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Inspection on 31/10/05 for Blakenhall Community Resource Centre

Also see our care home review for Blakenhall Community Resource Centre for more information

This inspection was carried out on 31st October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Blakenhall Community Resource Centre continues to provide a high standard of care for the service users. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. In particularly the work that the home is carrying out to assisting people with cognitive impairment is to be commended, as is the Dementia Care Mapping programme. Observations during the inspection saw very attentive staff providing for the individual needs of the residents using Sonas technique to help stimulate all of the senses. A small number of residents who could express themselves in a meaningful way confirmed that they were comfortable and content.

What has improved since the last inspection?

There has been an improvement in day and night care staff that has had a positive impact on the quality of care provided to the service users. Its was also noted the garden area around and near the main entrance has improved by re-landscaping, and the provision of planted tubs Regulation 26 visits to the home are now taking place.

What the care home could do better:

Continue the internal maintenance programme and make good wheelchair damage to doors and doorways.

CARE HOMES FOR OLDER PEOPLE Blakenhall Community Resource Centre Haggar Street Blakenhall Wolverhampton West Midlands WV2 3ET Lead Inspector Mr Ian Harris Unannounced Inspection 31st October 2005 08:00 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 Blakenhall Community Resource Centre DS0000036769.V261901.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. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Blakenhall Community Resource Centre Address Haggar Street Blakenhall Wolverhampton West Midlands WV2 3ET 01902-553547 01902-553549 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) Wolverhampton City Council Anthony Edward Hipwell Care Home 29 Category(ies) of Dementia (29), Mental disorder, excluding registration, with number learning disability or dementia (29) of places Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 50 and above No number division between the categories Date of last inspection 14th July 2005 Brief Description of the Service: Blakenhall Resource Centre provides residential care and respite care for 29 adults over the age of 50, offering care for people with mental health needs, particularly those with dementia. The Resource Centre provides long and short stays for older people with dementia and the memory related difficulties that come with it, also providing care for people with a full range of mental health needs. The city council’s Social Services Department and the Care trust manage the centre as a joint project. There are two residential units Warwick and Windsor offering support for older people no longer able to live at home. The third unit Ludlow provides respite/short term care. There are car-parking facilities to the front of the property and an enclosed garden area at the rear. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest co-operation was given to the inspection officer by the Care Manager staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable and safe with contented residents. What the service does well: What has improved since the last inspection? There has been an improvement in day and night care staff that has had a positive impact on the quality of care provided to the service users. Its was also noted the garden area around and near the main entrance has improved by re-landscaping, and the provision of planted tubs Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 6 Regulation 26 visits to the home are now taking place. 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. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 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 Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 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,and 5 The home provides clear and accurate information to prospective residents on the services provided, enabling them to make a properly informed choice about the home. All residents are given a written contract on admission to the home. EVIDENCE: The home provides clear and accurate information to prospective residents on the services provided, in the form of a brochure and a service users guide enabling them to make a properly informed choice about the home. The service users guide has recently been updated and a copy is placed in all of the bedrooms. Each resident is provided with a detailed service users guide and statement of terms and conditions when they move into the home. This statement contains the required information. The statement is clear on what the fees do and do not cover. There was evidence on resident’s individual files to show that all the residents are provided with a statement of terms and conditions of residence at the time of admission. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 9 Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 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): 9,10, and 11 The systems for the administration and recording of medication are good with clear and comprehensive arrangements being in place to ensure resident’s medication needs are met. The Staff are sensitive to the individual needs of each service user and meet these in a professional manner EVIDENCE: Medication is mostly administered by means of a monitored dosage system, which is supplied by the local pharmacist. The system now appears to be working well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. All care Senior Staff have been trained to use the system before they are allowed to administer medication. All residents have single rooms. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the visitor’s room. Residents who were able to express themselves in a meaningful way were keen to inform the Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 11 inspector that the staff are very caring, supportive and always willing help them with their care needs. Permanent Residents’ wishes with regard to terminal care and arrangements after death are obtained at the assessment stage, if possible. Family members are involved in these discussions if appropriate. Unless there are medical reasons for not doing so, service users are able to spend their final days in their own rooms. Where the needs of service users change, re-assessments are requested. The home has clear policies with regard to dying and death and staff have received bereavement training. The Care Manager and Care Staff are conscious of the need to provide extra support to the residents in their final days at the home. All the Staff are very aware of the need to be particularly sensitive, caring and attentive to the residents needs prior to their death. The care manager is also aware of the support the staff should provide to relatives and colleagues. Resident’s relatives are encouraged to be fully involved in the residents care at this particular time. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 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): 14 and 15 Individuals are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual The meals in the home are good homely type offering both choice and variety and also catering for special dietary needs. EVIDENCE: Most of the Service Users ability to make decisions are limited however staff stated that the Service Users are consulted regarding the day-to-day running of the home through unit meetings, reviews and by feedback from their keyworkers. The key-workers also plays a key role identify interests that the service users wish to pursue and helping the service user make decisions. The observations made, examination of menus and the comments received from the service users who could express themselves confirmed that particular attention is given to the service users’ individual preferences. All of the comments made by service users regarding the quality, quantity and variety of food provided are complimentary. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has a good complaints procedure with some evidence that residents’ views are listened to and acted upon. The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, copies are also available in reception The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection and all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in an in house training programme and the homes induction programme and N.V.Q. training, which the Staff is undergoing. There have been no incidents that have needed to be recorded or reported. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the environment within the home is high and there is a rolling programme of maintenance providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. EVIDENCE: The home has been established for many years and has undergone major alterations three years ago in order to improve accommodation for older people with mental health problems. The home is maintained to a high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. The provision of a specially designed sensory garden is a great asset to the home The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 15 be conscious of the dangers of cross infection and were seen to use appropriate equipment and protective clothing. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 There is a stable staff group working positively and enthusiastically to provide the residents with a quality of life that meets their individual requirements and aspirations. There is a very good training programme in place that ensures that the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with service users and staff indicated that there has been an improvement since the last inspection of the staffing of the units during the day. The night staff has also improved by the recruitment of 3 senior night staff. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training and is working towards the minimum standard required. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Ageism, Moving and Handling, First Aid, Protection From Abuse, Infection Control, Dementia Care Mapping, Dementia Care Studies, Health and safety at work Fire prevention and Foundation Training in Community Health. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 34 and 36 The manager has very good leadership skills and has a clear development plan and vision for the home, which he has effectively communicated to the residents’, staff and relatives. The Residents’ finances, are being handled appropriately by designated senior staff EVIDENCE: The Care Manager is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and is very supportive of both staff and residents. Observations made and discussions with service users and staff indcated that the Care Manager is very approachable and operates an open door policy. The staff and service users who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 18 have and were confident that they would be responded to. All the Financial records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. It was noted that formal supervision is taking place on a regular basis. Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 3 X X Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Blakenhall Community Resource Centre DS0000036769.V261901.R01.S.doc Version 5.0 Page 22 - 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!