Inspection on 09/08/05 for Hoyle Resource Centre

This inspection was carried out on 9th August 2005.

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 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

Hoyle Resource Centre 31/08/06

Hoyle Resource Centre 07/02/06

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 House Argosy Avenue Grange Park Blackpool FY3 7NN Lead Inspector Jackie Riley Unannounced 9 August 2005 10:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hoyle House Address Argosy Avenue Grange Park Blackpool Lancashire FY3 7NN 01253 477866 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Blackpool Borough Council Care home only 31 Category(ies) of OP Old Age (31) registration, with number of places Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Replacement of all external woodwork including windows and facias completed by 1st April 2005. All security work is completed by 30th October 2004. The home must employ a manager who is suitably qualified and experienced and registered with the Commission For Social Care Inspection. The service must be staffed in accordance with the Residential Forum staffing guidance by April 2004. The service may only accommodate 31 persons over 65 years of age. Date of last inspection 3rd March 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 was, prior to registration with CSCI in 2003 operated by the local authority under Part three of the 1948 National Assistance Act. The home was initially designed to provide residential care for an elderly service user group in the early 1970`s. Its design reflected many homes built at that time by local authorities, using a familiar template in the design, layout and facilities provided. Hoyle House has seen little change in the redevelopment of the home until now. The home has been fully refurbished and opened 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 intemediate beds for rehabilitation purposes. There is alos 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 soley on a short stay basis, have the facilities in place for older people with various levels of mobility. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection therefore the management, staff and residents were not aware of the visit. The inspection was undertaken during a Four-hour period during one weekday. The newly appointed manager was on duty and assisted the inspector to carry out the inspection process. There was general discussion with three residents. There were no visitors available throughout the inspection process. Staffing rotas, health and safety material was viewed during the inspection process. The main focus on this inspection was the environment, due to the many recent changes in the building. What the service does well: What has improved since the last inspection? 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 House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,4,5,6 There is not enough information to inform people of the homes new services and how it can meet their needs, which may result in the person making a decision without the necessary information. Residents should be able to visit the home prior to admission in order to make a choice about entering the home. There are sufficient services in place for people referred for intermediate care, which promotes their independence, however there is a need for therapists to be based from the home, in order to deliver the necessary intermediate care package. EVIDENCE: There is a requirement to revise the Statement of Purpose and Service User Guide in order to make sure people referred to Hoyle House are fully informed of the service prior to admission, in addition there should be pre admission visits so that people are aware of the home and its services. One resident said “Id never heard of the home or new what it was, it would have been nice to have had some information before I came here”. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 8 The homes intermediate service is now being used by a small number of people. It provides services to assist them to return home, however there are currently no designated Physiotherapists or Occupational Therapists based there, which is essential in order to make sure people using the service have the therapy needed to make sure they can return to independent living. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 10 There are systems in place to make sure residents feel their Privacy and Dignity is met, however toilets in some parts of the home are not necessarily convenient to individual rooms, which may impede their ability to retain their Privacy and Dignity in some cases. EVIDENCE: All rooms have keys and locking mechanisms, which make sure residents, feel secure. Staff were bathing residents at the time of the inspection and it was clear they were respecting residents dignity and privacy. One resident said, “I feel comfortable and staff respect my privacy.” There are no en-suite rooms, however toilets are situated in corridors around the home. It was noted some rooms are a little way from toilets, which may prove difficult during the night time period, however there are commodes available. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not Assessed. EVIDENCE: Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not Assessed. EVIDENCE: Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,25,26 The home has been fully refurbished and provides an environment, which is pleasant and comfortable to live in, whilst providing security for people using the service, however there remains an issue regarding the `fencing off` of the rear garden area, to ensure the Privacy and security of residents at all times. There is a need to make sure garden maintenance is carried out in order to make the grounds a pleasant area to sit in or look out upon. EVIDENCE: The home has been fully refurbished and equipped to meet the needs of people living there for short-term periods. There is good access to the home both at the main entrance and the rear entrance, which exits onto a patio area, and requires further development in respect of planting and ground maintenance. Entrances and exits are suitable for people with all levels of mobility including wheelchair access. There remains an issue regarding the` `fencing off` of the rear garden area of the home, Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 13 which is currently used as a short-cut for local residents, and may impede the Privacy and security of people using the garden facility. Toilets and bathrooms are in place around the home, offering specialist bathing equipment, and aids and adaptations to improve independence. There are kitchen facilities in the intermediate unit for people to use whilst developing skills to return to independent living. Furnishings and decoration throughout the home are of a high standard and make sure the home is comfortable to live in. One resident said, “Its so nice living here, the rooms are very pleasant”. The home is clean hygienic and has systems in place to maintain the high level of cleanliness seen during the inspection. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not Inspected EVIDENCE: Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The health safety and welfare of people living and working in the home is protected by systems in place. EVIDENCE: The home has undergone a major change in all aspects of the systems operated in the home. New certificates have been issued for all these areas, for the protection of all users of the service. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x 3 2 2 HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 2 3 3 x x 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 3 Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement Timescale for action 30.9.05 2. 6 13(1)(b) 3. 4. 20 23(2)(o) The homes Satement of Purpose and Service User Guide must clearly provide information relating to the revised change of services the home now provides. There must be evidence of 30.9.05 residents who receive intermediate care having access to Physiotherapists and occupational therapists as part of their care package. Exteranl grounds must be 30.9.05 appropriately maintained. 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 19 Good Practice Recommendations The registered person should consider options available, which would ensure the Privacy of service users using the external grounds of the care home, in that 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 eb able to visit the home prior F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 18 2. 5 Hoyle House to being admitted there. Hoyle House F57 F09 S33376 Hoyle House V240459 090805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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