CARE HOMES FOR OLDER PEOPLE
Burrows Lea 502 Lytham Road South Shore Blackpool FY4 1HJ Lead Inspector
Kevan Royston Unannounced 21 July 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Burrows Lea Care Home Address 502 Lytham Road South Shore Blackpool FY4 1JH 01253 341294 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Robert James Shirt CRH Care Home 8 Category(ies) of Old age 8 registration, with number of places Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9 August 2004 Brief Description of the Service: Burrows Lea is registered for eight older people. The home is a large detached residence situated in the south of Blackpool close to Highfield road shopping centre and local bus routes. All the rooms are en-suite and aids and adaptations have been fitted where required. The home is on two floors and there is a stair lift to access the first floor. There is a large through lounge with a conservatory atached and a dining room. The outside provides seating at the front and rear of the property with a ramp fitted for wheel chair access. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.00 am and took place over 3.5 hours. The Inspector spoke to the homeowner two staff members and four residents. Records of three staff members were also examined. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection. What the service does well: What has improved since the last inspection? What they could do better:
Each staff member has a training file however all staff files should contain copies of each individuals qualifications obtained. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 6 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. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 standard(s) This section of standards was not assessed. EVIDENCE: Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This section of standards was not assessed. EVIDENCE: Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 standard(s) This section of standards was not assessed. EVIDENCE: Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 standard(s) This section of standards was not assessed. EVIDENCE: Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 standard(s) 19 and 26 Recent investment in new windows and furnishings has improved the appearance of the home. The home was homely, clean and tidy and maintained to a high standard ensuring the residents comfort and safety in pleasant surroundings. EVIDENCE: A tour of the building found the home to be clean and tidy. The home is maintained to a good standard and examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises ensuring the comfort and safety of the residents is maintained. Observation of some bedrooms showed they had been redecorated and new windows fitted. One resident spoken to said, “Its very comfortable and homely.” Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of residents. Staff are well trained ensuring they have the competencies to meet the residents needs. EVIDENCE: Records show training is ongoing and the home now has over 60 staff that has completed NVQ (National Vocational Qualification) level 2 in care to meet the 50 required by the national minimum standards. Staff spoken to commented on the extensive induction training. A staff member said “I am still doing my induction which is a lot to take in but it has given me the confidence to provide the necessary care to the residents”. Each staff member has their own training and development file, which when examined confirmed the training provided by the home is extensive and thorough providing staff with the skills to carry out their duties. The Homeowner said the homes recruitment procedures had been reviewed and any future staff would not commence employment without the necessary recruitment checks being undertaken to ensure the protection of residents living at the home. Three staff records examined confirmed all the necessary checks are in place including references and a Criminal Records Bureau check POVA (Protection of Vulnerable Adults), being received before the staff member could commence working at the home. Staff photos are on each file.
Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 14 Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive. One resident said, “I feel well cared for nothing is to much trouble for the girls and Bob”. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 38 The home is well managed and run in the best interests of residents ensuring their safety and protection. EVIDENCE: The homeowner has completed the necessary qualifications required by the National Minimum Standards in management and care. Also the senior carer has completed NVQ (National Vocational Qualification) to level 4 in management and care ensuring they have the skills and competence to provide the support to staff and care to the residents. One resident spoken to said, “Bob and the girls are lovely it’s like a big family here”. Staff members said they found the manager was supportive and provided a clear sense leadership. A member of staff said, “The induction training was excellent I feel I learnt a lot from it.” Another commented, “The training is very good and Bob is very supportive we can always speak to him if needed.”
Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 16 Inspection of records indicated regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 4 x 3 x 3 x x 3 Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 18 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Burrows Lea F57 S9792 Burrows Lea V211582 220605 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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