Inspection on 14/09/05 for Ann Slade Care Home, The

This inspection was carried out on 14th September 2005.

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

Ann Slade Care Home, The 19/01/10

Ann Slade Care Home, The 22/10/09

Ann Slade Care Home, The 29/07/09

Ann Slade Care Home, The 24/07/07

Ann Slade Care Home, The 19/06/06

Ann Slade Care Home, The 30/01/06

Ann Slade Care Home, The 05/01/05

Ann Slade Care Home, The 09/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ann Slade Care Home, The 5 Mornington Road Southport Merseyside PR9 0TS Lead Inspector Mrs Elaine White Unannounced Inspection 14th September 2005 10.30 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 Ann Slade Care Home, The DS0000005316.V251519.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. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ann Slade Care Home, The Address 5 Mornington Road Southport Merseyside PR9 0TS 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) 01704 535875 01704 512917 Brooklyn Home Limited Mr Korwin-Granford Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 24 OP Date of last inspection 5th January 2005 Brief Description of the Service: Ann Slade is a residential care home that specialises in the care of older people. The home is registered for 24 service users and is owned and managed by Mr Korwin-Granford who has many years experience in the care of older persons. Ann Slade is located within a suburb of Southport and is close to all local amenities. The home presents an older type property, which has been converted into a care home with the accommodation being provided over three floors all served by a passenger lift. The communal space within the home consists of one dining room 2 lounge areas and a recently designed small smokers lounge. All communal space is provided on the ground floor. The home has 22 single and one double bedroom all having en suite facility. The home provides limited car parking to the front of the premises. The home provides ramped access to all entrance and exit areas and has aids and adaptations in place to meet all assessed need. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Ann Slade Care Home took place on 12th September 2005, over 6 hours and involved examination of records, discussion with staff, relatives, visitors and residents, a tour of the premises and general observational practice. 14 Standards were assessed at this inspection. Case tacking methods were used, which focused on a small group of residents whom were randomly chosen for this purpose. All records relating to these people were inspected along with the rooms they occupied in the home. Residents, visitors and staff were invited to discuss their experiences of the home. All comments received during the inspection were positive and observational practices showed that staff appeared to have full knowledge and understanding of the needs, choices and capacities of all the residents in their care. What the service does well: Ann Slade has a very pleasant relaxed atmosphere and residents and relatives interviewed confirmed that it is managed efficiently and staff provide a good standard of care. The routine of the home is based very much around resident wishes and relatives are encouraged to become involved and visit when they would like. A relative said, “it is a lovely home and we went to look around a few before we decided on this one”. The care is delivered by staff who are enthusiastic and motivated. The home has a stable team and staff confirmed that Mr Korwin-Granford (manager/owner) and Mrs Jennie Swift (deputy) provide a very good level of support and training with an ‘open door’ policy. A varied activity programme is in place for the residents and includes – quizzes, exercise classes, entertainers and trips to the local shops with individual staff support. Residents’ needs are assessed to ensure the home can care for them. “We won’t admit anyone who’s needs we cannot meet”. Following admission a plan of care is drawn up and this records in good detail key areas including nursing, general welfare and social care. The documentation is organised, easy to read Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 6 and generally subject to regular review thus ensuring records are up to date. Care staff are prompt to report any problems as they arise and care files evidenced hospital appointment and medical referrals at the appropriate time. Staff were observed as being very polite and offering good levels of assistance to residents with their personal care and with meals. A resident said, “the staff are always polite and help me where they can, I can’t ask for anything more.” The managers commented that they aim to provide a career for their staff and create an ethos “So they are proud to work here”. An excellent training programme is in place and ensures staff are equipped with the skills to do their job. The home is very well maintained and colour schemes attractive. Mr KorwinGranford ensures all areas are decorated to a high standard and it is the attention to detail that makes the environment so pleasant. Residents commented on the time staff spend cleaning the home and all areas was observed to be spotlessly clean. A resident said, “The home is cleaned and dusted daily.” What has improved since the last inspection? What they could do better: Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 7 The home would like to provide a mini bus to use for trips out for the residents. 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. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 8 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 Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 9 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): Standard 3. Pre admission assessments carried out by the manager/or deputy manager are detailed and help ensure that the home can meet the needs of the residents. EVIDENCE: All residents have an individual care file. Assessment documentation for 3 residents was seen and this had been completed in detail. Information recorded included general health areas, nutrition, mobility, spiritual needs, weight, medication, continence, risk assessments and family background. Supporting information was also available from health agencies and social services. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 10 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): 7,8,10. Residents health, personal and social care needs are addressed in care plans and care needs are met effectively. This ensures a good overall standard of care in the home. Residents are treated with dignity and respect at all times. EVIDENCE: Residents have a care file and their needs are recorded in a plan of care. This information is drawn up from the initial assessment and from other health professional sources. The care files are very organised, easy to read and staff interviewed had a good understanding and knowledge of residents’ needs. Care documentation is subject to regular review to ensure the information was up to date. Care plans involved the residents and/or their relatives. Supporting care documentation includes a waterlow score (an assessment tool for assessing pressure relief), nutritional and manual handling assessment. Residents are also weighed. General risk assessments for health and safety issues are completed; where a resident is at risk of falls. GP visits are organised on behalf Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 11 of the residents and these and other health professional appointments were recorded in the care files seen. Resident spoken with were complimentary regarding the supportive and caring approach by staff. Comments included, “staff are very kind” and “staff are so helpful and polite.” Discussion with residents and observation during the inspection confirmed that staff offer a good standard of privacy and are respectful of their individual wishes especially around personal care. Staff were observed assisting residents, always knocked before entering rooms and also spent time chatting with them. A good interaction and pleasant atmosphere was noted. A relative said, “the staff are very pleasant and there is always a friendly atmosphere.” A resident commented, “The carers are always very polite and cheerful”. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 12 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): 12,13. There is a sociable atmosphere in the home and residents interviewed are happy with the daily routines. Social activities are well managed and create a positive atmosphere and visitors are encouraged to visit and made welcome. EVIDENCE: Residents interviewed said they enjoyed living at Ann Slade. They commented on the relaxed ‘feel’ to the home and the pleasant attitude of the staff. Residents interviewed commented, “I decide whether I want to go to the lounge or stay in my room.” “I like to be left alone, I don’t want to mix and will ask if I need anything”. Activities are arranged ‘in house’ and a varied activity plan is in place. These include entertainers, quizzes and keep fit. When staff have time available residents are supported to go to the local shops. One resident commented that she had recently been out to choose some new clothes. “I enjoyed going out as I can’t go alone”. The home has an attractive garden and residents enjoy sitting out during the warmer months. Visitors were seen popping in at different times of the day, welcomed by staff and met with residents in the lounge or in their bedrooms. Visiting relatives commented, “We are always offered a drink when we arrive”. “The staff are always pleasant”. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 13 Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 14 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. The home has a complaint procedure and residents are confident that their concerns would be listened to and acted upon. EVIDENCE: The complaint procedure for the home is on display in the main entrance. The name and contact number of the inspector is displayed in the hallway for residents and visitors to see. Staff complete a complaint log should a complaint, concern or ‘grumble’ arise and record the action taken and outcome. Residents spoken with said that they were happy with existing arrangements in the home and that they could always speak to a member of staff if they had any worries. “If I am not happy I will tell them. I like to say what I think”. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 15 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): 19,24. The home offers a very comfortable, ‘homely’ accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The home is very well maintained, comfortable, spotlessly clean and ‘homely’. Residents provided positive comments on the standard provided. “It is cleaned and dusted daily”. “There are no smells”. Housekeeping staff ensure rooms are cleaned daily and it was evident that they take great pride in this to maintain the high standard. Records showed that the home had an ongoing refurbishment program in place to upgrade and redecorate areas in need. The communal space is more than adequate to enable residents to find their own space, relax and meet their visitors. The home has ramped access on all entrance and exit areas. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 16 Residents are encouraged to bring items of their own furniture on admission. A number of individual rooms viewed were found to be comfortable, individually furnished and very clean. Locks are in place on all bedroom doors and lockable facilities available in each bedroom. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 17 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): 27,28,29,30. Sufficient numbers of staff are on duty to care for the residents. Procedures for the recruitment of staff are in place to provide the safeguards and the protection for people living in the home. Staff receive the necessary training to ensure competency in their role. EVIDENCE: Duty rotas seen evidenced the numbers of staff on duty. Residents and visitors are pleased with staffing arrangements and felt there are enough staff about to help them. No agency staff are employed. Residents and visitors commented, “Always willing to help”, “Very friendly”, “Nothing is too much trouble.” “Staff are always pleasant”. Recruitment procedures were viewed for 3 staff employed. These evidenced completed job application forms, health declarations; job description and contract of employment. 2 written references are obtained prior to appointment. The necessary police checks with regard to clearance from the Protection of Vulnerable Adults (POVA) register clearance is received prior to employment. An ongoing staff training programme is in place and covers all the statutory training required plus other training such as dementia care, care of the dying, Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 18 medication and abuse awareness. Staff interviewed commented on the “Brilliant support” and “Good training” in place. Staff interviewed said they are encouraged to progress. Almost all the care staff are qualified in NVQ and are encouraged to enrol on appointment. One member of the care staff has recently enrolled on NVQ Level 4 and wishes to further his career. “I get lots of support”. Policies and procedures are kept up to date and all staff sign to acknowledge their receipt of this information. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 19 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): 33,38. Regular monitoring ensures the home is run in the best interests of residents. General safety certificates for equipment and services to the home including the fire log book were in date. This promotes the health and safety of the residents. EVIDENCE: Quality assurance checks, residents and relative surveys completed monitor the running of the home. Residents meetings take place to discuss the service provided. Information is available for residents and visitors throughout the home and include the latest inspection reports, complaints procedures and contact number for the Commission for Social Care. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 20 An up to date record was seen for the safety checks of the gas, electric, portable appliances testing, lift, manual handling equipment and fire prevention equipment. The fire alarms are tested weekly ‘in house’ by the staff. Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 21 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 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x 3 x x STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x x x 3 Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 22 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. Refer to Standard Good Practice Recommendations Ann Slade Care Home, The DS0000005316.V251519.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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. 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