Inspection on 04/10/07 for Amber Court Care Home

This inspection was carried out on 4th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Amber Court Care Home Kipling Manor Kipling Hall Drive Blackpool Lancashire FY3 9UX Lead Inspector Mr Kevan Royston Unannounced Inspection 4th October 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Amber Court Care Home DS0000070535.V352205.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. 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 Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Court Care Home Address Kipling Manor Kipling Hall Drive Blackpool Lancashire FY3 9UX 01253 762076 01253 762077 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) Southern Cross OPCO Ltd Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (5) of places Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. Physical disability - Code PD (maximum number of places: 5) The maximum number of people who can be accommodated is: 33 Date of last inspection New service. Brief Description of the Service: Amber Court Care Home is registered for a maximum of 33 residents. The home is situated in its own grounds on the outskirts of Blackpool close to the motorway. Local bus routes are near by. The building is designed on two floors with lift access. All the rooms are single occupancy and provide en-suite facilities. Communal lounges are located on both floors. There is a large dining area on the ground floor. Communal bathrooms and toilets have aids and adaptations provided. The outside of the building provides seating for residents, and has garden areas available. Ramped access is provided at the front of the building to aid access for people of all abilities. There is a Statement of Purpose and Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees for the home range from are £380.00 - £450.00. Extra charges at the home are for hairdressing, toiletries and chiropody, which vary. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place on the 04/10/07 over a period of approximately 6.00 hours as part of the inspection process. We spoke to the manager, four residents individually; the four members of staff on duty, a relative visiting the home and briefly to residents sat in the lounge to get their views of the home. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes. This is a process called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents, General Practitioners (GP’s) and relatives for their views on how the home is run. Mostly comments were positive about the standard of care and support provided at Ambercourt. We looked at recruitment and training records of two staff members. We walked around the building and watched people living and working to see how everyone supported and talked to each other. Looking at documentation, policies and procedures formed the basis of the inspection process. What the service does well: This is a new building purpose built with new furnishings and decoration adapted for residents with disabilities and nursing needs. The lounge, dining and bathing facilities are excellent with spacious areas and adaptations ensuring residents with mobility problems are looked after and access around the home is good. One member of staff spoken to said, “It’s a lovely home adapted for the residents”. One relative visiting the home spoken to said, “It suits the residents with lots of space”. A survey from a GP said, “Good accommodation”. Care plans for residents are comprehensive, well written and provide detailed information of the health and welfare needs of each person ensuring staff have a up to date knowledge of each residents needs. A GP wrote. “Good documentation of the individual care plan”. A member of staff spoken to said, “The care plans are excellent and easy to follow”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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 Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear and precise to ensure the needs of the residents are met. EVIDENCE: We looked at three residents care records and found they had full assessment information recorded in detail. Two residents funded by social services had been assessed by social workers with information on file for the manager and staff to carry out there own assessment to develop a care plan and ensure all health, welfare and social needs are identified and recorded. One staff member spoken to said, “We ensure we have all the information to begin with”. One relative wrote, “We were shown around the home and given a brochure explaining the services available”. Standard 6 was not assessed, as the home does not provide intermediate care. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: Records of resident’s looked at, were accurate and had good information about their health, nursing, welfare and social care needs that supported staff to maintain and monitor each individuals needs. Care records of residents had been developed in great detail, with every aspect of the resident’s care recorded. A GP commented on how good care plans at the home are, “Good documentation”. Reviews are taking place monthly and records updated with the involvement of residents and relatives where possible, one relative spoken to said, “They keep me informed of mum’s care”. Records examined confirmed risk assessments have been completed and are constantly reviewed and updated reflecting any changes that have occurred individually and in the environment. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 10 We looked at medication with a senior nurse and observed medicines administered at breakfast and lunchtime. Records of residents examined accurately reflected their medication being given out. The nurse spoken to said, “Yes trained staff takes charge of medicines”. The manager informed us a chemist will be visiting the home is to discus the new system of dispensing medication. Respect, privacy and dignity towards the residents were noticed throughout the visit through staff knocking before entering bedrooms and supporting residents at meal times. One staff member spoken to said, “It is important to show respect to each resident”. Another staff member said, “We covered these issues at our induction training”. A resident spoken to said, “The staff are very nice”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Meals are well managed and provide daily variation and interest for people living in the home. Activities and social events could be improved to provide stimulation for the residents. EVIDENCE: Breakfast and lunches were seen being prepared and looked wholesome and varied to suit individual tastes. One resident and relative spoken to said, “Lovely, my mum likes a bacon butty in the morning”. However one comment about the quality of food received from a GP visiting said, “One patient commented the food is not good”. The manager informed us that a vacancy has not been filled yet for a part time chef, at present one chef is employed. Other comments concerning food were good and included from a resident “The food is very nice”. A relative said, “No problems looks good from what I have seen and there is a choice”. There is a visitor’s policy, which allows friends and relatives to come and go any time of the day. One relative said, “I come at any time, always made welcome”. A resident spoken to said, “Yes friends can come and go any time”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 12 Activities and social interests are recorded on residents care plans. However the manager and staff should look at more ways to provide activities and provide stimulation in line with resident’s interests and hobbies. Comments from relatives and resident surveys included, “Nothing to do very boring”. And, “There is nothing for the patients to do”. The manager spoken to said they are currently looking to employ an activities person, which should help provide more stimulation, allow residents to follow their hobbies and put on more social events. We observed in some resident’s rooms personal belongings including family photographs and ornaments. The manager said, “We encourage residents to bring personal things into the home it makes it more homely. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The manager and staff have good knowledge and understanding of adult protection issues, which safeguards residents from abuse. EVIDENCE: There is a detailed complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. Residents and relatives in surveys returned confirmed are aware of the complaints procedure and who to complain to. Comments included, “We contact the manager” And from a member of staff, “Training covers the complaints policy”. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults. This ensures that any incidents or allegations are dealt with appropriately in order to protect people living at the home. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: We had a walk around the building and found it to be very clean and tidy. All of the decorations and furnishings are new and there are systems in place to ensure that the environment is well maintained so that the residents live in a pleasant, clean home. Comments from residents included, “Very clean everything is new”. And, “Good accommodation and clean environment”. Furnishings are of a high standard and fit in with the layout of the home. The layout of the home is purpose built for people with mobility and nursing needs and has been adapted to support the residents. A relative said in a survey returned, “The home is built with people with mobility problems in mind”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 15 There is a maintenance person employed and any problems are recorded and acted upon quickly. The laundry area is situated in an area away from the dining room so that soiled items and clothing are not carried through where food is prepared, cooked or eaten. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are robust so that suitable staff are employed. Training for staff is very good ensuring they have the skills and competencies for their roles. EVIDENCE: We looked at staff duty rotas, talked to the manager and staff and confirmed there were sufficient numbers of domestic staff, carers and qualified nurses on duty to ensure the resident’s are supported and their needs are being met at all times of the day and night. One resident spoken to said,” There always seems plenty of staff around”. A relative spoken to said, “The staff are very helpful”. Examination of two staff files confirmed the recruitment procedures of the home are good ensuring suitable staff are employed and the residents are protected. Staff records include, application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA) disclosures and references, all in place prior to employment. Records and discussion with the manager confirm training is ongoing for staff as part of their development. Over 50 of the care staff that have completed National Vocational Qualification (NVQ) level 2 in care. Discussion with staff Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 17 confirmed training is accessible and they are encouraged to attend courses. One staff member spoken to said, “I have done level 3 NVQ and the manager supports us to do training”. Records are kept of staff training and each member has a personal development file. The manager said, “We encourage staff to keep up with training and develop their skills”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well, with systems and policies in place for the protection and safety of staff and residents. EVIDENCE: The home must appoint a manager who is registered with the Commission for Social Care Inspection (CSCI) to manage the care home. The current acting manager is registered to manage another care home within the organisation and is working at the home temporarily. When spoken to the manager said, “I have completed the qualifications required and considering registering with CSCI”. Staff spoken to said they enjoyed working at the home and felt the manager was supportive and efficient, one staff member said, “it is run well”. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 19 We looked at records of residents and found they are comprehensive, well written and up to date ensuring the correct information is available and health and welfare needs are continuously monitored. Records looked at show the manager has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. Staff and resident meetings are held regularly and recorded. And relative surveys will be sent out every six months to gather their views on how the home is being run and what can be improved. We looked at records and found tests to emergency lighting, fire procedures, electrical appliances, the lift and fire extinguishers had been carried out before the home opened ensuring the safety of the residents and staff. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 20 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 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 9 (1-3). Requirement The registered provider must ensure that an application for registration of a manager is submitted to the Commission. Timescale for action 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 OP12 Good Practice Recommendations The manager and staff should look at more ways to provide activities and promote stimulation so all residents’ interests are looked at and provided for. Amber Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 22 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 Court Care Home DS0000070535.V352205.R01.S.doc Version 5.2 Page 23 - 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. 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