Inspection on 04/07/05 for I Care Residential Homes Limited

This inspection was carried out on 4th July 2005.

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

I Care Residential Homes Limited 07/08/07

I Care Residential Homes Limited 23/05/06

I Care Residential Homes Limited 06/12/05

I Care Residential Homes Limited 11/02/05

I Care Residential Homes Limited 06/09/04

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 WHARFEDALE REST HOME 14-18 Beach Road Cleveleys Lancashire FY5 1EQ Lead Inspector Jenny Hughes Announced 4 July 2005 10:00 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. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wharfedale Rest Home Address 14-18 Beach Road Cleveleys Lancashire FY5 1EQ 01253 852414 01253 829140 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) Finest Services Limited Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 11 February 2005 Brief Description of the Service: Wharfedale has been adapted from three adjoining two-storey residential properties, into a care home which suits the needs of older people. It is close to the centre of Cleveleys, with easy access to transport links. It is equipped to suit the needs of its residents, for example there is a stair lift, grab rails and ramps.Single and double rooms are sited on both floors, with toilets and bathrooms being conveniently situated. There is sufficient communal space, with two lounges and a dining room. A small smoking area is provided. Outside seating is available in the pleasant front garden. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours, and was one of the two inspections, which must be made each year. Additional inspections may be made if necessary. The inspection was announced, in that the owners were aware that the inspection was to take place. The registered manager was interviewed, the operations manager for the company, two care staff and seven of the residents. Surveys were sent out to residents, relatives and G.P’s involved with the home, and all of their views were taken into account. Staff and care records were inspected, and policies and procedures were viewed. What the service does well: What has improved since the last inspection? The home now has a new manager who has a good understanding of the areas in which the home can improve and develop, of which she discusses with staff and residents. The manager has improved the way information is given to people who are interested in staying at the home, making it clearer and easier to read. She is also developing the way details are gathered and recorded about what care new residents need, to simplify and streamline the present system. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 6 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. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 standard(s) 1 and 3 The information provided to present, and possible future, residents, is good, providing details of the services the home provides. This enables people to make an informed decision about admission to the home. The home has a good assessment procedure that is carried out for all residents. This means that a service is provided that is tailored to the individuals’ needs and preferences. EVIDENCE: The new manager has updated the Service User Guide for the home. This gives information about the home and the services it provides, and is given to residents, and to people interested in staying at the home. The update was made in order to make the Service User Guide easier to read with relevant information. Individual records are kept for each of the residents, and there is a set procedure for admitting someone to the home, with a pre-admission assessment form being seen on three selected files. These are used by management to check that staff can give suitable care to each person, before the manager agrees that the home is the right place for them to live. The WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 9 information in this assessment was informative and appropriate. On admission to the home the manager discusses the care needs with the resident and their family, who sign to agree what the care provided should be. “I think the old manager came to see me, but my family helped me sort it all out”, stated one resident. The new manager is reviewing the forms that are used to record information, to make the records held on the residents clear and easy to read, and relevant to each individual. Staff spoken to were aware of the care needs of the identified residents. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10 The resident’s health and personal care needs are met in this home, protecting and promoting their privacy, dignity and independence. They benefit from the support of healthcare professionals. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff for what they must do to meet that need. The manager reviews the care provided regularly, updating it when necessary, and detailed daily notes are made by staff for each resident. One resident is a diabetic, and full records of the levels of blood sugars were made by staff, with hospital, G.P. and optician appointments clearly noted. Residents sign to state that they agree with the care planned for them. “I’m very happy with the care I get, and I’ve told them that”, commented a resident. “The girls get hold of the doctor if you’re not well. Yes, they’ll sort out the optician and I expect they’d find a dentist if you needed it. They sort us out you know”, laughed another resident. Residents choose to sit in either of the lounges, with anyone who smokes making occasional visits to the smoking area when they wish. Visitors call in WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 11 through the day, and sit in the lounges or go to the resident’s own room to chat. “The staff are all very friendly and welcoming. My visitors are always offered a cup of tea”, commented one resident. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15 Residents experience a good quality of life in this area. Meals were nutritious, and mealtimes relaxed, which encourages residents to enjoy food and mealtimes. There are plenty of activities, and some residents are motivated and stimulated by joining in. EVIDENCE: The individual care plans include information on each person’s life history, their religious needs, and which hobbies and activities they prefer. The activities in the home are based on people’s interests, such as singing with visiting entertainers, board games, bingo, handicrafts and gentle exercises to music with a professional trainer. Outings to see the ice show in Blackpool have also been made. Individual needs are addressed, and one resident prefers not to join in with activities, but enjoys chats and listening to the radio in her own room. “I don’t bother with activities”. Visitors are welcome throughout the day, all recorded in the visitors book by the front door, with some residents enjoying trips out with family. “My son calls and takes me out for a drive and some lunch”, stated a resident. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 13 Seats in the front garden are for residents to sit in the better weather and enjoy the flowers, and chat to the neighbours as they pass by. A sample meal was taken of sausages, chips and beans, with fresh strawberries to follow. Drinks of tea were readily available, and staff made sure everyone had had their fill. “ The staff know I’m a big eater”, said one resident, “So they always give me the option of having more if I want to”. The mealtime was calm and unhurried in the dining room, with staff chatting and assisting tactfully where necessary. The manager commented that residents were encouraged to eat in the dining room, but could eat in their own room if they wished. Likes and dislikes of individual residents were noted in their personal records, and the small staff group were familiar with these choices. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has no records of complaints. A resident said she would “tell any of the staff” if she was not happy with something. Residents confirmed that they had been told at a meeting with the manager to tell staff at any time if they thought of any changes they would like in anything at the home, which they thought would make their life better. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. Abuse awareness training is attended by all staff. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 standard(s) These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 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 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) 27, 29 and 30 The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention. EVIDENCE: Three staff files showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available, and notes of the interview were made. All new staff have induction training, and are given guidance and information on their terms and conditions, and working practices in the home. Most of the staff are long term and experienced, so able to guide new younger staff and lead by example. Detailed training records are held for each staff member, with basic training in moving and handling, health and safety and food hygiene being priorities, alongside further National Vocational Qualifications (NVQ), levels 2 and 3, in care. The organisation has its own training officer to organise the training required, and staff are further motivated with the opportunity for bonuses, and a ‘Staff of the Month’ award. The rota showed which shifts care staff were working each day. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 17 A comment from a resident made clear how she felt, “We’re quite a happy family here”. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 18 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) 33, 35 and 38 The new manager has a vision for the home, and is supported well by senior staff in providing clear leadership. The systems for consulting with residents and their families are good, with evidence that shows that resident’s views are both sought and acted upon. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: A survey sent to residents and relatives by the manager is used to monitor the quality of the service being provided. This is sent six monthly, but the manager is updating the content of it so that people can more clearly state how they feel, and it will then help the manager to improve the service where she can. This will be sent out annually. Staff also complete a satisfaction survey. The results of a recent one realised more contact with the head office of the organisation was needed, and staff now have regular contact with a representative from head office, and feel they WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 19 are more aware of the company they work for, and that their opinions are listened to. The quality of the service is also measured by the local authority, who have, after a comprehensive assessment, given the home four out of the five stars they use to measure the standards of care by, five stars being excellent. The number of double rooms in the home caused the loss of the fifth star. Meetings are held on occasion for residents to discuss anything they wish to, the last one being in June 2005. At this residents, for example, discussed how they would like to celebrate their birthdays, any changes they would like in their daily routine, and any activities they would like to do. The manager is not responsible for handling any residents finances, and they either manage them themselves, or family help in this area. Clear records are kept of any personal allowances. Records show that all maintenance and servicing checks of equipment, including fire alarms and nurse alarms, were up to date and correct. WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 20 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x x x 3 x 3 x x 3 WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 21 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations WHARFEDALE REST HOME F57-F09 S9683 Wharfedale Rest Home V195413 040705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection North Lancs Area Office 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. 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