Inspection on 04/07/06 for Blair Park Residence For The Elderly

This inspection was carried out on 4th July 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.

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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 Graham Cummings Unannounced Inspection 09:45 4th July 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 Blair Park Residence For The Elderly DS0000023893.V299182.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. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 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 (24), Old age, registration, with number not falling within any other category (23) of places Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 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. The cost of the service ranges from £325 to £500 per week. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out the site visit on the 4th July 2006. The inspection consisted of going through the new inspection process and explaining the changes regarding Key, Themed and Random inspections. Prior to the site visit the Inspector had received the completed Pre Inspection Questionnaire and completed the Inspection record. During the visit 4 care plans and 3 staff files were viewed. The Inspector toured the home and informally observed staff and Service User interaction. The home is registered for 47, 24 Dementia and 23 Older People. Currently there are 45 Service Users living there. The occupancy will remain at 45 until the 2 residents currently in large registered double rooms leave they will then revert to being used as double occupancy rooms. During the visit a Service User was taken ill and the Manager and staff were prompt in making decisions about the need to safeguard the Service User by calling the emergency services for assistance. The Manager and staff were calm and professional throughout and other Service Users were not distressed or neglected in any way throughout the incident. The home is Service User led and outcomes for Service Users is good, with an activities co-ordinator in daily to Bluebell group (Residential), another activities co-ordinator has been appointed to Primrose group (Dementia) and will start work when their CRB has been received. Activities include a lot of musical influence as Service Users like to sing and occasionally dance, nail and hand care takes place 6 weekly, Pat Dog visit the home weekly as does a hairdresser. All of the documentation viewed was of a good standard with the care plans well written and informative. Staff files seen confirmed that the recruitment was in line with Schedule 2. The Manager was booked to start her Registered Managers Award but due to maternity leave cancelled it, they have reapplied again and looking to start it in the near future. What the service does well: The home is run to meet the needs of the Service Users and the care plans were informative and written in a user-friendly manner. The files contained pre placement and purchaser assessments, life story, risk assessments and an Admission Summary that outlined the individuals required needs and wishes. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 6 The Manager tries to give as many choices and options to Service Users on the day to day running of the home, this is done through Service User meetings and individual meetings with key-workers. An option list of activities is on the entrance hall wall, outings include picnics and trips to restaurants for cream teas. The home is in the process of employing a second activities co-ordinator, one for each group. This will enable the home to have appropriate activities to meet the needs of both Bluebell and Primrose groups. The home has an excellent training package and 17 of the 21 (81 ) of care staff have NVQ certificates between level 2 and 4. 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.V299182.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 Blair Park Residence For The Elderly DS0000023893.V299182.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): 1,2,3,5,6 The quality of the service provided is good. Prospective Service Users have the information available to make an informed choice. Service Users’ needs are assessed and they have an opportunity to visit the home prior to placement and have a written contract. EVIDENCE: The home’s Statement of Purpose and Service User Guide have not changed since the last inspection and remains relevant to the service provided. The Service Users have a contract outlining their terms and conditions of residency. The Inspector looked at 4 Service User files and found that they all contained a Pre Placement and Purchasers assessment of the individuals needs. The home also had an Admission Summary that was written on the day of admission, this allowed staff to see if any changes to the required needs had occurred since the Pre Placement Assessment had been carried out. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 9 Service Users, family, friends and care manager are advised and encouraged to visit the home prior to any placement starting. The home does not cater for intermediate care. Blair Park Residence For The Elderly DS0000023893.V299182.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): 7,8,9,10,11 The quality of the service provided is good. Service Users have an individual plan of care. Service Users’ health care needs are met and they are protected by the homes policies and procedures dealing with medicines. Service Users are treated with respect and their wishes regarding illness and death are recorded. EVIDENCE: The Inspector looked at 4 care plans of Service Users who had been admitted within the last 5 months and found them to be informative and easy to read. The needs of the individual were clearly expressed and followed by the action required to address these needs and the outcome to be achieved. There are various risk assessments used within the individual plan, this ensures minimum risks for Service Users was in place. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 11 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. 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. The management team monitor the administration of medication to ensure that staff are competent in carrying this out. Medication is accessed by a single set of keys held by the Manager, Deputy or Senior on duty. The person who is to dispense the medication has received appropriate training and annual checks of competency are carried out. The Medication Administration Records (MAR sheets) are signed by the member of staff once the medication has been dispensed and taken. Where controlled drugs are administered, a second person is involved and also signs to witness that the correct dosage has been administered and taken by the correct Service User. All of the Service Users are registered with a local GP, Optician and Dentist and a District nurse visits the home twice a week. The wishes of Service Users regarding illness and death were not recorded on all of the 4 files seen by the Inspector, however, 3 of the Service Users had only been in occupancy since mid June (2 weeks) and family members had not returned the information. Blair Park Residence For The Elderly DS0000023893.V299182.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 The quality of the service provided is good. Service Users’ lifestyles satisfies their social and recreational needs. Service Users maintain contact with family and friends and are helped to exercise choice and control over their lives. Service Users receive a wholesome and nutritious diet. EVIDENCE: The home has now appointed a second activities co-ordinator so that now both the Residential and EMI groups will have specific activities that will help individuals enjoy a quality lifestyle. The Manager informed the Inspector that for all the activities that were presently available it was usually the same people that took part and it was hoped that this may now change. The activities rota is displayed in the main entrance hall, this is so families and friends may wish to accompany the Service User being visited. The family and friends of Service Users can visit at any time and join in the outings and activities if they wish. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 13 Service Users have regular meetings and individual discussions with their keyworker where they can make choices on their lifestyle and menu. The menu is worked on a 4-season year and changes accordingly the Manager informed the Inspector that choices of meals were available to Service Users. The menu seen was wholesome and nutritious. Blair Park Residence For The Elderly DS0000023893.V299182.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 The quality of the service provided is good. Service users and relatives complaints are taken seriously. Service Users are protected from abuse. EVIDENCE: Since the last inspection the home has had 3 complaints/concerns. The Inspector saw the paperwork for all 3 and found that they had been signed and dated with outcomes and actions. All 3 of the complaints had been dealt with inside of the timescale of 28 days as set out in the policies and procedures The commission have not received any complaints regarding the home. Criminal Record Bureau Checks (CRB) have been obtained for all staff. Any staff where their CRB has not been received by the home are supervised at all times. The Registered Manager is aware of her obligations with regard to ensuring the safety of Service users and protecting them from abuse. Staff training includes Adult Protection and signs and symptoms of abuse. Blair Park Residence For The Elderly DS0000023893.V299182.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): 19,20,21,23,24,25,26 The quality of the service provided is good. Service Users live in a safe, well-maintained and comfortable indoor and outdoor environment. Service Users have sufficient and suitable lavatories and washing facilities. Service Users own rooms suit their needs, they are comfortable and are furnished with personal possessions. The home is clean and hygienic. EVIDENCE: The Inspector toured the home and found it to be spacious, clean, tidy and well maintained. The rooms viewed were well furnished and Service Users personal belongings were on display. There was ample seating in both the lounges and the garden had 3 or 4 small seating areas with shade. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 16 The Inspector noted that one bedroom did not have a radiator cover, the Manager informed the Inspector that there were other bedrooms that required radiator covers and that the company were looking to purchase them on a gradual basis. The Inspector asked that some priority be given to the purchase of the covers to ensure Service User safety. The home has 39 single bedrooms and 4 doubles, 8 of the single rooms have en-suite facilities. There are 10 toilets, 3 bathrooms and 2 shower rooms. Service User personal space is complemented by the indoor communal area outdoor garden. Since the last inspection the home has purchased new bedroom furniture and beds, bedding, headboards, coffee tables, and laid several new carpets. Blair Park Residence For The Elderly DS0000023893.V299182.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 The quality of the service provided is good. Service Users’ needs are met by staff who are trained and competent and they are in safe hands. Service Users are protected by the home’s recruitment policies and practice. EVIDENCE: The home has an extremely good training programme with 81 of the care staff team having a minimum NVQ level 2, this does not take into account the cooks and domestic staff who have, or who are completing their NVQ in the appropriate subject. Since the last inspection training has taken place Fire Prevention, First Aid, Moving and Handling and Dementia. The home has training booked on the 18/7/06 for Food Hygiene with further courses waiting confirmation dates in, Adult Protection, Dementia, Moving and Handling and Health and Safety. The Inspector noted that the individual training matrix on the 3 staff files viewed were not up to date and correspond with the master training matrix on the office wall. All of the files viewed had training certificates that confirmed that they had received the training stated on the master matrix. The Inspector looked at 3 staff files and found that they all contained the appropriate recruitment documentation as stated in Schedule 2. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 18 The Manager has regular monthly staff meetings and supervisions and appraisals are carried out. During the site visit the Inspector observed a staff handover meeting where the events of the morning were relayed to the afternoon team. Blair Park Residence For The Elderly DS0000023893.V299182.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): 31,33,36,37,38 The quality of the service provided is good. Service Users live in a home that is run by a competent person and in their best interests. Service Users’ financial 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. EVIDENCE: The Manager informed the Inspector that the Company had recently sent out Quality Assurance questionnaires to Relatives and Professionals and they had been assured that all comments would be passed onto them so any actions or issues raised could be acted upon quickly. Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 20 During the site visit a Service User was taken ill and required emergency treatment. This was handled in a quick, quiet and efficient manner that caused the minimum of disruption to other Service Users. Family members were contacted immediately and notes recorded. Service Users are involved in the day to day running of the home as much as possible regarding menus, outings and activities, this was done through regular meetings as a group or individually with their key-worker. The daily recording notes were seen and found to adequately reflect daily life for a Service User. Staff have supervision on a regular basis to ensure they have a minimum of 6 per year, yearly appraisals are also completed and were seen on individual staff files. On the information viewed and available the health, safety and welfare of Service Users is promoted and protected. Blair Park Residence For The Elderly DS0000023893.V299182.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 X 3 3 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 X 3 3 3 Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 22 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. 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. 3. Refer to Standard OP25 OP30 OP31 Good Practice Recommendations That Radiator covers are fitted in all Service User bedrooms as soon as possible. That individual staff training matrix is updated to reflect the training they have completed. The registered manager should complete her assessment for National Vocational Qualifications Level 4 (Care and Management). Blair Park Residence For The Elderly DS0000023893.V299182.R01.S.doc Version 5.2 Page 23 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.V299182.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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