Inspection on 07/02/06 for Hoyle Resource Centre

This inspection was carried out on 7th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 31/08/06

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 7th February 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 House DS0000033376.V277617.R01.S.doc Version 5.1 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 House DS0000033376.V277617.R01.S.doc Version 5.1 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 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service may only accommodate 29 persons over 65 years of age. Date of last inspection 9th August 2005 Brief Description of the Service: Hoyle House is a large purpose built home situated on the boundaries of a large local authority housing estate. The home has recently been fully refurbished and reopened in April 2005. The internal and external environment has been fully redesigned and now provides twenty-nine beds. Of those there is one emergency bed, twelve short stay for respite and fifteen intermediate beds for rehabilitation purposes. 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. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the inspection year of 2005-2006. It was undertaken during a daytime period over five hours. The inspection looked at records and systems in place for the running of the home, discussion with the registered manager and staff at random. Group discussion with residents and individual interviews with two residents were also undertaken to get a picture of the way the home is running on a day to day basis. What the service does well: What has improved since the last inspection? What they could do better: The homes intermediate unit is not fully operational due to there being no designated support for Physiotherapy or Occupational Therapy. This was raised in the previous report, and it shows there is a lack of multi disciplinary working to provide the necessary resources to meet the needs of users of the service for intermediate care. Recruitment checks could be improved by way of hastening the process by requesting a Protection of Vulnerable Adults Check, (POVA First) in order to enable recruits to commence work in a supervised capacity within a much Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 6 shorter time. This will then reduce the waiting time for staff appointments to be made. Risk assessments must be completed for all residents during the admission process in order to make sure all levels of risk are identified and there is evidence of how the risk is going to be managed for the safety of residents using the service. Residents Privacy remains an issue. Rooms on the ground floor have open views of the grounds around the home. These are overlooked as they are often used as a walkway for local residents. This then limits Privacy for people using their rooms. . One resident was unhappy about local youths coming to the window on a number of occasions and looking in. This is a cause for concern and should be looked at. Medication training should be extended to make sure staff responsible for medication are updated on current good practice issues based upon current clinical guidance. 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 House DS0000033376.V277617.R01.S.doc Version 5.1 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 House DS0000033376.V277617.R01.S.doc Version 5.1 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, 4, 5,& 6 Information about the home must be made available to residents prior to admission so that they know what to expect and can make an informed choice. Resident’s needs are assessed so that the home knows how to meet their needs, however the home cannot currently meet the intermediate care needs of residents due to a lack of healthcare resources. EVIDENCE: The homes written information has been reviewed and now tells people what the home is about and what service are in place to meet individual needs. One resident spoken to said, “It was good to be able to read about the home in the information pack, it tells you so much.” However it was clear the information is only provided at the time of admission. There was no evidence this information is provided during the assessment process, which would be more beneficial to prospective residents in that it would inform them of the home and its services and would provided them with a level of informed choice in the decision making process. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 9 In addition it would be useful if possible to invite prospective residents to view the home so that they are familiar with the home prior to admission. Discussion with the homes manager confirmed there is current discussion in making a user friendly information booklet, which would address this issue. Observation of two case files confirmed there is a professional assessment either by social workers or healthcare professionals carried out prior to being admitted to the home, so that management and staff can base their care plans on the information available to them. The home cannot currently accept residents who require intermediate care due to there being no Physiotherapy or Occupational healthcare support designated at Hoyle House. This is causing the unit to be underused and management and staff frustrated as the unit is in a position to provide all other necessary intermediate care in order to rehabilitate them on their steps to returning home. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 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 health care needs of people living at the home are identified, so that staff are able to deliver the level of care necessary to meet individual need. Medication management is taken seriously so that people are protected, however medication training updates must be evident, for current practice guidelines to be followed. Privacy is generally well managed however Privacy in ground floor rooms is impeded upon. EVIDENCE: Individual care plans identify all aspects of a persons; health, social and personal needs. Plans seen were up to date, however there was little evidence of risk assessment being complete on one file, another file identified a areas where a resident required assistance but it did not provide evidence of how this was going to be managed. Therefore staff working with the file may not be fully aware of how to manage a persons needs in the specified area. The issue was discussed with the registered manager and the issue was being addressed, through instruction to senior staff. In addition the manager of the home has produced a criteria pro forma for professionals to use when assessing the level of need for prospective residents, so that they know what levels of care and services the home can provide. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 11 Medication management is taken seriously by the home, so that people are protected at all times. There are a number of residents choosing to continue to manage their own medication. In this respect it was noted disclaimers are in place on individual files where this has occurred. One resident spoken to said, “ I’m going home soon so I like to get used to taking my own tablets.” Staff training in respect of medication management is in place. The content is suitable as an introductory level but there is a need to extend the training for staff whom require updated and extended training so that they are familiar with current practice guidelines based upon the Department of Health guidance in medication management. In general Privacy is focused upon and well managed in areas of personal care. However through observations and discussion with a resident there are concerns as to residents Privacy in their ground floor rooms due to the open aspect onto a boundary around the home which is open to the public. One resident said, “boys come to the window and wave, I wave back so they go away.” The windows do have drawing curtains but require additional covering so that residents are comfortable about the level of Privacy they are afforded. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 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 level of need and individual choice of residents determines the capacity and range of activities in the home. EVIDENCE: As the home provides Short-term care except for one permanent resident, it aims to give residents as much choice in their daily lifestyles as possible. This is done by encouraging resident’s to use the homes facilities. This includes a craft room, which can be used for those residents who have an interest in craftwork. There is Internet access for residents who use the Internet. The home is currently researching reminiscence and recall therapies for the benefit of residents who may suffer from deterioration in memory. Residents spoken to said they like to watch the ‘tele’ and some of the old films they have. Other residents spoken with during the inspection were in areas of the home, which was in general their choice. Other residents chose to go to their own rooms, one residents spoken to said, “I like my own company so I stay in my room, but I like to go down to eat with the others and have a chat.” There is an open option for visitors to the home, so that they can visit their relative or friend at any reasonable time. A number of visitors were arriving at the home during the afternoon period. Residents spoken to said they look Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 13 forward to visits from friends and relatives. One resident said, “ I can ring my family if I want to at any time, and I know they can ring me”. Food is prepared on the premises by a cook solely employed for food preparation. This ensures that the ordering, preparation and nutritional content is controlled by a person who is aware of the need to ensure residents diets are suitable. Choice is available on a daily basis. During the inspection the lunchtime meal was being prepared and residents spoken to said they liked the food and the choice available. Special diets are in place for individual residents so that there medical needs are met through diet control. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 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 There is a clear complaints procedure in place and residents are protected from abuse through good staff training. EVIDENCE: The homes complaints procedure is in place and available to all users of the service. It is found in the Service User Guide, which is in all rooms in the home and made available to residents. One residents spoken to said, “ If I needed to complain I’d tell the staff but I know about how to complain through the book in my room.” There was evidence staff receive training in adult protection through the one day induction programme. This includes whistle blowing, so that staff had the knowledge and understanding of issues surrounding ensuring the well being of people who use the service. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 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): These standards were not inspected. EVIDENCE: Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 16 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, 29, & 30 Residents are protected by a well- trained and recruited staff team who are competent to do their jobs. EVIDENCE: The management team takes staffing levels and the skill mix of staff seriously, so that at any one time of the day or night there are staff on duty who are well trained and competent to do their jobs. The homes recruitment system is based upon local authority protocol, which makes sure the person completes an application with a full employment history. Appropriate ‘fitness’ checks are carried out prior to commencement of employment so that people are protected. It is recommended the system uses the POVA first check so that staff are available to take up their appointments earlier, so long as adequately supervised for the benefit of the home. Staff training is taken seriously and there is evidence of a full training matrix available to all levels of staff, so that the staff team are competent and knowledgeable in their area of work. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 17 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 There is a good management structure in place, although regular quality checks need to take place to monitor the homes progress. The quality of care and systems in the home are meeting the needs of residents living there EVIDENCE: There is a strong and highly motivated management team seen to be in operation at the home. This makes sure the home and its systems are run smoothly for the benefit of people who use the service. However there are no regular visits of inspection made by the service \manager, which is a requirement of Care Homes Regulations to make sure the home is operating in a way which benefits the people who live there. A copy of the monthly reports must be provided to Commission for Social Care and Inspection. There are systems in place, which make sure quality of care is being reviewed and changes made accordingly in the best interest of users of the service. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 18 The home does not carry any resident’s money if possible. In some circumstances it may hold up to £40 but this is discouraged. A revised policy has been introduced, so that residents are protected, and there is evidence of auditing of finances by the Local Authority, for the protection of all concerned with the management of finances. All residents have a locked facility in their individual rooms which can be used to safely keep small amounts if money if they choose. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 19 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 2 2 2 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X X Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 20 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 OP6 Regulation 13(1)(b) Requirement Timescale for action 31/03/06 2. OP31 26 3. OP10 16(2)(c) 4. OP7 13 There must be evidence of residents who receive intermediate care having access to Physiotherapists and occupational therapists as part of their care package. (Previous timescale of 30.9.06 not met) There must be evidence of 31/03/06 monthly monitoring inspections taking place and a copy of the report being made available to CSCI. There must be suitable 31/03/06 curtaining on all ground floor windows to make sure residents Privacy is upheld. There must be evidence of action 31/03/06 taken in respect of any risk identified. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Hoyle House Refer to Good Practice Recommendations DS0000033376.V277617.R01.S.doc Version 5.1 Page 21 1. Standard OP19 2. 3. 4. 5. OP5 OP4 OP9 OP29 The registered person should consider options available, which would ensure the Privacy of service users using the external grounds of the care home. There should be some form of perimeter fencing or wall, which would reinforce privacy and ensure security of the home for service users. Prospective residents should be able to visit the home prior to being admitted there. Prospective residents should receive information about the home prior to admission. Medication training should include refresher courses so that staff are aware of current practice guidelines. It is recommended POVA first checks are carried out to hasten the recruitment process for the benefit of the home. Hoyle House DS0000033376.V277617.R01.S.doc Version 5.1 Page 22 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 House DS0000033376.V277617.R01.S.doc Version 5.1 Page 23 - 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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