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Inspection on 10/03/06 for Pendale Retirement Home

Also see our care home review for Pendale Retirement Home for more information

This inspection was carried out on 10th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents said that they are well looked after and that the staff are kind and caring. The assessments and care plans are detailed and the staff are aware of the needs of the residents.

What has improved since the last inspection?

Although one bedroom has been redecorated, many areas of the home are still in need of decorating and improvements. The residents said that there have been significant improvements in food and other areas since the new owners took over.

What the care home could do better:

The percentage of care staff with NVQ (National Vocational Qualification) level 2 should be 50%. The input from the current registered manager (who was the previous owner) is minimal and not adequate. A new manager must be registered as soon as possible. One of the management staff should achieve NVQ level 4 and complete the Registered Manager`s Award.

CARE HOMES FOR OLDER PEOPLE Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR Lead Inspector Mr Ajam Auckburally Unannounced Inspection 10th March 2006 10:30 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 Pendale Retirement Home DS0000065288.V278344.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. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pendale Retirement Home Address 6/8 Greystoke Place Blackpool Lancashire FY4 1NR 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 342191 Pendale Care Limited Mrs Suzanne Barker Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 23 service users in the category OP (older persons 65 ) Date of last inspection Brief Description of the Service: Pendale Care Home is situated in the south of Blackpool in a residential area close to the sea front. The home can accommodate a maximum of 23 residents of both sexes who are 65 years or older. Accommodation is provided in 23 single bedrooms all with an ensuite facility. The ground floor comprises of two lounges with the front lounge overlooking the Solarium Gardens and the promenade. The home has a passenger lift which residents can use independently. A small sheltered patio area with seating facilities for residents is available at the back of the home. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the second of two to be carried out this year. The inspection took place on 10th March 2006 and was an unannounced one. It lasted for 4 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection was carried out in a relaxed atmosphere with the full cooperation of the senior care staff, the staff and all the residents. The inspection took the form of looking at some of the records, talking to the residents and the staff and looking around the building. There were 16 residents living at the home and they said that they were well cared for and that all the staff were kind and helpful. What the service does well: What has improved since the last inspection? Although one bedroom has been redecorated, many areas of the home are still in need of decorating and improvements. The residents said that there have been significant improvements in food and other areas since the new owners took over. Pendale Retirement Home DS0000065288.V278344.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. Pendale Retirement Home DS0000065288.V278344.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 Pendale Retirement Home DS0000065288.V278344.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): The home does not provide intermediate care. The other core standard was assessed during the previous inspection and was met. EVIDENCE: Pendale Retirement Home DS0000065288.V278344.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&9 The arrangements for assessing and meeting residents’ needs are good. The policies and procedures on medications are not stringent. Residents have good care plans and their medications are dispensed in a safe manner but certain areas need tightening. EVIDENCE: Every resident has a personal file containing his or her assessments and care plans. The case files of two residents were examined and they showed that they have been assessed properly and that care provided is according to assessed needs. The records also show that care provided is recorded and that monthly reviews take place. The residents spoken to said that they receive good care and that the staff are kind. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 10 One resident said, “We are well looked after and we can do what we want. The staff are very supportive” The staff the inspector spoke to were fully aware of the needs of the residents and said that they were involved in providing care according to individual assessments. The records of medications were examined and they were found to be correct. An audit trail of the medications of two residents was done and they were found to be accurate. The storage of medications for residents who self medicate should be safer. Medications should be kept securely and out of sight. The acting manager was aware that the cabinet used to store medications should not be used for storing incontinent pads, as all staff will need to access it. She said that she has spoken to the new owners about this and an alternative storage place for medications has been identified. Pendale Retirement Home DS0000065288.V278344.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): 14 & 15 There are good practices to encourage residents to remain active and provide them with choices. Food is an important part in the home’s daily activity. Residents are given choices in their daily activity and have good food. EVIDENCE: The residents said that they can have as much independence as they want and that the staff help them when they need assistance. The acting manager said that the policy of the home is to encourage residents to remain as independent as they want. Residents were seen to move around the home freely. Some were in the lounges and some were in their rooms. The staff spoken to said that although residents are encouraged to retain their independence, they are not forced to do anything they don’t want. They can choose when to go to bed and when to get up. The records of meals served were examined and they show that a variety of food is provided. A choice of food is not provided at lunchtime when the main Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 12 meal of the day is served. However, the person in charge said that if a resident does not like something, a substantial alternative is provided. She said that all the staff are aware of the likes and dislikes of the residents. A wide choice of food is provided for breakfast and teatime. is available for those who want it. Cooked breakfast The resident said that the food is good and that they get plenty to eat and drink. They also said that there has been a marked improvement in food quality since the new owners took over. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 13 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): 18 Policies and procedures on abuse are comprehensive. Residents feel safe and protected. EVIDENCE: A detailed written policies and procedures on adult abuse has been produced. The acting manager and some of the staff have had training on adult abuse. The acting manager is fully aware of the steps to take in the event of an abuse taking place to a resident. The staff spoken to said that they would never abuse any resident in their care and that they would report if they saw any form of abuse. The residents said that they feel safe and secure living at the home and that everyone treats them well. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 14 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 & 26 The internal and external appearance of the home need to improve. Residents live in a safe place but their environment need to be made better. EVIDENCE: During a tour of the building, the inspector found that although the home was clean, there was a lot of unwanted furniture and other items stored in all available spaces. These included the office, unused bathrooms and cupboards. All unwanted items should be cleared out in order that the environment for the residents would improve. Many of the bedrooms are in need of decorating and improving. One toilet door on the ground floor was found to be faulty and would not close properly and another one had no handles fitted. All these improvements need to be done as soon as possible. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 15 The radiators in the communal areas such as the lounges and the dining room have not been fitted with low heat surface covers. These will need to be done as soon as possible. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 16 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 The recruitment policy and procedures are good. Staff training needs to improve. Residents are cared for by a team of well chosen staff. EVIDENCE: The written recruitment policy gives detail of the way a member of staff is employed. When there is a vacancy for a job, it is advertised locally and interested parties are given application forms to complete. From information received, prospective staff are selected for interviews. Once a new staff has been selected, two written references are taken and POVA (Protection Of Vulnerable Adults) and CRB (Criminal Records Bureau) checks are done. No staff starts work until satisfactory checks have been done. Basic training such as Moving and Handling is provided. Further training should be provided to the staff. Training should include Food Hygiene for all staff. Specific training for care staff should include Medications, Dementia, Abuse and other relevant courses. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 17 The level of care staff with NVQ level 2 is 26 and this should be 50 . Four care staff have completed this course and three more are currently on the course. The residents said that the staff are caring and that they would do anything for them. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 18 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 & 38 The management of the home is wanting. The residents although safe, need some stability. EVIDENCE: The ownership of the home has changed recently. The new owners live a long way and try to come to the home at least once a week. The previous owner is the registered manager but has had very little input in the home recently. The senior care staff who is acting as the manager said that if she needs help, then she would contact the registered manager or the owners. The owners have been informed of the urgency to register a manager who is going to work at the home on a full time basis. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 19 The senior carer who assisted in the inspection has been appointed by the owners as the person they would like to be considered for the manager’s post. An application form has been sent for this purpose. The residents were very positive about the new owners and said that the acting manager who has worked at the home for many years is doing a good job. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 20 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 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X X X 2 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 2 X 3 X 3 X X 3 Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 8 Requirement The current registered manager must work in the home or another one registered. Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP31 OP28 OP19 OP9 Good Practice Recommendations The registered manager should complete her NVQ level 4 50 of care staff should complete their NVQ level 2 Unwanted furniture and other items should be cleared to improve the appearance of the home. Medications should be stored in a safe place. Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 22 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 Pendale Retirement Home DS0000065288.V278344.R01.S.doc Version 5.1 Page 23 - 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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