This inspection was carried out on 3rd June 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.
CARE HOMES FOR OLDER PEOPLE
Princess Alexandra Blind Bosworth Place South Shore Blackpool FY4 1SH Lead Inspector
Kevan Royston Unannounced 3 June 2005 10:00 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. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Princess Alexandra Home for the Blind Address Bosworth Place South Shore Blackpool FY4 1SH 01253 403091 01253 767590 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) Blackpool & Fylde Society For the Blind Miss Elaine Wright CRH CareHome 40 Category(ies) of SI Sensory Impariment 2 registration, with number SI (E) Sensory Impair over 65 38 of places Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: The registered numbers to include two (2) named persons between 50 and 65 years of age. Date of last inspection 2 November 2004 Brief Description of the Service: The Princess Alexandra Home for the Blind is registered for 40 people aged 60 and over who are visually impaired. The home is situated in its own grounds close to the sea front and south shore shopping centre. Local bus and tram routes are near by. All the rooms are single occupancy and provide ensuite facilities. Communal bathrooms and toilets provide aids and adaptations. There is lift access to the second floor. There are several communal lounges located on each floor with a large dining room on the ground floor. The outside of the building provide large lawned areas and seating is available for the residents. There is a ramp access at the front of the building. Transport is provided for trips out for the residents. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 4 hours. The Inspector spoke to the registered manager two staff members, six residents, and one relative. Records of residents were also examined. A partial tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the visit. What the service does well: What has improved since the last inspection?
The home now has designated staff hours to arrange activities and trips out. One resident spoken to said, “I really enjoy the trips”. The home has recently achieved the ISO (International Standard Organisation) award, which ensures the delivery of care and support to the residents, and staff is to a high standard.
Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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) 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents were examined and all had full assessment information. Two of the residents are self funded and had been assessed by the home; the other had a full social services assessment on file. One resident confirmed she had been involved in her assessment and was happy that her needs were being met by the home. Another resident spoken to was aware of the assessment process and was able to explain the process of admission to the home. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 and 10 Promotion of health is taken seriously. Residents welfare is closely monitored and health needs are identified and met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. Examination of the records show risk assessments, care plans, activities preferences, reviews and other personal information are up to date and reviewed with the involvement of the resident. One resident said, “I like to be involved in the care given to me and the staff are very willing to help us.” Discussion with staff and registered manager confirmed they were aware of the needs of residents and the level of care that was required. Medication practices observed were safe and good records had been maintained.
Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15. Contact with families is encouraged and supported by staff to maintain relationships. Activities and meals are varied and well managed and choice is provided. EVIDENCE: An agency “Sodexho” makes meals on the premises and employs staff. Meals were seen to be wholesome, with menus balanced and interesting. Meal times are set although flexible enough to accommodate preferences. Special diets are accommodated. Two residents spoken to say the meals are good with a choice. One resident said “We do get what we like; there is a choice”. The registered manager said there is often “theme days” which means special food and meals are provided to coincide with the particular theme of the day. One resident said, “I enjoy the special food days its fun.” There was evidence of structured activity programmes. One staff member had a keen interest in arranging activities for residents. These were varied and arranged individually and in groups. A resident spoken to said “I enjoyed the trip out the other day we didn’t get back till late it was a bit tiring but I really enjoyed it.” A notice board at the home informs residents and relatives of special events. One resident said “I would like trips out more often”. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 11 Residents spoken to confirmed visitors are allowed at any time of the day or night. Residents spoken to said they have brought personal belongings into the home for their bedrooms. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 standard(s) This section of standards was not assessed. EVIDENCE: Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 standard(s) This section of standards was not assessed. EVIDENCE: Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 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) 28. Staff are well trained ensuring they have the competencies to meet the residents needs. EVIDENCE: Records show training is ongoing further staff should achieve NVQ (National Vocational Qualification) training to meet the 50 required by legislation. The core standards were not assessed. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 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 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) 36 Supervision of staff is now undertaken regularly ensuring staff have clear communication links between themselves and management to discuss present and future development needs both personal and in their work role. EVIDENCE: Examination of records show staff supervision takes place at least six times a year in line with standards. Staff spoken said the manager is approachable at any time and any issues are discussed at supervision sessions. The core standards were not assessed. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 x x x x x x x x STAFFING Standard No Score 27 x 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x 3 x x Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 17 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 28 Good Practice Recommendations 50 of care staff should complete level 2 NVQ in care by 2005. Princess Alexandra Blind F57 S9733 Princess Alexandra V211606 030605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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