Inspection on 27/06/07 for Blesma Home

This inspection was carried out on 27th June 2007.

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

Blesma Home 04/03/09

Blesma Home 05/01/06

Blesma Home 07/07/05

Blesma Home 14/02/05

Blesma Home 09/06/04

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOMES FOR OLDER PEOPLE Blesma Home 539 Lytham Road South Shore Blackpool Lancashire FY4 1RA Lead Inspector Mrs Christine Marshall Unannounced Inspection 27th June 2007 10:30 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 Blesma Home DS0000006028.V332483.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. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blesma Home Address 539 Lytham Road South Shore Blackpool Lancashire FY4 1RA 01253 343313 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) blackpool@blesma.org British Limbless Ex Servicemens Association Mrs Jacqueline Longden Care Home 49 Category(ies) of Physical disability (49) registration, with number of places Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: BLESMA in Blackpool is owned by the British Limbless Ex-Servicemens Association. It is registered for 49 persons with physical disability. There are some short stay holiday/respite beds available at the home. All rooms have en-suite facilities and the home is furnished to a good standard. There are specially adapted vehicles to accommodate wheelchairs and a full entertainments programme is arranged. The home is situated in the South Shore area of Blackpool and is close to a good number of shops, banks and a post office. The grounds are well kept and there is parking space for visitors. At the time of this visit the fees for care were from £280 to £542 with some extra costs for hairdressing, newspapers and chiropody. Mrs Jacqueline Longton manages the home. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of BLESMA included a site visit to the home that was done between late morning and mid-afternoon; the visit was unannounced, which means that the owners, staff and members did not know it was taking place until the inspector arrived. The people who live at the home said that they preferred to be called members. Time was spent sitting and talking with people who use the service, alongside their friends and relatives, and observing the day-to-day routines of the home and care staff, as they provided support. The manager completed a pre-inspection questionnaire and forwarded it to the commission. This document contained a good level of information about the home and helped in the planning of the visit. A tour of the home included looking at bedrooms, lounges and dining area, kitchen and laundry rooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the members’ safety. Comment cards were sent to the home for members and relatives to fill in; and those that were returned showed an excellent level of satisfaction with the care at the home. The home accommodates permanent members and those who visit for respite or holiday periods. Some of the views expressed were – “I can’t speak highly enough of this place.” “The staff are absolutely wonderful.” “It’s lovely here, I couldn’t get better care.” “I have lived here ten years and I wouldn’t want to be anywhere else.” “The care is excellent, just perfect.” “It is the closest thing to my own home.” “I am given everything I need here, it is superb.” Relatives’ comments included – “I have always been more than happy with my husband’s care. The staff are excellent.” Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 6 “I am very impressed by the quality of care, love and attention that is given to my husband.” A visiting member said “I come here at least twice a year, it is excellent.” Discussions took place with the manager Mrs Longton and administration records were looked at. Care staff were also spoken with and said that they were happy and supported in their work. Everyone at the home was friendly, welcoming and co-operative throughout the visit. What the service does well: In line with established policies and procedures, BLESMA made sure that there was equal care given to all members, considering their individual choices and preferences, and giving equal support to all, irrespective of their race, gender, disability, sexuality, age, religion or beliefs. There was equal consideration given to all employees and there were opportunities for male, female and overseas staff, between the ages of 18 and 65 years to work at the home; training and development programmes are offered to all members of staff. The home had made sure that members have equal access all parts of the home through a passenger lift and wheelchair ramps. The members at BLESMA are provided with a very good standard of accommodation. Several bedrooms were viewed and each was decorated and furnished to a very good standard, personalised and very well equipped. All the members who were spoken to said they were very happy with the standard of care and accommodation provided at BLESMA. The members were very complimentary about the manager and care staff and said that they were approachable and very helpful. They also said that they had full choices as to what they did with their days and evenings. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 8 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 Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (Standard 6 does not apply to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is gathered about prospective members, so that their needs can be met and so that they are given a good quality of life. EVIDENCE: The BLESMA organisation has a welfare officer who assesses prospective members before they enter the home. All aspects of their daily lives are assessed when the members are visited and records of this are kept. On the rare occasion that the manager assesses a prospective member, a preadmission assessment is used that includes all aspects of daily life and care strengths and needs. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 10 Members were able to confirm that they had undergone an assessment before they entered the home. A visiting BLESMA welfare officer was at the home during this visit and explained the procedures and protocols for the admitting of members to the home. This made it very clear that all prospective members are fully assessed before they are offered a care package at the home. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The members’ health and social care needs are met and people are treated with dignity and respect: They are supported in their daily lives. EVIDENCE: Care plans are written records of the care that are given to each person that lives at the home and three care plans were looked at; as in the last inspection findings, records were in place, however each of these plans was fairly basic and daily reports were very brief. Again, although each had been regularly reviewed to make sure that the right care was being given, comments on this review were sparse. Advice was again given to the manger in respect of Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 12 following the Nursing & Midwifery Council guidelines for record keeping, and she readily agreed. Plans are going to be put in place to develop a training programme for the trained nurses, on record keeping. Three members said that they knew about their care plans and that they were happy with these. They also said that although the home’s registered GP visited the home twice weekly, they had the choice of other GPs if they wished, and that they had regular visits to the chiropodist, dentist, optician and also hearing aid services. Many members remarked that they were more than happy at the home and that the staff were very kind; they also said that their privacy and dignity is always looked after. Nurses give out all medicines, but some members take responsibility for their own medicines and the manager and staff support them in this. The medication policies and procedures were found to be in need of review to make sure that the members are safe. The disposal of any medicines needs to be documented and the Medication Administration Record (MAR) sheets needed attention, because these are records of the medicines that are given to the members and so they must be kept accurately. The Commission’s pharmacy inspector will visit the home within the next few weeks to offer advice and guidance on the medication system. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The members benefit by being extremely well supported, so as to promote the quality of their daily lives. They are given full choices of daily living and provided with a well-balanced and nourishing menu. EVIDENCE: Members said that they were offered good choices of lifestyle and were very well supported in their preferred daily routines. Individual disabilities are considered when activities are planned and support is given equally to everyone. They said that they could go to their room or to bed whenever they wished and that they made their own choices about what time they got up in the morning: Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 14 They also said that they are given options of joining in with many and varied any outings and activities that were provided, or to have quiet time in the lounges or their rooms. There are many and varied planned activities and members are given the choice of these. On the day of this visit, it was Veterans Day and some members had been out to watch an event of abseiling down Blackpool Tower. A banquet was planned for the evening and all members who were spoken to, and their friends and relatives said that they were looking forward to this. Members are given the choice to eat in the dining room or in their room if preferred. On the day of the visit, the midday meal looked very appetising. There is equality of choice for every member and any preferences that are requested are catered for, for example vegetarian and diabetic food. The evening meal also offers full choices, with afternoon tea and suppers available. The members said that the food was “good”, “very nice” and “nicely presented.” The dining room was very light and well furnished and the mealtime was looked on as a social gathering, which was relaxed and unhurried. The carers helped discretely when needed. New tables and chairs have been ordered as part of the home’s ongoing refurbishment programme, along with new table linen. The Environmental Health Officer visited in May and there were no issues raised in respect of the kitchen and food stores. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members are able to voice their opinions and know who to speak to if they have any concerns. Adult protection and quality checks are in place, which means that residents live in a safe environment where their satisfaction is assured. EVIDENCE: There is a written complaints procedure for the residents and their relatives and this is included in the home’s information pack. The members who were spoken to said that they had no complaints at all. There have been no complaints at the home or to the Commission for Social Care Inspection. Members also said that they could get in touch with their relatives, solicitors or anyone else that they might need for help, if they wished: Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 16 There are advocacy information leaflets and advice available, which is for anyone who is without relatives and needs someone to speak on their behalf. There are policies in place for the protection of vulnerable people and the care staff are given training on abuse awareness. The care staff on duty confirmed that they were very aware of adult abuse issues. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members are provided with very clean, homely and pleasantly furnished surroundings and bedrooms are personalised and very comfortable; this means that people feel at home with their photographs and belongings around them. EVIDENCE: Each bedroom is pleasantly furnished and personalised with pictures, photographs and small items of furniture. There are adequate toilets and bathrooms throughout the home. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 18 All lounges, dining areas and bedrooms are very comfortable and furnished to a good standard: There is an ongoing refurbishment programme in place. The ground floor corridors and bedrooms have recently been re-decorated and new carpets have been fitted to all bedrooms, which previously had vinyl flooring. There are aids and adaptations such as grab rails in toilets and special lifting and bathing hoists for the members who need help with their mobility. There are also assisted baths for members that cannot get in and out of the bath without help. Laundry systems make sure that there are no problems with cross-infection and the laundry area is kept clean and tidy. However the laundry room floor needs repainting and the manager said that had been done not too log ago, but wear and tear meant that this was being attended to again in the near future. Members said that they were happy with their bedrooms and the lounges and licensed bar that was provided for them. New furniture has recently been purchased as part of the ongoing refurbishment programme. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The members’ care needs are met through good levels of staff, who have the appropriate qualifications and experience necessary to give a good care service. Staff recruitment procedures make sure that the members are safe. EVIDENCE: The list of staff on duty showed that there are good levels of nurses, carers and domestic staff on duty at the home. Carers were very friendly and helpful and showed that there is a very good mix of people in place. National Vocational Qualifications (NVQ) training programs are in place and 50 of staff have achieved this. The recruitment policies and procedures are satisfactory and make sure that the residents are in safe hands. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 20 A sample of staff training and personal files showed that staff training programmes are in place. Staff said that they had good access to training and felt confident that they could do their jobs. Advice was again given to the manager about developing a training matrix that would show at a glance any individual staff training needs and updates. Members said that the staff were “Lovely” “Very caring” “Excellent” “Can’t do enough for you” Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager makes sure that the best interests of the members are protected in that their health and safety is promoted. EVIDENCE: Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 22 The manager is a Registered Nurse who holds the Registered Managers Award. She has managed the home for many years and is seen to be highly respected by the members, their friends and relatives, and the staff. Equality of care is evident throughout in the policies and procedures for all aspects of care at the home. There is a policy and procedure for a quality monitoring system in place, and members and relatives meetings are held every three months; the minutes of these meetings are sent to every member. Monthly committee meetings are held at the home where quality of care is discussed along with the general running of the home. The external and nationally recognised quality system Investment in People (IIP) has also recently been attained at the home. Policies are in place for the protection of members from any financial abuse. Those members who were spoken to said that they either looked after their own money or their relatives did it for them. All records are stored in locked filing cabinets and staff only look at them when they need to find out about that particular person’s care needs. The pre-inspection questionnaire that was sent to the Commission gave good information about the protection of the members in that there are Health & Safety policies and procedures, records and safety equipment servicing certificates. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 23 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No 7 3 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP7 Regulation 15 Requirement The registered manager must make sure that care plans contain adequate information about the care that is being provided. Members need to have detailed and individual plans of care that give a clear picture of their daily lives, strengths and needs. The registered manager must make sure that the medication systems are safe. Medication Administration Records must be accurate and reflect the drugs that are being given, so that members are given the right medicines at the right time. Timescale for action 31/08/07 2 OP9 13 31/08/07 Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 25 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 OP30 Good Practice Recommendations A training matrix should be developed. This would show at a glance the information about the progress and updates of the staff training programmes. Blesma Home DS0000006028.V332483.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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