This inspection was carried out on 17th May 2005.
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.
CARE HOMES FOR OLDER PEOPLE
Golden Years Care Home 47-49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW Lead Inspector
Kevan Royston Unannounced 17 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 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 Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Golden Years Care Home Address 47-49 Shaftesbury Avenue Blackpool FY2 9TW 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 594183 01253 594183 Mrs Madeleine Christine Prenger CRH Care Home 21 Category(ies) of OP Old Age 21 registration, with number of places Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None. Date of last inspection 10 January 2005 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 mainly en-suite with bathrooms and toilets on both floors. Aids and adaptations have been fitted to meet the residents needs. There is a lift for first floor access. The front and rear gardens are accessible to the residents and seating is provided. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 5 hours. The Inspector spoke to four staff members, seven residents, the senior carer and the cook. A tour of the premises took place and examination of documentation formed the basis of the visit. What the service does well: What has improved since the last inspection? What they could do better:
The recruitment procedures and the homes application for employment form must be reviewed and updated to contain all the information required on each staff member before employment is agreed and staff take up there posts. Supervision of staff must be recorded and available for inspection. There remain recommendations for the registered manager to complete the registered managers award and also to ensure care staff are trained to level 2 NVQ (National Vocational Training), which is a recognised qualification in care. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 6 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. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents had full assessment information. Staff members spoken to had access to this information and did know the level of care required by the three case files looked at and could provide examples of their individual needs. One member of staff said of one residents records looked at “I know the resident likes to attend to his own dressing and washing in the mornings”. One resident spoken to was aware of the inspection process when admitted and said, “I was fully informed of the care I was going to receive at the home” Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 9 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 standard(s) This section of standards was not assessed. EVIDENCE: Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13,14 and 15 Social activities and meals are both well managed, creative and provide daily variation for people living in the home. Contact with families are encouraged and supported by staff. EVIDENCE: Residents spoken to confirmed visitors are allowed at any time. One resident said “my sons visit me at any time there are no time limits its good” Activities are arranged to suit the resident’s wishes. Care plans of residents examined recorded preferences for social activities. One resident said, “I enjoy bingo when we play”. The menus were found to provide a varied and balanced diet. Fresh produce from local suppliers is used. Observation at meal times confirmed the preparation and quality of produce used was very good. Comments from residents were positive. One resident spoken to said, “ the food was always good and we have a choice. ”Another resident said the food is excellent. Observations of residents rooms showed personal belongings are allowed to be brought into the home. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16 and 18 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 entrance hall. One resident spoken to knew who to complain to and said “I would speak to the manager you can talk to her if I had a problem if I wasn’t happy my family would speak to social services.” The home has a procedure in place for dealing with allegations of abuse. The 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 to had received training in relation to complaints and abuse procedures and policies. There have been no complaints since the last inspection. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19 and 26 Recent investment in re-decoration and furnishings has significantly improved the appearance of the home creating a comfortable and safe environment for the people living there and visiting. EVIDENCE: A tour of the building found the home to be very clean and tidy. Since the last inspection the home has continued with their redecoration programme. New carpets throughout the hallway and communal areas have been fitted. Observation of some bedrooms confirmed they have been redecorated. One resident spoken to said, “My room has been painted and is lovely the home is always spotless”. Examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 The procedures for the recruitment of staff are not robust therefore do not provide the necessary safeguards to offer protection to the people living at the home. The numbers of staff on duty were satisfactory to meet the needs of people living in the home. EVIDENCE: Three staff files examined indicated the home had not undertaken the necessary recruitment checks to ensure the protection of residents. Two of the staff records checked did not have application forms; three files did not contain all the references required. Staff photographs were missing on one file. Examination of the application form for employment must ask for a full employment history with any gaps explained Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the staff and management and were well treated. Residents spoken to say, “The staff are kind and are very helpful”. Staff spoken to commented they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show training is ongoing but further staff should achieve NVQ (National Vocational Qualification) training to meet the 50 required by legislation. Two staff spoken to confirm they had received induction training on commencement of employment.
Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 The home is well managed and run in the best interests of residents. EVIDENCE: Staff members said they found the registered provider was supportive and provided a clear sense leadership. There remains a recommendation for the registered provider to achieve the Registered manager’s award in 2005. There are records for gaining the views of residents using the service examination of which confirmed the home is well run and provides a high level of care and support. The home has recorded annual development plan in place to continue to develop the home to ensure the safety and comfort of the residents. 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.
Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x 3 2 x 3 Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 16 yes. 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 29 Regulation 19 schedule 2 18 Requirement The registered person must ensure all areas specified in schedule 2 of the Care Homes Regulations must be available on staff files. Care staff should must receive formal supervision at least six times a year. Timescale for action 31/08/05 2. 36 31/08/05 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. 2. Refer to Standard 28 31 Good Practice Recommendations 50 of care staff should be trained to level 2 NVQ in care by 2005. The registered person should complete the registered managers award equivalent to NVQ level 4 by 2005. Golden Years Care Home F57 S9799 Golden Years V211586 160505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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