Inspection on 12/12/08 for Parade Rest Home

This inspection was carried out on 12th December 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parade Rest Home 30/11/07

Parade Rest Home 12/09/06

Parade Rest Home 07/02/06

Parade Rest Home 05/09/05

Parade Rest Home 03/02/05

Parade Rest Home 25/10/04

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parade Rest Home 31 Raikes Parade Blackpool Lancashire FY1 4EY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christopher Bond     Date: 1 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Parade Rest Home 31 Raikes Parade Blackpool Lancashire FY1 4EY 01253293172 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Yvonne Kerr,Mrs Jean Margaret Hartley Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of service users who can be accommodated is: 14 Date of last inspection Brief description of the care home Parade Rest Home is an establishment that caters for elderly people who have dementia. The home is family run and has been established for over 20 years. It is situated in a quiet residential area of Blackpool and is close to the town centre. There are a number of shops within walking distance of the home and it is close to bus routes. Stanley Park is also a short distance away. The home is registered for 14 service users. There are six single bedrooms and four of the rooms are shared. Information relating to the homes Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This Care Homes for Older People Page 4 of 27 Over 65 0 14 Brief description of the care home information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: As part of the inspection process an unannounced visit took place over a total of 5 hours on the 28th November 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were examined. We spoke at length to the owner and manager of the service during the inspection. Three people who used the service were also spoken to as part of the inspection process. The Commission for Social Care Inspection also sent out surveys to the care staff of this home to tell us about their experiences of working at The Parade Rest Care Homes for Older People Page 6 of 27 Home. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. The fees for this service are from GBP 346.00 with extra charges for hairdressing and chiropody. What the care home does well: What has improved since the last inspection? What they could do better: Some of the central heating radiators on the upper floors had not been covered and the temperature was very hot. This increased the risk that a resident of the home could be burned. Steps must be taken to rectify this and risk assessments should be completed to minimise areas of risk. Specialist activities should be introduced specifically for those who have dementia. These activities, if done properly, could help to slow the development of this condition and increase the stimulation and awareness of the people who use this service. Care Homes for Older People Page 8 of 27 The owners of the home need to continue to renew and replace old and damaged furniture. Some of the furniture looked tired. This will help to improve the environment for the people who live at the Parade Rest Home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. Peoples needs are assessed to ensure that the home can meet their specific requirements. Evidence: The manager of the home told us that all of the people who were thinking of going to live at this home had clear and concise information about the purpose and role of the service. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them.We saw this information whilst we were there. There were good pre-admission assessments held on the residents personal files: these were completed before people came to live at the home to ensure that individual Care Homes for Older People Page 11 of 27 Evidence: needs could be met appropriately by the care staff. The home does not supply intermediate care and this standard has not been assessed. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously. Evidence: We saw that people were well dressed and looked well cared for. A hairdresser visited the home on a regular basis, an event that people looked forward to. The carers who were on duty during the inspection were polite and respectful when speaking to the people who use the service. All of the residents that we spoke to who were able to tell us were pleased with the standard of care that the service gave. One resident told us, Im very well looked after. We also spoke to a visitor to the service. This person was happy with the service that was provided and commented, I know my mum is well looked after and is always nicely dressed. Everyone who lived at this home had a care plan that explained the current health and Care Homes for Older People Page 13 of 27 Evidence: social needs of the people who used the service, and how the care staff should care for them. We saw that the care plans had been reviewed by the manager on a monthly basis and that there was sufficient information available for the carers to know what peoples needs were and be consistent in the way that they delivered care. There were records to show when those resident who were on prescribed mediation were given this at the correct times. There were no unexplained gaps and medication was stored and administered correctly. We looked at the medication information for most of the people who use the service and found this to be good, with plenty of information available for the carers who were responsible for giving out the medication. There had also been training in medication awareness for care staff. There were policies and procedures for the trained staff to follow regarding the administration of medication. The manager of the service acknowledged that the staff needed to have specialist knowledge to care for people who had dementia. There had been recent training for the care staff in Dementia Awareness to help improve the knowledge, skills and abilities of the care staff when caring for people with this condition. We found that no one who lived at this home had pressure sores and that there was equipment available within the service to help prevent these. There were pressure pads on the chairs in the lounge area, and special mattresses were available for the people who use the service to help with tissue viability. The district nurse was visiting the home at the time of our visit and there were records on the care plans regarding doctors visits. The manager also told us of the contact the service had with the Community Psychiatric Nurse and the advice and support that was received. Good contact and support from health care professionals helps the service to care for people properly and professionally. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides activities to help the people who use the service to remain alert and active. Catering arrangements were good and people looked forward to mealtimes. Evidence: There were no planned activities, or a programme of regular social events. No information was provided for the people who used the service to tell them what activities were happening, and when.There were, however, regular unplanned activities for the people who used this service such as bingo, sing-a-longs, videos of old musicals etc. A professional entertainer visited the home on a fairly regular basis. There were lots of events to look forward to for the residents as it was coming up to Christmas. The manager told us what was happening over the festive period. Some of the residents did not have families to visit them and presents were provided by the home to help them to feel included and at home at this sensitive time of year. There were no specialist activities for those people who had dementia. The Manager should consider introducing these, considering that the home is registered to provide specialist care for people with dementia. Care Homes for Older People Page 15 of 27 Evidence: The owner of the home commented within the Annual Quality Assurance Assessment that the residents had the opportunity to follow their religious faith and that there were visits to the home by priests and other people of religion. There were also visitors to the home whilst we were there. We spoke to one visitor who said that they were pleased with the service that was being provided and that they were always made to feel welcome and valued. This person commented, They always look after us when we visit. The manager told us that she encouraged relatives and friends to visit the home. The residents that we spoke to said that the food was good and that they looked forward to mealtimes. One resident told us that the food was excellent. Lunch was being served whilst we were there. People were being served politely and there was a nice dining area for the people who use the service to enjoy their meals in. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear, meaning that people who use the service and their representatives can voice their opinions easily and know that their concerns will be taken seriously. Evidence: The service had a complaints procedure that told people the action to take if they had concerns about the home. This was detailed in the Service User Guide and was usually on the notice board of the home in the dining area. Unfortunately this had been taken down by care staff the night before our visit and could not be located. It is important that this procedure is displayed where everyone can view it. The manager said that this would be addressed when the procedure was found. The manager confirmed that complaints were important to the service in order that it may improve and were to be used as a quality monitoring tool. She also confirmed that most concerns could be sorted out prior to them reaching a formal stage. Three of the care staff told us via surveys that they knew what action to take should a person wish to voice their concerns about this service. There had been recent training for the care staff in ensuring that the people who use the service are safeguarded from harm. This training is important because the care Care Homes for Older People Page 17 of 27 Evidence: staff are more able to recognise areas of poor practice, should they occur. The home also had a whistle blowing policy for the carers to use when reporting incidents that they are unsure about whilst knowing that their concerns will be taken seriously by the manager. Most of the care staff had also had instruction on safeguarding practices via a nationally recognised qualification in care (National Vocational Qualification in Care level 2). Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a clean, pleasant and well -maintained environment. Evidence: There were two lounges at this home. Most people used the main front lounge. This was nicely decorated, traditional and homely and the residents looked relaxed and content whilst watching TV. The rear lounge also had a dining area, and an area where the carers worked from with a desk and storage units. The manager talked about the possibility of moving some of the paperwork and office items to an upstairs room. This would give the people who use the service some more room and the dining area could be extended.This would separate the carers working area and make this area more homely. There was as yard area at the back of the house where the people who used the service could sit out in warmer weather. Each of the bedrooms that we saw was personalised with belongings, ornaments, pictures and photographs. One person had brought much of her own furniture from her previous home. Personal possessions help people to feel relaxed and at home.There were several communal bathrooms throughout the building with both shower and bath Care Homes for Older People Page 19 of 27 Evidence: facilities. None of the bedrooms had en-suite facilities. Some of the bedrooms had been re-carpeted and redecorated since our last visit. New curtains had been added and new bedding purchased. Some of the bedroom furniture was looking quite tired and the owners of the service should consider replacing some of this to make the bedrooms nicer. It was a cold day whilst we were there and the home felt warm and comfortable. The rooms were fresh and clean and there were no unpleasant smells anywhere in the home. This is important because people like to live in a clean environment with nice things around them. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good recruitment procedures at this home help to protect the people who use the service from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. Evidence: Each of the care staff had a training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at several of these during our visit. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. Safety training had also taken place in areas such as medication awareness and helping people to move around the home safely. Over 50 of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3 in care). A well -trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. Recruitment for the service was good and each carer had the proper checks completed prior to starting work. This helped to ensure that the people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Vulnerable Adult Scheme prior to employment. Care Homes for Older People Page 21 of 27 Evidence: There were enough care staff and trained staff on duty at the time of this inspection to ensure that the assessed needs of the residents were being attended to properly. The care staff that we spoke to were pleasant and treated with the residents with respect and politeness. Two people who use the service were able to tell us that they were pleased with the amount of care staff that were available, and that they felt well cared for. We received three surveys from care staff at the home. All three said that there were usually enough care staff on duty to meet the individual needs of the people who used the service. The surveys also told us that the care staff were being given training that was relevant to their role. This is important because good and frequent training helps to ensure that the care staff have the right knowledge, skills and ability to do their jobs properly and professionally. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. c Evidence: This was a family run home. The manager had run the home for a number of years and had several years experience in the care sector. The service was managed well and the requirements made during our last inspection had been addressed properly. The care staff received regular training in areas of safety around the home: this included fire safety, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the people who use the service was Care Homes for Older People Page 23 of 27 Evidence: being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the people who use the service. Certificates were available to show that the service had been properly insured. This helped to protect the people who used the service. We noticed that there were radiators on the upper floors that were not covered and were quite hot to the touch. This was particularly evident in one of the bathrooms. There were thermostats on each of the radiators to help ensure that they dont get too hot, but these had been overridden. We did not see any risk assessments to guide the care staff and to alert them of a possible danger and these need to be completed as soon as possible. Where possible the radiators should be covered, as they are in the rest of the home, to minimise the risk of people being burned. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 37 13 Radiators and pipe work must have guaranteed low surface temperatures. Where this is not possible, covers should be provided to minimise the risk of injury to the residents of the home. Risk assessments must be undertaken for all radiators and appropriate methods must be implemented to prevent people being burned on hot surfaces. 16/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 A planned and regular programme of activity should be introduced that includes specialist activities and events for those people who have dementia. The furniture in some of the bedrooms is old and in need of replacement. The owners of the service should continue to upgrade the furniture and decoration to help ensure that the home is a nice place to live. 2 24 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!