Inspection on 03/07/05 for Blair House

This inspection was carried out on 3rd July 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

Blair House 17/05/07

Blair House 18/04/06

Blair House 12/12/05

Blair House 07/10/04

Blair House 06/05/04

Blair House 25/06/02

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

CARE HOMES FOR OLDER PEOPLE Blair House 24 Pevensey Road St Leonards-on-sea East Sussex TN38 0LF Lead Inspector Alexis Reilly Unannounced 3 July 2005 10:00 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 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. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Blair House Address 24 Pevensey Road St Leonards-on-sea East Sussex TN38 0LF 01424 437608 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Info@regalcarehomes.com Regal Care Homes Ltd Penelope Wickens Care Home 29 Category(ies) of Dementia (DE) 29 registration, with number of places Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is twenty nine 2. Only people over 65 years of age suffering from a dementia type illness will be admitted Date of last inspection 7 October 2004 Brief Description of the Service: Blair House Care Home is registered to offer placements to 29 residents with dementia type illness. Blair House is part of a larger group of homes owned by Regal Care Homes. The building is a large detached house spanning three floors. There are three lounges, one of these is a smoking lounge. There is a large dining area. There is a flight of steps to the front door, but level access is possible from the rear of the building. The building has a six-person passenger lift enabling service users to access the entire home. The garden is sheltered and secure. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9.15 and lasted for two hours. During the inspection staff and the Registered Manager was spoken with. Residents were spoken with in the lounge. The following documents were viewed; care plans, accident records, staff recruitment files, and pre assessment documents. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 7 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 standard(s) 3 & 6 The service ensures it has assessed the needs of the person and is able to meet them before offering a resident a place within Blair House. EVIDENCE: Two new residents have been admitted to Blair House since the last inspection. The manager had received a social care assessment and supporting documents from the G.P, before offering this person a place within Blair House. A assessment of the persons’ suitability for the placement was completed by the Manager. The following documents were also in place; a property inventory, an admission checklist, and residents’ admission sheets. A list of medication on admission, and a brief medical history with a list of current medical problems and medication used. A list of chiropody and optical appointments were also recorded. The service does not offer intermediate care. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 8 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 standard(s) 7,8 & 9 Service Users have a plan of care for staff to follow. Health care needs are monitored and accidents are dealt with appropriately. EVIDENCE: The service has care plans in place for residents. These also have guidance notes for staff on how to complete the care plans. Care plans include the following information; guidance sheets and information with regard to reviews, a copy of the terms and conditions of contract and a signed form from relatives opting out of attendance at monthly reviews. Care plans are broken down into the following sections. Maintaining a safe environment, use of walking aids, and signs and symptoms of relevant physical illnesses. One resident was diabetic, the care plan listed the signs to look for, ie fatigue, and what to do if this was evident. Mobility, personal hygiene, diet and food are also listed. Weight charts are recorded for each resident. A bath rota is in place, and residents are asked which day they would prefer to bath and when this has been carried out the relevant information is filled in so a record can be kept. Records of medication administration were filled in appropriately. Accidents are recorded on individual accident sheets and also recorded in individual’s files. A log form is used so staff can assess very quickly how many accidents each resident has had. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 9 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 standard(s) 12 &15 Activities are offered on a group and individual basis these are recorded appropriately. Menus are varied and balanced. EVIDENCE: Menus are in place these are varied and include fresh meat and vegetables. Fresh orange and cranberry juice is available through out the day and tea coffee and biscuits are served mid morning. Ice creams and fruit ices are served during the day in the summer. Fresh orange juice or bowls of soup are served with all evening meals. Activities are listed in the care plan and these can be as simple as 1:1 conversation through to knitting, watching TV, reading, talking about family, memory and orientation sessions and gardening. Activities are recorded for each individual in a separate activities book. Examples of these are trips to the shop, cream teas in the garden, a party with sherry and ice cream, mini bus trip, games of topple, a visiting organ player, and trips to the park. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 10 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 standard(s) None of these standards were assessed. EVIDENCE: Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 11 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 standard(s) None of these standards were assessed. EVIDENCE: Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 & 30 The service ensures that all staff go through the correct recruitment procedures, and that staff receive appropriate training. EVIDENCE: 50 of staff are on target to complete NVQ level 2 training. One staff member has completed the NVQ level 2 and seven are currently completing NVQ level 2. In addition to this training the following training has been carried out by staff, advocacy training, moving and handling, medication training, challenging behaviour, prevention of abuse, incontinence training, fire training, dementia awareness and infection control. The service has recruited 4 new staff since the last inspection. The service has assured all the relevant documents for recruitment had been sourced. CRB and POVA checks had also been carried out. Job applications had been filled in correctly, induction forms had been completed and CVS and two written references were also in place. Each individual staff member has a training file in place. Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed during the inspection. EVIDENCE: Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 14 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 15 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. Refer to Standard Good Practice Recommendations Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 16 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Blair House H59-H10 S21055 Blair House V221401 030705 Stage 4.doc Version 1.20 Page 17 - 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!