event of the home keeping this on behalf of service users. Amber Banks Care Home for the Elderly DS0000010002.V259686.R01.S.doc Version 5.1 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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