Inspection on 08/12/08 for Golden Years Rest Home

This inspection was carried out on 8th December 2008.

CSCI found this care home to be providing an Good service.

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 13/12/06

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Golden Years Rest Home 47/49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 0 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Golden Years Rest Home 47/49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW 01253594183 01253302100 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Madeleine Christine Prenger care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 21 Date of last inspection Brief description of the care home 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 ensuite 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 0 Over 65 21 Care Homes for Older People Page 4 of 27 Brief description of the care home home range from #291.41-#340.34 per week. Additional variable charges are made for hairdressing and chiropody. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was part of the key inspection process and took place on the 9/12/08.We spoke to residents, staff, the person in charge at the time of the visit and a group of residents in the lounge. Financial, maintenance and other records were looked at as well as a walk around the building both inside and out. As part of the inspection process we talked to people using the service and asked staff about those people needs. we also looked at their rooms, care plans and daily notes, this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from survey cards sent to residents and staff for their views on how Care Homes for Older People Page 6 of 27 the home is run. Comments we did receive were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 27 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures were clear to ensure care needs of residents are met. Evidence: We looked at assessment information of new residents admitted to Golden Years and found information contained to develop a care plan. There was evidence of family involvement to gather information so that all needs of residents are assessed. One relative visiting at the time of the visit said, The staff and owner were good when we came to see them, they gathered a lot of information to make sure they could care for my mum . We spoke to members of staff and they understood the importance of getting the right information and meet potential residents before they move in, so that they are sure they can provide the care and support required and meet the needs of the resident. Care Homes for Older People Page 11 of 27 Evidence: One member of staff said, We have a good system in place to meet people before they come to live here. One member of staff wrote in a survey,People are always welcome to visit prior to them moving in. Standard 6 was not assessed as the home does not provide intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health and personal care needs were being met by staff that respected their privacy and dignity. Evidence: We talked to residents sitting in the lounge area and individually in bedrooms all comments were positive in the way they were treated by the staff and the care and support given to them to ensure they are kept well and comfortable. One resident spoken to about the care received said, Yes this is much better than the last place. Another said,They really look after me well cannot find a fault. One member of staff spoken to said, The residents have been here for a long time and we know if anyone has a problem. We looked at care plans recorded for residents, each had a plan setting out what support was needed and action to be taken by staff to make sure health, social and personal needs are met in the home. Relatives and residents have a say in the care provided which were seen in care plans. Each resident has a risk assessment in place Care Homes for Older People Page 13 of 27 Evidence: and we confirmed these are updated when necessary to reflect any changes that may have occurred in the building or individually ensuring residents are protected and safe. The care for residents is reviewed however not on a monthly basis, care plans should be reviewed monthly to ensure the right care is given and any health needs are recorded so staff are aware of what each individual requires. We went through the medication system of two residents we case tracked with the senior carer and found safe practices in place to ensure residents receive the right medicine at the right time and they are protected by the procedures in place. One member of staff spoken to said, As you can see only staff who have had medication training give out medicines. We explained to the senior carer that on examination of medication practices we found no record of medicines returned to the chemist. They should ensure records are kept of any medicines returned to the pharmacist to ensure there is no mishandling. We sat and watched staff treating residents with respect and dignity by the way they talked to residents, knocking on doors before entering rooms and offering support when needed. Comments from staff and residents included, The main thing is to treat everyone with respect. Also, The staff are always respectful and treat me with kindness. The owner informed us in the (AQAA) staff are given instruction around issues of respect, dignity and equality so that staff are aware of how to treat residents. One member of staff wrote in a survey Equality and respect is most important when caring for the elderly. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are well managed, creative and provide daily variation and interest for people living at the home. Evidence: One staff member wrote about the food given to residents, We provide an excellent standard of hygiene and meals. Comments from residents confirmed the high standard of meals and food prepared at the home. Comments from residents included, The food is always good. Also, Since being here yes, I have had plenty of good food. We had a look around the kitchen and found the cook using fresh fruit and vegetables for lunch and tea and plenty of stocks in the fridge and cupboards to ensure residents receive a healthy diet with plenty of choice. One resident spoken to said, Lovely food, plenty of choice, loads if you want. you cant ask for more can you !. At the time of the visit most of the residents were in the lounge area or in there bedrooms watching television. We spoke to residents about social events and activities going on and one said, We have games and things going on if we want to join in. Another said, Its nice to get out in the garden when the weather is sunny. One Care Homes for Older People Page 15 of 27 Evidence: member of staff spoken said. Its difficult sometimes when the weather is bad but we get out and about in summer. The owner told us in the AQAA staff receive training around equality and diversity issues to ensure residents are treated with respect and as individuals. One staff member spoken to said, We have had training about respect equality and dignity issues. a resident wrote in a survey, The staff are always polite and courteous. They have a visitors policy at Golden years,family and friends are welcome at any time. One resident said, Oh yes no problem my son comes when he wants to. We had walk around the building and invited into some residents rooms and found personal items around the bedrooms to make sure residents feel at home and are comfortable. One resident spoken to in her room said, I brought one or two bits of furniture with me it was not a problem. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: Golden years has a detailed complaints policy and procedure which is available for new residents and families to ensure they know who to speak to should they have any concerns. One resident wrote in a survey, Never had to complain the home is run well. Also a resident spoken to during our visit said, The staff are wonderful never had to complain. There has been no complaints made to us, Commission for Social Care Inspection (CSCI) since the last inspection. Records looked at show any grumbles or concerns are written down and acted upon ensuring people are listened to. We found through speaking to staff and residents concerns and complaints are looked at before they become formal complaints and issues are addressed. One member of staff spoken to said, Any complaints we try and sort out straight away. We spoke to staff members and found training has been provided for staff in safeguarding adults and abuse issues, through the training programme provided by the owner or National Vocational Qualification (NVQ) courses. One staff member spoken to said, We covered abuse in NVQ training. There is a policy and procedure recorded for dealing with allegations of abuse and safeguarding adults to protect the Care Homes for Older People Page 17 of 27 Evidence: residents, staff spoken to were aware of the policy and knew the procedure. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is safe and clean maintained to a high standard providing comfortable surroundings for the residents. Evidence: We had a walk around the home and outside areas and found the building to be clean and tidy maintained to a high standard so that residents can live in comfort. We received positive comments from surveys returned to us by staff and residents and also by talking to people during our visit. Comments included, Always kept spotless. And, Its a beautiful well kept home. One resident wrote, The staff are always cleaning and making sure everything is tidy and kept clean. We noticed during our walk around and from what the owner told us in the AQAA, new carpets have been fitted, bedrooms redecorated and an outside wooden cabin for the residents to sit in during the summer. A resident said, Its nice to sit in the cabin house when the weather is warm. Also a new kitchen has been fitted which has provided better facilities for staff to cook and provide meals. The home is well maintained and records are kept of running repairs and if appliances break down, so that they can be put right as soon as possible. Hot water temperatures checked in residents rooms and throughout the building were found to deliver water at safe temperatures in line with health and safety guidelines. Care Homes for Older People Page 19 of 27 Evidence: There are policies in place for laundry processes and fro the control of infection ensuring the home is kept clean and hygienic. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place for the recruitment of staff which are robust. Training for staff is good and helps staff to develop there skills and competencies for their roles. Evidence: We spoke to the person in charge and looked at staffing rotas and found sufficient numbers on duty to be able to support the residents. One staff member wrote,We have enough people on duty to care for the residents. One resident spoken to said, They are very helpful. There has been little change in staff since the previous inspection and from watching them talk and care for the residents and comments made it is clear they work well together and provide good care and support to the people living at Golden Years. Comments included, I have a good time with all the staff. And, We get on well with being here together for a long time. We looked at recruitment records of staff and found checks in place to ensure suitable staff are employed. Staff training records were made available and confirmed each person has a development programme for training and attending courses relevant to there role to ensure staff have the skills and competencies to care for the residents. Staff are well trained and all care staff have completed a National Vocational Care Homes for Older People Page 21 of 27 Evidence: Qualification (NVQ) to at least level 2. Now some staff are completing level 3 and 4. One resident commented, They know what they are doing which helps. we spoke to members of staff about training and one said, Good training opportunities if you want to take them. It was clear from watching staff with residents and speaking to staff they are clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. Evidence: Comments from staff and residents and from comments received in surveys returned to us confirm positive outcomes for residents at Golden years. Comments included, The home is run well because we have been here for a while together. Also, The home is a good home and is managed well. The owner has the required qualifications to run a care home and has been doing so for approximately 20 years. One staff member said, M... is always available to support you if needed. We looked at records and they show systems are in place to get residents,families and staff views on how the home is run and suggestions are made to improve the home for Care Homes for Older People Page 23 of 27 Evidence: the residents. We looked at financial records and found good systems in place for residents to control there own money where possible and ensure safeguards are in place for there protection. Information in the written document provided by the owner (AQAA) and records kept at the home, confirm regular tests are carried to emergency lighting and fire procedures. Checks to gas appliances and electrical equipment have been completed ensuring the safety of residents is a priority. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Residents plan of care should be reviewed monthly and ensure they are updated to reflect any changes in health and personal care. Medication leaving the home should be recorded to ensure there is no mishandling of medicines. 2 9 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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