Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: New Victoria Nursing Home 137 / 139 Hornby Road Blackpool Lancashire FY1 4JG The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Pauline Caulfield Date: 2 6 1 1 2 0 0 8 Information about the care home
Name of care home: Address: New Victoria Nursing Home 137 / 139 Hornby Road Blackpool Lancashire FY1 4JG 01253621043 01253292342 newvictoria@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Regency Healthcare Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 30 Conditions of registration: The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 30 Date of last inspection Brief description of the care home The New Victoria Care Home is situated in a residential area of Blackpool, with good access to shops and amenities including a regular bus service. The home is purpose built and provides care and accommodation for up to thirty people. Residents are cared for with a wide range of needs, from residential care to nursing. The home is set on three levels. There are lounges, dining areas and bedrooms on all three floors. All bedrooms are single rooms and smokers may smoke in their own rooms. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. Care Homes for Older People Page 2 of 11 This written information explains the care service that is offered, who the owners and staff are, and what the resident can expect if he or she decides to live at the home. Information received on 08/12/08 showed that the fees for care at the home are from two hundred and ninety two pounds and two pence to four hundred and fifty five pounds and twenty one pence per week, with added expenses for hairdressing, chiropody and newspapers. Care Homes for Older People Page 3 of 11 What we found:
The reason for this inspection was to check that the good 2 star rating given at the last key inspection is still valid and that nothing has changed. We looked at all the key standards. The outcome is as follows and shows that the good 2 star rating is still valid. We case tracked two residents. This included looking at case tracked residents care records and the environment they live in, talking to the residents and the staff supporting them and observing staff interactions with them. This is not to the exclusion of other residents who were also spoken to. Service users are assessed, preferably in their home but sometimes in hospital so that staff are aware of their specific care needs and know they can meet these. A relative said that the manager came to talk to her and her mother about her mothers care needs and told them about the home. Residents had the correct information other then one resident had no photograph because the homes camera was broken. We advised the manager to get access to another camera as soon as possible. Care plans were in place. The care plans were up to date but information was brief and needs further developing. There are detailed individual daily nursing records in place which clearly describe any issues or concerns. Most records are informative and written in clear non-subjective language. One resident has some challenging behaviour. Any issues are clearly recorded in the daily nursing records, but there is no strategy for managing this residents challenging behaviour in place. This is needed so that all staff have clear and detailed instructions for managing this. There will be a new part time deputy manager job sharing with the current part time deputy manager from January 2009. The new deputy will concentrate on care plans developing them to make them more detailed. None of the residents case tracked had been involved in any accident and no-one in the home had frequent falls, but the manager was aware of the need to audit to see if any lessons could be learnt or accidents reduced. Risks assessments are in place for all residents so any risks are reduced and managed appropriately. These included Nutritional, waterlow, falls and moving and handling and use of bedrails. Residents have access to appropriate health services. There are regular GP visits and DNs visits. Medication administration was satisfactory with clear entering of medication and disposal of medication, appropriate signing and storage of medication. All controlled medication is appropriately stored, administered and signed for. Staff advise residents of the health risks involved in smoking and the risks of passive smoking whilst supporting the individuals right to smoke. There is a small lounge where residents are able to smoke. Residents said staff were kind and caring polite and friendly. Most residents said staff were helpful and were available whenever needed. However one resident spoken to said she had been waiting a long time for some one to assist her with personal care and was upset by this. Staff were seen assisting her a few minutes later. Care Homes for Older People Page 4 of 11 We spoke to relatives during this inspection. They are very happy with the care in New Victoria. One relative said It is good care here, Matron and the staff are all good. Another relative said, staff are caring and always try to do whatever the residents want. I cant fault them. A relative commented, My mum couldnt be anywhere better and the staff are super. She said she watches how good staff are with her mum and other residents. According to residents there are regular activities and these are usually good. The manager said activities had improved in recent months and more residents are getting involved. One member of staff has taken responsibility for activities and now residents are regularly involved in all sorts of craft activities including making painting plant pots and making cards and crackers. There are also large board games available. Monthly newsletters are given to residents informing them of up and coming events and activities and any staff or residents moving into or out of the home. Routines in the home are quite flexible and residents spoken to said that they can choose when they get up and go to bed and whether they want to join in activities. There is one set meal provided at each meal. However anyone who does not want this meal can have an alternative meal. They are asked to let the cook know, preferably giving some notice and they can have a mealof their choice. Special diets are provided as needed or requested. Relatives are welcomed at any time. One relative said, The staff are so welcoming, they even let me have a meal with my mother when I visit, they are so kind. Residents said they are treated with respect by staff. One resident said, Staff are so helpful and kind. Residents who want to see the visiting ministers on their regular visits. The manager said they could support residents of other religions. Residents spoken to said they knew who to complain to if they had any concerns but they were happy in New Victoria. A relative spoken to said she would talk to the manager if she had any concerns and that she had a form telling her about how to complain. There has been one minor complaint since the last inspection which was dealt with appropriately. Staff have received safeguarding adults training and have an understanding of the action to be taken if they are alerted to a safeguarding issue. We toured the home and found the environment clean, tidy and well maintained. Residents said the home was comfortable. A relative said, The home is always clean and tidy. The owners are currently carrying out some building work to improve and extend communal space on the top floor of the home. The manager agreed to send us information to show that this has been carried out safely and meets all appropriate standards. The manager said they have attempted to create as little disruption to residents as possible while the work has been carried out. They have taken the opportunity to redecorate and recarpet some residents bedrooms as they have carried out the building work. Aids and adaptations are in place to help residents get about more easily and to be as safe and as independent as they can be. Specialist aids for pressure care and mobility aids were seen as we toured the building. Care Homes for Older People Page 5 of 11 Residents spoken to as we toured the building and who returned the comment cards were complimentary about the staff. A lot of the staff have worked in the home for several years and there is only a small staff turnover. This ensures that staff are familiar with residents and their care needs and residents know the people caring for them. Staff rotas showed sufficient staff on duty doing the inspection. As well as the registered manager and registered nurse, there were at least two carers and cleaners on duty throughout the inspection. Residents, relatives and staff felt that there were sufficient numbers of staff on duty to provide good care. The records of two members of staff were checked. Both staff had an application form with a complete working history from first to present job. They both had written references in place. All references were dated and signed. There was also health information in place and all staff had PoVA checks and were awaiting CRB checks. All staff had received an induction and the checklist was seen. A member of staff said My induction covered information about the residents as well as the home itself. Formal supervision is now carried out regularly and appraisal are carried out at least yearly. Records are detailed and up to date. Staff training is ongoing, supervision records show training dates as do training records. Staff supervision allows the member of staff and manager or other nominated person to meet regularly and look at the member of staffs care practice and the care practice in the home, and any improvements that can be made. They also look at future plans in the home, training and the individuals career developments. This improves care practices in the home and makes sure staff are aware of current care practice and residents needs. Marion Gourlay who is a registered nurse has been the registered manager for several years. She has now completed the registered managers award as well as having a diploma in management. She ensures that she updates her skills and knowledge so that she is familiar with any developments in care practice. One member of staff said, She is firm with high standards but is approachable and supportive. Systems are in place for quality assurance. The home has recently been reassessed for and has again met the standards for investors in people, which is a national quality assurance award. There are regular staff meeting and issues discussed can and do affect care practice. Residents and relatives are regularly asked to complete questionnaires by the home. When returned the manager where possible acts on the findings. Residents recently asked for more activities and outings through the questionnaires. Activities have increased since these were returned and the manager is looking at increasing outings. The fire risk assessment is in place and up to date. There are regular fire alarm and emergency light checks. Staff have regular fire safety and moving and handling training and appropriate health and safety checks are in place. We observed good moving and handling techniques using appropriate equipment and good care practices throughout the inspection. However fire safety is compromised by the use of wedges in many doors. The manager said this was because residents were unhappy with their doors closed but this practice affects residents safety. The manager must cease wedging doors open and discuss alternatives to wedges with the fire service to ensure the home is safe. Care Homes for Older People Page 6 of 11 What the care home does well: What they could do better:
Although the care plans were up to date,information was brief and should be further developed, so that staff have more information about residents care needs. There is no strategy for managing a residents challenging behaviour and there should be so that all staff have clear and detailed instructions for managing this behaviour. The manager should send us information to show that the building work has been carried out safely and meets all appropriate standards. Care Homes for Older People Page 7 of 11 The use of wedges in doors must stop to ensure the home is safe and the manager should discuss alternatives to wedges with the fire service. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 8 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 19 23 The use of wedges in doors must stop This is to reduce the risk of residents being harmed by fire. 10/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 7 There should be a strategy for managing a residents challenging behaviour so that all staff have clear and detailed instructions for managing this behaviour. Information in care plans is brief and should be further developed, so that staff have more information about residents care needs. The manager should send us information to show that the building work has been carried out safely and meets all appropriate standards. 2 7 3 19 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - 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!
