Inspection on 07/06/06 for Avonbloom Rest Home

This inspection was carried out on 7th June 2006.

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

Avonbloom Rest Home 17/06/08

Avonbloom Rest Home 06/02/06

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 10:00 7th June 2006 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.V292046.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. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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.V292046.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 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. At the time of this visit (7th June 2006) the information given to the Commission For Social Care Inspection showed that the fees for care at the home are £241.15 per week with added expenses for hairdressing, chiropody and hairdressing. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over a two day period. It was carried out with Mrs Jackson, the proprietor, Mr Jackson, Fire officer Timperley and Fire Officer Mundy were also present for part of the time spent at Avonbloom. A pre inspection questionnaire had been completed prior to the inspection visit. The inspector spoke with seven 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? Staff supervision and appraisal systems have been introduce, this makes sure that residents are getting the care they need and also the support and guidance that their carers need in the daily lives too. The home is now clean and free from offensive odour in all areas. Redecoration and reflooring has improved the look of many areas in the home. All staff have completed training in Adult Abuse Issues. The manager has completed her National Vocational Training Level 4. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 6 Records of Health & Safety, Environmental Health, Fire Safety visits are now in place and recommendations and advice from these departments, has been acted upon. 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.V292046.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 Avonbloom Rest Home DS0000009785.V292046.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The home provides prospective residents with sufficient information, to make an informed choice about whether or not to make Avonbloom their home. All prospective residents have a detailed assessment to ensure that the home will be able to provide the right care for them and meet their needs. EVIDENCE: The home has produced a good Statement of Purpose and Service User Guide, copies were seen in bedrooms. This provides information about the way the home carries out care practices in meeting resident’s needs. Two comments received from resident’s were that they knew the home from visiting friends, prior to their own admission. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 9 Assessments for three residents were looked at during case tracking, these were completed satisfactorily and were in keeping with the needs of the residents. Contracts are in place between the residents and the provider, these means that the residents know what to expect from the home and what is expected of them. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of residents are well met and people are treated with dignity and respect. The systems for the administration of medication are clear and comprehensive arrangements are in place to ensure resident’s medication needs are met. EVIDENCE: Care plans were well detailed and reflected the care that was being given, they also listed resident’s likes and dislikes. Falls and accidents are recorded, GP visits and those from nursing services are listed in the home’s diary. One comment card from a resident said “ the district nurse comes every week and Dr. Abbas is always on hand when needed”. All residents spoken with said they were very happy with their care, comments from new residents included “ staff are more helpful here” and “its more homely here”. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 11 Residents said their care was carried out with respect and in a dignified manner and staff were noted to knock on bedroom doors and seek permission prior to entering. 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 there choice. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the community are good and social activities are provided, these support and enrich resident’s chosen lifestyle. EVIDENCE: The pre inspection questionnaire showed that activities continue to 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. One comment card included” Mrs Jackson takes me home to my house, when I feel like it, or rides in her car and shows”. Residents said their visitors were always welcomed and refreshments were always offered. Staff said they encourage family members to visit and on previous visits, relatives have said they are made most welcome at the home. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 13 Residents are encourages to handle their own affairs, Mrs Jackson does not act as appointee for anyone. Records of charges and payments were seen and were up to date. Avonbloom places emphasis on home cooked food, all residents spoke very well of the choice and quality. One comment card said “they give too much food” and “we have a good choice.” 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.V292046.R01.S.doc Version 5.2 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. All staff have recently undertaken accredited training in the protection of vulnerable adults to further protect residents from abuse. EVIDENCE: Information is 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. All comment cards received from residents confirmed they knew who to speak to if they were not happy. Since the previous inspection, staff have completed training in abuse awareness, those spoken with said it was very good. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are now provided with a clean and comfortable environment, with well personalised bedrooms. This means that residents will feel at home with their belongings around them. EVIDENCE: Since the previous inspection, Health and Safety and Environmental Health visits have resulted in recommendations rather than concerns, the kitchen has been improved and new flooring is being laid in that are and in the passage way. A recent visit from The Fire Officer, made at the request of the Commission for Social Care Inspection, had resulted in recommendations. Mrs Jackson confirmed these have now been implemented throughout the home. The home continues to redecorate and replace floor coverings, all residents said they were happy with their accommodation. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 16 Since the previous inspection, Mrs Jackson has acted on the advice from the continence advisor, a tour of the building found all areas to be clean and free from offensive odour. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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: Again on this inspection, all residents spoke highly of the staff, comments included “all the staff are very friendly, we are not a number, we are a person”. Residents said their call bells were answered promptly during the night and that staff were always pleasant to them. Staff rota was included in the pre inspection questionnaire, and a consistency of staff members was noted. Many of the staff have been at the home for a long time, the home has very little turnover so both staff and residents get to know each other well. A good relationship was again noted between staff and residents and there was a relaxed atmosphere in the home. Staff files 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. All staff hold first aid certificates. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 18 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.V292046.R01.S.doc Version 5.2 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is evidence of leadership guidance and direction to staff to ensure residents receive consistent quality care. EVIDENCE: Since the previous inspection, Mrs Jackson has completed National Vocational Training Level 4 and has encourages all her staff to participate in regular training sessions which she is accessing for them. Regular formal supervision and appraisals are now in place for all staff members and staff confirmed they still have daily contact with Mrs Jackson for advice and updating resident’s well being. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 20 Mrs Jackson now includes quality surveys in Avonbloom’s Service User Guide, she also 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. Residents meetings have proved unsuccessful in the past. All residents spoken with said they felt that Avonbloom is “our home”, some commented they felt safe. Residents were seen to be spending their day as they chose and making use of different areas both indoors and outdoors. Mrs Jackson has complied with requirements made by the Commission for Social Care Inspection on the previous inspection and has confirmed that she has addressed recommendations made by Environmental Health and the Fire Department. Record keeping in general has improved and Mrs Jackson recognises the importance of this as well as the importance of providing good care for her residents. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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 3 3 3 X 3 N/A 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 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 3 X 3 X 3 X X 3 Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 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. 1. 2 Refer to Standard OP19 OP28 Good Practice Recommendations Locks should be installed on all bedroom doors as rooms become vacant. 50 of care staff should achieve NVQ level 2. Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Avonbloom Rest Home DS0000009785.V292046.R01.S.doc Version 5.2 Page 24 - 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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