Inspection on 24/03/06 for Keer Sands Residential Home

This inspection was carried out on 24th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Keer Sands Residential Home 06/06/07

Keer Sands Residential Home 14/07/05

Keer Sands Residential Home 14/10/04

Keer Sands Residential Home 22/04/04

Similar services:

Chirnside House

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Keer Sands Residential Home Shore Road Crag Bank Carnforth Lancashire LA5 9HY Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 24th March 2006 9:30am 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 Keer Sands Residential Home DS0000009869.V270505.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. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Keer Sands Residential Home Address Shore Road Crag Bank Carnforth Lancashire LA5 9HY 01524 732060 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) Mrs Katherine Anne Plevey Mr Stephen Plevey Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Keer Sands is registered with the Commission for Social Care Inspection to provide care and accommodation for up to ten older people.The home is situated in a rural area of Carnforth but only a short drive from the many facilities and amenities available in Lancaster and Morecambe. The majority of accommodation at the home is offered on a single room basis and there is one shared room. There are toilet and bathroom facilities on both floors and a variety of communal areas including a lounge, dining room and conservatory. Prior to their admission, assessments are carried out of residents’ daily care needs to ensure the home can offer an appropriate level of care. Information gathered at the time of the assessment is used to form a care plan which is regularly reviewed throughout the service user’s stay at the home. Care is provided on a 24 hour basis including waking watch cover throughout the night. Several of the carers employed at Keer Sands have NVQ qualifications in care at level 2 or above. Residents’ health care needs are addressed in conjunction with visiting health care professionals such as district nurses and general practitioners.There are a variety of social activities offered at the home including home based activities and trips and outings.The registered provider of the home is Mrs Anne Plevey. Mrs Plevey works in the home on a full time basis. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for older people introduced in April 2002. This inspection was unannounced in that the homeowners, staff and residents did not know it was going to take place. This inspection was over a 2.5 hour period during the day on 24/03/06 and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents, staff and the manager in addition to viewing the home’s required written information such as policies and procedures about various issues for instance ‘Health and Safety’. The residents written plans of care were also viewed for 3 people. The plan of care is a document outlining the needs of the individual resident and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities. Thereby ensuring people are content in the care they receive. The residents the inspectors spoke with were happy with life at Keersands. The staff stated they enjoyed their work at Keersands and spoke to the inspector in a professional manner about the residents. They were also full of praise for Ann the homeowner and manager. What the service does well: Keer Sands is a small family run business, which has a very homely atmosphere. The people who live at Keer Sands are full of praise about the care they receive. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 6 The Commission for Social Care Inspection sent written questionnaires to residents and their relatives. A very good response was received from the written survey. In total 14 responses were received and the feedback from them was, without exception, very positive. In the responses received from the residents or their representatives; • • • • • • All respondents said that they were satisfied with the overall care provided all of the time. All respondents said that they liked living at the home all of the time. All respondents said that they felt well cared for all of the time. All the respondents said that their privacy was respected all of the time. All the respondents said that the home provided suitable activities all of the time. All of the respondents said that they liked the food provided all of the time. Additional positive comments were made in writing to the Commission for Social Care Inspection, which are referred to later in the report but included; “I would like to say I am full of admiration for the way Anne Plevey and her staff run Keersands” “ We are extremely happy with the care at Keersands, it is just like home from home. We couldn’t wish for a better place and feel totally reassured by all staff” “I used to visit care homes as part of my job and this is the best home I have ever been to” Mr and Mrs Plevey listen to advice offered and act upon the advice to ensure the home continues to offer an excellent service. What has improved since the last inspection? Bedroom doors are being fitted with an appropriate lock to offer people greater privacy yet allow for access in an emergency. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 7 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. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 8 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 Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 9 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): 6 Keersands does not offer intermediate care. EVIDENCE: Keer Sands Residential Home DS0000009869.V270505.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): 9 & 10 Policies/procedures and staff training ensure the resident’s medication is stored securely and administered safely, resulting in people being healthily cared for. The residents’ benefit from being treat with respect. EVIDENCE: The homes policies and procedures in relation to the administration and storage of medication are robust. Staff who administer medication receive training in ‘Intermediate Medication Awareness’. People in receipt of medication should be asked to sign a medicine declaration form outlining their wishes to self-medicate or have their medication administered by the staff. A sample of such a document has been sent to Mrs Plevey. In order to offer greater privacy to the residents’ bedroom doors are being fitted with an appropriate lock and residents will be given the key to their own room. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 11 The residents said that the staff do respect their privacy and ensure ‘our dignity is protected’. Another comment received was ‘I would if asked recommend this home to anyone’. These comments are indicative of the high standard of care where respect and privacy are seen as important. Keer Sands Residential Home DS0000009869.V270505.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 & 14 The life style of people at Keersands is in many circumstances a continuation of their preferences prior to living at the home, depending on their individual capability. EVIDENCE: The residents said that they are fully consulted about everything in the home. Residents meetings are periodically held and the record of the last meeting was viewed. The residents said they enjoyed the meetings. The 3 plans of care viewed as part of the ‘Tracking process’ reflected that people’s hobbies and interests are identified and met. The residents stated that they like going for walks in the beautiful area they live in. They also like doing crosswords with the staff, they said ‘we have a good laugh.’ When admitted to the home people are encouraged and enabled to maintain their choice of hobbies and activities. The following comments were received from relatives and visitors of the residents; Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 13 ‘The care here is exceptional and Anne and her staff provide a very warm and friendly atmosphere’ ‘Keersands is an ideal home’ These comments are indicative of the manner in which people are cared for. Keer Sands Residential Home DS0000009869.V270505.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): None of these standards were assessed during this inspection as they were fully met during the previous visit. EVIDENCE: Keer Sands Residential Home DS0000009869.V270505.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): None of these standards were assessed during this visit as they were fully met during the previous inspection EVIDENCE: Keer Sands Residential Home DS0000009869.V270505.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): None of these standards were assessed during this inspection as they were fully met during the previous inspection. EVIDENCE: Keer Sands Residential Home DS0000009869.V270505.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): 38 The residents benefit from living in a home where their health and safety is promoted and protected. EVIDENCE: In order to promote the health and safety of the residents risk assessments are carried when necessary, for instance one person has a risk assessment in relation to falling from her bed. Action has now taken place in order to eliminate this difficulty. Risk assessments are also carried in relation to the building ensuring that any hazards are prevented. All doors have magnetically controlled valves on them. This means that doors can be held open safely and would be automatically closed should the fire alarm be sounded. Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 18 All hot water outlets have thermostatically controlled valves to prevent the possibility of scalding. All radiators are guarded to prevent people from inadvertently burning themselves.. Comments received from relatives included ‘this is a clean and friendly home.’ And ‘This is a super home.’ Keer Sands Residential Home DS0000009869.V270505.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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 11 x x x x x x x x STAFFING Standard No Score 27 x 28 29 30 4 x x x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 4 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 3 Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 20 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 Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 21 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 Keer Sands Residential Home DS0000009869.V270505.R01.S.doc Version 5.1 Page 22 - 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!