Inspection on 08/08/06 for King Edward Care For The Elderly

This inspection was carried out on 8th August 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

King Edward Care For The Elderly 06/11/07

King Edward Care For The Elderly 06/09/05

King Edward Care For The Elderly 14/06/05

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 Mrs Jackie Riley Unannounced Inspection 09:30 8 August 2006 th 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 King Edward Care For The Elderly DS0000029626.V302491.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. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edward Care For The Elderly Address 7/9 Warbreck Drive Blackpool Lancashire FY2 9JX 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) 01253 354785 Mrs Sarah Lynne Pitman Mr David John Wheeler Mrs Naden Johnson Care Home 11 Category(ies) of Dementia (11) registration, with number of places King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 11 service users in the category DE (Dementia) 1st September 2005 Date of last inspection 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. At the time of the site visit the range of weekly fees were £343.45 to £350.00. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit made to the service. It was undertaken during a daytime period over five hours. As part of this process information was received about the service prior to the site visit. During the site visit discussion took place with the registered manager and two members of staff on duty. General discussion was made with residents using the service throughout the inspection process, however due to various levels of dementia, it was not possible to include various comments made. All residents looked well cared for and appeared to be happy in the home surroundings. They also responded well with staff members. Included in the inspection process was observation of various records relating to the care of residents, and the recruitment and training of staff. What the service does well: What has improved since the last inspection? What they could do better: All applicants for posts within the care home must have in place all preemployment ‘fitness’ checks prior to commencing work in the home for the safety of users of the service, to ensure they are suitable to work in the home with vulnerable people. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 6 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 DS0000029626.V302491.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 King Edward Care For The Elderly DS0000029626.V302491.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents records examined confirmed they had been assessed and a plan of care developed with written terms and conditions ensuring they had information about the home and care to be provided. EVIDENCE: Records examined confirmed care plans were in place and have been developed from sound assessments ensuring residents needs have been identified and recorded. In some cases there was evidence of a multidisciplinary assessment being carried out by a number of professionals so that the specific needs of individual residents are identified before a placement is made, thereby making sure the home can meet the needs of residents placed there. One staff member spoke of the good support network available for residents from other professionals who can provide information to staff informing them of the specialist advice needed to deliver the appropriate level of care to individual residents. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 9 The home provides good information about the services, which is promoted to residents and their families so that they know what services will be provided. Due to the high level of dementia suffered by most residents this information is usually discussed with relatives or advocates of the resident. King Edward Care For The Elderly DS0000029626.V302491.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. Resident’s records are very good ensuring health details are accurately recorded. Medication procedures are good and provide safety and protection for residents. EVIDENCE: Records of three residents were examined and accurately reflected the individual’s health and social care needs. Care plans have been reviewed and were extremely comprehensive. They were up to date with regular reviews taking place outlining any changing health needs required. A staff member spoken to said, “the new format makes sure we include all areas of a residents needs”. Risk assessments were comprehensive and reviewed on a regular basis to minimise the risk of any health and welfare concerns. Staff spoken to said, “We always look at risk regularly to see any changes that might affect the welfare of the residents”. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 11 Medication practices observed confirmed accurate records are being kept to ensure resident’s health is maintained and safe. All staff responsible for medication administration have received accredited training so that their practices are safe. One staff member spoken to said “ we only administer medication when we have received training, and the manager makes sure we are doing it right”. Staff on duty were able to describe the care needs of individual residents and from observations made during the inspection evidence was gained that residents dignity and privacy are respected by the care practices in the home. One staff member said, “we know its important to make sure residents dignity is respected, especially dealing with people with dementia”. Residents were unable to give responses to the care received to due to the levels of dementia however observations made confirmed they are well cared for by a dedicated staff team. King Edward Care For The Elderly DS0000029626.V302491.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Contact with families and friends is encouraged and supported by staff to maintain relationships. Activities are centred on resident’s interests. Meals are varied and wholesome with choice provided ensuring residents dietary needs are met. EVIDENCE: Resident’s records examined contained information about individual religious and social needs, interests, hobbies, family and social contacts. Observation during the visit did see residents taking part in group activities, which are part of the homes activity programme. The management team and staff have taken time to develop and introduce an activity programme, which takes into account the specialist needs of residents with dementia difficulties. Besides usual group activities there are armchair physiotherapy sessions carried out by a physiotherapist visiting the home. Indian head massage and reminiscence and recall therapy is heavily focused upon. Residents spoken to at the time of the inspection showed interest in the recall information in the dining area, which is used as a focus to develop communication between residents. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 13 A tour of the home confirmed residents are encouraged to bring possessions into the home to personalise their bedroom and provide comfortable surroundings. There are no restrictions to visitors and two visitors were in the home during the inspection process. They were made to feel welcome by the staff team and were provided with refreshments. Meals being prepared looked appealing and nutritious. The home prepares all meals in a homely way, with choice being available daily, and specialist diets being catered for. King Edward Care For The Elderly DS0000029626.V302491.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 have been no complaints investigated by the commission in the last twelve months. 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 individual training programmes. King Edward Care For The Elderly DS0000029626.V302491.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and tidy environment. The home is maintained to a high standard ensuring the residents comfort and safety in pleasant surroundings. EVIDENCE: There has been positive development in the homes maintenance programme in that carpets and furniture in the lounge area have been replaced. Bathing facilities have been improved including the introduction of a hoist in the first floor bathroom, thereby enabling residents with reduced mobility access to the bath in a safe and controlled way. There is ongoing development to ensure a comfortable and homely environment including the installation of a new heating system. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 16 A safe locking mechanism is in place on the kitchen access door, so that residents are protected from harm in the kitchen area, which has previously been a problem. Resident’s rooms are furnished well with evidence of personal items, so that residents feel more comfortable. Some residents choose to use their rooms at various times of the day, and staff spoken to said this was not a problem. King Edward Care For The Elderly DS0000029626.V302491.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome is adequate. This judgement was made using available evidence including a visit to the service. The procedures for the recruitment of staff has improved thereby providing protection for the people living in the home, however some staff have previously commenced employment prior to acceptable pre-employment checks being carried out potentially compromising the safety of residents. Staff have access to training, which ensures they are equipped to undertake their roles in care practice. EVIDENCE: Three staff files seen show recruitment has improved in that fitness checks are in place, although there was evidence of some staff have previously commenced employment with transferred fitness checks potentially putting users of the service at risk. One staff member explained their recruitment procedure, which included all fitness checks to ensure the safety of the residents. The staff team were found to have a range of experience in the care for residents with dementia and mental health issues, which ensured they could provide a good level of care for the people living at the care home. Staff training is focused upon highly, as the home wants its staff team to be trained to deliver a good level of care. There was evidence of all staff members attended training in areas to meet the needs of residents. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 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 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: The home was found to be well managed by a motivated registered manager, who is well supported by the registered providers. Regular monitoring reports are received by the commission, which demonstrate the owners take the quality of care seriously. Inspection of records indicated regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 19 Areas of health and safety requiring attention from the previous inspection have been addressed. Records show the management has good systems to gather information about individual views to enable ongoing improvements to the home. Staff spoken to say, “we are really supported and share information between ourselves so that changes can be made if needed”. King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 21 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. 1. Standard OP29 Regulation 19 Requirement The home must make sure all staff have in place all necessary pre-employment checks prior to commencing work in the care home. Timescale for action 31/08/06 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 King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 22 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 King Edward Care For The Elderly DS0000029626.V302491.R01.S.doc Version 5.2 Page 23 - 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. 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