Inspection on 12/09/06 for Parade Rest Home

This inspection was carried out on 12th September 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

Parade Rest Home 12/12/08

Parade Rest Home 30/11/07

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parade Rest Home 31 Raikes Parade Blackpool Lancashire FY1 4EY Lead Inspector Christopher Bond Unannounced Inspection 12th September 2006 09:30 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 Parade Rest Home DS0000009763.V299480.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. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parade Rest Home Address 31 Raikes Parade Blackpool Lancashire FY1 4EY 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) 01253 293172 Mrs Yvonne Kerr Mrs Jean Margaret Hartley Care Home 14 Category(ies) of Dementia (14) registration, with number of places Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: 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. The home has a regular social programme both within and outside of the establishment. Service users’ accommodation is situated on ground, first, and second floors and is accessed by a passenger lift. There are six single bedrooms and four of the rooms are shared. At the time of this visit, (12/09/06) the information given to the Commission showed that the fees for care at the home are from £329.15 per week, with added expenses for hairdressing and chiropody. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a total of 4 hours. A tour of the home included bedrooms, lounge and dining areas, and bathrooms. All areas were clean, hygienic and pleasantly furnished. The residents’ personal files and care plans were examined. Care staff records were also looked at. Safety certificates for the home were also examined. Residents, and care staff were also spoken to during this inspection. What the service does well: What has improved since the last inspection? Some of the windows at the rear of the home had been replaced. The parking area at the front of the home had been re-surfaced. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 6 One of the residents had been purchased a special electronic reclining chair, which helped her to feel more secure and relaxed whilst sitting in the lounge. Some of the rooms have been decorated and some new carpets have been fitted ensuring a pleasant environment for people to live in. Some of the care staff within the home have had recent training in caring for those who have Dementia. This training is very important because this is a home that specialises in the care of people who have Dementia. Training will help the staff understand this condition and provide better care. Staff have also had training in ensuring that medication is handled and administered correctly. This helps to ensure that the residents are safer. 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. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 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 Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough admittance procedures and careful assessment ensures that the home can meet people’s needs. Written information provided to prospective residents is good enabling an informed decision about admission to the home to be made. EVIDENCE: It was clear through looking at the residents’ files that good assessment had been completed before they came to live at the home. The manager stated that she visited prospective residents to find out what their needs were. These assessments contained some good information about what the person’s current needs were. By looking at these needs the manager of the home would then decide whether or not the service could meet the person’s needs. This information would then be used to prepare a plan of care for the resident. The home’s Statement of Purpose and Service Users Guide is a set of written information that tells people about the care service that is offered, who the Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 9 manager and staff are, and what the resident can expect if he or she decides to live at the home. This has been reviewed and updated. The manager confirmed that each resident had been given a copy of this information. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 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 are met and people are treated with dignity and respect at this home. Residents are supported and protected in their daily lives. EVIDENCE: All of the residents living at the home had a plan of care where important information was recorded. All of the plans were reviewed on a regular basis so that information was kept current and up-to –date and to see if the home was caring for the resident correctly. Evidence of this could be seen when looking through the care plans. Five of the care plans were looked at during the inspection. There were notes available on all of the residents’ files to show that doctor’s appointments and other important healthcare appointments were recorded correctly. This showed that people were being offered the healthcare that they were entitled to. Good notes also helped the home to ensure that the residents were cared for properly and that information was passed on. The care staff Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 11 that were interviewed confirmed that good recording was vital regarding the information passed to the home from healthcare visitors. Residents were spoken to and they all felt that they were treated with respect by the care staff, and that their dignity was maintained. One of the residents said, I’m well looked after here, the girls are very good.” There was a very good relationship between the residents and the care staff and there were some very good examples of the care staff treating the residents with respect and dignity. Care staff were chatting to residents as they worked and speaking to them politely and respectfully. There were screens in the double rooms to help to ensure that the residents had privacy and dignity when being offered personal care. None of the residents were responsible for their own medication. Systems were in place that ensured that medication was handled correctly and professionally. The records of all the people who received medication were seen and there were no concerns expressed. Each resident had a photograph attached to his or her record sheet to help with identification. Some of the care staff had completed medication awareness training since the last inspection and evidence of this was found in the training records. Good, regular training is vital because it reinforces good practice amongst the care staff team. This also means that the residents live in a safer home. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy planned and stimulating activities. Friends and family are made welcome within the home, which helps to maintain positive relationships. Mealtimes are planned and unhurried and residents’ preferences are respected. EVIDENCE: There were lots of planned activities within the home to help ensure that the residents were entertained and kept active. These included bingo, sing-alongs, days out to places of interest, coach trips and parties. One resident was able to confirm that there was always plenty to do. An entertainer was booked on a regular basis and a resident said that she really enjoyed singing along to the old tunes. There were also exercise sessions to help keep the residents active. There were also memory recall sessions where the residents were able to reminisce about things that have occurred in their lives. This is very important for those with Dementia because it encourages people to remember things and helps them to improve their memory. There were no visitors to the home during this inspection although the manager said that visitors were welcome at any time. One of the residents was Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 13 able to confirm that she had regular visitors. Good family contact helps to ensure and prolong family relationships. Lunch was served during the inspection and the food looked wholesome and appealing. Residents were given plenty of time to finish their meals and help was on hand from the carers when required. The home had a large dining area with place settings on the tables and table -cloths. The care plans held evidence that special dietary requirements were respected and that likes and dislikes were written down. Two of the residents were able to say that the food was good and that they looked forward to mealtimes. The Fylde Coast does not have a large population of differing ethnic minorities and cultures. The manager was aware of what action to take to ensure that everyone was treated equally should this be different. There were residents that enjoyed religious followings on a Sunday. Every effort was made to ensure that they either went to church or were visited by a priest or vicar. Sometimes they had communion. This information was recorded on the care plans. Two of the residents were able to say that the home made every effort to ensure that their religious belief was followed. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 14 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are treated seriously to ensure that the residents’ rights are protected. Training regarding safeguarding issues was poor, which could affect the way that the residents are cared for. EVIDENCE: There were policy documents for the staff to read about how to recognise and report suspected abuse. Three of the staff that were spoken to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should abuse be suspected. It was some time since the care staff had received training on abuse awareness. It is important to have regular updated training regarding this important subject so that the care staff are constantly aware of their role and responsibilities. Some of the care staff had done this whilst achieving their National Vocational Qualification level 2 in care, which is a nationally recognised qualification. All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home. The manager confirmed that she was aware of her role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 15 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): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable, clean and hygienic environment and bedrooms were personalised. This means that residents will feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was good; furnishings were very comfortable and aids and adaptations are in place to help with the residents’ mobility and personal toilet and bathing needs. The overall feeling in the building was that it was homely. Residents and visitors stated that they felt at home. Although the furniture was not all new it was evident that people felt at home because of this. Bedrooms were personalised and comfortable and two residents were able to say that they were happy with their rooms. All of the rooms had photographs, books, ornaments and other personal items within them, which helped the Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 16 residents to feel at home. Some of the rooms were shared and the care staff spoke of their responsibility to ensure that everyone had privacy. There were screens available to maintain dignity. The manager clearly took the maintenance and cleanliness of the home seriously. The home was well maintained throughout and maintenance tasks were dealt with quickly so as not to inconvenience residents. The home was also clean and hygienic. There were no unpleasant smells. Care staff were spoken to regarding the cleaning regimes at the home. Hygiene issues were seen as paramount and the carers expressed their pride in ensuring that the home was safe and clean. There had been problems with the lift since the last inspection. This had been repaired promptly but it did mean that some of the residents had to be helped to use the stairs to reach their rooms. Extra care staff had been called in to help the residents to ensure safety and risk assessments had been completed for each resident. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 17 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): 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. Good recruitment practices meant that residents were protected from unsuitable staff working in the home. Staff were caring and competent in their roles. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. Two of the care staff were spoken to and all said that the training in the home was beneficial to their work. Over 50 of the care staff had a nationally recognised qualification in care. It is important that the care staff receive regular training in abuse awareness. This helps to ensure that the residents are safeguarded from harm. Staff records showed that new carers had been properly checked before starting their jobs. This helped to make sure that the residents were safer. There was a good induction process to help ensure that new care staff were competent before commencing their role. Most of the care staff had completed a nationally recognised qualification in care (National Vocational Qualification Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 18 level 2 or 3). This meant that they were better trained to do their jobs successfully. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 19 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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by an competent manager and there are quality systems in place to make sure that they are protected. EVIDENCE: The manager of the home had completed a nationally recognised qualification in care (National Vocational Qualification level 4) and had achieved a recognised management qualification. She ran the home well and had the respect of all of the care staff that were spoken to. The home was a family business and there was a lot of involvement to make sure that the home was run properly. One carer said, “We always get good support from the owners, the whole family is there for you.” Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 20 Good records were being kept of safety checks within the home. These showed that tradesmen were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. The fire equipment in the home was also being checked on a yearly basis. There had been some problems with the lift since the last inspection and a concern was passed to the Commission for Social Care Inspection regarding some residents being unable to use the lift. This was repaired in two days as the lift engineers would not attend the home over a weekend. Provision had been made to ensure that the residents could use the stairs safely with support from extra staffing. Some of the residents had small amounts of money held by the home. This was held very securely and was safeguarded by good recording and checking. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 21 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 X 3 X X X 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 Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 22 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 OP18 Good Practice Recommendations The registered manager should ensure that regular training is available regarding the protection of vulnerable adults. Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 23 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 Parade Rest Home DS0000009763.V299480.R01.S.doc Version 5.2 Page 24 - 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!