Inspection on 14/07/08 for Pendale Retirement Home

This inspection was carried out on 14th July 2008.

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

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

Pendale Retirement Home 13/07/10

Pendale Retirement Home 04/05/10

Pendale Retirement Home 02/03/10

Pendale Retirement Home 15/12/09

Pendale Retirement Home 02/09/09

Pendale Retirement Home 16/08/07

Pendale Retirement Home 09/06/06

Pendale Retirement Home 10/03/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR Lead Inspector Mr Wesley Cornwell Unannounced Inspection 14th July 2008 09:00 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 Pendale Retirement Home DS0000065288.V365058.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. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 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 Miss Natasha Suttenwood Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: Old age, not falling within any other category: Code OP. The maximum number of service users who can be accommodated is 23. Date of last inspection 16th August 2007 Brief Description of the Service: Pendale Care Home provides 24-hour care and accommodation to 23 older people of both sexes. The home is situated in a residential area in the south of Blackpool and is close to the sea front. There is a small parking area for visitors at the front of the building. The home has 23 single bedrooms all with an en-suite facility. The ground floor comprises of two lounges and a dining room with the front lounge overlooking the Solarium Gardens and the promenade. The home has a passenger lift, which people can use independently. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are £295.04 to £345.00 covering all aspects of care, food and accommodation. The manager provided this information on the 14th July 2008. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 5 Hairdressing is provided free of charge unless people wish to make their own arrangements. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced site visit was undertaken as part of the homes Key Inspection and commenced at 9.00am and took place over 5 hours. Prior to the site visit the manager of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. A number of people living at the home, their relatives and staff members were contacted prior to the site visit and their views about the home have been included in the report. In addition we spoke to two people, four staff members, one visitor and the manager during the visit. Staff, care, maintenance and financial records were examined during the site visit and a full tour of the premises was undertaken with the manager. What the service does well: The homes assessment procedures were very thorough and care plans had been structured to ensure staff recognise the diverse needs of residents. Observation of practice and discussion with staff members confirmed the staff team had been provided with appropriate training to assist them in understanding and meeting the needs of the people in their care. People seen during the visit said they liked living at the home and felt well cared for. One person said, “ I can’t praise the manager and her staff highly enough. I often watch the girls dealing with people more frail than me and they are so kind and patient”. The relative of one person said, “ Mum Loves the girls and is very happy and settled. I am very happy with the care provided. They always keep me informed about her welfare whenever I visit”. Staff at the home are well trained and are competent to do their jobs. Observation of care practices throughout the day confirmed people are treated with respect and dignity. Staffing levels were sufficient for number of people being accommodated. The staff were observed throughout the visit having sufficient time to deliver care Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 7 and support without being hurried. People spoken to said the staff were very quick to respond to requests for assistance. People spoken to said they enjoyed the quality and variety of food being provided and the activities being organised. One person commented, “You can’t fault the food. Three course lunch every day. You get more than enough to eat”. The home has over 90 of staff who have achieved National Vocational Qualifications (NVQ) ensuring people are supported by competent and qualified staff. What has improved since the last inspection? What they could do better: The owners should continue with the homes programme for the decoration and refurbishment of the premises to ensure people live in a well-maintained and comfortable environment. Although the owners visit the home on a regular basis they are reminded that they must produce a monthly report following one of their visits recording their observations about the home and make this available to the manager. Please contact the provider for advice of actions taken in response to this Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 8 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 9 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.V365058.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. EVIDENCE: The care plan records of two people admitted to the home had full assessment information including their religious/cultural and relationship needs. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. The staff members on duty confirmed they had access to this information and were fully aware of the care needs of the people living at the home. People spoken to during the visit confirmed they were happy with the care being provided and their needs were being met. One person commented, “I Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 11 used to attend the home for day care and knew I would be well looked after when I moved into the home. I am very satisfied with my care”. This home does not provide intermediate care. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 12 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. 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. Promotion of health is taken seriously, people’s welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each person with a plan of care setting out the action that is needed to be taken by support staff to ensure all aspects of health, personal and social care needs of the people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed with the people or their relative/advocate and updated to reflect any changing needs and these were being actioned as required. The records of two people were looked at and these described their healthcare needs. Discussion with staff members on duty confirmed they were fully aware Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 13 of the healthcare needs of people living at the home and these are monitored and their care plans kept up to date. Entries made on care plans showed good communication between the home and healthcare professionals. Daily entries made on the care plans confirmed staff members were following the instructions of healthcare professionals and an appropriate level of care was being provided. People spoken to said they liked living at the home and were well treated by staff members. One person said, “I am very happy here and well looked after. I find the staff are very attentive’. The relative of one person commented, “I am very happy with the care provided for my mum and I am always kept informed about her welfare whenever I visit”. Medication practices observed were safe and good records had been maintained. The staff members responsible for the administration of medicines had received accredited training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. People spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 14 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. 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. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: People spoken to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One person said, “My routine hasn’t really changed from when I was living at home. I still go to bed and get up when I want. I have complete freedom of the home and often go out to run errands. People spoken to said they were happy with arrangements in place for receiving their visitors. The relative of one person commented, “I visit my mum twice a week and I am always made welcome. I have been invited to have a meal with mum on more than one occasion when I have visited at lunchtime. I find the staff very friendly and helpful. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 15 People spoken to confirmed they enjoyed the food provided by the home. The staff member responsible for the preparation of meals was able to confirm they had information about people with special diets and personal preferences. One person commented, “I enjoy all the meals and get plenty to eat”. People spoken to were happy with the choice of meals available. One person commented. “They come round every morning and tell us the meals for the day and the choices available. You can have whatever you want”. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to the needs of people. People spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. One person commented, “They try hard to keep us entertained. I like it when they take us out for walks and stop for a coffee”. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 16 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. 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The home has a detailed complaints procedure, which is made available to everyone on his or her admission. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relative of one person commented, “I have never felt the need to complain about anything but I am sure if I was unhappy about anything it would be dealt with appropriately”. At the time of this site visit no complaints had been referred to the Commission for Social Care Inspection. The home has a procedure in place for dealing with allegations of abuse. All staff have received training in the protection of vulnerable adults and showed a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members spoken to said they wouldn’t hesitate to report any concerns they had about care practices to ensure people living at the home are protected from potential harm or abuse. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A planned maintenance and renewal programme for the redecoration and refurbishment of the home should continue to be implemented to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: There has been considerable progress in upgrading the environmental standards in the home since the last visit. New carpets have been fitted throughout the ground floor, dining room furniture purchased, new chairs for the lounges and the whole of the ground floor redecorated. The downstairs bathroom has been completely refitted and retiled. The manager said improvements to the environment were ongoing and there are plans for Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 18 refurbishment throughout the home. People spoken to were happy with the improvements being made. A tour of the building confirmed people had personalised their bedrooms with their own belongings. People spoken to were happy with their rooms and said they had the choice of spending time on their own or in the lounge area’s. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygienic ensuring a pleasant environment in which to live. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment of a well-trained staff team throughout the day is sufficient to meet the needs of people living at the home. EVIDENCE: Staffing levels were sufficient for the number of people living at the home. People spoken to said they were happy with the care they were receiving and were well treated by the staff. One person said, “The girls are wonderful. The care provided is beyond expectation. I spend a lot of time in my room and when I request assistance they are very quick to respond”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. The relative of one person said, “Very happy with the care provided. The manager and her staff are brilliant”. Records show all staff members have access to a structured training and development programme ensuring the people in their care are being supported by a well trained and competent staff team. In addition 90 of staff members have achieved National Vocational Qualifications (NVQ) ensuring people are in the safe hands of qualified and competent staff. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 20 The home has a small staff team and there has been no new employees recruited since the last inspection. Examination of records during previous inspections showed good systems were in place for obtaining relevant documentation for staff members employed by the home ensuring the protection of people who live there. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 21 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. 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 home is well run and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The manager of the home has many years experience in caring for elderly people and has achieved relevant care qualifications and is presently working towards achieving a management qualification. One issue during the last inspection was the lack of support being provided to the manager by the owners of the home. The manager said this situation had improved and she was now able to contact the owners when needed. The owners are reminded that they must visit the home each month and produce report following their Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 22 visit recording their observations about the home and make this available to the manager. This will confirm the manager is receiving an appropriate level of support and standards at the home are being monitored. The home has effective quality assurance systems in place to monitor the level of service being provided for people who live there. Regular meetings are held to gather the views of people and keep them informed about events being organised by the home. People spoken to confirmed they are consulted about changes taking place in the home and were well informed about events being organised. One person said, “We have been kept informed about all the improvements being made to the home and consulted about colour schemes for the redecoration. Its nice to be involved”. Financial records were well maintained and up to date ensuring the interests of people are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for people and staff. Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 23 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 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 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 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 Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 24 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 OP19 Good Practice Recommendations The refurbishment programme should continue to be implemented to ensure people live in comfortable and pleasant surroundings. The owners should visit the home each month and produce a written report recording their observations and make this available to the manager. 2. OP31 Pendale Retirement Home DS0000065288.V365058.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 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 © 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.V365058.R01.S.doc Version 5.2 Page 26 - 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. 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