Inspection on 05/12/06 for Northlands Village Rest Home

This inspection was carried out on 5th December 2006.

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

Northlands Village Rest Home 13/03/06

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 Mrs Christine Marshall Unannounced Inspection 5th December 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.V303361.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. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 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@btinternet.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.V303361.R01.S.doc Version 5.2 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 March 2006 Date of last inspection Brief Description of the Service: Northlands Village Rest Home is a residential care home, which provides personal care for up to fifteen persons aged 65 and above. The home is a two storey detached property and provides fifteen single rooms for residents. There are two lounges, a dining room and a quiet library. A passenger lift provides easy access to first floor areas. Northlands is situated close to the village of Great Eccleston and is within easy reach of shops and local amenities, including the health centre. The home is owned and managed by Mr Simon Dickinson and Mrs Christine Dickinson. At the time of this visit, (05/12/06) the information given to the commission showed that the fees for care at the home are from £375 to £422.50 per week, with added expenses for hairdressing, chiropody and newspapers. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process of Northlands included a site visit to the home which was completed in one full day, and unannounced, which means that the owners, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service, alongside their relatives, and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home included looking at bedrooms, lounges and dining areas, toilets and bathrooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. Comment cards were sent to the home for residents and relatives to fill in; a good number were returned, and these showed a good level of satisfaction with the care at Northlands. A pre-inspection questionnaire was completed by the owners, and forwarded to the commission before the inspection visit; this offered good information about the home and its policies, and enabled the commission to gather comments and feedback from visiting professionals such as GPs, prior to the inspection visit. Resident’s were spoken with and their comments included – “Everything is alright here.” “They (the staff) are really good and always come when I ring for help.” “It is a nice home.” A visiting relative said that they were happy with everything at the home and had no complaints to make. A visiting district nurse gave good testimony about the home and care staff. Discussions took place with the owners Mr and Mrs Dickinson and members of the care staff. Administration records were also looked at. Everyone at the home was friendly, welcoming and co-operative throughout the visit. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Contracts of care from the funding authority are not always in place before or on the day that a resident is admitted to the home. The home holds a block contract with the local authority, however individual contracts of care are not given by the home and these must be provided, so that each resident is aware of the terms and conditions of living at Northlands. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 7 The home provides a very good standard of care, however medication records showed that the carers were occasionally not signing the records when they were giving the residents their drugs. The owners are addressing this as a matter of priority. There were locks on bedroom doors, and this is good practice, however these locks were the type that do not have keys for the residents’ to hold if they wish. Safety Yale locks would provide this added equality of choice of privacy for residents’ bedrooms. The owner is now developing a plan for safety locks to be fitted over a period of time. 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. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 8 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.V303361.R01.S.doc Version 5.2 Page 9 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): Standards 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides enough information about their service, and gathers good information about prospective residents, so that their needs can be met. EVIDENCE: Three residents were asked if they had been given a Statement of Purpose and Service Users Guide before entering the home; this was to see if they had been given the right information about the home before making any choices about living there. Each resident confirmed that either they or their relatives had been given this information. They were also asked if they were made aware of changes in the cost of their care and each confirmed that they had been advised about this in Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 10 the Statement of Purpose and Service Users Guide, but there had been no increase since they entered the home. The three residents were also asked if they had a written contract of care or statement of terms and conditions and each said that they thought that they had; however only one written contract could be found at the home, and this was for a privately funded resident: A copy of a contract of care is always given with the Service Users Guide and Statement of Purpose, but the two residents who were locally funded did not have an individual contract in place. None of the residents were able to say whether or not there had been any changes to the contracts. The owners are now making sure that all residents have a contract of care. A requirement in respect of this has been made at the end of this report. The pre-admission assessments were looked at for the three residents’ and these were completed extremely well; they were very comprehensive and included all aspects of physical, social and psychological care, making sure that the prospective resident’s needs were identified, and that the home could provide the care that was needed. These assessments were done by the owner Mrs Dickinson, and agreed by the resident and/or their family. The residents were asked if they had been visited before going into Northlands and all confirmed that they had been assessed before entering the home. Generally all residents were assessed by the same tool, thus promoting equality of assessment and care provision. These assessments were commendable. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 11 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): Standards 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. The residents health and social care needs were met and people were treated with dignity and respect at this home. EVIDENCE: Care plans are written records that describe the care that is given to each resident. These were looked at and found to be very informative, individual and reviewed and updated. All aspects of care had been considered, including a good social history. These were commendable. Some of the residents were unable to say that they knew about their care plans; others were able to confirm that they knew about them, but that they were not really interested. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 12 Health care opportunities were offered equally to all residents and there were records of GP, chiropody and physiotherapy visits. The medication system was looked at and found to be basically satisfactory. One medication sheet had been hand-written, and it was advised that when any records were handwritten, then the signature of the person who had written them should be in place, with a witness signature as well. This is to make sure that any hand written drugs instructions are recorded correctly. This will also avoid any errors and will safeguard the resident. The residents were seen to be treated with respect, privacy and dignity, and there were good personal interactions between residents and carers. Each bedroom door had a lock, and this is good practice and provides the resident with some privacy; however these locks do not have keys and can be opened by anyone from the outside. The fitting of safety Yale locks would enhance the residents’ privacy and independence, and the resident’s should be given the option of retaining the key. The owner Mr Dickinson agreed with this and is now planning to offer safety locks to all residents currently in the home: he also agreed that whenever a room becomes vacant, a safety lock would be fitted. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 13 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): Standards 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. The residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: The home offers activities such as board games, reminiscence and manicures for the residents. There are regular outings arranged and there was a good Christmas programme being put together for the residents. Religious ministers also visit the home. Residents who were able said that they preferred just have quiet time rather than organised entertainment or activities: They also said that they had full choice of what they wanted to do in their daily routines. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 14 A number of residents said that they enjoyed having their relatives visit and that they were always welcomed by the staff at the home. A visiting relative said that they were always welcomed at the home, was very happy with the care of her mother, and had a very good relationship with everyone there. There is a full choice of breakfast and morning tea or coffee with biscuits: The midday meal served at the home during the visit looked appetising. There was a set main course, but with a choice if preferred. There is equality of choice for every resident and there was also the same sweet choice for diabetic diets, as sweeteners are used instead of sugar. The home caters for any other preferred diets that are requested or required, for example vegetarian, diabetic and gluten-free food. The evening meal also offers full choices, with afternoon tea and suppers available. The residents said that the food was alright and that they had plenty of choice. The mealtime was relaxed and unhurried, with the carers helping discretely when needed. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported and protected. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said that they were aware of these. There have been no complaints either to the home or to the Commission for Social Care Inspection. Three residents were asked if they knew about the complaints procedure and who they would speak to if they were unhappy; each of those spoken to said that they knew about the procedure and who to speak to; however they insisted that they had no complaint to make at all. A visiting relative said that they knew about the complaints procedure and who to speak to if they were unhappy; however they insisted that they had no complaints to make about the home. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 16 All staff records show that abuse awareness training had been given and staff confirmed this. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 17 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): Standards 19,20,21,22,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a comfortable environment and bedrooms were personalised. This means that residents feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was more than satisfactory and furnishings were comfortable. There is equal access to all areas of the home for residents and visitors with mobility problems, in that there are wheelchair ramps and a passenger lift in place. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 18 There were aids and adaptations in place to give equal access and to help with the residents’ toilet and bathing needs. Most of the residents were able to say that they were happy with their rooms, and all the bedrooms that were visited were clean, very personalised and comfortable. The laundry area was clean and hygienic but the floor was in need of repainting. The owner agreed with this and is planning to do this in the near future. Policies are in place for the prevention of any cross infection and domestic staff said that they knew about this. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 19 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): Standards 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 residents care needs were met through adequate staff provisions who were appropriately trained. EVIDENCE: The home’s equal opportunities policy is reflected in that there were male and female staff, between the age of 18 and 65 working at the home. The list of staff on duty showed that there were adequate levels of carers and domestic staff on duty. Residents who were able said that they never had to wait very long for the carers to help them and that they were happy with the levels of staff on duty. The carers and the domestic staff were very helpful and showed that there is a good mix of people in place. National Vocational Qualifications (NVQ) and staff training programs are in place and over 50 of carers have currently achieved the NVQ award. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 20 The staff who have completed their NVQ training have also done a unit covering Equality and Diversity issues and this means that they will be aware of how they can make sure that the residents were treated equally, and given care according to individual choice and preference. Recruitment files were satisfactory and showed that rigorous pre-employment checks are done so that the residents were protected. Induction and training files showed that staff were curently being given very good induction and mandatory training. Those files that were sampled showed that there was a very varied programme of training in place that includes falls prevention, first aid, nutrition, values commmunication and relationships, challenging behaviour and infection control. This training schedule was commendable. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 21 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): Standards 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 residents were supported and there were quality systems in place to make sure that they were protected. EVIDENCE: There was a quality monitoring system in place, which is Investors in People (IIP). Some residents were able to say that they were asked about the home and the service and visiting relatives said that they were happy with the quality of care. Regular staff meetings were held and staff meetings were recorded. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 22 Staff said that they were encouraged to be proactive in improving the quality of care that was provided at the home. The pre-inspection questionnaire provided information about residents’ financial arrangements and records that were kept at the home; also information was given that the safety certificates at the home were up-to-date, making sure that the residents were safe and secure. The owners advised that the home’s fire risk assessment was being further developed in line with the recommendations of the recent visiting fire safety officer. Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 23 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 3 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 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.V303361.R01.S.doc Version 5.2 Page 24 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 OP2 Regulation 5 Requirement Individual contracts of care must be given to all residents, regardless of the length of stay at the home, so that they are aware of the terms and conditions. Timescale for action 20/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The owners should make sure that staff are aware of their responsibilities when signing for medication that they have given, so that residents are protected from any errors. Appropriate locks should be fitted to bedroom doors and the keys given to the resident so that they can have full privacy of their room and belongings. 2 OP10 Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way 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 Northlands Village Rest Home DS0000009795.V303361.R01.S.doc Version 5.2 Page 26 - 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. 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