Inspection on 31/08/06 for Hoyle Resource Centre

This inspection was carried out on 31st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hoyle Resource Centre 07/02/06

Hoyle Resource Centre 09/08/05

Hoyle Resource Centre 03/03/05

Hoyle Resource Centre 22/07/04

Similar services:

Dystlegh Grange

Thornton Lodge

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Hoyle Resource Centre Argosy Avenue Grange Park Blackpool Lancashire FY3 7NN Lead Inspector Mrs Jackie Riley Unannounced Inspection 31st 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 Hoyle Resource Centre DS0000033376.V304573.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. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hoyle Resource Centre Address Argosy Avenue Grange Park Blackpool Lancashire FY3 7NN 01253 477866 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) Blackpool Borough Council Mrs Lisa Melanie Jayne Kelsall Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (2) of places Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 29 service users to include: Up to 27 service users in the category OP (Older People over the age of 65 years) Up to 2 service users in the category PD (adults with a physical disability) 7th February 2006 Date of last inspection Brief Description of the Service: Hoyle Resource Centre is a large purpose built home situated on the boundaries of a large local authority housing estate. The home has been fully refurbished and reopened in April 2005. The internal and external environment has been fully redesigned and now provides twenty-nine beds, providing a range of services including rehabilitation, respite and short stay. There is also one remaining permanent bed. The facilities have been designed to maximise space available, although there are no en-suite facilities. The home is equipped with a variety of aids and adaptations, which will help residents to go back into the community, and for those residents who are staying solely on a short stay basis, have the facilities in place for older people with various levels of mobility. At the time of the inspection the fees for accommodation were £707.00 per week, however in most instances local authority funding assists users of the service. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key service inspection undertaken during a daytime period, it was unannounced and carried out over a five hour period. One inspector undertook the inspection. The inspection process included examination of records, discussion with the registered manager, staff and residents. Information received prior to the inspection included twenty-three resident comments, which showed residents are satisfied with the level of care and services they receive at the home. The Commission has received no complaints for Social Care Inspection (CSCI) since the previous inspection. The home is registered to provide intermediate care. Residents and their relatives or advocates are provided with information about the home prior to admission so that they know what services the home provides. What the service does well: What has improved since the last inspection? The resource has been busy developing the intermediate care service, by employing a physiotherapist, resident nurse and occupational therapist, who will be able to provide residents receiving intermediate care with the services necessary for their individual rehabilitation programmes. Prospective residents are receiving information about the service prior to being admitted in addition they are encouraged to visit the service so that they know what to expect. Comments included, “ I came to see it for myself and that made me feel better because I knew what to expect”. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 6 Some perimeter fencing is now in place to provide a more secure environment; in addition close circuit television is in place around the external areas of the home for added security. Staff spoken to commented on how much better this has been for the security of the building. Additional window coverings for all ground floor rooms have been purchased to provide additional privacy for residents using the ground floor rooms. 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. Hoyle Resource Centre DS0000033376.V304573.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 Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 The quality outcome is good. This judgement was made using available evidence including a visit to the service. Residents considering entering Hoyle Resource Centreare supplied with enough information to help them make that decision. The centre gathers information making sure their needs can be met by the service. This means that people can make good choices and be involved in the care they receive. EVIDENCE: The way residents receive information about the centre has improved in that a revised service user guide is provided to residents at the point of referral so that they know what to expect when they come to the centre, in addition prospective residents are encouraged to visit the service so that they know its layout and recognise staff, which helps allay any fears they may have. One resident said “ I came here to have a look and it helped me when I came in because I knew some of the staff already”. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 9 There is strong commitment by the management and staff to make sure assessments are completed by the placing social worker or healthcare worker so that all information required for that person be in place. The centre also undertakes its own assessment profile and use this time to inform a prospective resident of the services the centre provides. Residents spoken to said they had received written information about the service before they came into the resource centre. There has been positive development in the intermediate care beds, in that designated physiotherapist, Occupational therapist and nurse have been employed specifically to provide their services to people using the centre, so that this will maximise individual independence for residents to return home. Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality outcome is good. This judgement was made using available evidence including a visit to the service. Resident’s health and social care needs are well met and people are treated with dignity and respect at this resource centre. Resident’s privacy is mostly respected. EVIDENCE: Care plans seen were good and clearly reflected the individual needs of the resident. Two residents spoken to said they knew about the care plans and had been involved in the planning of them. Care staff spoken to were aware of how individual care plans worked and spoke of their involvement in contributing to the care plans through daily interaction with residents and report writing, so that information is clearly recorded and used to provide the overall care for individual residents using the resource centre. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 11 There was good evidence showing how the home is involved with other healthcare professionals by way of chiropody, opticians, and G.P and District Nursing services. The medication systems at the centre are good, with all staff responsible for drug administration being competent in their role. Records were good including the recording and management of controlled medication. One staff member commented on how they receive support from the local pharmacist. As a matter of good practice it is recommended staff responsible for drug administration receive regular training updates, so that they are familiar with current clinical guidance in medication management. Members of staff commented on how they treat residents with respect and observations made confirmed privacy is adhered to by all members of the staff team when attending to personal needs. There remains a requirement for window coverings to be in place for the ground floor rooms so that residents are afforded Privacy at all times. At the time of the inspection it was noted this is in hand, but has been delayed due to the current absence of the maintenance staff member. Residents spoken to commented on how they were pleased with the way they receive care at the centre, and felt the staff team were very caring and thoughtful. Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. Contact with families and friends is encouraged and supported by staff to maintain relationships. Activities are centred on resident’s interests. Meals are varied and wholesome with choice provided ensuring residents dietary needs are met. EVIDENCE: Resident’s records examined contained information about individual religious and social needs, interests, hobbies, family and social contacts. The management team and staff have taken time to develop and introduce an activity programme, which takes into account the wide ranging needs of residents using the resource centre. One resident spoken to said “ I love going out on the transport, we go for a local drive through the country every week”. At the time of the inspection some relatives and social workers were taking residents out for visits to their own homes or just taking them out for a social occasion. This confirms the flexibility of the service. A tour of the home confirmed residents have in place some personal features to their rooms, however this is limited due to the short-term placements at the home. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 13 There are no restrictions to visitors; two residents spoke of their relatives visiting at various times of the day or evening and how the staff always makes them feel welcome. Meals being prepared looked appealing and nutritious. The home prepares all meals in a homely way, with choice being available daily, and specialist diets being catered for. One resident spoken to has specific dietary needs, which they feel are being well met by the home. Another resident said “I like to eat on my own and the staff bring my meals to me. This confirmed the service is meeting individual needs and choices. Hoyle Resource Centre DS0000033376.V304573.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome is good. This judgement was made using available evidence including a visit to the service. The home’s policies, procedures and practice make sure that residents are supported and protected. EVIDENCE: There are polices and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said they are aware of these. Residents also confirmed that they knew about the complaints procedure, through discussion and through comments received prior to the inspection visit. Training files confirmed staff have received training in adult protection issues. There have been no complaints or concerns received about the service in the previous twelve months. Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,26 The quality outcome is good. This judgement was made using available evidence including a visit to the service. Residents live in a safe, clean and tidy environment. The home is maintained to a high standard ensuring the residents comfort and safety in pleasant surroundings. EVIDENCE: A tour of the home confirmed it is good and well maintained with a full range of service and facilities designed to meet the needs of residents using the service, including kitchen, specialist aids and adaptations and interactive facilities which are designed to meet the rehabilitation needs of residents using the resource centre. Comments received prior to the inspection spoke highly of how the homes environment is well maintained and very comfortable to live in. The cleanliness of the resource centre was specifically praised. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 16 Residents spoke of how they like the environment especially the choice of lounges and the decoration of the lounges, which one resident said, “are really comfortable and nice to sit in”. The external garden areas are well maintained; the rear area had been a project of development by a local school, which, is ongoing. Perimeter fencing at the rear of the home has provided a more secure environment and one in which residents can comfortably use. The use of close circuit television is being used for security purposes around the external areas of the home, with good success. Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome is good. This judgement was made using available evidence including a visit to the service. Staff recruitment processes and access to training means that the staff team have been appropriately vetted and trained to work in the home. EVIDENCE: Staff recruitment processes are robust to ensure the protection of users of the service. Staff undertake a structured induction training programme so that they know how the home works and what systems are in place. This training is assessed throughout the process by the management team so that all staff are competent to undertake their designated roles. Staff training is taken seriously by the home, with a high percentage of staff achieving qualifications in care. There is a regular review of training undertaken in the home so that all staff have access to training applicable to their individual roles. There was seen to be individual training portfolios being put in place for all members of staff, so that their development can be monitored and managed effectively for the benefit of the staff member and the home. Staff spoken to were found to be highly motivated. They were eager to demonstrate the individual training they had received so far. They collectively spoke of how they are supported by the management team in all areas of training. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 18 Hoyle Resource Centre DS0000033376.V304573.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality outcome is excellent. This judgement was made using available evidence including a visit to the service. The range of management and administration systems means that a competent management team effectively manages the home, but monthly quality monitoring by the area manager is not occurring. EVIDENCE: The way the home is run means that it provides overall quality in its delivery of services and care to resident’s staff and all stakeholders of the service. An excellent management system and clear leadership achieve this. Observation of management systems confirmed they are effective in how the home is managed, in that the manager has sound knowledge of strategic management and financial budgeting of the service, resulting in a high quality service with facilities to meet the stated aims and objectives of the service. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 20 All levels of staff spoke highly of the strong leadership qualities, which motivate the staff team resulting in an air of confidence seen throughout the inspection visit. The manager makes sure staff know about the policies and procedures to follow through induction and supervision processes, so that they are competent in all areas. Quality monitoring is heavily focused upon so that the home can measure its effectiveness. A revised quality monitoring questionnaire was seen, which will be printed in large print for visual impairment, it also reflects the diversity and equality of the services being offered, so that people are not disadvantaged in any way. There was evidence residents are provided with choice in ways of handling or managing their own finances. Two residents spoken to commented on how they had the choice of looking after their own monies or if they felt more comfortable the home would securely maintain money on their behalf. In the two instances where this had occurred records were seen confirmed this is being managed effectively. Residents choosing to manage their own finances have locked facilities in their individual rooms to ensure their personal possessions as well as money can be cared for securely. The previous report highlighted the requirement for monthly monitoring visits by the area manager. The last one occurring in March 2006. It was acknowledged that regular supervision by the area manager and the homes manager does address all issues prevalent to the resource centre, however this is an area for improvement. Hoyle Resource Centre DS0000033376.V304573.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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 2 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 3 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 4 X 2 X 4 X X 3 Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP31 Regulation 26 Requirement There must be evidence of monthly monitoring inspections taking place and a copy of the report being made available to CSCI.(Timescale of 31/03/06 not met) There must be suitable curtaining on all ground floor windows to make sure residents Privacy is upheld. (Timescale of 31/03/06 not met) Timescale for action 31/10/06 3. OP10 16(2)(c) 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. 1. Refer to Standard OP9 Good Practice Recommendations Medication training should include refresher courses so that staff are aware of current practice guidelines. Hoyle Resource Centre DS0000033376.V304573.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hoyle Resource Centre DS0000033376.V304573.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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