Inspection on 14/06/05 for King Edward Care For The Elderly

This inspection was carried out on 14th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

King Edward Care For The Elderly 06/11/07

King Edward Care For The Elderly 08/08/06

King Edward Care For The Elderly 06/09/05

King Edward Care For The Elderly 05/10/04

King Edward Care For The Elderly 27/04/04

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

CARE HOMES FOR OLDER PEOPLE King Edward Care For The Elderly 7-9 Warbreck Drive Blackpool Lancashire FY2 9JX Lead Inspector Jackie Riley Unannounced 14 June 2005 09:30am 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. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service King Edward Home For The Elderly Address 7-9 Warbreck Drive Blackpool Lancashire FY2 9JX 01253 354 785 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) Mrs Sarah Pitman Mrs Naden Johnson Care home only 11 Category(ies) of DE Dementia (11) registration, with number of places King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The service is registered to accommodate a maximum of 11 service users in the category DE (Dementia). Date of last inspection 5th October 2004 Brief Description of the Service: King Edward care home provides residential care for 11 service users suffering various levels of dementia. The care home is situated in a residential area close to amenities and public transport services. There are nine single rooms and one double, three of which are on-suite. Service users have a range of aids and adaptations in place to enable them to remain as independent for as long as possible. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection therefore the registered person, staff and residents were not aware of the visit. The inspection was undertaken during a four hour period of the day. The registered manager assisted the inspector to carry out the inspection process. Two staff members on duty were interviewed. There were no visitors available throughout the inspection process. Five residents were spoken to, however due to their level of dementia they were unable to communicate their views. Records of medication, care plans staffing rotas and one staff recruitment file were examined. One complaint has been investigated by CSCI in the last twelve months this was substantiated and the issues addressed with the registered provider. What the service does well: What has improved since the last inspection? The management and administration of medication has improved since the previous inspection and investigation. Advise and guidance provided by the Pharmacy inspector has been acted upon. All staff responsible for administration of medication has either attended training or are in line to attend training. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 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. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 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 King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 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) 3, 5 People are admitted to the home, only when assessments have been carried out; by social workers or other professionals including the manager of the home, in most instances. This ensures a persons needs can be met by the home. Relatives or advocates are encouraged to visit the home prior to making a decision before placement in order to establish the services provided would meet the needs of their relative or friend. EVIDENCE: The admission procedure is planned and ensures residents needs are properly assessed and planned for. There were no visitors available but one staff member commented, “we encourage relatives or friends to have a good look round before making a decision, and we give them written information”. There is a need to ensure that the current inspection report is made available to all users of the service. Individual professional assessments were complete and contained information relating to the needs of that person. Staff spoken to are fully informed of the needs of people living in the home. The registered managers pre admission assessment should be complete on all occasions, to ensure the home is able to meet the needs of the resident. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 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) 7, 8, 9 Records recording the health care needs of residents must be consistent in order to ensure they can be fully met and do not present significant risk to the resident. Medication management has been greatly improved upon to ensure the safety of residents in the home. EVIDENCE: Individual records are kept for each resident with a plan of care setting out action necessary by care staff to ensure all aspects of health, personal and social care needs of the residents were met. However the records were not complete on three files examined. Risk assessments, are included in all care plans, including activities, and their individual preferences. Reviews are not taking place regularly and must be addressed. Information is currently being reviewed by the registered manager, who is introducing a revised system of recording. The daily records were clear and provided good recording of events for individual residents and action taken to resolve issues. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 10 Staff spoken to commented on how well they work with district nurses and other professional in meeting the health needs of residents living at the home. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 11 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, 15 Social activities are in place but could be further developed to meet the specialist needs of residents living at the home. Meals prepared by staff members are balanced and provide a daily variation and interest for people living in the home. EVIDENCE: There is an activity programme in place, including games and some reminiscence and recall therapy, as well as staff encouraging residents to join in singing and dancing. The home would benefit from researching other forms of activity specifically designed for people suffering from dementia. Residents have various limits on their ability to make choices, however staff were seen to help and gently guide them in all areas of their daily lives. Staff spoken to commented “we recognise what they like from watching their actions, and following the care plans, if they don’t want to join in they don’t have to”. The food and menus are varied and offered daily choice. Mealtime arrangements are flexible enough to accommodate individual preferences. Staff members prepare and provide all meals, snacks were seen to be available to residents during the inspection. All staff responsible for food preparation should have current food hygiene certificates in place. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 12 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, 18 The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have a sound knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a complaints procedure in place and staff spoken to were able to explain the process. Records of complaints investigations with outcomes are up to date. There has been one complaint investigated by CSCI in the last twelve months, the complaint was substantiated and action was taken to address the issues which are now resolved. The home has a procedure in place for dealing with allegations of abuse. The registered manager had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff have received training in relation to complaints and abuse in their NVQ (National Vocational Qualification) training. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 13 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) Not inspected during the visit. EVIDENCE: King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 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) 27, 29, 30 The procedures for the recruitment of staff are in place but do not adequately provide safeguards to offer protection for people living in the home. The numbers of staff on duty were satisfactory to meet the needs of people living in the home, however there should be adequate staffing numbers on duty at times when additional activities are taking place due to the high level of care required by residents. Staff have access to training to ensure they are competent and qualified to meet the needs of residents. EVIDENCE: There has been one additional staff member employed at the home in the last twelve months. Records examined showed there is a requirement to ensure references are received and verified prior to staff commencing work at the home. Photographs are necessary on all staff files. Staff training is available to all levels of staff. Two staff spoken to, have attended a number of courses relating to the needs of residents living in the home. One member of staff commented on how the training is helping her to do her job. The numbers and skill mix of staff was generally adequate, however there are times when staffing levels must be appropriate when additional activities are taking place, and time must be allocated accordingly for domestic tasks. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 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) 31, 32, 3 3 Resources being made available by the registered providers, has the potential to lead to a limitation in the delivery of service. Staff are supported by the registered manager although lack of motivation could have the potential of a high turnover of staff. EVIDENCE: There are no recorded visits by the registered providers, although as noted at the time of the inspection they do visit the home regularly. Whilst staff gave examples of the high level of service they provide there was no evidence of positive support from the registered providers. There was evidence of staff and management just `muddling` through the best they can, with the limited resources available to them. Discussion with staff indicated morale is low due to the lack of leadership and resources available. The registered manager should be provided with the resources identified as necessary including providing additional staff for additional events, including King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 16 activities in the home. Additional furnishings if requested, and adequate staff time to carry out domestic tasks. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 17 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 x x 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 2 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x 2 x x x x x King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 18 yes 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. 2. Standard 7 27 Regulation 15 18(a) Requirement All residents health care needs must be recorded and up to date Adequate staffing levels must be in place during times of additional activities and for all domestic duties. Two references must be and verified prior to staff being employed to work in the home. The regisered providers must provide a report of monthly visits to the home and provide a copy of the report to CSCI. (Extended from October 2004) The registered providers must ensure they develop a working relationship with the manager and staff of the home. The regisered providers must maintain a system of quality review and audit Timescale for action 31.7.05 31.7.05 3. 4. 29 31 19 26 31.7.05 31.7.05 5. 33 12(5)(a) 31.7.05 6. 33 24 31.7.05 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 F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 19 King Edward Care For The Elderly 1. 2. 3 12 There should be evidence of pre assessment by the home on all files. Activities specifically designed to meet residents specialist needs should be developed based upon current guidance and good practice. King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI King Edward Care For The Elderly F57 F09 S29626 King Edward V203144 140605 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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