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Inspection on 13/07/05 for Northlands Village Rest Home

Also see our care home review for Northlands Village Rest Home for more information

This inspection was carried out on 13th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The homes admission procedures are excellent and gather detailed and relevant information which lead to very good and comprehensive care plans. These include all aspects of care and the individuals` social needs. Residents and visiting relatives told the inspector that the right levels of care are given, which respects the independence and dignity of residents. Staff showed a good awareness of care plans and the policies and procedures relating to them. Food served to residents is varied and is of a high standard, all food is home prepared. The inspector had a meal with residents; it was nutritious and well presented. Residents said they always have good food and are able to make suggestions regarding what goes on the menus. The home has a stable team of staff who work well together and provide security and continuity for residents. Residents told the inspector that they felt safe and secure with staff at the home and are able to discuss any problems with them.

What has improved since the last inspection?

Delivery of care has improved through provision of on going training for staff. The home places a high importance on training and the inspector was able to see this from staff training records and from discussion with staff. Their approach to care is led by residents

What the care home could do better:

The owners need to ensure that they attain the Registered Managers award by 2007. While the home is managed in an open manner and residents have good access to management this qualification will enhance this process.

CARE HOMES FOR OLDER PEOPLE Northlands Village Rest Home 40 Raikes Road Great Eccleston Preston, Lancashire PR3 0ZA Lead Inspector Patrick Rooney Announced 13 July 2005 10:00am 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. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Northlands Village Rest Home Address 40 Raikes Road, Great Eccleston, Preston, Lancashire. PR3 0ZA 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) 01995 671293 01995 672120 Mr Simon Dickinson and Mrs Christine Dickinson CRH Care Home 15 Category(ies) of OP Old Age 15 registration, with number of places Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one named service user under the age of 65 years with a mental health problem Date of last inspection 11th February 2005 Brief Description of the Service: Northlands Village Rest Home is a residential care home, which provides personal care and accomodation for up to fifteen persons of either sex aged 65 and above. It is registered by The Commission for Social Care Inspection. Medical needs are managed by local general practitioners and district nurses. The home has been owned and managed by Mr and Mrs Dickinson for 17 years and is situated close to the village of Great Eccleston and is within easy reach of shops and local amenities. It is a two storey detached property and provides fifteen single rooms for residents. There are two lounges and a quiet library. A passenger lift provides easy access to first floor areas. Relatives and friends are welcome to visit the home at any time. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and took place over a period of five hours. The information in this report was gathered from a pre inspection questionnaire completed by management of the home, discussion with the owners, discussion with staff and private discussion with visitors and four residents. Another eight residents were spoken to in the lounges. Questionnaires were received from residents and relatives. Letters were sent to social workers, and GPs who have residents on their books. A tour of the premises took place and documents were seen by the inspector. Staff records were examined. Assessments and care records for the three most recently admitted residents were seen and their care was case tracked. Since the last inspection there have been no complaints received regarding the home. What the service does well: What has improved since the last inspection? Delivery of care has improved through provision of on going training for staff. The home places a high importance on training and the inspector was able to see this from staff training records and from discussion with staff. Their approach to care is led by residents Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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 Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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) 1 and 3 The admission and assessment procedure is clear and ensures the care needs of residents are met. Residents are provided with a service users guide and information to enable them to make an informed decision regarding accepting a place in the home. EVIDENCE: The home has good admission procedures to ensure resident’s needs are assessed and planned for. There are individual records kept for each resident. The inspector looked at the admission and care records for four residents. They or their representatives had been given the opportunity to look around the home and were given a service users guide. Each had received a contract and was given a settling in period prior to making a final decision about accepting a permanent place. All had been given a pre admission assessment. This was also confirmed from discussion with visiting relatives. The inspector interviewed the four residents in question and was able confirm with them that they had received information about the home and been offered a temporary period at the home prior to making a final decision to Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 9 accept a place. One resident said, “People are lovely here everyone is so kind, its like home from home. Another said “ its better care than a nursing home its five star”. All residents spoken to said their care needs are met and that they are happy with the care they receive. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 10 Residents have a care plan in which their health and personal needs are closely monitored. Staff provide the right levels of care, which takes into consideration respect, privacy and dignity EVIDENCE: Records seen for four residents, clearly describes their health and personal needs. There are risk assessments, which are clearly recorded. Care plans were excellent in their content and give a good clear direction in the provision of individuals care. Residents and their families are consulted about care plans this was confirmed in discussion with residents and visiting relatives. Staff spoken to demonstrated an awareness of the care plans and the policies and procedures related to them. The inspector was able to observe good interaction between residents and staff when carrying out their tasks. Questionnaires completed by residents and relatives said that residents are treated with dignity and respect and privacy is respected. Residents told the inspector that they receive the right levels of care. They described the management and staff of the home as being very caring and approachable if they have any problems. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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 and 15 Activities are provided both on an individual level and in organised entertainment sessions. Residents are enabled to maintain contacts with family, friends in privacy. There is a good variety of home cooked food available there are always alternatives available. EVIDENCE: The inspector saw a programme of activities and spoke to residents about what they do during the day. They spoke well about entertainers who come to the home. Those who wish can go on outings arranged by the home, one resident has an electric chair and goes around the local village. Recent activities have included Tai Chi sessions and hand massage exercises. Residents said they are encouraged to take part in activities. Staff ensure all have the opportunity to become involved. Staff spoken to showed a good understanding of individual residents needs. Interests and hobbies are recorded in resident’s assessments and care plans. Visitors seen during the inspection said they are always made welcome at the home and can see their relatives in the privacy of their own rooms. Residents also said this was the case and questionnaires returned also confirmed this to be the case. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 12 During the inspection the inspector had a meal with residents. Food served was of a very good standard and all was home made including the ice cream. Residents said they enjoy the food and always have alternatives if they ask. Menus and records of meals served showed a good variety of food is always available. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 13 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 and 18 There is a complaints procedure, relatives and residents are confident that their concerns are listened to, taken seriously and acted upon. There is a vulnerable adults procedure that ensures people living at the home are protected from abuse. EVIDENCE: The inspector saw the complaints procedure. This is made available to all residents and is contained in the service user guide. It is also posted on the homes notice board. There are also leaflets available giving information about independent advocacy. There have been no complaints recorded since the last inspection. Residents and their relatives told the inspector they are aware of the complaints procedure and it is contained in the service users guide. They said that they find the management of the home very approachable and that they are confident any concerns they raise are immediately dealt with. The inspector saw the homes vulnerable adults procedures including the whistle blowing policy. These are in line with the Department Of Health, ‘No Secrets’ paper. Staff spoken to, were aware of the whistle blowing policy and said they would approach the manager if they had any concerns. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 14 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) 19,20,23 and 24 The home offers a good standard of décor and furnishings which provide residents with a homely comfortable and safe environment. EVIDENCE: The inspector toured the home and viewed the rooms of residents, he observed them to be comfortably furnished and contained items residents were able to bring with them when they were admitted to the home. Public areas of the home were seen, and are comfortably furnished and decorated. Residents have a choice of lounges to sit in, with or without television. All residents spoken to said they were happy with accommodation provided by the home. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 15 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) 27,28 and 29 The number of staff on duty is sufficient to meet the needs of residents. Staff are given the opportunity to do the NVQ 2 qualification in care. The procedures for the recruitment of staff are robust and offer protection to people living in the home. EVIDENCE: The inspector spoke to management, staff and consulted rotas and staff records. There is a stable staff group who have the experience and skills to provide care needed. Records show that almost the half the staff employed in the home, are qualified to NVQ 2 in care. In addition the home place importance on providing training for staff. All staff have a first aid certificate and have received training in administration of medication. Questionnaires received from residents and relatives confirmed that staff provide the right level of support to residents. Rotas showed that there are sufficient numbers of staff on duty to meet the needs of residents. Residents said that staff are very friendly and approachable, one resident said, “people here are lovely, everyone is so kind, it is like home from home ”. The files of staff were viewed and showed that all necessary recruitment checks are made including Criminal Records Bureau checks. References are taken up and interviews held. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 16 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 and 35 The home is managed and run efficiently. There is leadership guidance and continuity. Staff and residents are aware of the management structure and know who to go to with any concerns. There are good systems in place to safeguard the interests of residents. EVIDENCE: The owners have many years experience in running the home and are in the process of attaining the registered managers award. This was confirmed in discussion with the owners of the home. The owners are in the home every day and are well known to residents. Residents told the inspector they are able to approach the owners with any concerns they may have and said that these are quickly acted on. They said the owners and staff are very approachable and help them in many ways. The inspector was able to see that there are good procedures in place to protect the interests of residents. All monies and valuables are recorded and kept safely. Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 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 3 x 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 3 x x 3 3 x x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 x x 3 x x x Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 18 no 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. 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 31 Good Practice Recommendations The owners should achieve the Registered Managers Award by Dec 2007 Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 Northlands Village Rest Home F57 F09 S9795 Northlands Village Rest Home V229725 130705 Stage 4.doc Version 1.40 Page 20 - 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!