Inspection on 06/02/06 for Avonbloom Rest Home

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Avonbloom Rest Home 17/06/08

Avonbloom Rest Home 07/06/06

Avonbloom Rest Home 25/04/05

Avonbloom Rest Home 08/12/04

Avonbloom Rest Home 29/07/04

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 Avonbloom Rest Home 351 Squires Gate Lane Blackpool Lancashire FY4 3RG Lead Inspector Mrs Gwen Miller Unannounced Inspection 6th February 2006 10:00 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 Avonbloom Rest Home DS0000009785.V281532.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. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Avonbloom Rest Home Address 351 Squires Gate Lane Blackpool Lancashire FY4 3RG 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 401455 01253 401455 Mrs Mandy Jackson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: Avonbloom is registered under the Care Standards Act 2000, to accommodate fifteen older persons aged 65 years and over. The accommodation includes one double room, six single en suite rooms and seven single rooms without en suite. Bathing and shower facilities are available. There are two comfortable lounge areas one of which is the designated smoking room. There is also a pleasantly furnished dining room and a first floor quiet lounge area. The premises are situated on a busy main road in the south shore area of Blackpool. The home is close to local amenities and facilities and has good access to all transport services and routes. Some of the residents go out independently. Mrs Mandy Jackson is the registered provider, she runs the home in an informal manner and aims to provide a homely environment for her residents.. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 10.00am. It took place over five hours. and was carried out with Mrs Jackson, the proprietor. A pre inspection questionnaire had been completed prior to the inspection visit. The inspector spoke with four residents and two staff members. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of three residents, was carried out. Part of the inspection was spent looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. A tour of the home was part of this inspection. What the service does well: What has improved since the last inspection? Since the previous inspection, the Home has produced a good information pack, which is given to prospective residents. The admission procedure has been improved and detailed assessments of residents needs and care plans, are now completed. The home now employs a cleaner, and is much cleaner than on the previous inspection. Many of the carpets have been replaced and rooms redecorated. The recruitment process for new staff is now in place, all staff have Criminal Records Bureau (CRB )clearances, training programmes are now in place for management and staff members. Suitable activities are now arranged for residents. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 6 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. Avonbloom Rest Home DS0000009785.V281532.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 Avonbloom Rest Home DS0000009785.V281532.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): 1&3 The home provides residents with sufficient information they need, to make an informed choice about where to live. All prospective residents have a comprehensive assessment to ensure that the home will be able to meet their needs and provide the right care for them. EVIDENCE: The home has now produced a good Service User Guide, a copy has been given to all residents. The Statement of Purpose of the home is now complete and provides further information about the home, its facilities and the way it carries out care practices in meeting resident’s needs. The admission procedure has been improved since the previous inspection and now provides staff with guidance to ensure that new resident’s needs are properly addressed and met. Staff members have access to resident’s assessments and care plans and can refer to them on a daily basis to determine what tasks needs doing for the individual person. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 9 Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 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, 9 &10 The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure resident’s medication needs are met. EVIDENCE: Individual care plans have now been developed between staff and each resident. These cover all aspects of physical, intellectual, emotional and social needs and include the person’s likes and dislikes. Falls and accidents are recorded in an accident record book. G.P. and district nurse visits are recorded in the home’s daily diary. Since the previous inspection, a visit was carried out by the Commission for Social Care Inspection, Pharmacy Inspector, who found that the home’s policies and procedures for dealing with medicines were very good. Residents who chose to self medicate are provided with a lockable facility for storage and sign a “self medication assessment” to confirm that this is their choice. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 11 All residents spoken with said they were treated with respect and their care was carried out in a dignified manner. Staff were noted to knock on doors and seek permission prior to entering bedrooms. New residents said they were asked how they wished to be addressed but added that everyone uses Christian names at Avonbloom Rest Home. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 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 & 14 Recreational needs are catered for, links with the community are good, these support and enrich resident’s chosen lifestyle. The meals are particularly good offering both choice and variety, whilst catering for special dietary needs. EVIDENCE: The pre inspection questionnaire showed that activities now include outings to Fairhaven Lake, shopping trips to markets and Marks and Spencers, as well as taking residents to the local “Sunshine Club and” “Ladies Fellowship Club”. Entertainers visit the home on a regular basis, birthdays are celebrated with cakes and sherry. Most residents have a television or radio in their own rooms as well as use the communal ones in the lounges. All residents spoke highly of the food offered. They said they had “good choice” and the food was “well cooked “ and “always on time”. The dining room provides enough space for all residents to dine at the same time and is pleasantly set out with matching table linen and crockery. Some residents prefer to eat in their own rooms, although they are encouraged to mix with others in the dining room, especially at dinner time. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff have some understanding of Adult Protection issues, but are to attend formal training to further protect residents from abuse. EVIDENCE: Information is now clearly provided for residents in the event of them, or their relatives wanting to make a complaint about the home or its staff. Residents spoken with said they would tell the manager if they had any worries or concerns about their care or accommodation. Since the previous inspection, there have been no complaints received by the Commission for Social Care Inspection. Since the previous inspection, accredited training programme has now been set up for staff members and the manager, including Protection of Vulnerable Adults training. The home holds copies of Blackpool Vulnerable Adult Committee guidance and all staff have copies of Joint Code of Practice, Guidelines and Procedures. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Some improvements to the décor and furnishings have been made however the outstanding matters do not provide the people living in the home with safe comfortable surroundings. EVIDENCE: The date and the report of the most recent visit by the Health and Safety Department and Environmental Health Officer, was not available, nor was the Fire Officers last visit or guidance and action on risk assessments. The inspector contacted Health and Safety and Environmental Health, and asked for a copy of the most recent report on the home. A further visit to Avonblooom will be carried out in April 2006.The fire safety officer agreed to visit the home on 9th February 2006 and forward his report to this office. Any issues arising from these reports will be addressed on an additional visit to the home. The home must ensure that suitable records are kept in future to ensure the safety of residents and staff. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 15 Since the previous inspection the home has continued to redecorate and recarpet bedrooms and the communal areas. Residents spoken with said they were pleased with the results. Toilet doors now have locks fitted, bedroom doors are being fitted with locks, as rooms become vacant. Bedrooms are well personalised to each resident’s choice. Since the previous inspection , a permanent cleaner has been employed which has improved the overall cleanliness and hygiene throughout the building. However two bedrooms are still malodorous and require attention, the manager agreed to recarpet one, within three days and to seek advice from the medical profession, on behalf of the resident in the other bedroom. This will be reviewed at the next visit. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 & 30 The numbers of staff on duty were satisfactory to meet the needs of the people living at the home. The policies and procedures for the recruitment of staff now provide safeguards for the protection of residents. EVIDENCE: All residents spoke well of the staff. Comments included “they are lovely girls” and “they are magic”. Residents said their call bells were answered promptly during the night and that all the staff were friendly and pleasant to them. A good relationship was noted between staff and residents and there was a relaxed atmosphere in the home. Since the previous inspection, staff files now contain information to ensure that persons employed are fit to work at the home and competent to do their jobs, training is set up and National Vocational Training (NVQ) is ongoing at present. Criminal Records Bureau (CRB) clearances are on file for all employees, any new staff will need clearances before starting work at the home. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 17 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, 36, 37 & 38 There is now some evidence of leadership guidance and direction to staff to ensure residents receive consistent quality care, however some maintenance issues need to be addressed to safeguard the health, safety and welfare of the people using the service. EVIDENCE: The manager and deputy are currently undertaking the Registered Manager’s Award and NVQ level4. Policies and procedures relating to the Care Homes Regulations 2001, have been set up since the previous inspection. The manager intends to carry out appraisals of all staff, this will continue on an annual basis. Formal supervision has not yet been completed, as recommended following the previous inspection, although the manager does spend time with her staff. It was agreed that a more formal supervision system be instigated. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 18 The recommendation that quality surveys should also be carried out with residents and their relatives, had not been completed, however the manager said she spends time, on a daily basis with both residents and their relatives, to ensure the home is meeting their needs and they are content with the service offered. As mentioned previously in this report, the date and the report of the most recent visit by the Health and Safety Department and Environmental Health Officer, was not available, nor was the Fire Officers last visit or guidance and action on risk assessments. The home must improve its record keeping and promote the health and safety of the people who live there. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 19 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 1 x x x x x 1 2 STAFFING Standard No Score 27 x 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 2 1 1 Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 20 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP18 Regulation 13 Requirement Accredited training in the protection of vulnerable adults must be provided for all staff. ( It is noted that this is being arranged). The premises must be kept hygienic and free from offensive odours throughout. The manager must ensure that suitable records are kept to ensure the health and safety of residents and staff. Timescale for action 01/05/06 2. 3. OP26 OP38 16 12 01/03/06 01/03/06 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. 3. 5. Refer to Standard OP19 OP28 OP31 OP36 Good Practice Recommendations Locks should be installed on all bedroom doors as rooms become vacant. 50 of care staff should achieve NVQ level 2 A registered manager holding NVQ level 4 in management and care should be in post . Formal supervision should be provided for care staff, in DS0000009785.V281532.R01.S.doc Version 5.1 Page 21 Avonbloom Rest Home line with Standard 36 of the Care Home Regulations, a minimum of six times a year. Avonbloom Rest Home DS0000009785.V281532.R01.S.doc Version 5.1 Page 22 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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