Inspection on 22/05/07 for North Shore Care Home

This inspection was carried out on 22nd May 2007.

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 27/11/06

North Shore Care Home 13/06/06

North Shore Care Home 15/11/05

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 09:30 22nd May 2007 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.V337003.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. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 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) st_stephens@btconnect.com Mrs Brenda Christine Bell Mr Keith Bell Thelma Reith Care Home 25 Category(ies) of Dementia (25) registration, with number of places North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 25 service users to include:*up to 25 service users in the category of DE (Dementia). 27th November 2006 Date of last inspection Brief Description of the Service: North Shore care home with nursing 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. The home is equipped with an appropriate range of aids and adaptations suitable to meet the needs of residents living at the care home. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home, however it should be noted that due to the level of understanding of most residents due to dementia, most of the information is used by relatives or advocates of the resident. At the time of the inspection the fees ranged from £357.34 to £500.00 per week. North Shore Care Home DS0000006065.V337003.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 inspection and took place over an eight-hour period, on the 22/23rd May 2007. The Inspector spoke to the homeowner, manager, four staff, and a group of residents, however it should be noted residents living in the home have very limited communication skills, but reference will be made throughout the report as to how they experience life in the home through observations made at the times of the visits, and information provided through surveys. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. There have been two surveys returned and comments in the surveys will be used throughout the report in order to reflect what people who use the service think of it. The records of four residents and two care staff were examined as part of the inspection process. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. What the service does well: The home is being managed well so that users of the service are receiving a good level of care by a trained and motivated workforce. Comments received from staff included, “we all work really well together”, “I’m going on different training courses so that it helps me to improve what I do”. Records of residents living at the home are complete and provide evidence of the needs of the resident, so that staff can directly identify their individual needs and meet them. A designated chef at the home prepares meals. They were seen to be wholesome with individual choice available as well as the home meeting specialist diets. Food seen is prepared using fresh produce wherever possible, and residents were seen to enjoy a lunchtime meal. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. North Shore Care Home DS0000006065.V337003.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 North Shore Care Home DS0000006065.V337003.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures are clear and precise to ensure the needs of the residents are met. EVIDENCE: Prior to an admission taking place there is a full assessment carried out by either social services or healthcare professionals. In addition the manager of the home undertakes an assessment so that the individual needs of a resident are identified and staff have the information to deliver care to meet the needs of the resident. Staff spoken to demonstrated a good knowledge of individual residents needs, and how those needs are met on a day-to-day basis. One staff member said, “We look at the individual assessment records so that we know what the needs of residents are, the manager and senior care also tell us what the needs are”. Four records and files were examined and have improved since the previous inspection, by providing complete information about the needs of the resident. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 9 There is a current change over for the recording systems in place. New records seen are very comprehensive and much clearer to follow. Staff commented on how much better they are to complete. This will make sure records are providing a full and clear audit of the care being provided. North Shore Care Home DS0000006065.V337003.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. 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. Healthcare needs are met, however records are not always in order therefore having the potential to miss essential information. Medication practices are safe to protect the residents. Privacy and Dignity is recognised and respected by staff. EVIDENCE: The four files and records seen in addition to other evidence collected through observations confirmed the home endeavours to meet the healthcare needs of residents living in the care home. Staff spoken to say, “we work well with the doctors and district nurses who come regularly”. “ If any resident needs an appointment with the optician or dentist then we sort it out for them”. One file seen had information recorded about the health needs of the resident, however some were not in order and staff may be confused by this when providing treatment. The manager agreed this would be addressed with immediate effect. The introduction of a revised recording system will improve this area due to the clear structure of the records. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 11 The staff team are motivated and demonstrated a good knowledge of the individual needs of residents, and how residents display individual personalities, which at times can be challenging. Staff spoken to said, “they all have their own personalities which is wonderful and makes working here all the more enjoyable”, “it can be challenging but we are trained how to manage difficult situations”. Examples of staff dealing with challenging situations during the inspection process confirmed this was the case. Staff managed a challenging situation with care and sensitivity, so that a good outcome was achieved for all concerned. Medication storage and administration is carried out in accordance with the homes policies and procedures. Staff spoken to had good knowledge of this and make sure medication is managed safely. Records seen were complete and found to be satisfactory. The staff team spoke of how they make sure all residents rights to privacy and dignity are upheld so that at no time is anybody disadvantaged. Staff members were seen to assist residents in a dignified and sensitive way, as well as making sure doors are closed in toilets and bathrooms. Staff spoken to say, “we are always keeping a look out to make sure the residents dignity is upheld, I always think it could be me or one of my family one day”. “We try and make sure the toileting of residents is done so that it is not obvious”. Comments received from relatives of users of the service said, ““they look after the residents in a kind, caring, patient and professional manner”. “Care is of an excellent standard”. “Excellent standard of care. The carers are patient, kind, caring and professional”. North Shore Care Home DS0000006065.V337003.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. 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. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. EVIDENCE: The home has developed its activity programme to make sure the needs of residents with dementia are met. They are continuing to look at expanding this programme so that it is varied for residents living at the home. Staff spoken to say, “We know who likes what activity, so that those who like them can join in those who don’t can do other things”. There was an entertainer performing in the home during the inspection visit. Residents were observed to be enjoying the programme and joining in on occasions. It was an informal programme in which staff residents and some visitors were seen to enjoy. There are no restrictions for visitors coming into the home, at any time, so that this fits in with relatives who may work specific hours. Visitors have been seen to come and go at various times of the day. Diet and nutrition is taken seriously. There is a good choice of meals prepared using fresh ingredients whenever possible. The chef has a good knowledge and North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 13 understanding of the personal preferences of residents as well as the need to cater for special or cultural diets, so that nobody is disadvantaged in any way. North Shore Care Home DS0000006065.V337003.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. 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. Residents are protected by a satisfactory complaints and safeguarding adults procedure. EVIDENCE: Residents or relatives are provided with the homes complaints procedure, which informs them how to raise a concern or complaint and what the process will involve. As many of the residents living at the home have a range of dementia conditions the home recognises relatives need to be involved with the process so that they are not disadvantaged. Comments received from relatives included, “I am aware of a complaint procedure but have never had to use it”, “I know who to speak to but the need has never arisen”. There has been one complaint investigated since the previous inspection with full co-operation of the homes management team, and staff. This was not found to be substantiated, but advice and guidance was provided to the management team. The home has improved the training for staff in respect of safeguarding adults so that people are protected. Staff spoken to said, “I’ve been on the training and it’s really useful”. There is evidence of ongoing training in this area so that all members of the staff team will undertake the training on a continuous programme. North Shore Care Home DS0000006065.V337003.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. 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. The premises provide an environment in which residents can feel comfortable. The home is well maintained both internally and externally. EVIDENCE: The home is maintained to a high standard so that people living there are provided with a safe, clean and comfortable environment. Comments received included, “they are always doing something, like replacing carpets or decorating so it always looks nice”. “It’s a nice place to work in and really bright”. There is a passenger lift in place for people with poor mobility; in addition to this there is a wide range of aids and adaptations in place to meet the specific needs of users of the service. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 16 There is a specific maintenance team in place who manage the structural and environmental standards for the home. This makes sure all areas of the home both internally and externally are well maintained. North Shore Care Home DS0000006065.V337003.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are good ensuring the safety and protection of the residents. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: Observation of duty rotas and discussion with manager and staff confirmed there were sufficient numbers of staff on duty to ensure the resident’s are supported and their needs are met. Comments included. “Its better now that we have more staff on duty”. “We all work well together as a team”. “I feel really supported in what I do” Examination of staff files confirmed the recording procedures of the home are good. Staff records include, application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA) disclosures and references. Examination of training records and staff spoken to confirmed there is a wide range of training opportunities for all levels of staff. Staff members spoken to said “We are supported and encouraged by the management team to attend training”. Another said, “ there’s never a problem with access to training”. Discussion with the manager and examination of records confirm the target of 50 of care staff have completed National Vocational Qualification (NVQ) level 2 in care so that the workforce is trained and competent in caring for users of North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 18 the service. One member of staff said, “I’ve really enjoyed the NVQ training it was really useful”. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 19 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. 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 and policies in place for the protection and safety of staff and residents are good. EVIDENCE: The registered manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. Staff spoken to say they found the management team to be supportive providing clear leadership. Comments included,“ the manager is approachable and really helpful”. “If we aren’t happy about something we know if we say something it will get looked at”. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 20 There is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. There is evidence of regular monitoring visits by members of the senior management team and a report is made available identifying how the home is operating on a day-to-day basis. There are recorded staff meetings and resident family meetings to gather information about the views and wishes of all users of the service, so that a good outcome can be achieved. All appliances in the home are checked regularly for the health and safety of all users of the service. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 21 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP3 Good Practice Recommendations The transition of recording methods should continue so that the records are easier to identify the needs of residents and how those needs are met. North Shore Care Home DS0000006065.V337003.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 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 © 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.V337003.R01.S.doc Version 5.2 Page 24 - 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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