Inspection on 14/09/06 for Chaseside Residential Care Home

This inspection was carried out on 14th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chaseside Residential Care Home 19/08/05

Chaseside Residential Care Home 03/05/05

Chaseside Residential Care Home 09/02/05

Chaseside Residential Care Home 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Chaseside Residential Care Home St Georges Square St Annes Lancashire FY8 2NY Lead Inspector Denise Upton Unannounced Inspection 14th September 2006 09:15 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 Chaseside Residential Care Home DS0000038212.V310094.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. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chaseside Residential Care Home Address St Georges Square St Annes Lancashire FY8 2NY 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) 01253-724784 01253-838936 Mr Philip Tandy Mrs Denise Lynne Hayes Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (23), Physical disability (1) of places Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate 23 service users in the old age (OP) category and one named service user in the physical disability (PD) category. 19th August 2005 Date of last inspection Brief Description of the Service: Chaseside residential care home is currently registered to accommodate up to 23 older people and one named adult in the physical disability category who do not require nursing care. Mr Phillip Tandy owns the home, however as Mr Tandy is not in day-to-day control of the home, the home’s manager is also registered with the Commission For Social Care Inspection and this person has responsibility for the day-to-day management of the home. Chaseside Care Home is located in a quiet residential area of St Annes but in close proximity to the main shopping centre, a local park and community facilities and resources. The home is arranged over three floors with the majority of service users accommodated in single bedroom accommodation. Only one bedroom is for shared occupancy. Communal areas of the home consist of two lounges, a separate dining room and combined lounge/dining area. Although bedroom accommodation does not provide an en-suite facility, bathing and toilet facilities are sufficient in number, conveniently situated and provided with appropriate aids to promote independence. A passenger lift is provided. There is a lawn area with flowerbeds to the front of the building and a patio area to the side with tables and seating in the summer months. Since the last inspection, a number of keypads have been provided to certain internal doors located in various areas of the home and to one external gate. It is currently the intention of the management team at the home to request a variation to enable Chaseside Care Home to accommodate a number of residents who have been assessed as requiring specialist dementia care. In consequence, to help ensure the safety of the proposed residents with dementia, the keypads have been fitted. Current residents are well aware of the keypad code and use the doors in question independently and with ease. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 5 The present rate for residential care charges at Chaseside Care Home ranges from £313 00 – £378 50 per week. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday, started at 9.15am and lasted a period of ten and a half hours. The inspector spoke with the home’s registered manager; deputy manager and individual discussion took place with two members of the care staff team and the activities coordinator. Individual discussion also took place with the two service users who were ‘case tracked’ during the course of the inspection and one relative who was visiting. Case tracking involves looking at these service user’s individual care files to make sure that the correct information is recorded and that the individual care plan, that tells staff what the service user can do for themselves and what help may be required, is reviewed on a regular basis and kept up to date. Individual discussion also took place with several other service user’s in various communal areas of the home or in their individual bedroom accommodation. A number of records were also examined and a partial tour of the building took place. What the service does well: The manager at Chaseside Care Home is very experienced in running a care home for older people and helps staff to understand the needs of older people by providing a variety of different training. The staff group remains enthusiastic and work well together to provide a good quality of care for service users who live at the home. Since the last inspection a designated activities coordinator has been appointed to arrange and undertake group activities or individual one to one activity with service users. Service users spoken with were very pleased with this and stated they looked forward to the range of activities that are now available. One service user said, “I get all the help that I need” and that he was “very comfortable with my care plan”. It is very clear that good relationships exist between service users and staff, helping service users feel comfortable and secure. Service users are encouraged to have their say and help make decisions about the running of the home and were pleased with the accommodation provided. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: The manager and staff at Chaseside Care Home work hard to make sure that the needs of service users are well met and that service users feel comfortable living at the home. However there are a small number of things that could be improved. An initial individual care plan should be available as soon as possible ideally on the day of admission that is amended as further information becomes available. Although staff training is very much encouraged, formal induction training for newly appointed staff should take place within the first six weeks of employment and at least 50 of the care staff team should have achieved at least a NVQ Level 2 in care. Currently the home has almost achieved this target. Although all care staff have received first aid training, it is also recommended that a qualified first aider who has undertaken additional training should be on duty at all times. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 8 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. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 9 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 Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 10 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): 1in part & 3 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service”. The home’s Statement of Purpose and Service User Guide are comprehensive and detailed in content, however both documents provide some inaccurate information for the reader. The home has a good system in place to assess the needs and requirements of prospective service users prior to admission. This is to ensure that Chaseside Care Home can provide the individual level of care required. EVIDENCE: Although the Home’s Statement of Purpose and Service User Guide have been reviewed and amended to include further detail, information relating to the category(s) of service users that the home is currently registered to accommodate is inaccurate. Whilst it is acknowledged that Chaseside Care Home is currently in the process of applying to vary the categories of service users that may be accommodated, the home’s Statement of Purpose and Service User Guide must accurately reflect all categories of service user that Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 11 the home is registered to accommodate and not just the intended primary category. Case tracking confirmed good practice. Through discussion with two recently admitted married service users, it was confirmed that sufficient written information had been provided prior to admission for an informed decision to be made about becoming resident at the home. In addition, the area Chaseside Care Home is situated in was well known to the couple and on their behalf, a family member had initially visited the home, spoke with the registered manager, was shown round the home and had explained to him about how the home was run and what was available. In order to ensure that service users are only admitted to Chaseside Care Home if their health, personal and social care needs can be met, the registered manager undertakes a pre admission assessment of current strengths and needs to determine if the level of care and support required can be provided at the home The information obtained through this process is then recorded and can also be supplemented by a health and social services assessment of current needs and requirements. Once admitted, a further ‘in-house’ assessment is undertaken to ensure the information is as accurate as possible. This collated information then provides the basis of the initial care plan. Staff individually spoken with were clearly aware of the needs, wants and wishes of a recently admitted married couple who stated they were very satisfied with the level of support and care they had received. Staff were able to describe the admission procedure and were well aware of the importance of good accurate information sharing regarding new residents and the need to make them feel welcome. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 12 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 “Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service”. There is a clear and consistent care planning and review system in place however an initial written care plan should be available as soon as possible, ideally at the point of admission. This would adequately provide staff with the written information they need to satisfactorily meet service user’s needs. The health care needs of service user’s are well met with evidence of good multi disciplinary working taking place on a regular basis. The home also has good systems in place for the administration of medication to ensure service user’s medication needs are well met. EVIDENCE: Individual service user care plans were in the main evident with the exception of one resident who had been admitted the week previous. Although a pre admission written assessment had been undertaken, the ‘in-house’ assessment conducted following admission over a 24-hour period, was only completed in part and no initial care plan had been developed. Whilst it is acknowledged Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 13 that staff had been verbally informed of this service user’s known needs and requirements, this required staff to remember the detail and assumed that all staff would remember the same detail in the same way. A member of staff spoken with reported that by not having an initial written care plan in place, on one occasion this had led to her being unprepared for the level of care required for a particular service user. It is recommended that an initial written care plan be developed from the pre admission assessment process that includes information from any other professional assessments that may be available. This initial care plan should then be amended as required over the first few days to take into account the outcome of the post admission ‘in-house’ assessment and any other relevant information that may become available. The care plans of service user’s are structured, however the revised care planning record seen at the time of inspection should be further developed to include strengths as well as wants, needs and wishes including social activities and religious or cultural requirements. The individual care plan should also indicate how staff are to achieve an objective to ensure consistency of care and support for the service user. It was evident that relevant risk assessments are undertaken. The significant outcomes of all risk assessments undertaken should also be indicated in the care plan to advise staff and protect the service user. A number of service user’s spoken with were aware of their care plan and stated that they knew they could contribute to their individual care plan. Other service users were less concerned about becoming involved in the care planning process with one service user saying that “everything is fine, I get the help I need, the staff are good, I don’t need to be involved”. There was evidence to confirm that all care plans are reviewed on at least a monthly basis, amended as required and signed by the service user wherever possible. One person who visits her relative on a monthly basis said she was, “very pleased with the home and the support provided. The attitude of the staff is very good and my relative is very happy living here”. This same person also stated that she is always made welcome when she does visit and confirmed that she is kept informed of anything significant regarding her relative. Service user’s spoken with felt their privacy was respected and that staff were sensitive when they needed help with personal care. Staff had an overall understanding of the needs of people who lived at the home and were seen to be patient, kind and respectful when interacting with service users. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 14 Through direct observation at the time of inspection, discussion with staff and observation of documentation, there was clear evidence of good multi disciplinary working with health care professionals. It was noted that visits by health care professionals are recorded and service user’s spoken with felt that their health care needs had been fully met whilst they had been living at the home. The administration and recording of medication is well managed at Chaseside Care Home. The medication administration records of the service user’s who were ‘case tracked’ were examined and found to be well recorded and accurate. All staff have received appropriate medication training and staff with responsibility for medication administration have also received additional training to ensure they are proficient in this task. All service users who have capacity and wish to do so are enabled to self medicate within a risk assessment framework. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 15 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service”. Service users are encouraged to maintain contact with the local community and their family and friends to ensure these relationships are sustained. Service users experience the lifestyle that satisfies their social, cultural, religious and recreational interests and needs. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users taste and choice. EVIDENCE: Service User’s are informed of the home’s policy in respect of visitors at the time of admission and provided with written information in the Service User Guide that was evidenced at the time of inspection. As observed, it was clearly evident that service user’s can entertain visitors of their choice at a time to suit them either in a communal area of the home or individual bedroom accommodation. A visitor spoke positively about always being made welcome at the home and the good relationship she had with the staff group. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 16 Routines of daily living and social activities are kept flexible and varied in order to address individually assessed strengths and needs. A number of residents access community resources and facilities independently while other residents enjoy the one to one support of staff for outings and activities. Since the last inspection, the home has employed an activities coordinator who has specific responsibility for arranging and providing social activities and social stimulation for each resident who wishes to participate. This includes either group activities (baking is popular) or one to one activity such as a game of chess or going for a drink at a local pub. Activities arranged are determined by the wants and preferences of the individual resident and tailored to their individual level of ability. Whilst some residents may not be able to contribute practically to a specific social activity, the dialogue among residents and staff surrounding the activity can be enjoyable and one resident spoken with explained how much she was enjoying taking part. However involvement by residents is voluntary. This was clearly explained by one resident who stated that the activities coordinator had asked if there was any anything he would like to participate in. Whilst declining the offer, the resident went on to say, “However I did enjoy the chat”. Recently a ‘sensory room’ has been developed offering a variety of stimulating or calming experiences. It is understood that although this facility is primarily for the proposed dementia care residents, a current service user is already enjoying the use of this room on a regular basis. All service users with mental capacity are encouraged and enabled to retain independence in respect of financial affairs for as long as they wish to and as long as they are able to. Information regarding local advocacy services is available for service users or their family to access independently. Through discussion with a number of service users and observation of some bedroom accommodation it was confirmed that residents are encouraged to take personal possessions with them into the home to make their individual space more homely and comfortable. Meals and mealtimes at Chaseside are given high priority with a varied and balanced menu provided that is designed round the known likes and dislikes of service users living at the home. Service users are encouraged to become involved in menu planning and say what meals they would like to be served. Specialist diets in respect of medical needs are provided and diets in respect of religious or cultural requirements could also be accommodated. Currently the menus are being changed to provide much more fresh fruit and yoghurt for service users to enjoy. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 17 There is a choice of main courses and sweets at the lunch and evening meal and service users can choose to either have breakfast in their individual bedroom or alternatively eat in the dining room. In addition, a substantial supper is also made available. Service users were generally very satisfied with the variety of the foods served although there was some disagreement with regard to the cooking of meals. Some residents stated that the meals were always ‘very good’ however other residents were less positive saying that the quality of the meals served was dependent on who was doing the cooking. The management team at the home were aware of this issue and recently service users have been provided with a specific questionnaire regarding meals and mealtimes to enable a full consultation to take place. As a result of the outcome of the questionnaires, steps are being taken to address the issue. Service users have choice where they choose to take their meal that was evidenced during the course of the inspection. It was observed that the evening meal being served was attractively presented and clearly enjoyed by residents. It was also noted that staff discretely and sensitively offered assistance as required to ensure the dignity of service users was maintained. One service user commentated after this meal that “ I had chicken, I really enjoyed it, I am very full now”. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 18 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service “. The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. Staff have a good knowledge and understanding of adult protection issues, which protects service users from abuse. EVIDENCE: Since the last inspection, no complaint has been made regarding Chaseside Care Home either ‘in-house’ or to the Commission For Social Care Inspection. The complaint procedure at Chaseside Care Home is compliant with requirements and identified in the Statement of Purpose, Service User Guide and as observed, displayed in individual bedroom accommodation. Service users spoken with were very positive about living at the home and raised no complaints. However service users confirmed that they were aware that the home had a complaints procedure and stated they felt confident that any concern would be taken seriously and the matter investigated. Chaseside Care Home also has available a variety of policies and procedures observed at inspection for the protection of service users. These include an Adult Protection Policy based on the `No Secrets` documents and a whistle blowing policy to protect service users from abuse or discrimination. Further policies have been developed in respect of physical aggression, service users Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 19 monies and staff not accepting gifts or becoming involved in the making of or benefiting of service user wills. Each week staff are required to read a number of specific policies and procedures and sign to say they understand the content. All staff have undertaken specific adult abuse training that also helps to protect service users. Discussion with two members of the care staff team confirmed their knowledge of the Home’s adult abuse procedures and their individual responsibility in reporting any incident of alleged adult abuse. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 20 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 & 26 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service”. The standard of the environment within this home is good providing service users with a safe, comfortable and homely place to live. EVIDENCE: As identified in previous inspection reports, service users’ bedroom accommodation is comfortably furnished to suit the needs of the occupant and provided with a lock to the bedroom door and a locked facility for the safe storage of items of a private nature. All radiators in bedroom and communal accommodation are fitted with guards to prevent the risk of accidental injury and thermostatic devises have been fitted to all hot water outlets in service user accommodation to prevent the risk of accidental scalding. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 21 Service users spoken with were all satisfied with both their private bedroom accommodation and the communal areas of the home. As previously stated in this report, keypads have been provided to a number of internal doors in certain areas of the home and to an external gate. Discussion with several residents identified that this was not a problem for the more independent resident. All keypads are provided with same code number for ease of use and several residents were well able to recall the number from memory and demonstrate how the keypads operated. In addition, all residents have been given a written reminder of the code number that can be carried at all times. It is understood that the Fire Service have been consulted throughout regarding the positioning of the keypads in order to maintain resident and staff safety with regard to emergency fire evacuation procedures. The home remains clean, pleasant and hygienic with a variety of policies and procedures to advise staff in the control of infection. Laundry facilities are sited in the basement area of the home and do not intrude on service users. The industrial washing machine has the capacity to meet disinfection standards and floor finishes are easily cleanable. The laundry walls have recently been redecorated and are now more easily cleaned. In addition, an environmental risk assessment has been undertaken in respect of staff having to climb steps to access the washing machine and dryer that is clearly displayed in the laundry room. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 22 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service”. There is a good mix of staff offering consistency of care within the home. The arrangements for the induction and more advanced National Vocational Qualification (NVQ) training in care are good with staff demonstrating a clear understanding of their roles. Induction training should be compliant with ‘Skills For Care’ induction training standards and provided to newly appointed care staff within the first six weeks of employment. There is a structured process for the recruitment of staff that includes obtaining satisfactory references and clearances in order to protect service users. EVIDENCE: Chaseside Care Home staffing levels and skills mix are determined in accordance with the individually assessed needs of service users accommodated. Additional staff are on duty at peak times of activity and all night staff have ‘waking watch’ responsibility. There is sufficient ancillary staff employed to ensure standards in respect of domestic and catering are maintained. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 23 Service users and staff spoken with all considered that the level of staffing was sufficient to address individual needs and requirements and this was reflected in the staff rota observed. One service user stated that “ I get all the help I need and as far as I can see, all the residents get the right amount of help and support that they need when they need it”. The registered manager at Chaseside Care Home has a particular interest and skills and qualifications in staff training. There is a clear commitment to the training and development of all staff. It is understood that all newly appointed staff undertake the ‘Skills for Care’ induction training programme and National Vocational Qualification (NVQ) training is positively encouraged. However recently appointed staff, although confirming that induction training had taken place, could not be sure that the induction training undertaken had incorporated the ‘Skills For Care’ induction training programme. At the time of inspection, induction training work booklets could not be located although these members of staff were clearly competent in their role and knowledgeable in good care practices. As identified in the National Minimum Standards, all newly appointed staff should complete the ‘Skills For Care’ induction training standards that should be provided within the first six weeks of employment. Currently seven members of the care staff team have achieved an NVQ Level 2 or Level 3 certificate in care, with four other members of staff undertaking these qualifications. A staff-training matrix was evidenced that highlighted the additional range of courses that staff had undertaken in order to provide a high quality service. This included training in respect of dementia care, moving and handling, abuse awareness, health & safety, infection control, food hygiene, first aid, fire awareness and principles of care. Chaseside Care Home operates a structured recruitment process in order to protect service users. From observation of two recently appointed staff member’s personnel file, it was evident that the policy and procedures in respect of staff recruitment had been followed, including an application form, health questionnaire, formal interview, references and a Criminal Records Bureau, POVA First clearance had been obtained prior to the applicants actually taking up post at the home. Since the last inspection, a system has being devised to record the date a POVA First is received and a copy of the reference request that indicates the name of the person and date requested. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 24 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35,38 & 36 in part “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service”. The registered manager is experienced and qualified and has a clear development plan and vision for the home that is effectively communicated to service users, staff and other stakeholders. The home reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of, service users, staff and relatives. Systems are in place to ensure as far as possible the health and safety of service users, staff and visitors. EVIDENCE: Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 25 The registered manager Chaseside Care Home is well qualified and experienced and has achieved a Certificate in Social Service, Diploma in Management and a D32/D33/D34 training certificate. To further increase her skills and knowledge, the registered manager has also undertaken a variety of other training courses that includes mentoring in the work place training, ‘life coach’ training and dementia awareness training, Currently the registered manager is undertaking ‘The Management of Training and Development of Staff’ on-line training course. At the time of inspection staff spoken with could not confirm that formal supervision takes place on a regular basis. Through discussion with the registered manager it is understood that formal supervision has been allowed to lapse due to a member of the management team resigning her post. Recently a new deputy manager has been appointed and it is anticipated that formal supervision for all staff will be reintroduced in the near future. Daily informal supervision is a routine feature at the home to ensure staff are competent to undertake their role. Effective quality assurance and quality monitoring systems are in place in respect of residents and staff and the home has achieved the ‘Investors In People’ award. Service user questionnaires are a regular feature either covering a variety of topics or a specific issue that was confirmed by a number of service users spoken with. In addition, service user meetings, arranged and conducted by a designated member of staff also take place on a regular basis that supplements the informal daily dialogue to encourage discussion and information sharing. The views of family, friends and other stakeholders are also sought on a formal basis through the introduction of a separate questionnaire that was confirmed by the visitor spoken with. These systems all help to inform the internal quality audit in achieving outcomes for residents. Service users financial interests are safeguarded by the financial procedures in place. All service users wherever possible, are encouraged to remain financially independent or an independent advocate is approached to assist the service user with their financial affairs. Where the home does retains monies or valuables in respect of a service user, this is appropriately recorded and secure facilities are provided for the safe keeping of monies and valuables held on behalf of the service user that was evidenced at inspection. As recommended at the last inspection, if a service user does not have the capacity to sign financial documents when receiving monies, a second member of staff now witness’s the transaction and counter signs the first staff members signature. The registered manager ensures the health, safety and welfare of service users through the development of a variety of policies and procedures and staff Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 26 training initiatives. All staff undertake a variety of health and safety training and from information contained in the pre inspection questionnaire, further Moving and Handling, Health & Safety and Fire Awareness training has been arranged. However it is recommended that a qualified first aider, who has undertaken the more advanced ‘First Aid at Work’ course be on duty at all times. Equipment in the home is regularly serviced. It is understood that water temperatures from hot water outlets in service user accommodation is tested on a regular weekly basis however on occasions, the water flow to water outlets in the home is poor, this is in the process of being addressed by installing a separate system for heating and hot water. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 27 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 28 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. 1. Standard OP1 Regulation 4&5 Requirement The Statement of Purpose and Service User Guide must contain accurate information regarding the category(s) if service user the home is registered to accommodate. Timescale for action 31/10/06 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 OP7 Good Practice Recommendations An initial care plan, based on the pre admission assessments should ideally be available from the day of admission and amended and updated as required. Care plans should be further developed to provide a holistic account of strengths, needs, wants and wishes and indicate how these aims are to be achieved. At least 50 of the care staff team should have achieved at minimum, NVQ Level 2 by 2005. It is recommended that current induction training be evidenced against ‘Skills for Care’ induction standards to ensure compliance and provided to newly appointed staff within the first six weeks of employment. DS0000038212.V310094.R01.S.doc Version 5.2 Page 29 2. 3. OP28 OP30 Chaseside Residential Care Home 4 5 OP36 OP38 Formal documented staff supervision should be re – introduced covering at minimum the topics identified in Standard 36.3. It is recommended that a qualified first aider be on duty at all times. Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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 © 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 Chaseside Residential Care Home DS0000038212.V310094.R01.S.doc Version 5.2 Page 31 - 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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