Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 08/10/08 for Auckland Residential Care

Also see our care home review for Auckland Residential Care for more information

This inspection was carried out on 8th October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Auckland Residential Care provides a service which enable individuals to return to their own homes after a period of assessment. The environment and ethos promotes independence illustrated by the approach of staff who see their role as enabling "we are here to help people get home". One individual said how staff "have helped me get so much better then I thought I would". All of those we spoke with described staff as helpful and supportive and how the home was relaxed and friendly. There was real sense that individuals are given every opportunity to maximise their independence along with the support of staff and other services such as physiotherapy and importantly maintain links with the community. The home promotes a person centered approach identifying the aspirations and strengths of individuals and in observing staff interaction it was evident that they have a real understanding of the individuals staying in the home. One individuals told us that they felt staff knew them well and what they wanted to do and helped them do it.

What has improved since the last inspection?

A number of requirements were made at the last inspection and these were looked at as part of this inspection. It was noted that improvements have been made in preadmission assessments, care planning and recruitment practice. Importantly a manager for the service has now been registered with CSCI this in our view has resulted in a more focused approach to the need for improvement and increased staff capacity to address the changes required of the service. In the inspectors view the manager is focused on addressing the shortfalls raised from this inspection and further consolidate the real changes in practice that have already been made.

What the care home could do better:

Despite the improvements noted in this inspection there remains areas where there is inconsistency in practice. Specifically that of making sure that all individuals who stay in the home have care plans which fully reflect their needs and clearly record the tasks required of staff as part of meeting that care need. Moving and handling assessments must be completed for all individuals to identify safe practice. Risk assessment practice must be improved to cover all areas of care where there are identified risks either specific to care task i.e care of catheter, skin care or in terms of behaviour. Further areas for improvement are that of making further effort to reduce the risk of infection in the home through the provision of hand washing facilities in or close to the laundry area which would avoid staff having to go in the kitchen. Quality assurance is an area the manager was aware of in terms of needing to achieve better feedback about the quality of the service they provide and this information could form part of the home`s Annual Quality Assurance Assessment.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Auckland Residential Care 2 Ken Road Southbourne Bournemouth Dorset BH6 3ET     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: John Clarke     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Auckland Residential Care 2 Ken Road Southbourne Bournemouth Dorset BH6 3ET 01202427166 Telephone number: Fax number: Email address: Provider web address: aucklands.resthome.co.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Nicola Jane Brown Type of registration: Number of places registered: Mr Job Hart,Mr David John Hart care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Two persons between the ages of fifty-five and sixty-five may be accommodated at any one time for short-term care. Date of last inspection Brief description of the care home Auckland Residential Care is a detached property, adapted to provide residential care. It is situated on a corner plot in a quiet residential area of Southbourne, with local shops, a pub and bowling green a short walk away. The cliff-top, with a variety of coastal walks, is approximately a quarter of a mile from the home. Buses are available to and from Southbourne, with a full range of shops, churches, library etc, as well as other parts of Bournemouth, Christchurch and beyond. Parking for visitors is available on roads adjacent to the home. Auckland Residential Care is registered to accommodate up to ten older people and five were in the home at the time of inspection. Service users accommodation is located on the ground and first floors of Care Homes for Older People Page 4 of 26 Over 65 10 0 Brief description of the care home the home with access between floors via the staircase or a stair lift. The home is centrally heated throughout. A lounge and separate dining room are situated on the ground floor. Small garden areas are available at the sides of the property with seating for service users. There are sufficient communal bathrooms and WCs and seven of the eight bedrooms have en-suite facilities. The two double bedrooms are used as singles, unless two people request to share. All eight bedrooms are currently contracted to Bournemouth Borough Council Social Services in a Re-enablement scheme. This scheme provides service users with support, usually upon discharge from hospital, during a time-limited period of assessment and potential rehabilitation, before their longer term care needs are decided. Auckland provides 24-hour personal care, all meals, laundry and domestic services. However, service users are encouraged to do as much for themselves as possible as part of the rehabilitation process. Many activities are based on daily living tasks such as laying tables, making a cup of tea or preparing a snack. However, there are also a number of board games, cards, library books, jigsaw puzzles etc available for relaxati Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means that the people who use this service experience good quality outcomes. We visited the home as part of this inspection this was unannounced. We looked at a number of records including pre-admission assessments, care plans, staffing records, training and recruitment and examined health and safety practice in the home. We also had an opportunity to talk with individuals who are staying in the home as well as members of staff. We discussed with the manager a number of issued including staffing arrangements and quality assurance. The manager had returned their Annual Quality Assurance Assessment which set out their practice, areas of improvement over the past years and how they proposed to continue to improve the service. This information Care Homes for Older People Page 6 of 26 helped us in making a judgement about the quality of the service provided at Auckland. The fee for the home is 369 Pounds a week inclusive of all services. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home undertakes through pre-admission assessments so that they can make an informed judgement about their capacity to meet the health and social care needs of the individual. Evidence: A number of pre-admission assesments were looked at and showed information about the health and social care needs of the individual. The home also had copies of local authority assessments for individuals admitted to the home giving care needs, personal history, health needs. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care Plans fail to give full and detailed information about specific tasks required so that staff have recorded information as to the tasks they are to perform to make sure care needs are met. Care Plans must include risk assessments for identified areas such as maintaining skin integrity, catheter care so that the welfare of individuals is fully protected and risk alleviated as far as possible. Arrangements for managing medication make sure that individuals who live in the home health needs are protected. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld. Evidence: A number of care plans were looked at these were set out under specific headings: Problem, Goal, Necessary Steps. However there were no specific tasks identified to meet the care needs. For one individual there were concerns as to weight loss but there was no care tasks identified to ensure they had Regular Nutritious Diet. Weight Chart had been completed. For another individual care plan identified skin condition however no specific tasks were set out in care plan. However in talking with staff they Care Homes for Older People Page 12 of 26 Evidence: were able to give the tasks they undertook regarding treatment of this individual with regard to their skin condition.Moving and handling assessments had not been completed for all individuals in the home though in one instance where this had been completed it was through and detailed. In talking with indivduals who are staying in the home they spoke of the care is what I need they help me when I need it. Individuals who stay in the home have full access to community health services as required such as chiropody, community nursing service. Daily records confirmed the attendance of these services. The home also had links through Gps of physiotherapy services to assist individuals in returning to their homes and achieving greater independence. We looked at arrangements for medications. Each individual staying in the home has their medication kept in locked storage in their room. Administering sheets were looked at and had been completed as required. Storage is available for medication requiring to be kept in a fridge. Controlled drugs are kept in separate secure storage there was no controlled drug register. In talking with individuals staying in the home they all were very positive about the approach of staff they treat me with respect you cant fault the way we are treated by staff. One individual said they were able to come and go as I please. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The homes practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. Evidence: We spoke to a number of individuals who are staying in the home and they said there was a range of activities available and staff also take them to the local community. In one instance to the local cafe and cinema. Activities arranged included filmshows, dominoes, cards. Individuals also prepare meals in the kitchen as part of their maintaining independence. Individuals spoke of visitors coming at anytime really and made to feel welcome. The home makes every effort to make sure individuals maintain their contacts with the local community and this was confirmed by records and from an individual we spoke with. Care Homes for Older People Page 14 of 26 Evidence: It is an important part of the ethos of the home that individuals are able to maximise their independence and make their own choices about routines. In talking with individuals they spoke of how they choose when they get up and go to bed and importantly whilst staff are always available we try and do as much as we can for ourselves for when we go home. One individual said you pretty much do as you want. Individuals were very positive about the meals provided in the home excellent very good. Yet to find anything I couldnt eat. The meal on the day of our visit was well presented and certainly looked appetizing. However there is no choice of main meal of the day though choice is available at teatime when suggestions from individuals are written on a board in lounge. When asked individuals did not know what the lunchtime meal was on the day of our visit. Mealtimes appeared very relaxed and staff were available to assist if this is needed though there was a sense that individual try to help one another. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has clear procedures in place and this enables individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. We spoke to two memebers of staff about their understanding of what could constitue abuse in a care home setting. they illustrated a good understanding and knowledge of this area and were confident they would take action if they had any concerns about possible abuse of an individual. Evidence: We spoke to a number of individuals about what they would do if they had concerns or wished to make a complaint. One individuals said they had no complaints but also didnt know if the home had a complaint procedure. Others we spoke with said they felt able to talk to any of the staff or the manager and they would sort it out. A copy of the complaints procedure is displayed in the home. There have been no complaints made since the last inspection. The home has Adult Protection procedures in place and staff receive Safeguarding training training records confirmed this. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home generally provides a safe and hygenic environment for individuals who stay in the home however facilities must be improved to improve infection control so that the level of risk to individuls is alleviated as far as possible. Evidence: It was evident from being shown around the home that there is a good standard of decoration and maintainance. Individuals we spoke with said the home was always clean and well kept. There was in the inspectors view a pleasant homely feel with good facilities available to individuals who stay in the home. We were shown the laundry facilities whilst these were adquate it was noted that there was no separate hand washing facilities in this area and nearest staff hand washing facilities are in the kitchen. Staff undertake infection control training as part of their training through social services. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements in the home are generally satisfactory so that the needs of individuals can be met in an efficient way with care being provided by skilled and competent staff. The recruitment of staff is undertaken to make sure that as far as possible the health and welfare of individuals who stay in the home is protected. Evidence: Staffing rotas showed that there are 2 staff on duty am and pm with manager being in addition to care rota. There are no domestic staff employed (including cook). The manager advised that the employment of domestic staff is being considered and in the view of the inspector this would of benefit and increase the availability of care staff.There is one waking night with sleep in member of staff. This arrangement was discussed with the manager in terms of need for sleep in staff member. Subject to needs of individuals staying in the home specifically individuals who may need assistance of two staff members this arrangement need not be seen as essential to maintain adequate staffing levels during the night period. We spoke to individuals about the availability of staff and comments included always there if we need them always very busy sometimes we have to wait because they have alot to do. Of the 6 care staff 3 have completed NVQ professional qualification and one is currently undertaking this qualification. Care Homes for Older People Page 19 of 26 Evidence: Recruitment records showed that the required checks had taken place with Criminal Record Bureau check and POVA, two references and full employment history had been obtained about the perspective employee. Training records showed that staff had completed mandatory training this is undertaken through social services. Included is Infection Control, Moving and Handling. All staff had completed Food Hygiene, Health and Safety and where individuals have responsibility with regard to medication training in this area is completed. Staff have also undertaken training in Dementia and it planned to extend training to other conditions associated with old age. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The practices of the home help to make sure that the health and welfare of individuals who stay and work in the home is protected. Quality assurance must be improved so that all individuals who stay in the home and professionals who have contact with the home have an opportunity to formally voice their view about the quality of the care provided. Evidence: The manager has extensive experience in care of older people and before being registered as manager of the home was a senior carer in the home. She has NVQ Level 4 in care and is currently undertaking the Registered Managers Award. Staff described her as approachable and someone they could always talk to about any difficulties or concerns. As part of quality assurance questionnaires are given to individuals when they leave Auckland. However there has been poor response and the manager discussed this with Care Homes for Older People Page 21 of 26 Evidence: the inspector and advised that she will be looking at improved method of getting views about the quality of the service provided at Aucklands. Comments had been made in the visitors book and these were all very positive about the care received by individuals. The inspector did not establish house meeting are held. It is the policy of the home not to manage individuals financial affairs in any way and where assistance is needed a relative or representative will take this responsibility. Staff records showed that staff had received regular supervision. Health and Safety records were looked at and showed that maintainence of equipment such as stair lift takes place regularly. Electrical system was serviced Sept 08 and fire system March 08. Fire alarm tests take place weekly and emergency lighting monthly. Records showed that staff undertake fire drills 3 to 4 times yearly. A fire risk assessment is in place, infection control policy and COSHH. An Environmental Health Inspection of the kitchen in Febuary 08 resulted in the home being awarded 3 stars for good hygeine practice. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The manager to make sure that the care home is conducted to promote and make proper provision for the health and welfare of individual who stay in the home. This refers to the need to clearly record in care plans tasks to be carried out to meet the identified care need. 05/12/2008 2 7 13 The manager to make sure risks to the health and safety of the individual are identified and so far as possible alleviated or eliminated. This refers to the need to undertake risk assessments fully identifying ways and associated tasks staff are to carry out to alleviate risk or in terms of behavior respond or potential triggers to behaviour. 05/12/2008 Care Homes for Older People Page 24 of 26 3 7 13 The manager to make sure there are suitable arrangements to provide a safe system for moving and handling individuals. This refers to the need to undertake moving and handling assessments for all individuals to safeguard the individual and staff when performing moving and handling tasks. 05/12/2008 4 26 13 The manager to make sure there are suitable arrangements to prevent infection and the spread of infection at the home. This refers to the need to provide hand washing facilities in the laundry area or nearest point. 30/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 13 Formally offer a choice of main lunchtime meal this to be made available through weekly menu choices being given to individuals or perhaps on menu board and individuals asked in the morning what their choice is that day. Make sure all individuals who stay in the home have copy of the complaints procedure. 2 16 Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!