Inspection on 05/09/05 for Parade Rest Home

This inspection was carried out on 5th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parade Rest Home 12/12/08

Parade Rest Home 30/11/07

Parade Rest Home 12/09/06

Parade Rest Home 07/02/06

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 5th September 2005 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 Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 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.V250940.R02.S.doc Version 5.0 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.V250940.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 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 and the home had one vacancy at the time of the inspection. 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. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two hours. The homeowner was spoken to and a tour of the home was undertaken. Staff and care records were also examined. Two of the residents were spoken to. What the service does well: What has improved since the last inspection? What they could do better: Care staff must be better trained in dementia care so that the can deal with their specific needs. The manager must do more to research current good practice when caring for those with dementia. There were still issues around the maintenance of the care staff files within the home. It is important that this information is kept up –to- date and accurate and that care staff information is well presented. This helps to ensure that the residents are safe and not put at risk. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 6 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.V250940.R02.S.doc Version 5.0 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.V250940.R02.S.doc Version 5.0 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, 3 and 4 All new residents have a full assessment completed prior to moving into the home, ensuring that the home can meet their needs. EVIDENCE: It was clear that the manager of the home was carrying out detailed needs assessments prior to new residents being admitted. This would clearly help when planning what care the resident would need within the home. The homeowner confirmed that good assessment was a priority to ensure that the home would be able to care for the residents successfully. Information about the home is given to residents before they come to live there. This information clearly states the purpose of the home, and explains the criteria needed to be accepted as a resident. This information plainly states that this is a home that cares for elderly people who have dementia. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Promotion of health was taken seriously. Resident’s welfare was closely monitored and health needs were met. EVIDENCE: Individual records were 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. Each plan of care was reviewed on a monthly basis. None of the residents were responsible for their own medication. Medication practices observed were safe and good records had been maintained. The home had a separate room where medication was stored safely and securely, and records were kept. Only trained staff gave out medication. The homeowner had bought screens for the double rooms since the last inspection. When used, these would ensure that the residents’ dignity and privacy were maintained when the staff are giving personal care. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was not assessed during this inspection. EVIDENCE: Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 11 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected EVIDENCE: The complaints procedure was available in the Service User Guide and Statement of Purpose and the procedure was available to residents and visitors in the main part of the home. Training had been accessed regarding the recognition of abuse, and staff were aware of what action to take should abuse be suspected. The home had good procedures and guidance for staff, as well as a ‘whistle blowing’ policy that protected staff when voicing their worries. There were no concerns regarding care practices within the home. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 12 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, 23, 24 and 26 Residents lived in a safe, comfortable and homely environment, which was clean and well maintained. It is unclear if those who share their room have agreed to this. This affects the residents rights. EVIDENCE: A tour of the home was undertaken. All of the bedrooms seen were well presented and clean and the whole environment was well maintained. There were lots of personal possessions in residents’ bedrooms that made the rooms look homely and comfortable. There were no unpleasant smells within the home. It was clear that care was taken to ensure that cleaning regimes were thorough. Some of the rooms did not have enough electrical sockets to meet this standard. One of the bedrooms on the top floor was quite small and the window did not let much light into the room. The lady who occupied this room should be offered an alternative when one comes vacant, if she wishes. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 13 It is important that an agreement should be held on care plans to confirm that residents who share bedrooms do not mind this. If communication difficulties make this agreement difficult then a relative or advocate should be asked to give their consent. This will help to ensure that people are happy with sharing a bedroom with another resident. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30. Staff information held at the home needs updating to help protect residents. EVIDENCE: There were still issues around the maintenance of the care staff files within the home. It is important that this information is kept up –to- date and accurate and that care staff information is well presented. This helps to ensure that the residents are safe and not put at risk. There was a need to make sure that 50 of the care staff employed by the home were trained up to National Vocational Qualification level 2. Staff need to be well trained to do their job and to ensure that the residents are receiving a good standard of care. Training and instruction in the care of residents with Dementia should be a regular occurrence to make sure that all of the residents are receiving specialist care. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 Service users benefit from a well run home. EVIDENCE: The manager was well respected by the staff employed within the home. She had completed her Registered Managers Award, a qualification that added to her skills regarding the running of a care home. She had also completed National Vocational Qualification level 4 in care in April 2005 which is a nationally recognised qualification for managers. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 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 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x 3 2 x 3 STAFFING Standard No Score 27 x 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x x Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? yes 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 2 Standard OP28 OP31 Regulation 18 (1) (a) 9 Requirement Timescale for action 31/12/05 3 OP29 Schedule 2. 7,9 & 19 50 of care staff should have achieved NVQ level 2 by 2005. The Registered Proprietor should 31/12/05 have attained an NVQ level 4 qualification in Management and Care by 2005. Care staff files must contain the 31/10/05 information set down in Schedule 2 of the Care Home Regulations. (Timescale of 31-03-05 not met) 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 2 Refer to Standard OP30 OP23 Good Practice Recommendations Records of any training undertaken by care staff should be held on individual staff files. The Registered Proprietors should assess the suitability of all rooms in the home to ensure that sufficient space and natural lighting is afforded to all service users within the home. Locks should be provided for all service users’ private accommodation. Risk assessments should be completed for when locks would be seen as dangerous. DS0000009763.V250940.R02.S.doc Version 5.0 Page 18 3 OP24 Parade Rest Home 4 5 OP24 OP23 All rooms should have sufficient electrical sockets. Agreement should be reached with each service user or their representative regarding the sharing of rooms. Proof of this agreement should be available on the care plan. Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parade Rest Home DS0000009763.V250940.R02.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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