CARE HOME ADULTS 18-65
Dunblane House 73 Bloomfield Road Blackpool Lancashire FY1 6JN Lead Inspector
Kevan Royston Announced 4 May 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Dunblane House Address 73 Bloomfield Road Blackpool FY1 6JN 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) 01253 316125 Mrs Linda Parker Mr Robert Parker CRH Care Home 4 Category(ies) of MD Mental Disorder 4 registration, with number of places Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 23 November 2004 Brief Description of the Service: Dunblane House is a small home registered for four persons with mental health problems. Dunblane House is a large terrace property close to public transport and local amenities in south area of Blackpool. There is a small garden area at the rear of the property with seating facilities. The front provides parking for two vechicles. There are three bedrooms, one is a double and two have ensuite facilities. There are sufficient toilet and bathroom facilities available. The ground floor consists of a lounge and dinning/kitchen area. There is also a conservatory at the rear of the property. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on the 04/05/05 andn lasted approximately 4 hours. Discussion with the registered provider, registered manager, interviews and informal discussion with staff, and discussion have gathered the information contained in this report with residents. Questionnaires were sent to relatives, residents, social workers and GP surgeries to comment on the standard of care provided by the home. A group discussion was held with the residents. A tour of the premises took place and examination of documentation formed the basis of the visit. Records of three staff and residents who were spoken to were examined. What the service does well: What has improved since the last inspection?
The recommendation form the last inspection has been met in relation to information recorded about the intention of the home should a resident needs require nursing care or palliative care. This was confirmed through examination of the homes written literature. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 6 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. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Good professional assessments for this client group are carried out prior to admission, which ensures all care needs, are met. EVIDENCE: Records examined confirmed all residents have complete assessment profiles with evidence of reviews. Two residents spoken to were aware of the information contained in there individual plans. One resident said “we go through our programme with the staff and review it every so often”. The registered manager and staff spoken to are aware of the procedures for admission and information required from the involvement of the professionals involved and the resident to develop a care plan for each individual. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 A plan of care is developed with the residents, which ensure their wishes; goals and aspirations are well planned and constantly reviewed to support positive outcomes. EVIDENCE: The records for the residents clearly described their health needs. Resident’s care was clearly recorded with good risk assessments. Residents spoken to were able to discuss instances where they have been involved in decision making to enable them to make informed choices in all parts of there lives. For instance one resident discussed his plans for independent living in the future and how staff have supported him to make his decisions of how to support himself in the community. One resident said, “I do some of my own cooking and have been helped to find employment.” Risk assessments were clearly recorded on residents care plans. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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: Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: Residents records indicated staff are aware of the need of ensuring personal care support is provided in a sensitive manner if required. Staff commented they always respect residents dignity and privacy. This is re-enforced through ongoing training and management supervision. One resident said, “I feel comfortable staff always respect my privacy.” Records of the residents were examined they contained the information required in relation to health care and all needs are being met. Comprehensive medication policies are in place and records showed good practices are observed. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission and displayed in the Statement of Purpose and Service User Guide. There have been no complaints since the last inspection The home has a procedure in place for dealing with allegations of abuse. The registered manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff spoken have received training in relation to complaints and abuse procedures and policies. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 There has been no change in the décor or furnishings since the last inspection and the home was clean and tidy ensuring the residents are safe. However some redecoration could be improved to create more pleasant surroundings. EVIDENCE: A tour of the building found the home to be clean and tidy. However some bathroom and communal areas as discussed with the registered person are programmed for some redecoration. Examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises. Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 14 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard 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: Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 15 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 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: Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Dunblane House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 17 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 Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 18 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
© 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 Dunblane House F57 S9914 Dunblane House V206574 040505 Stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
