Inspection on 05/09/06 for Dunblane House

This inspection was carried out on 5th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Dunblane House 07/08/07

Dunblane House 21/09/05

Dunblane House 04/05/05

Dunblane House 23/11/04

Dunblane House 13/07/04

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

CARE HOME ADULTS 18-65 Dunblane House 73 Bloomfield Road Blackpool Lancashire FY1 6JN Lead Inspector Mr Kevan Royston Unannounced Inspection 5th September 2006 09:30 Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 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 Dunblane House DS0000009914.V310815.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 Adults 18-65. 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. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dunblane House Address 73 Bloomfield Road Blackpool Lancashire FY1 6JN 01253 316125 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) Mrs Linda Margaret Parker Mr Robert Parker Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/09/05 Brief Description of the Service: Dunblane House is a small home registered for four people with Mental Health problems. The house is a large terraced property, close to the centre of Blackpool and local bus routes. There is a small garden area at the rear of the property for use by the residents and seating is provided. There are four bedrooms one has en-suite facilities. There are sufficient toilet and bathroom facilities for the residents. The ground floor consists of a lounge, and dining kitchen area with a conservatory attached. The range of fees are £265.00 Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 5th September 2006 over a period of 3 hours. The Inspector spoke to the manager, one member of staff, and one resident. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. The response from surveys sent to relative’s residents and GP surgeries was poor none returned. There has been no new staff members employed for approximately three years. A tour of the premises, discussion with the homeowner, examination of the homes documentation, policies and procedures formed the basis of the inspection. What the service does well: There is good support from the manager, who makes sure individual needs are well met. As of the previous inspection Dunblane House has a small settled staff group all trained to recognised qualifications in care, which gives staff the confidence, and skills to support the residents. One staff member spoken to said, “I wouldn’t go any where else” .The staff team is small with the same persons for a number of years ensuring stability and excellent knowledge of the residents needs. All the residents has a daily programme through part time work, education and day centres which are constantly reviewed and recorded with individuals input to encourage independence, choice and pursue there interests. The manager Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 6 said “Each has a daily programme which they have developed themselves with our support”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information required to make a choice about the home and are professionally assessed prior to admission. EVIDENCE: Records of one resident were examined and included completed assessment profiles with evidence of reviews. The registered manager and staff spoken to are aware of the procedures for admission and information required from the involvement of the professionals and the resident to develop a care plan for each individual and ensure all health and welfare needs are met. A member of staff spoken to said “Thorough professional assessment are carried out during the admission process as well as prior overnight stays”. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 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 the following standard(s): 6,7 and 9 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. Residents are helped to make decisions, which supports them in their day-today lives, whilst taking into account risks. EVIDENCE: The staff and management help to meet the needs of the individuals and there is recognition of supporting people to make choices in their daily lives, which will positively help them in what they choose to do. A resident said, “They look after me and help”. The records for the residents clearly described their health needs. Resident’s care was recorded with good risk assessments. Each person had a daily programme of work, education or day centre activity chosen by themselves with staff support. 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, One said “I enjoy day centre”. The manager said “We encourage the boys to make decisions and choices in their lives and provide as much information and support as possible”. Records examined Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 10 confirmed risk assessment are completed and ensure residents independence and living skills are developed in line with there care plans. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Education, employment and social opportunities are promoted to ensure residents have opportunities for personal development. EVIDENCE: As the home is small, the registered manager is aware of making sure individual lifestyles are reflective of their needs. This is achieved through recognising individual need, and ensuring support to achieve recognised goals. At the time of the inspection all the residents were out on their daily routines ranging from employment to educational activities with one returning from a hospital appointment. Staff spoken to said “The resident’s daily routines, educational and job opportunities were of their own choice”. One staff member said, “We support the residents in whatever they have an interest in”. Entries made on care plans confirmed staff had discussed with residents participating in activities and interests of their choice. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 12 Discussion with the registered manager and observation of menus confirmed residents could choose the food they like to eat and have open access to the kitchen area. Observation of the kitchen found they’re to be plenty of fresh food available in the fridge and cupboards to ensure the dietary needs of the residents are met. One resident said, “The food is good”. There is recognition of making sure residents Privacy and Dignity is maintained, so that residents feel their rights are upheld. This was observed whilst walking around the home and the registered manager making sure doors are closed, and rooms are not entered until a response is made after knocking on the door. He said, “Its habit if no-one is in I always knock”. Residents are encouraged to make contact in the community. This is done through day care facilities, as well as residents being encouraged to go out independently as there risk assessment and daily programme indicates on their records. Contact with family and friends are actively encouraged to ensure resident’s relationships are allowed to develop in and outside of the home. One staff member said, “A friend of the boys who used to be here visits all the time and they go out”. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: There is evidence the home has good access to specialist healthcare services in residents records examined, for the benefit of residents using the service, so that their healthcare needs are met. The registered manager and staff makes sure personal support is sensitive but positive so that all issues regarding personal care is delivered for the benefit of the residents. Staff spoken to said “Only help if needed”. Medication practices were safe and good records had been kept ensuring residents health is maintained. A Member of staff said, “ Only the ones who are trained administer”. To improve good practice persons administering medication could sign and print their names on the front of the records to ensure safety measures are in place to protect the residents. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 14 Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The homeowners and staff have good knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: Dunblane House has a detailed complaints procedure, which is made available to all residents and relatives 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. One staff member said, “We did abuse on our NVQ (National Vocational Training) course”. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a reasonable standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy. Observation walking around the premises found the decoration and furnishings are being gradually improved and those areas are looking more welcoming and homely. Further decoration is ongoing and certain areas require some updating to ensure the small home provides pleasant surroundings. The home has a laundry facility placed outside with policies and procedures in place to control the risk of infection. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 17 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The small staff team are trained ensuring they have the skills and competencies for their roles. Recruitment procedures are robust should any new personnel be employed. EVIDENCE: Dunblane House is a small home mainly run by family and part time staff, examination of staff rotas and discussion with the registered manager and a member of staff confirmed there were sufficient persons on duty. And there was a mix of staff and management to ensure the needs of the residents are being met. One staff member said, “I have been here working part time and wouldn’t go any where else”. Training for staff is excellent, although there is a small staff team records shows the target of 50 of staff to complete NVQ (National Vocational Qualification) level 2 in care has been achieved. And the two staff members have completed level 3 NVQ ensuring they have the competencies and skills to support the residents. There has been no new staff employed at the home since 2004. The registered manager is aware of the recruitment procedures and checks required for any Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 18 future staff should they be employed to ensure the safety of the residents is maintained. When spoken to the manager said “I am aware of the CRB and other requirements for employing staff prior to them starting work”. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: As of the previous inspection examination of records for residents confirmed they are comprehensive, well written and up to date. Records of money being handled by the manager for residents were up to date, explaining the reason for any expenditure and the balance of the money that was being retained. The management approach is relaxed so that there is no formality in the dayto-day management of the home. Residents are encouraged to follow their individual routines, which was observed and examined throughout the inspection, and was seen to meet the individual needs of the residents living there. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 20 Examination of care plans and discussion with staff confirmed the home has effective communication procedures in place to ensure the health care needs of residents are met. The registered manager has developed good systems to gather staff, residents and relative’s views as part of his monitoring of quality to ensure the home is run smoothly and effectively. One Staff member spoken to had a clear understanding of their role and what is expected of them, which enables them to provide support for the residents. “With it being a small place we know what each of the boys wants”. The registered manager has completed all the requirements for qualifications to manage a care home ensuring he has the skills to provide the support and guidance needed for residents living at Dunblane House. When spoken to he said “I am now an assessor for NVQ training”. Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 22 NO 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. 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. Refer to Standard Good Practice Recommendations Dunblane House DS0000009914.V310815.R01.S.doc Version 5.2 Page 23 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. 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