Inspection on 15/11/05 for North Shore Care Home

This inspection was carried out on 15th November 2005.

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

North Shore Care Home 22/05/07

North Shore Care Home 27/11/06

North Shore Care Home 13/06/06

North Shore Care Home 05/07/05

North Shore Care Home 11/11/04

North Shore Care Home 27/04/04

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

CARE HOMES FOR OLDER PEOPLE North Shore Care Home North Shore Care Home 3 St. Stephens Avenue North Shore Blackpool Lancashire FY2 9RG Lead Inspector Mrs Jackie Riley Unannounced Inspection 15th November 2005 09:30 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 North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 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. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service North Shore Care Home Address North Shore Care Home 3 St. Stephens Avenue North Shore Blackpool Lancashire FY2 9RG 01253 351824 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 Brenda Christine Bell Mr. Keith Bell Care Home 25 Category(ies) of Dementia (25) registration, with number of places North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A qualified nurse must be on duty at all times in the home. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 5th July 2005 Date of last inspection Brief Description of the Service: North Shore Nursing Home is an establishment providing residential and nursing care for up to 25 residents, who suffer from dementia. The home is situated in a residential area of Blackpool. There are three floors and a rear extension. There are twenty-three single rooms of which sixteen are en-suite. Security pads are in place at the front door and between the ground floor corridor and the extension area, this is for the safety of residents. The home is equipped with an appropriate range of aids and adaptations suitable to meet the needs of residents living at the care home. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for 2005-06. It was unannounced and undertaken during a weekday period. The inspection examined a number of standards, including Nutrition, Privacy and Choice, Financial management, Environmental standards and health and safety issues which will be focused upon in the main body of this report. During the inspection the manager and individual staff members assisted the inspector with the process. Due to the high level of dementia suffered by residents it was not possible to gather comments, however the report will reflect the observations made during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Currently there is no registered manager in post. The homeowners have communicated with the Commission in respect of this but a decision must now be made and application submitted. This will also ensure the conditions are registration are met. This is also important to ensure that the home is managed effectively at all times. Please contact the provider for advice of actions taken in response to this North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 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 North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 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): 4 The assessment records provide a complete insight into the needs of residents and describe how their needs will be met. EVIDENCE: A review of the homes assessment records has been completed and now the records provide a clear picture of the individual needs of residents and how there needs will be met, so that they receive the appropriate level of care. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 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 the following standard(s): 9, & 10 Medication administration and recording has been reviewed for the protection of residents and staff. The staff team protects residents Privacy sensitively, so that their respect is upheld. EVIDENCE: A full review of the medication system has taken place so that procedures now in place protect residents and staff. The staff team, who are aware of the need to be sensitive in situations, when, due to the level of confusion experienced by residents living there, there are occasions when individual residents may demonstrate behaviour, which would cause their level of Privacy to be displaced, upholds residents Privacy. Observations made and general discussion with staff confirmed staff know how to deal with situations when they arise. There are no locks on bedroom doors due to the levels of confusion of residents, which may cause additional risk to themselves or others. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 10 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): 14 Choice is limited due to the level of confusion experienced by residents living there, however there are systems in place to make sure choice is not totally restricted. Resident’s nutritional needs are met by a balanced diet. EVIDENCE: Due to the high level of confusion residents suffer due to various levels of dementia, choice is limited. This was not seen to be restrictive, due to the level of knowledge of the staff team, who said they get to know individual residents likes and dislikes and so can offer choice in their individual daily lives. Resident’s nutritional needs are met by providing a balanced diet. The chef said “we buy all the food as fresh as possible and use local suppliers”. Special diets are catered for and staff spoken to said, “we know their likes and dislikes”, so that they get what they like. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 11 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): These standards were not inspected. EVIDENCE: North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 12 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, 21, & 26 The homes environment is well maintained, with good adaptations in place for the comfort of people who live there. EVIDENCE: The homes environment is maintained to a high standard, so that people who live there have a comfortable environment in which to live. The home is clean and hygienic with no evidence of offensive odours. All rooms are decorated individually, with most residents having personal items of furniture or possessions in their rooms. There are a number of bathrooms with a variety of bathing adaptations, so that residents with mobility problems can bathe in comfort. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 13 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): 19 Recruitment procedures have been reviewed and revised for the protection of residents. EVIDENCE: Residents are protected through the revised recruitment procedures now in place, which makes sure all applicants have undergone ‘fitness’ checks prior to commencing work at the home. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 14 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): 35,& 38 The home has systems in place to make sure residents are protected and safe at all times. EVIDENCE: There was evidence of the homes management team having systems in place to make sure residents and staff are protected by those systems. However there is no registered manager in place at the home. This must now be given consideration and an application must be made. There is a good system in place for the management of residents monies and personal allowance, so that residents money is kept safe and is accessible at all times by designated persons for the protection of residents. North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 15 Current certificates are in place for all services including, Gas, Electric, lift, all adaptations, fire and water, to ensure the health safety and welfare of residents and staff are protected North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 16 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 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 17 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. 6. Standard OP31 Regulation 8 Requirement There must be a suitably qualified, competent registered manager to operate the care home. Timescale for action 31/01/06 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 North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 18 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 North Shore Care Home DS0000006065.V266446.R01.S.doc Version 5.0 Page 19 - 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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