Inspection on 29/05/07 for Ince Blundell Hall

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Ince Blundell Hall 25/11/09

Ince Blundell Hall 24/03/06

Ince Blundell Hall 18/01/06

Ince Blundell Hall 10/02/05

Ince Blundell Hall 01/09/04

Ince Blundell Hall 28/02/04

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 Ince Blundell Hall Ince Blundell Liverpool Merseyside L38 6JL Lead Inspector Mrs Lynn Paterson Key Unannounced Inspection 29th May 2007 10:00 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 Ince Blundell Hall DS0000017243.V331733.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. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ince Blundell Hall Address Ince Blundell Liverpool Merseyside L38 6JL 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) 0151 929 2596 0151 929 2188 enquiries@ibhnursinghome.org Augustinian Nursing Sisters Sister Gemma Maria Hughes Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 22 (OP) Four beds registered for Younger Adults over 50 years of age Date of last inspection 24th March 2006 Brief Description of the Service: Ince Blundell Hall is registered to provide 24 -hour accommodation, support and nursing care for up to 22 older people. The Home is owned and Managed by the Augustinian Nursing Sisters, several of who have lived and worked within the Home for many years. At present the Home is not admitting Residents for long term care, but is supporting Residents and families with short term, post operative or respite care needs. The Home has strong catholic links and provides support to many members of the catholic clergy and faith, however the Home, also offer’s a service to people with differing religious beliefs. The Manager of the Home is Sr. Gemma Hughes who has managed the Home for the last 13 years. Ince Blundell Hall is set in extensive well -maintained private grounds. The majority of Residents accommodation in the Home is provided in single rooms, with one double room available. Bedrooms are located on the first and second floor and a lift is also available. The Home offers Residents the benefit of living in quiet surroundings with picturesque views of the surrounding countryside As a listed building, the Home are obliged to provide tours on request to people who express an interest, however, these are limited to the grounds and lower communal rooms and pantheon. The village church for Ince Blundell is internally accessible from the Home and Residents can attend, however, this does not form part of the registered premises. Fees are currently between £525.00 and £560.00 per week. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Ince Blundell Hall was carried out on 29th and 30th May 2007 and was undertaken on an unannounced basis. The inspector met with the home manager, staff and people who live in the home and looked at policies, procedures and other documentation to include daily care records. A tour of the premises was undertaken and discussions held with people who provided support services to the home. What the service does well: A published “Story of Ince Blundell Hall” contains information to include details of the ethos of the home which state: “Following a long tradition of Augustinian hospitality, the sisters strive, in the tranquil and happy atmosphere of Ince Blundell Hall, to provide a high standard of care, covering every aspect of daily living”. People living in the home confirmed that the atmosphere in the home is indeed tranquil and they live a happy and contented life of their choice. The manager and staff of the home demonstrated in discussion and observations that they worked hard to provide a needs led service to all who resided in the home and comments from the people living in the home included “This is the most perfect place to be in this world” “Staff are kindness itself”. “The staff are always around to make things better”, “The staff are very knowledgeable about what care we need and they carry out their duties treating us all with the utmost respect”. All documents, care plans, daily records, staff files viewed were maintained to a high standard. Staff said they felt valued, supported and very much part of a team. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Ince Blundell Hall DS0000017243.V331733.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 Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1.3. Quality in this outcome area is excellent. The home provides clear updated information about the services of the home to enable people to make informed choices about their future care. The manager makes sure that all people who request admission to the home receive a full assessment of need to check if their needs can be met within Ince Blundell Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose has been revised since the last inspection to reflect the changes in registration to enable the home to offer up to four placements to younger adults over fifty years of age. This updated information enabled people who wished to use the service to have fully informed choices about the care and service provision of the home. Care plans examined show that pre assessments are carried out on all people who request a placement at Ince Blundell Hall. The assessment documents reveal that full details of need are Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 9 discussed with the person in need of the placement and any other people who are associated with their care. This enables staff of the home to decide if the home can provide care, staff, and suitable equipment to meet all assessed need. Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10. Quality in this outcome area is excellent. The health and personal care needs of the people living in the home are discussed and recorded in a care plan and care and support is provided via this plan. Medication is managed by people who have knowledge and understanding of all aspects of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were looked at in general and three examined in detail to gain information about care needs and how these needs were being met. The care plans showed that all care is discussed and agreed with people who use the service and their representatives prior to the care being provided and staff say that all care and support practices are provided to ensure the person who is in receipt of this service is treated with dignity and respect. People who use the Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 11 service said they are very happy with the care provided and feel that staffs are kind and caring. Comments received include: “The staff are very kind to us and treat us very well”, ”We love it here the staff seem to know exactly what we want and when we want it”. ”This home is the nearest thing to perfection we will ever get in this life”. “ When I came here I was very ill indeed and together with staff I agreed what care I needed and how it would be provided. Staff followed this plan at all times and look at me now, I am much better thanks to their high quality care and deep understanding”. Records viewed showed that the home invites people who provide health related support services to people who live at Ince Blundell Hall, to visit the home. Records show support services provision includes General Practitioner, District Nurse, Dietician, Optician, Chiropodist, Alternative Therapist and Homeopathic Consultant. People living in the home said they were “well looked after” by the home staff and all the professional people who visited them. Staff advised that they had received training in medication management and medication records, storage and administration records were seen to be generally well managed. Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15. Quality in this outcome area is excellent. Staff make sure that daily life and social activities are provided for each individual to suit needs, preferences, choices and capabilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The menus looked at were varied and offered good choice of food provision and staff advised that meals and snacks are readily available throughout the day. Menus showed that the home used a four- week menu rota and people who use live in the home said the food was good quality, well cooked and well presented. Observations of people living in the home having lunch showed that the dining rooms, tables, cutlery, crockery and service of food was of a very high standard and comments about the meal time settings included“ This is better than a five star hotel”, “Look at the way this table is set, all meal times are like this, wonderful standards”. People living in the home said they enjoyed a varied daily life in which they were offered activities, outings and had opportunities to meet their spiritual Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 13 needs in daily prayer within the chapel which is on the premises of Ince Blundell Hall. Staff said they encouraged people living in the home to use advocates where necessary to help them to retain independence and have links with the community. Discussions with people living in the home revealed that they were supported and encouraged to deal with their personal affairs and have full control and choice over their lives. All people living in the home spoken with said that staff enabled them to have choices in everything and revealed that staff assisted each individual to meet their diverse needs and maximise their potential Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18. Quality in this outcome area is good. The home has policies and procedures to make sure staff are trained and competent to assist people who use the service to express their feelings about the staff and services provided. Staff are trained in all aspects of Adult protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff said the home has a general complaints policy in which people living in the home, their representatives or staff of the home can follow in the event of any concerns. People spoken with were fully aware of this policy, which they said was provided to them when they entered the home. However it was noted that no complaints had been made since the last inspection. People living in the home said they had never needed to make any complaints, as staffs were so kind, caring and understanding and constantly asked them “if everything was alright”. Details provided by the staff revealed that all people working in the home are provided with on-going training in Adult Protection and staffs were clear in their knowledge and understanding of the policies and practices involved in Adult protection. Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19.26. Quality in this outcome area is excellent. The manager ensures that the home is hygienic, well maintained and safe for people who reside there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises revealed a magnificent building that had been maintained to a very high standard. Records show the premises continues to benefit from an ongoing maintenance and refurbishment programme and the recent changes have included provision of a new disabled toilet at the front entrance of the building, enlargement of the priests Dining room and a new front porch providing wheelchair access to the home. All safety records were well managed and showed that great emphasis is laid on the importance of people living in a safe well-maintained environment. The home presented as most pleasant, clean and hygienic. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 16 Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28.29.30. Quality in this outcome area is excellent. The home ensures that people who live in the home have all their assessed needs met by staff that are trained to provide appropriate care. Recruitment polices are clear and staff are not employed in the home before all relevant security checks have been made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas show that staff are supplied in sufficient numbers and skill mix to meet the individual needs of the people who live in the home. Staff records show that they receive ongoing training and support to enable them to carry out their varying roles. Discussions with staff revealed that Senior Registered Nurses hold responsibility for the nursing management for every shift and are accountable to the manager. Staff advised that the manager assesses staffing levels if any people become in need of a higher level of care and will increase staffing levels accordingly. Staff said they were provided with ongoing mandatory training and were also offered other training in areas of special interest to enable them to continuously develop their skills. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 18 The homes recruitment and selection policy ensures that staff recruitment is a fair and equal process that incorporates relevant checks to make sure wherever possible, the protection and safe care of the people living in the home. People living in the home said they were well cared for by staff who were trained to provide quality care for all who lived at Ince Blundell hall. Ince Blundell Hall DS0000017243.V331733.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31.32.33.35.38. Quality in this outcome area is excellent. People who live in the home benefit from the ethos, leadership and sound management approach. Policies, procedures and training programmes ensure the health and safety and finances of the people who live in the home are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by Sister Gemma Maria Hughes, who identified in discussion she had many skills in both nursing care and management. Examination of documentation to include polices and procedures care plans, daily records and pre inspection questionnaire further evidenced Sister Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 20 Gemma’s immense abilities to run the home in the best interest of the people living therein. The home utilise a key worker system in which staff are encouraged to develop expertise in a particular area. Areas within the home in which Key Workers are used include: Fire prevention, Risk assessment, Health and safety, Training issues, Infection control-Tissue Viability-continence, Complaints handling, Nutrition. Complimentary Therapies, Social Activities, Fall prevention, Residents Finance. Records show that 19 of the 21 people currently living in the home handle their own financial affairs, 3 with the assistance of relatives. Financial records in respect of the management of personal allowances are maintained by the home. Records show that any person living in the home that wishes to make savings or investments are assisted to do so if necessary by relatives, solicitors or other financial representatives. The home also has systems in place to ensure all possessions of people living in the home are protected. Quality monitoring groups are in place and occur on a regular basis to discuss all the management issues of the home. Discussions with people living in the home identified that people feel safe, supported and secure within Ince Blundell Hall and that the home is managed in their very best interests. Comments included: “This home is so well managed and staffed by lovely people. They do everything they can to make us feel happy”, “I don’t know what I would have done if I had not been able to come here. It’s so good and staff can’t do enough for us”. “Sister Gemma and staff are very kind and thoughtful, they make us feel so very much at home”. Records show the health and safety aspects of the home are well managed and all staff have received training in mandatory health and safety. Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 21 Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 4 X x 3 Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ince Blundell Hall DS0000017243.V331733.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!