Inspection on 04/01/06 for Blair Park Residence For The Elderly

This inspection was carried out on 4th January 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

Blair Park Residence For The... 04/07/06

Blair Park Residence For The... 24/05/05

Blair Park Residence For The... 30/11/04

Blair Park Residence For The... 14/07/04

Blair Park Residence For The... 05/03/04

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

CARE HOMES FOR OLDER PEOPLE Blair Park Residence For The Elderly Crown Road Milton Regis Sittingbourne Kent ME10 2AL Lead Inspector Christine Lawrence Announced Inspection 4th January 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 Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Blair Park Residence For The Elderly Address Crown Road Milton Regis Sittingbourne Kent ME10 2AL 01795 423695 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) Charing Healthcare Ms Sarah McKelvie Care Home 47 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (37) of places Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2005 Brief Description of the Service: The home is situated on the southern edge of the village of Milton Regis, on a main road leading from Sittingbourne. It provides accommodation on two floors. The premises are part adaptation and part custom-built. There is a shaft lift between floors and corridors are wide enough for wheelchairs. The home has recently undergone changes to accommodate more people with dementia. There are spacious communal areas. There are ample parking spaces, both on site and on the adjoining side road. Local shops and other amenities are within a short walking distance and the home is on a bus route. The main line railway station is in Sittingbourne, about a mile away. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 4 January 2006 between 10.00 and 16.45. This inspection focussed on outstanding issues from the unannounced inspection of 24 May 2005 and standards not covered during that inspection. Care plans and other records were looked at during this inspection and both the manager and deputy manager provided information. Some relatives of residents completed comment cards. The inspector spoke to a visiting relative and members of staff and made observations of interactions between staff and residents both in the main house and the Primrose Suite, where care is provided for people with dementia. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 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 the following standard(s): None These standards were not assessed on this occasion. Please refer to the inspection report of 24 May 2005 for more information. EVIDENCE: Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 and 9 Residents’ personal and health care needs are set out in an individual plan of care, ensuring that staff are fully aware of needs and how to meet them. Residents are protected by the home’s policy and procedures regarding medication. EVIDENCE: An individual plan of care is generated from an assessment carried out prior to admission and on the day of admission. The pre-admission assessment has recently been reviewed and the new format will shortly be used for new admissions. The plan sets out in detail what actions need to be taken by care staff to ensure that all aspects of care can be identified. The plans used at Blair Park cover all aspects included within Standard 3 of the National Minimum Standards. There are various risk assessments used within the individual plan including one relevant to the risk of falls which leads onto the manual handling guidelines. The plans seen during this inspection showed that care staff (usually key workers) review needs and actions monthly. Assessments of the risk of developing pressure ulcers are in place for each resident within their individual plan. There was evidence of equipment such as pressure relieving cushions and mattresses in use. Nutritional assessments Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 9 are undertaken and actions from these form part of the care plan. Records show that residents’ health care needs are identified and responded to with the involvement of a variety of health care professionals. Weight is monitored at least monthly, including identifying any loss or gain which is not intentional. The home also uses a pain assessment chart to try and identify needs. Records of doctors’ visits are recorded and the home is now considering ensuring that all contact (ie including phone calls) with GPs and other health care professionals is noted under this record. The home makes use of body maps to identify and monitor any minor injuries or problems with skin. There are policies and procedures in place regarding medication. No resident currently is responsible for their own medication but the home has risk assessments in place should the need arise. The records relating to medication were all appropriately maintained. There is a copy of the Royal Pharmaceutical Society of Great Britain’s guidelines available to staff. Copies of patient information leaflets (PIL) are kept in a folder to enable staff to look up any relevant information relating to any individual medication. There was evidence of training for staff who give out medication and the management look at people’s competency on a yearly basis. The storage of some medications has been improved as required from the last inspection. Examples were noted of staff involving general practitioners when any concerns about medication are identified. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 10 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 Residents’ wishes regarding social contacts and activities are identified and responded to. EVIDENCE: An activities co-ordinator has now been employed for three sessions a week. Residents’ meetings are used to ascertain wishes and requests as well as individual conversations with residents. Information is noted in the ‘Working and Playing’ section within the care plan. There are regular entertainments within the home and on the day of the inspection there was a singer/guitarist performing. This was very much enjoyed by the residents, many of who sang along and/or got up to dance. Staff members were very supportive and encouraging. Information about these entertainments is on display so that friends and relatives can make plans in advance to join their relative at these times. Although there are set times for meals, there is a degree of flexibility especially at breakfast time. Residents’ meetings have also been used to monitor residents’ wishes regarding having communal television. There are individual activities such as reading, knitting, listening to music and watching television etc. The manager and deputy manger explained that activities and entertainments were quite changeable at times eg residents used to enjoy a film show but this is not so popular now, so it was important to review wishes as part of the care plan monthly review. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 11 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): None These standards were not assessed on this occasion. Please refer to the inspection report of 24 May 2005 for more information. EVIDENCE: Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 12 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 and 26 The home is clean, hygienic and well maintained which provides residents with safe and comfortable surroundings. EVIDENCE: The fire safety officer and the local authority environmental health officer have made recent visits because of the building work which has been undertaken and there are no outstanding requirements from either of them. The grounds were tidy, safe and accessible. A part time gardener works at the home and in fact was working on the day of the inspection. The company have a designated maintenance crew but also call in external contractors as required. The home is located in a residential area of Sittingbourne with all of its amenities. The home is comfortable and homely. Some further redecoration and replacement of carpets is planned for some areas of the home but this will not be completed until the finishing work has been done to entranceways. There are designated domestic staff and laundry assistants. The home was clean and free of any offensive odours. Laundry staff confirmed that there are Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 13 policies and procedures in place with regard to maintaining a clean, hygienic environment. Training is in place such as National Vocational Qualification in Housekeeping, infection control and safety compliance. Control of Substances Hazardous to Health (COSHH) Regulations are met and updated. Appropriate hand washing facilities are available in the laundry and notices are on display both in the laundry and the staff toilet about the importance of hand washing. The washing and drying facilities are satisfactory and there is a sluicing facility. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 14 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): None These standards were not assessed on this occasion. Please refer to the inspection report of 24 May 2005 for more information. EVIDENCE: Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 15 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 and 38 The home is well run and managed by a competent person who is seeking to increase her qualifications which will be of benefit to residents. Improved quality monitoring systems would ensure that the home is run in the best interests of residents. Residents are protected by the financial procedures within the home. The promotion of health and safety issues benefits residents. EVIDENCE: The manager is experienced and has a National Vocational Qualification (NVQ) in care (Level 3), a Diploma in Welfare Studies, a NEBS management qualification and has also undertaken a variety of short courses relevant to caring for older people. She was to begin an assessment for NVQs Level 4 but this had to be postponed due to her taking maternity leave. She is only responsible for Blair Park. There is a clear management structure, both within Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 16 and external to the home. There is a deputy manager and designated senior carers. The manager and deputy manager ensure that residents are spoken to individually on a daily basis by one of them. There are residents’ meetings, and notices on display at this time showed that the home notifies residents about when inspections take place. Questionnaires have been used by the home to ascertain residents’ opinions about aspects of the services provided at Blair Park. Last May/June the company sent out questionnaires to relatives and then the responses were forwarded to the home. Unfortunately this did not happen until much later in the year. The deputy confirmed that she had spoken to some relatives with regard to comments made. There are regular visits by representatives under Regulation 26. The manager and deputy said that the company are currently reviewing how they will be meeting Standard 33 more fully. The home only has involvement with some resident personal allowances. There is a document entitled Clients Monthly Financial Summary which is completed for any resident for whom the home receives money for items such as hairdressing, newspapers, chiropody and toiletries etc. Receipts are also kept. These records are available for residents and/or their relatives to view or have copies of. Secure facilities are available within the home. A few residents manage their own finances. A spot check on various records of maintenance and servicing contracts showed that these are appropriate and up to date. There are policies and procedures in place relating to a range of health and safety issues and training is provided both at induction and ongoing. This is reflected in the training matrix used by the home to monitor who has completed which training and when updates are needed. The format for recording accidents within the work setting is appropriate and complies with the Data Protection Act. There is a folder with up to date risk assessments relating to all areas of the building. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A 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 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 18 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 OP31 OP33 Good Practice Recommendations The registered manager should complete her assessment for National Vocational Qualifications Level 4 (Care and Management). Quality assurance and monitoring systems should be improved. Blair Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Park Residence For The Elderly DS0000023893.V267145.R01.S.doc Version 5.0 Page 20 - 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!