Inspection on 30/08/06 for Highbury House

This inspection was carried out on 30th August 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

Highbury House 15/08/07

Highbury House 19/10/05

Highbury House 24/05/05

Highbury House 17/11/04

Highbury House 16/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highbury House 580/582 Lytham Road South Shore Blackpool Lancashire FY4 1RB Lead Inspector Mr Kevan Royston Unannounced Inspection 30th August 2006 09:30 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 Highbury House DS0000009750.V296571.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. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highbury House Address 580/582 Lytham Road South Shore Blackpool Lancashire FY4 1RB 01253 344401 01253 402475 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) Mr David Moseley Mrs Barbara Selina Moseley Karen Carter Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 04/01/06 Brief Description of the Service: Highbury House is situated in the south area of Blackpool close to Highfield Road shopping centre and near Blackpool airport and local bus routes. The home is registered for 28 older people of both sexes. The home is a large detached building with two lifts to access the second floor. There are garden areas to the front and rear of the property with seating provided for residents. The home provides en suite facilities and all but one room single occupancy. The bathroom and toilet facilities are situated for easy access for residents and aids and adaptations are fitted where required. The communal areas consist of two lounges with a conservatory and separate dining room. The fees for the home range from £317.50-£357.50. Highbury House DS0000009750.V296571.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 30th of August over a period of approximately six hours. The Inspector spoke to the homeowner, Registered manager, five staff, two relatives visiting the home four residents on there own and a group of residents in the lounge and briefly with a district nurse. 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 relative’s, residents and GP surgeries for there views on how the home is run was good, six completed questionnaires received from relatives, fifteen from residents and four from GP surgeries. Comments were positive about the standard of care provided by the staff and management of Highbury House. Records of two staff members were also examined. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. What the service does well: All fifteen Surveys returned from residents for their comments on how the home is run and standard of care provided were positive confirming the support and care of residents is a priority. Comments included, “Food is excellent”. “The staff are lovely”. “Superb could not be better”. And, “Nice girls”. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 6 Observation of interaction between staff and residents confirmed staff displayed a caring, supportive and patient attitude ensuring the resident’s welfare is maintained and relationships can develop. One staff member said “ We have some lovely residents here I enjoy time with them”. A resident spoken to said “My Keyworker came with me from the previous place I was at I get on with her well”. 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. Training opportunities for staff are accessible and they are encouraged to attend courses to develop their skills and competencies ensuring residents are receiving the care and support required. Staff spoken said, “I want to attend dementia training and the management are supporting me”. Another said, “Any training I want to do they always encourage me”. Examination of personal training records of staff confirm training of staff s a priority and ongoing to ensure they are confident in providing care to the residents. Management spoken to said, “We always push for staff to attend courses”. What has improved since the last inspection? What they could do better: Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 7 A tour of the premises confirmed some of bedrooms would benefit from redecoration and refurbishment to provide comfort and pleasant surroundings for the residents. Medication procedures could be improved to ensure the correct recording of medicines being administered is accurately identified to trained staff to provide safety and protection for the residents. Social work assessments for potential residents must be obtained from the home prior to admission to ensure accurate health and welfare information is recorded. 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. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 8 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 Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to make sure the care needs of residents are identified and met. Social work assessments must be in place prior to admission of residents. EVIDENCE: Social worker assessments of one resident had been obtained prior to admission and provided the home with information in relation to health and welfare needs. However one assessment had not been received. Residents funded by social services must be assessed prior to admission ensuring the correct information is obtained. The manager spoken to said “Its difficult to get assessments from social workers on time”. Records examined confirmed care plans were in place and been developed from sound assessments completed by qualified staff at the home ensuring residents needs had been identified and recorded. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 10 Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 11 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 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 residents were examined and accurately reflected the individual’s health and social care needs. Care plans were up to date and regular reviews taking place ensuring the welfare of residents is continuously monitored. Records examined confirmed risk assessments have been completed and are constantly reviewed and updated reflecting any changes that have occurred individually and in the environment ensuring the resident’s needs are being met. Medication practices observed were safe and good records had been kept ensuring residents health is maintained. A member of staff spoken to said, “Only senior staff that have had medication training administer”. Another member of staff said, “Any medication that has finished is returned to the Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 12 chemist”. A photo of each individual is placed on their own medication record as a safety measure to ensure residents are receiving the correct medication. As a safety measure it would help to protect residents if staff administering medication are easily identified on the records so their signatures are placed by there printed name. Resident’s dignity was observed and ensures there privacy is respected. This was confirmed by observing staff members knocking on doors before entering rooms. One staff member said, “We always are aware of the residents privacy”. A resident spoken to said “The girls call me by the name I prefer my real name is Margaret”. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. 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: Residents spoken to say the routines of the home are flexible and they have a choice of how to spend their daily life. One said, “Its nice and relaxed here I spend my time how I choose”. Lunchtime meals served were seen and tasted 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 food is excellent”. And also,“Plenty of choice”. A staff member spoken to said, “I use as much fresh food as I can”. The cook was spoken to and said, “I can prepare diabetic meals if required or liquidised meals “. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 14 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, “ I enjoy going out when I can”. Two relatives spoken to confirmed visitors are allowed at any time of the day or night and said, “ They are wonderful they nothing is to much trouble you are always made to feel welcome at any time”. A resident spoken to said, “I get one or two visitors and it doesn’t matter what time they come”. Observations of residents rooms showed personal belongings are allowed into the home so to provide a homely atmosphere for each individual. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 15 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 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 and staff have good knowledge and understanding of adult protection 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. Members of staff spoken to said “We do abuse and complaints in induction training and NVQ (National Vocation Qualification). training”. One resident spoken to said, “I know who to see if I have a complaint to make”. Resident surveys indicated most residents and relatives are aware of the complaints procedure ensuring they feel protected. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 16 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 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 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 examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises ensuring the comfort and safety of the residents is maintained. A staff member spoken to said, “There is enough of us domestics to keep on top of the cleaning”. Residents spoken to commented, “The place is always kept clean and tidy”. Another said, “The home is spotless”. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 17 There is ongoing redecoration and refurbishment of the home. And further decoration to some communal and bedroom areas would ensure the home is comfortable and provide pleasant surroundings for the residents. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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 procedures for the recruitment of staff are robust ensuring the safety and protection of the residents. Training for staff is very good ensuring they have the skills and competencies for their roles. EVIDENCE: Observation of duty rotas and discussion with management and staff confirmed there were sufficient numbers of staff both domestic and carers on duty to ensure the resident’s needs are met. One member of staff spoken to said, “We always have enough on duty to look after the residents”. A relative visiting the home was spoken to and said “The girls work hard and there doesn’t seem a shortage of staff when we come here”. Examination of two staff files confirmed the recording procedures of the home are good. And staff records include, application forms, individual photographs, CRB (Criminal records Bureau), POVA (Protection of Vulnerable Adults) checks and references were in place to ensure the residents are protected. Staff spoken to commented on the good training opportunities on offer. A staff member said, “No problems going on courses the management support you “. Another staff member said, “I want to do dementia training and they have said Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 19 no problem”. Each staff member has there own training and development file which examined confirmed the training provided by the home is extensive and thorough ensuring staff have the skills to carry out there duties. Records show training is ongoing and the home now has 90 staff that has completed NVQ (National Vocational Qualification) level 2 in care, which exceeds the 50 , required by the National Minimum Standards. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 good systems are in place for the protection of staff and residents. EVIDENCE: Staff members said they found the homeowner and management supportive and provided a clear sense leadership. A member of staff said, “The reason I came to work here is because the owners and management are good to work for”. Another comment from staff was “ The training is good and I feel I can develop”. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 21 Examination of records confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Records show the management team has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. Staff and resident meetings are held regularly and recorded. Also informal discussions with residents occur on a regular basis ensuring there views are known and implemented if needed and improves the running of the home. Relative surveys are sent out has a quality assurance system to gather the views of friends and relatives to ensure they feel the home is run smoothly and any suggestions to improve the home are noted and put into practice. A relative spoken to said “They always ask our opinion on how to improve things and keep us informed”. Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 X X 3 X 3 X X 3 Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP3 Regulation 14 Requirement For residents referred through social services an assessment must be obtained must be obtained. Timescale for action 31/10/06 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 Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Highbury House DS0000009750.V296571.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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