Inspection on 01/08/05 for Primrose Bank

This inspection was carried out on 1st August 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 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

Primrose Bank 04/11/08

Primrose Bank 21/10/06

Primrose Bank 24/01/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Primrose Bank 153 Breck Road Poulton le Fylde Lancashire FY6 7HJ Lead Inspector Gwen Miller Announced 1 August 2005 10:00am st 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 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. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Primrose Bank Address 153 Breck Road Poulton le Fylde Lancashire FY6 7HJ 01253 884488 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Primrose Bank Limited Mrs Jacqueline Moore Care home only 28 Category(ies) of OP Old Age (28) registration, with number of places Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate up to 28 persons aged 65 years and above.The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 9th February 2005 Brief Description of the Service: Primrose Bank is a residential home situated on Breck Road in Poulton-leFylde. It is situated in its own grounds with a garden area to the front and a small parking area at the rear. The village shops, facilities and the train station are in close proximity.The home accommodates 28 residents in single rooms, six of which have en-suite facilities.There is a stair lift to the rear of the home. All bedrooms are personalised and furnished to a good standard. Some bedrooms are smaller than the minimum standard of 10 sq meters.There are three lounges and a large dining area, all of which are furnished to a good standard. The home is non-smoking throughout. There are adequate toilets and bathing facilities. The home is kept very clean and hygienic.There is a commitment to staff training within the home. The registered providers are Mrs J Moore and Mrs E Abbas who manage the home on a day-to-day basis. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place with Mrs Abbas, the proprietor and Mrs Moore, the registered manager. The inspector spoke with 8 residents, 3 relatives, and 4 staff members on duty. 8 comment cards were received from relatives and a further 10 were received from residents. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of 2 residents, was carried out. Part of the inspection was spent looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. The inspection included a tour of the premises. What the service does well: What has improved since the last inspection? Staff files now include full application forms, Criminal Records Bureau (CRB) clearances and work histories, however these histories need to be further expanded and include any gaps in employment. The manager will ensure that this will be completed in future. More staff have now enrolled to undertake National Vocational Training (NVQ) level 2, when this has been completed, the home will achieve the target of 50 of its care staff qualified to that level. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,6 The home has a detailed assessment that is carried out for all residents to ensure that the care needs of residents are met. Prospective residents are encouraged to stay at Primrose Bank for short periods of time to see if they like it, before making a decision to make it their home EVIDENCE: Copies of the home’s information are placed on a table in the entrance to the home, this includes previous inspection reports. Information is written in clear, easy to read format and includes what is, and what is not, included in the cost of staying at Primrose Bank. Individual records are kept for each resident, these include assessments of the person’s needs, this is completed before a resident moves into the home. This ensures that the home will be able to give the right care for the individual before offering them a place at Primrose bank Case Tracking showed that assessments were well detailed and gave a true account of the resident’s physical, emotional, intellectual and social needs, they also included the person’s likes and dislikes. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 9 All residents and relatives confirmed that Primrose Bank had offered periods of short stay, so that individuals could see if the home suited them, before making their decision to move in on a permanent basis. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 standard(s) 7,9,10 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet the resident’s needs. Personal support in this home is offered in such a way as to promote resident’s dignity, privacy and independence EVIDENCE: Individual records include a plan of care for each resident, this details the action to be taken by care staff in areas of health, personal and social care needs of residents. A daily report and programme of personal care is kept for each resident and used to alert staff coming on duty to be aware of any changes in resident’s health or welfare. More confidential information for example, details of financial arrangements, are kept in a locked office. Case tracking found that care provided by the home was in keeping with resident’s needs. Where able, residents can choose to be responsible for their own medication, at present none of the residents at Primrose Bank has decided to do this. Inspection of the home’s storage and administration of medicines, was appropriate and records were up to date. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 11 All comments cards received from residents and relatives confirmed that the home met their needs. Comments included “ the standard of care is high and the staff have a very kind manner” Comments cards also indicated that resident’s privacy is respected, one stated that staff relate to residents as individuals in a friendly and respectful way. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 standard(s) 12,13,15 Social activities and meals are well managed and creative, they provide daily variation and interest for people living in the home. EVIDENCE: Residents’ interests are noted in their assessment process together with what they like to do. Eight comment cards received from residents, answered “yes “ to the question “does the home provide suitable activities”, one said “sometimes.” Activities listed in the pre inspection questionnaire included, shopping trips, painting, gardening, tai-chi classes and outings to the local village centre. One resident added she was encouraged to join in activities but staff respected her wish not to do so. A group of residents were enjoying a sing-a-long during the inspection, they said this was most enjoyable. Visitors were present during the inspection, two relatives said they were always welcomed at any time which was convenient to them. One relative said she visits daily and often takes her Mother out to Fleetwood and to see other members of her family, she added that she often visited at mealtimes and thought the food offered was excellent and residents were able to choose what to eat. All comment cards received and all residents spoken with, confirmed their satisfaction with the food offered at the home. Another relative said she felt her Mother was very well cared for and safe and she enjoyed her meals. The dining room was set out pleasantly and has sufficient space for all residents to eat at the same time. The manager said she was Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 13 aware how important good food is to her residents which is why she employs a good chef. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 standard(s) 16,18 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff have an understanding of Adult Protection issues, which protects residents from abuse. EVIDENCE: Since the previous inspection there have been no complaints received at the Commission For Social Care Inspection. All comment cards received from residents, confirmed they knew who to speak to if they were unhappy with their care. All but one comment cards received from relatives, confirmed they were aware of the home’s complaint procedure. Comments included “I would like to take this opportunity to commend the owners for the excellent way in which they run Primrose Bank as a “home from home”. A good abuse procedure provides staff with clear instructions on what to do if abuse is suspected, furthermore a good whistle blowing policy ensures staff feel secure to report any unacceptable practice. The home also has policies on aggression, bullying and equal opportunities Staff spoken with were aware of the need to protect vulnerable people. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 standard(s) 19.24.26 The standard of the environment is generally good providing residents with an attractive and homely place to live. However all radiators must be fitted with radiator covers or have guaranteed cool touch surfaces, to ensure the safety of residents living in the home. EVIDENCE: The interior and exterior of the home looked pleasant and well maintained, all comment cards received answered “yes” to the question “do you feel safe here”. Residents bedrooms were well personalised with their own furniture or smaller personal possessions, resident’s own electrical equipment is tested for safety. The home is arranged so that bedrooms are individual in size and are on both floors, all residents spoken with were happy with their accommodation. Communal lounges were comfortable and allow for watching the television, talking to one another or being quiet. There are still a small number of radiators without covers, a requirement has been made in this report to action this. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 16 The care staff carry out the cleaning of the home, this is arranged by a cleaning programme of the whole home, to ensure that all areas are kept clean at all times. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The numbers of staff on duty were satisfactory to meet the needs of the people living at Primrose Bank. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of residents. EVIDENCE: All eight comment cards received from residents confirmed “there are always sufficient staff on duty”. Residents spoken with said that night call bells were answered promptly during the night. Staffing levels were sufficient for the number of residents living at the home, the staff group are a mix of long term experienced carers and younger carers, 3 staff were spoken with, they said they worked as a team and that they felt able to seek help or advice from management or senior staff, they were approachable. The home’s recruitment procedures are good and the manager said that no person is allowed to work at the home without all the paper work being in place and checks made. All staff files now contained full references, detailed application forms, CRB (Criminal Records Bureau) clearances and POVA (Protection of Vulnerable Adult) checks. However details of work histories need to be more detailed, including any gaps in employment. A requirement has been made in this report. At present, 28 care staff are employed, 3 of whom have achieved National Vocational Training (NVQ) level 2, a further 13 care staff are currently undertaking NVQ level 2 training. It is recommended that 50 of care staff achieve NVQ level 2 training, this percentage will be reviewed on the next inspection. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: This standard was not assessed on this visit. Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 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 2 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 20 no 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. 2. Standard OP29 OP25 Regulation 19 13 Requirement Personnel records must be extended, to include employment histories Radiators to be guarded or have guaranteed low temperature surfaces Timescale for action 1/09/05 1/10/05 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 OP28 Good Practice Recommendations 50 of care staff should achieve NVQ level 2 by 2005 Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 Primrose Bank F57 F09 S63466 Primrose Bank V235969 010805 Stage 4.doc Version 1.40 Page 22 - 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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