Inspection on 04/01/06 for Cleveleys Park Rest Home

This inspection was carried out on 4th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cleveleys Park Rest Home 23/02/09

Cleveleys Park Rest Home 16/06/08

Cleveleys Park Rest Home 13/08/07

Cleveleys Park Rest Home 05/07/06

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 Cleveleys Park Rest Home 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP Lead Inspector Unannounced Inspection 09:15 4 & 11th January 2006 th 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 Cleveleys Park Rest Home DS0000065275.V263446.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. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cleveleys Park Rest Home Address 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP 01253 821324 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) Ms Sonal Solanki Miss Jemma Reed Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 15 service users in the category OP (older persons 65 and over) 26th July 2005 Date of last inspection Brief Description of the Service: Cleveleys Park Care Home is situated within easy access of local shops and amenities. The home provides personal care for a maximum of fifteen residents of both sexes aged 65years and above. The home has nine single bedrooms and three shared rooms. Four of the bedrooms have en-suite facilities. There are sufficient bathing and toilet facilities to meet the needs of the residents accommodated. The communal rooms provide sufficient space and comfortable surroundings for the residents. There is a passenger lift to assist residents to move between the ground and first floor, however the home does not have available any special equipment except for a medic bath, wheelchairs and walking frames. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on 4th January 2006 was unannounced and started at 9.15am and took place over two hours. At the time of the inspection there were eight residents accommodated in the home, four members of staff and the manager on duty. The Inspector spoke at length to the manager, two care staff and one resident and briefly to the other two members of staff and the residents who were sitting in the lounge area. A selection of records were looked at and a tour of the home undertaken. restricting the availability of clothing for residents and potentially During the inspection serious concerns were identified which included: 1) The radiators within the home were found to be very hot, potentially placing residents at risk. 2) Equipment for the drying of resident’s laundry was not working and therefore placing resident at risk by clothing being dried on the radiators. The homeowner and manager were informed in writing that these concerns must be put right immediately. The Inspector visited the home again on 11th January 2006 to check what action had been taken to resolve the concerns and found that: 1) The thermostatic controls on the radiators were in the process of being replaced or adjusted. 2) A new dryer had been purchased and was in operation. Within the past three months the home has changed ownership and a registered manager has commenced working in the home. The Inspector took these factors into consideration when carrying out the inspection and writing the report. What the service does well: The residents in this home are well cared for. The staff team work very well together and show a good understanding of the needs of the residents in the home. Staff were seen to be very caring in the way in which they looked after the residents and all personal tasks were carried out sensitively. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 6 The manager confirmed that relatives are encouraged to play a part in the home in order to ensure that the needs of the residents are met and that they retain contact. Residents spoken to said that they were very happy and that the staff were very kind. One resident who had recently moved into the home told the Inspector that the atmosphere in the home was much better than were they had been before and they were glad that they had made the move. What has improved since the last inspection? What they could do better: The manager and staff are committed to providing a care for the residents and therefore will continue monitor care practices so that they are continually aware of any changes. The manager should continue to work towards obtaining a recognised qualification in order that she can carry out her role effectively. The homeowner should ensure that the manager has clear lines of responsibility in order to undertake the day to day management of the home effectively. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 7 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. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 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 Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The Inspector examined of the records of the last two residents to be admitted since the new homeowner and manager took over and found that in both cases a full assessment of needs had been carried out prior to admission, therefore ensuring that the home could meet the residents needs. The Inspector found that the assessment records put into operation by the previous owners were being continued and also that staff were actively involved in the assessments process. Staff spoken to confirmed that they had access to the assessments and could describe in detail the care needs of the residents. The resident’s files also contained written evidence, which confirmed that the manager had informed the residents or their relatives, prior to admission, that the home could meet their assessed needs. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 10 Staff spoken to confirmed that they had access to the assessments and could describe in detail the care needs of the residents. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet resident’s needs. EVIDENCE: All the above standards were looked at during the previous inspection and found to comply fully, however given the changes in the management of the home, the Inspector checked to ensure that care plans for new residents were being completed. The Inspector examined the individual records for the last two residents to be admitted and found that each file contained a plan of care setting out in detail the action that needed to be taken to ensure that all aspects of health, personal and social care needs of the residents are met. Significant events had been recorded and daily entries made setting out the care given. Evidence was seen that confirmed that the individual resident or their relative had been involved in agreeing the plan of care. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 12 Staff stated that they were very involved in the setting up the care plans, the daily recording and the monthly reviews. Through discussions the staff were able to demonstrate that they were fully aware of the individual needs of the residents. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 14 The social, cultural, religious and recreational interests of residents are being met. Residents are encouraged to have control and choice over their lives within their capabilities. EVIDENCE: The Inspector examined the records of two residents and found that they contained sufficient information to enable the staff to meet the needs of each individual resident. The residents spoken to confirmed that they had enjoyed the activities over the Christmas period. The manager informed the Inspector that the families had been invited and a great many turned up. Staff informed the Inspector that unfortunately the number of residents in the home had recently decreased and due to the health of many other residents there were very few that wished or were able to take part in activities. They confirmed however that they were still committed to encourage residents to continue with any interest that they have. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 14 One resident spoken to had not been in the home very long and said that they enjoyed reading and would be happy to join in activities that were arranged. The abilities of the residents to make their own decisions varied greatly throughout the home. However from observations and comments made by residents and staff the Inspector was able to evidence that they were able to make their own decisions within their capabilities. At the time of the inspection the Inspector observed a resident putting on their coat to go outside for a smoke. The manager said that they had made an area in the home available for this resident to enjoy a smoke indoors, but they seemed to prefer to go outside. A tour of the home confirmed that residents had been encouraged to bring their own personal possessions with them on admission to the home. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse procedure were satisfactory ensuring that people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents and their relatives on admission. One resident spoken to confirmed that they would complain to the manager if they needed to. The home keeps a record should any complaints be made. The Commission for Social Care Inspection (CSCI) has not received any complaints about the home. The Inspector was able to evidence that the manager and staff had a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 16 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): 25 Failure to regulate the surface temperature of the radiators presents a potential risk to the safety of the residents. EVIDENCE: The Inspector took a general look around the home and found that the temperature of the radiators was very high. As already stated in this report this matter was brought to the attention of the manager who was advised that this situation must be resolved as a matter of urgency in order to ensure that safety of the residents. The Inspector returned to the home on 11th January and found that work was in process to ensure that the radiators are fitted with appropriate valves which are tamper proof. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above standards were not assessed. EVIDENCE: Although the above standards were not assessed during this inspection as no new staff had been employed since the previous inspection, however evidence was gained to confirm that al care staff, except for one, had obtained a level 2 NVQ (National Vocational Qualification) Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 18 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 & 35. The manager is well supported by the senior care staff, however clear lines of responsibility need to be agreed with the provider in order that the manager can carry out her role fully. EVIDENCE: In the past three months the home has changed ownership and a new manager has been appointed and therefore the Inspector was very aware that the management team were still in the process of establishing themselves. The manager has worked in residential care homes for the past eight years, four of which have been as a deputy manager and has undertaken a variety of relevant training courses. The manager confirmed that she is presently undertaking Level 4 NVQ training and RMA, (Registered Managers Award), however she has encountered problems due to the lack of an assessor, but was confident that this situation was being resolved. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 19 Until recently the homeowner was visiting the home several times per week, however due to an accident cannot make these visits. The Inspector advised that clear lines of responsibility were agreed in order that the day to day running of the home can operate effectively. Residents are encouraged to control their own finances and if they are not able to do so then their relatives or representatives are asked to take over this responsibility. The manager confirmed that the home does not hold any monies or possessions on behalf of the residents. The Inspector asked the manager how residents paid for services such as hairdressing and chiropody and was informed that these are funded by the home. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 20 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x 2 x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 x x 3 Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP25 Regulation 13 Requirement The registered provider must ensure that radiators are guarded or have a low guaranteed low temperature surface. The registered provider must visit the home at least once per month and forward a copy of their report to the Commission Timescale for action 31/01/06 2 OP31 26 31/01/06 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 31 Good Practice Recommendations The registered manager should obtain level 4 NVQ in management and care. Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 22 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 Cleveleys Park Rest Home DS0000065275.V263446.R01.S.doc Version 5.0 Page 23 - 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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