This inspection was carried out on 7th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Parade Rest Home 31 Raikes Parade Blackpool Lancashire FY1 4EY Lead Inspector
Christopher Bond Unannounced Inspection 7th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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.V283618.R01.S.doc Version 5.1 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.V283618.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th September 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. 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.V283618.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over three hours. The manager gave the inspector a tour of the home and the outside facilities were also seen. The records of how the residents were cared for were looked at. Care staff records were also inspected. One of the residents was spoken to during the inspection. What the service does well: What has improved since the last inspection?
Some of the bedrooms have been redecorated and had new flooring fitted. The front of the building has been resurfaced. There have been several training events that helped to add to the skills of the care staff. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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.V283618.R01.S.doc Version 5.1 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): This section was not assessed during this inspection. EVIDENCE: Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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. Health and care needs were addressed correctly through good care planning, ensuring that the residents were looked after properly. Residents were treated with respect and their dignity was well maintained by understanding care staff. EVIDENCE: There was lots of evidence to show that the health, personal and social care needs of the residents were being attended to. Everyone who lived in the home had a care plan where the care staff could write down changes and record daily life. There were records of visits by the District Nurse and the Doctor. No one within the home had pressure sores but special equipment was available should this happen. All of the plans were reviewed on a regular basis to make sure that the information was always current and that the care staff knew the latest condition of a resident. Residents were spoken to and they all felt that they were treated with respect by the care staff, and that their dignity was maintained. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 10 None of the residents within the home were able to handle their own medication. There were good procedures and policies for the staff to follow when they were administering prescriptions and the medication was stored safely and appropriately. This helped to ensure that residents were not put at any risk when medication was being given out. There were some good examples seen by the inspector of care staff being polite, courteous and caring when attending to residents’ needs. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 11 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 and 15. Activities for those who had dementia were good which improved the delivery of their care. Meals were well managed and varied. Family and friend were encouraged to visit therefore ensuring personal relationships are maintained. EVIDENCE: The house had many of its original features and the furniture and decoration were particularly suited to the residents in the home. There were lots of curio’s and memorabilia around so that care staff could discuss and reminisce about these with the residents and help them to recall their past lives. There were other activities that residents could enjoy during their stay and there was information about residents particular interests on the care plans. Lunch was being cooked during the inspection. Fresh vegetables and meat were being used. The menu was based on good home cooking. The dining room was pleasant and the tables were properly set for lunch, with tablecloths and placemats. One lady who was spoken to during the inspection said that the food was very good and she looked forward to mealtimes. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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 the following standard(s): This section was not assessed during this inspection. EVIDENCE: Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Residents benefited from living in a comfortable, clean, homely environment. EVIDENCE: There were comments about this service being ‘homely’. It was a cold day and the house was very warm and comfortable. The residents were mainly sat in the lounge at the front of the house and they looked happy, relaxed and content. The manager gave a tour of the home and the house looked well maintained. The home was very clean throughout. There were no unpleasant smells. Residents had a choice of two lounges and many were seen smiling and relaxing in the main lounge. There were residents in both lounges and the décor was appropriate and relaxing. There were toilet facilities on all of the floors and these were quite large. There were aids around for those who needed assistance when visiting the toilet. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 14 All of the bedrooms were well furnished and there were lots of personal possessions around to help people feel at home. New carpets have been fitted in some of the bedrooms and some redecoration has been completed. The laundry area had been refurbished. Two new radiators had been fitted and the area to the front of the home had been re-surfaced. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 15 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 and 29. Residents are protected by good recruitment practices. EVIDENCE: The information held within the home regarding the care staff showed that employees were recruited properly and proper checks were completed before people started work. This included Criminal Records Bureau checks. This meant that the residents were less likely to be put at risk because of poor recruitment. Care staff files contained the correct information. There had been several training events since the last inspection to help ensure that skills were being improved and updated. 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. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 16 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, 32, 36 and 38. Service users benefit from a well run home. EVIDENCE: Care staff had been trained in ensuring the safety of residents. This included learning how to move people safely and ensuring that food was prepared and served hygienically. 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. Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 17 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 X X X 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 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 X 3 Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 Page 18 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. Standard OP28 Regulation 18 (1) (a) Requirement 50 of care staff should achieve NVQ level 2. Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parade Rest Home DS0000009763.V283618.R01.S.doc Version 5.1 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
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