Inspection on 13/03/06 for Northlands Village Rest Home

This inspection was carried out on 13th March 2006.

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

Northlands Village Rest Home 05/12/06

Northlands Village Rest Home 13/07/05

Northlands Village Rest Home 11/02/05

Northlands Village Rest Home 20/07/04

Northlands Village Rest Home 13/01/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Northlands Village Rest Home 40 Raikes Road Great Eccleston Preston Lancashire PR3 0ZA Lead Inspector Mr Patrick Rooney Unannounced Inspection 13th March 2006 10:00 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 Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Northlands Village Rest Home Address 40 Raikes Road Great Eccleston Preston Lancashire PR3 0ZA 01995 671293 01995 672120 chrisnorthlands@aol.com 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) Mr Simon Dickinson Mrs Christine Dickinson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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 13th July 2005 Date of last inspection Brief Description of the Service: Northlands Village Rest Home is a residential care home, which provides personal care and accommodation 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. The home 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 DS0000009795.V275084.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a five-hour period. Records were consulted and the inspector spoke to most of the residents, including two who were seen in their own rooms. Questionnaires were received from seven relatives and six residents. A tour of the building was carried out. Comments from relatives were very positive and included the following comments; “ I am more than satisfied with every aspect of the care being provided, especially the kindness and patience shown by all the staff”. “We are delighted with the care our mother receives in every way. She could not be better looked after” Comments from residents were all positive and included. “We are very well looked after here, staff help us do what we want” “Staff are very kind and helpful I couldn’t wish for any better” “They couldn’t be nicer, will always help you” What the service 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 individual’s 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. Because the home has a stable staff team who work well together it is able to provide security and continuity for residents. Residents told the inspector that they felt very happy with the care they receive and that they receive the right levels of support from staff. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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 Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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): All the key Standards in this section were assessed at the previous inspection. EVIDENCE: Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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 There are good procedures in place for safe dispensing of medication, however not all those giving out medication have accredited training in dispensing medication. EVIDENCE: Records of medications given out, which were seen on the day of the inspection were in order and signed correctly. In coming medication is signed fro by the senior carer and stored securely. It was noted that most care staff are listed in the medication folder as being able to give out medication. Care staff receive training from the senior carer about how to give out medication, however only three staff currently have received accredited training in the safe dispensing of medication. All those giving out medication should have accredited training in the safe handling and dispensing of medication to fully meet this Standard. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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 The home operates in a flexible way and enables residents to make choices in everyday life. EVIDENCE: Residents are actively encouraged to handle their own finances for as long as they are able to do so. This is covered in the initial assessment; most have their families or a solicitor to take care of their affairs. Information regarding advocacy services is available in the home and leaflets were seen to be available by the notice board. The home does deal with some service users personal allowances, theses are kept securely and records are kept regarding this. Residents and their families have access to information kept, files seen contained the signatures of either residents or their representatives were noted on files. Resident’s comments on the care they receive are; “We are very well looked after here, staff help us do what we want” “Staff are very kind and helpful I couldn’t wish for any better” “They couldn’t be nicer, will always help you” Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 11 Relatives said; “ I am more than satisfied with every aspect of the care being provided, especially the kindness and patience shown by all the staff”. “We are delighted with the care our mother receives in every way. She could not be better looked after” Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 12 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): All the key Standards in this section were assessed at the previous inspection. EVIDENCE: Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 13 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): 26 There are policies and procedures in place to ensure the home is kept clean and hygienic at all times. EVIDENCE: The inspector looked at the homes policies in relation to infection control; these were detailed and ensure staff maintain good infection control systems. A tour of the home took place and the inspector noted that all areas were clean and hygienic. Residents told the inspector that staff always ensure the home is kept spotlessly clean. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 14 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): Staff training is considered important, and is promoted by the home. EVIDENCE: All staff receive an induction, which is conducted by senior staff, currently there is a very stable staff team who have worked at the home for many years. Records of staff training were seen along with certificates. A wide range of training has been carried out by staff employed at the home. There are currently 50 of staff trained to NVQ 2 in care and three staff are currently undertaking this training. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 15 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): 33,35 and 38 There are quality assurance systems in place to ensure the home meets its aims and objectives. Monies kept in safe keeping for residents are administered correctly. The health and safety of staff and residents is taken seriously and measures in place to ensure this. EVIDENCE: Northlands is accredited with Investors in People and carries out its own resident and relatives surveys. The owners are available to residents every day. Residents said that they are approachable and take on board their requests and wishes. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 16 Resident’s personal allowances are kept in a safe and good records are maintained of them. Residents have easy access to their money when they require to go shopping or buying items they need. All staff are required to have health and safety training and records showed all current staff have this training. Moving and handling training is given for all staff and records showed they have all completed this training. Staff have first aid, food hygiene, infection control training. Records showed that all safety checks take place, including fire, electricity and hot water. Risk assessments are carried out to ensure safety in the home, records of these were seen. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 18 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 OP9 Good Practice Recommendations Staff dispensing medication should receive accredited training before being able to carry out this function. Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 Page 19 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 Northlands Village Rest Home DS0000009795.V275084.R01.S.doc Version 5.1 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!