Inspection on 13/12/06 for Golden Years Rest Home

This inspection was carried out on 13th December 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

Golden Years Rest Home 08/12/08

Golden Years Rest Home 27/09/05

Golden Years Rest Home 17/05/05

Golden Years Rest Home 10/01/05

Golden Years Rest Home 17/08/04

Golden Years Rest Home 10/02/04

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

CARE HOMES FOR OLDER PEOPLE Golden Years Rest Home 47/49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW Lead Inspector Unannounced Inspection 13th December 2006 08:30 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 Golden Years Rest Home DS0000009799.V302079.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. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Golden Years Rest Home Address 47/49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW 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 594183 01253 302100 Mrs Madeleine Christine Prenger *** Post Vacant *** Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/09/05 Brief Description of the Service: Golden Years is situated in a residential area of Blackpool, close to local Bispham shopping centre and transport. The home provides accommodation for 21 older people. There are three lounge areas and a separate dining room. The 18 bedrooms are en-suite with bathrooms and toilets on both floors. Aids and adaptations have been fitted to meet the resident’s needs. There is a lift for first floor access. The front and rear gardens are accessible to the residents and seating is provided. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees for the home range from £291.41-£340.34 per week. Additional variable charges are made for hairdressing and chiropody. Golden Years Rest Home DS0000009799.V302079.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 13/12/06 over a period of approximately six hours. The Inspector spoke to the homeowner the manager, three staff, four residents on their own and a group of residents in the lounge and briefly with a visitor to the home. 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. Other residents are invited to pass their opinions to the inspector if they wish. The response from surveys sent to residents and relatives for their views on how the home is run was good. Twenty residents responded and 12 relatives/friends retuned completed questionnaires. All were positive in there comments about the home. One GP survey retuned said, “The home is excellent”. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. Records of two staff members were also examined. What the service does well: All twenty resident surveys returned had comments on how the home is run and standard of care provided. These were positive confirming the support and care of residents is a priority. Comments included, “I am very happy here”. Also, “The staff are wonderful”. And, “I am settled here”. The home continues to have a settled staff team with no changes of personnel since the previous two inspections. This ensures stability and enables relationships between staff and residents to develop to provide a better service. Residents spoken to confirm this by saying, “The staff are kind, considerate and respectful”. Another said, We Know each of the girls so well now with the same people here”. A member of staff commented, “We all have been here for a while and work well together and know the residents well”. The food and meals provided are to a high standard ensuring residents are happy with meals cooked and receive a nutritious and varied diet. The cook was observed during the site visit preparing home cooked food with fresh fruit Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 6 and vegetables ensuring healthy eating. When spoken to the cook said, “I try and use as much fresh produce as possible and do my own baking”. Residents spoken to say, “Good wholesome food”. Another commented “Always a choice and nice home cooked meals”. Examination of records confirms good recording systems are in place to monitor resident’s intake of food and drinks daily to make sure there health needs are monitored and maintained and any concerns would be noticed. 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. The summary of this inspection report can be made available in other formats on request. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures are clear to make sure the care needs of residents are met. EVIDENCE: The records of two residents were examined and had full assessment information. One resident is funded by social services and been assessed by social workers with information on file for the care staff at the home to develop a care plan to ensure all health and welfare needs are identified and recorded. A staff member spoken to said, “We insist on information of a potential resident is given to us to make are own assessment”. One resident spoken to said, “Before I came here Madeline went over everything first”. One relative survey commented on how thorough the home was before her relative was Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 9 admitted ensuring they had the correct information to provide the right care, “The staff were very good before dad was admitted”. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: Records of two recently admitted residents and one long term resident were examined and accurately reflected the individual’s health and social care needs. Care plans were up to date and regular reviews taking place with good information of the care provided ensuring the welfare and general wellbeing of residents is continuously monitored. Staff members spoken to said, “We feel it is important to make sure accurate records are kept of the health of residents”. Another said, “Reviews are done between us”. Records examined confirmed risk assessments have been completed and are constantly reviewed and updated reflecting any changes that have occurred individually and in the Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 11 environment ensuring the resident’s needs are being met. Significant events had been recorded and daily entries by key workers made, demonstrating the care given. Residents spoken to give their opinion of the care they received comments included, “They cannot do enough for you” Also, “A very caring group of staff”. And, “They all seem to know what needs to be done”. Medication practices observed at breakfast time were safe and good records had been kept ensuring residents health is maintained. A member of staff spoken to said, “Only staff that have had training deal with medication.” A survey returned from a General Practitioner (GP) said, “An excellent care home”. Resident’s dignity was observed and ensures their privacy is respected. This was confirmed by observing staff members knocking on doors before entering rooms. One resident spoken to said, “The staff are always respectful and polite”. A staff member said, “Each individual deserves our respect “. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Breakfast and lunchtime meals served were seen being prepared, and were wholesome, home baked with fresh vegetables providing a nutritious meal. Menus examined are balanced and interesting. Meal times are set although flexible enough to accommodate preferences. Resident surveys and residents spoken to commented on the high quality of food at the home. Comments included “The meals are very nice”. And, “Every day the meals are so perfect, such variety with the idea of keeping us well”. Discussion with homeowner and cook confirmed diabetic diets and food from different cultures could be provided ensuring residents from any religious faith can be accommodated. The cook spoken to said, “I enjoy baking and can provide food for anyone”. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 13 One person visiting the home was spoken to and confirmed the high standard of food given to residents and said “The food cooked here looks wonderful like a restaurant”. Activities are centred on each individuals preferences ensuring flexibility and residents can enjoy their own personal interests, which are recorded on their care plan. One resident spoken to said, “You can join in but I prefer to be on my own and there is enough rooms for that and the staff respect that”. One member of staff said, “We try and take residents out when possible”. Observations of residents rooms showed personal belongings are allowed into the home so to provide a homely atmosphere for each individual. Residents spoken to confirmed visitors can visit at any time of the day or night. One said, “No time limits on visitors”. A visitor to the home spoken to said, “I come and go as I please”. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. 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 management team and staff have good knowledge and understanding of safeguarding adult issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents and relatives on admission and is included in the homes brochure ensuring the residents feel protected. Staff spoken to are aware of the complaint and abuse procedures. One member of staff said, “We cover complaints and abuse in our NVQ (National Vocational Qualification) training”. Comments from surveys from relatives and residents confirmed they know who to speak to should they wish to make a complaint. One resident spoken to said, “I would speak to the manager if I wanted to complain”. One survey returned from a resident said, “I know what to do but never in 8 years needed to”. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment and building is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy. The home is maintained to a good standard and maintenance records confirmed there is a rolling programme of general repairs and renewal of the premises ensuring the comfort and safety of the residents is maintained. One of the homeowners said, “Any repairs I see to”. Comments from residents about the environment Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 16 confirmed the home is well looked after and included, “Spotless” and “ The home is always kept clean”. There have been some improvements to the bedrooms of residents with redecoration and some new furniture to ensure residents are comfortable and in pleasant surroundings. One member of staff spoken to said “The owners always improving the building”. There has been a new outside conservatory built for the resident’s comfort with ramp access. A resident spoken to said, “It will be nice in there in the summer months”. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures for the recruitment of staff are good ensuring the safety and protection of the residents. Training for staff is good ensuring they have the skills and competencies for their roles. EVIDENCE: There has been no new staff employed since the last two previous inspections. Examination of a staff file confirmed the recording procedures of the home are good. The staff records include, application forms and individual photographs on each of their file as a means of identification. CRB (Criminal records Bureau) disclosures and references were in place to ensure the residents are protected. The homeowner is aware of the recruitment procedures and checks required by legislation. When spoken to the homeowner said, “ Any new staff we employ will have all the correct checks undertaken as in our policy”. Following discussion with the home owner and examination of the pre inspection questionnaire completed by the home, they are aware of a number of staff who have completed CRB disclosures a number of years ago and will be updating some disclosures to continue to ensure the safety and protection of the residents. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 18 Examination of staffing rotas was sufficient for the number of residents living at the home and on duty at the time of the inspection. Residents said they were happy with the care they receive from the staff and management and were well treated. Residents spoken to say, “The Golden Years is a wonderful place”. And “The staff couldn’t be any better to me”. Also, “There is always someone to help if needed”. Records and discussion with the home owner and manager confirm the home now has 90 of staff that has completed NVQ (National Vocational Qualification) level 2 in care, which exceeds the 50 target, recommended by the National Minimum Standards and ensure staff has the skills and competencies to provide care and support for the residents. One member of staff spoken to said, “I am waiting to do level 4 NVQ”. Examination of training records and staff spoken to confirmed the good training opportunities available if required. The homeowner is partway through ensuring that all staff undertake first aid training. Staff members spoken to said, “I have done my NVQ (National Vocation Qualification) to level 3”. Another said, “We are able to access courses if we like”. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. 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 in place for the protection of staff and residents are good. EVIDENCE: The registered provider has completed the necessary qualifications recommended to meet the National Minimum Standards in management and care ensuring she has the knowledge, skills and competencies to provide the support to staff and care to the residents. Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 20 Residents and staff members were very positive in their comments about the homes owners and management. Residents found the manager to be approachable, supportive and helpful. One said, “You can always have a giggle with them”. One member of staff said, “We get on with the job and they are supportive”. Examination of policies, records and information received from the home owner confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety and protection of residents and staff is maintained. There are records for obtaining the views of residents using the service examination of which confirmed comments say the home is well run and provides a high level of care and support. The home has a recorded annual development plan in place to continue to develop the home to ensure the safety and comfort of the residents. Regular staff and resident meetings are held and recorded and suggestions are carried out if agreed by both parties. One resident spoken to said, “The staff are always willing to listen”. Inspection of records for residents were comprehensive, well written and up to date ensuring staff are aware of residents needs. Golden Years Rest Home DS0000009799.V302079.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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 22 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. 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 Golden Years Rest Home DS0000009799.V302079.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: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Golden Years Rest Home DS0000009799.V302079.R01.S.doc Version 5.2 Page 24 - 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. 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