Inspection on 21/06/07 for Promenade Rest Home

This inspection was carried out on 21st June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Promenade Rest Home 15/03/06

Promenade Rest Home 05/10/05

Promenade Rest Home 30/11/04

Promenade Rest Home 28/04/04

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 Promenade Rest Home 10/12 The Promenade Southport Merseyside PR8 1QY Lead Inspector Elaine Stoddart Key Unannounced Inspection 21st June 2007 09:30 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 Promenade Rest Home DS0000005339.V341700.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. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Promenade Rest Home Address 10/12 The Promenade Southport Merseyside PR8 1QY 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) 01704 538553 01704 538250 carelink@btconnect.com Midplant Limited T/A Care Link Mrs Susan Elizabeth Astley Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 49 OP Date of last inspection 15th March 2006 Brief Description of the Service: The Promenade Rest Home is a registered care home and provides personal care and support for up to 49 older people. Nursing care is provided directly through the district nursing services when required. Most rooms provide single occupancy, some with en-suite facilities. There is one shared room. The home is owned by Care Link and is managed by the home manager, Mrs Susan Astley. The home is located on the promenade of Southport and is close to all the amenities of the town, which includes a large selection of shops, cinema, theatres and restaurants. Private rooms range from 5.17sq m to 20.63sq m. Communal rooms comprise of a large dining room and lounge on the ground floor. A bar/lounge area/library is located in the basement with a small chill out room at the rear. This room enables residents to receive aromatherapy treatments, meet visitors and enjoy listening to music in peaceful surroundings. All shared areas are accessible by two lifts, with the exception of four bedrooms. There is a large enclosed garden to the rear of the building. Both front and rear entrances have disabled access. A call system with an alarm facility operates throughout and there are adapted bathing facilities. The cost for the service ranges from £370.00 to £420.00 per week. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced visit and was carried out as part of the regulatory requirement for care homes to be inspected. There has been no cause to visit the home since the last inspection in March 2006. For this inspection a partial tour of the home was conducted and care records and other home records were viewed. Discussion took place with the manager, care staff, activity organiser, maintenance staff, administrator, visiting relatives and residents. Case tracking was completed on several residents to assess the care provided. This was not to the detriment of the other residents who were also spoken with during the visit to obtain their views. 49 residents were resident at the time of the inspection, full occupancy. Surveys, ‘Have your say about …’ were sent out to a selection of residents to obtain their views on the service provided. Comments from surveys and those people spoken with during the visit are contained within this inspection report. What the service does well: An ongoing training plan ensures that staff are trained in all the mandatory training required. Additional training in areas relevant to the residents who they care for is provided. These include: Challenging behaviour, care of the dying, dementia care and team building. Over 50 of the care staff are qualified in at least Level 2 National Vocational Qualifications. The home is well managed by an experienced and qualified manager and management team. The manager and deputy manager have NVQ Level 4. Records and policies and procedures are up to date, organised and accessible. The home is run in the best interest of the residents who are involved in making decisions via, regular residents/relatives meetings. A quality team holds regular meetings and various questionnaires are given out throughout the year. Investors in People assessment of the service takes place every three years. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 6 Internet access is available for the residents to maintain contact with family, friends or access information. Three activity organisers are employed who organise day trips on the homes transport bus to local shops and leisure facilities. An activity programme is in place and includes quizzes, bingo and games. There is a complaints procedure, which is contained within the service user guide and provided to each resident. Detailed pre admmision assessments are carried to ensure individual needs can be met by the home. Care plans are reviewed monthly to reflect changing needs. The home provides a homely, friendly and well-maintained environment for the residents to live. The home employs a full time ‘on site’ maintenance person who is available to repond quickly to repairs needed. The home provides an up to date statement of purpose, which provides detailed information for prospective residents and residents. A copy of this is available in each resident’s room and contains all the information on the services provided. The home adresses equality and diversity issues within the autonomy policy which is supported by policies on privacy and dignity, religion and belief, rights and sexuality. Religious needs are met through the local community by residents attending services and aranging services to be held within the home. The workforce consists of a mixed team from different backgrounds and various cultures, which helps promote equality and diversity within the home. What has improved since the last inspection? Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 7 A new coach and small car has been purchased to allow residents to access trips out and hospital visits. The manager and administrative assistant have now completed the personal licence course and both are now personal licence holders for the sale of alcohol within the home. This enables the home to provide entertainment and BBQ’s. Decoration has taken place in a number of rooms as part of the home’s ongoing maintenance plan. New menus are in place with a more varied choice as a result of residents meetings and questionnaires. Various outings and entertainment now take place as requested by residents. An extra activities organiser has been employed to enhance and assist with individual activities. 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. The summary of this inspection report can be made available in other formats on request. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 8 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 Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 9 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): Standards 1,3,4,5,6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Pre admission assessments are detailed and help ensure that the home can meet the needs of the residents. Detailed information is available to residents, prospective service users and visitors. The home encourages visits prior to admission. Standard 6 is not provided. EVIDENCE: The home admits both funded and private residents. The occupancy levels are presently running at 100 and 49 residents are accomodated. The home has a good pre admission process to determine whether the home can meet individual needs. Assessments for residents were viewed and contained detailed information on the residents needs, hobbies, interests, food,sleep requirememts, social history, mobility and health care. These are used to Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 10 formulate the care plans. Risk assessments for trips and falls and manual handling assessments are reviewed monthly. All visits by health care professionals are recorded. Resident wishes are documented and agreed individually, such as not to be disturbed after 10pm, home to hold/or not valuables, if they wish to hold a key/or not and religious beliefs. Residents spoken with confirmed they had been involved in their assessment, care planning, social history and had the opportunity to visit the home prior to admission. At the time of the inspection the manager and deputy manager were attending a ‘single assessment’ course with Social Services to srteamline the assessment process. Positive comments were received from residents, relatives and visitors spoken with. “The home is well cared for and I am very happy here”. Resident. “I have been around many homes and this one is like a Hotel”. Relative. “I have visited many homes and this looked to be a very good one. My first impressions were good and I am satisfied that my client will be cared for. I drove passed a few time as I thought it was a Hotel”. Social Worker. The home provides an up to date statement of purpose, which includes detailed information for prospective residents, visitors and residents. A copy of this is available in each resident’s room and contains all the information on the services provided. Included are menus, a list of all staff, their qualifications, training programme, contracts and terms of residency, most recent inspection report and letters of thanks from relatives and residents. Information is displayed on notice boards and in the reception area for the residents to view and includes, list and photos of staff, meal times, meetings (relatives and visitors invited), menus, activities for the day, and other contacts the residents may wish to access, for example, advocate, church services (all religions) and residents charter. Residents and visitors said they had received inormation prior to admission. All prospective residents/family have the opportunity to vist the home have lunch meet other residents and go out on a trip before admission. The home provides a homely, friendly and well-maintained environment for the residents to live. A large lounge and dining area provides ample space for the residents. A ‘chill out’ room is available for residents to receive aromatherapy treatments, meet visitors and enjoy listening to music in peaceful surroundings. A bar area is also available for the residents and visitors to use and the home now has a licence to serve alcohol. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 11 The home employs an ‘on site’ maintenance person who is available to repond quickly to repairs needed. Internet access is available for the residents to maintain contact with family, friends or access information. Three activity organisers are employed who organise day trips on the homes transport bus to local shops and leisure facilities. The recording systems are accurate, organised and up to date. The manager was on a training course on the morning of the visit. However records required for the inspection were easy to access and available to view as the staff are fully aware were the records are located and there was no problem obtaining the information. The home enables staff to meet needs by providing a full ongoing training programme, which includes not only the mandatory training plus training in areas – diabetes, dementia care, care of the dying, parkinsons, strokes to ensure staff are equipped with the skills to care. Promenade Rest Home DS0000005339.V341700.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): Standards 7,8,910,11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are treated with dignity and respect and their health, personal and social care needs are met. EVIDENCE: The home operates a person centered care approach to care planning involving residents who sign their plan of care. A number of care plans were viewed and were found to contain detailed information received from the assessment process and demonstrated the care required, how staff are to assist in providing care and the outcome for the residents. Residents spoken with confirmed they had been involved in developing their care plan and sign to agree. These are reviewed monthly by the key worker and the resident to reflect changing needs. Risk assessments are in place to identify any possible risks and are regularly updated. Positive comments were received from relatives and residents spoken with Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 13 regarding the care and support provided. “I always receive the care and support needed”. Resident. “Staff always available”. Resident. “I have been here for 13 years and I am very happy and content”. Resident. “I have nothing but praise for the home and all its staff”. Resident. “I suffer with breathing difficulties so the staff are always available to assist with oxygen”. Resident. Staff are trained in ways to facilitate residents in making decisions. This is provided during induction and the home’s ongoing training programme. Residents are supported in making their own decisions and this was evidenced by speaking with residents, staff and viewing residents care files were wishes regarding end of life care is recorded. Residents are asked and sign to show if the wish to be checked after 10pm, have the home hold their valuables, have a key to their room. Residents are asked on admission ‘what bedding they prefer’ to to ensure the home provides comfort and dignity were possible. Residents wear their own clothes at all times and a well organised laundry system is in place. Residents meetings take place regularly to obtain their views. Quality board meetings take place every 3 months to assess the progress of the home. These meetings involve representatives appointed by the residents, staff and management. Annual surveys are also conducted to obtain residents views. Care workers are trained to knock on residents doors before entering to ensure privacy and respect and this was observed to take place throughout the inspection. Staff interacted positively with residents and visitors at all times. Residents are able to register with a GP of their choice as long as GP is in aggreement. All health care needs are recorded, such as visits by their GP, district nurse, dentist. These were evidenced in the care files viewed and the contact dates and outcome of visit recorded. The home is presently providing a care programme for a resident who requires additional support and attention. This involves regular turning and monitoring of food and fliud intake. The family and the residents wishes are that this is provided bythe home as long as it is possible to maintain continuity of care in an environment in which the resident is comfortable. Records are kept of all care given and other health care professionals support. The home has comprehensive medication policies and procedures, which the home Manager and Deputy Manager ensure are adhered to. Senior staff who are responsible for the administration of medication are trained. Training records seen confirmed this. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 14 The medication administration records were viewed and all administrations made are recorded. The manager confirmed that a new contolled drugs book had been purchased and is to be used. CD records will keep a running account of all administrations made, balance of drugs in place and countersigned at all times. A recommendation was made to obtain countersignatures for all hand written entries on the MAR. The manager agreed to action this immediately. All drugs are securely stored. Residents medications file contained a photo of the resident for identification. Each resident signs a medical declaration to show agreement has been obtained from the resident for the home to administre their medication. Where residents are able to self administer this is encouraged and records maintained. A pharmacy report was viewed for 19/3/07. A good report was obtained and no problems identified. The management and staff demonstrated an enthusiastic approach to their work and are motivated to meeting the needs of the residents and providing a pleasant home for them to live. Discussion with residents, relatives and staff confirmed this. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 15 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): Standards 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives, maintain contact with family and take part in a full activity programme. The home provides a wholesome, appealing and balanced diet for the residents. EVIDENCE: The statement of purpose, service user guide and residents rights charter outline the services available. Assessments and care plans viewed showed that the residents care needs, likes, dislikes, social history and interests are obtained. The activity organisers compile a range of activities with the help of the residents. The home’s transport enables the residents to access the community facilities and trips out. Activities include – quiz nights, shopping, gentle exercise, bingo, games, skittles, barge trips, card making and theme nights. At the time of the Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 16 visit a quiz took place in the morning and a trip out to Crosby Marina in the afternoon. The residents spoken with were looking forward to the trip and the staff were attentive at all times helping to get the residents ready and on board the bus safely. The activity organisers also provide any shopping for the residents and spoke individually with the residents to obtain their requests. Regular residents and Quality meetings are held where ideas and improvements are discussed and taken on board. The smoking ban was recently discussed at the meeting and decided that the home is to become ‘smoke free’. Provision for smokers is to be provided in a covered area at the rear. Transport is also provided for residents to attend religious services of their choice and information is displayed on all religious practice groups. Since the last inspection the home has purchased a car, which is used to transport individual residents to hospital visits and religious services. Religious services are also available in the home. The activity programme is displayed for the residents to view and choose which they wish to attend. The notice board also provides information on local interests and forthcoming attractions in the Southport area. Residents spoken to said they have the choice to remain in the privacy of their own room or use the lounge area to mix with others. “I take part in the quiz. I am on the team”. “I go to the quizzes”. “I had a lie in this am as I didn’t feel too good. You can get up when you want too.” “I am never bored. There is lots going on”. Information is provide for various outside agencies and advocates. The home recognizes the importance of personal and social relationships and the need for privacy and this was observed during the visit as some residents accessed the lounge, while others stayed in their rooms. There is a coffee/bar area where residents can meet with relatives and friends. The home has a licence to provide alcohol and the manager and administrative assistant are qualified. There is a library area with a computer and internet access with help fom the staff if needed. A ‘chill out’ room is used for massage sessions and aromatherapy. Private phone lines in rooms can be arranged if required. Residents are encouraged to bring personal possesions with them to put in Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 17 their rooms and make it their own. A tour of a number of rooms confirmed that personal possessions were in place. Rooms viewed were varied in size. Some, however small, were found to be comfortably furnished and clean. The home operates a four weekly menu which has a good varied choice including vegetarian. Three meals a day are offered, with snacks and drinks available 24 hours, Special diets are catered for as can individual dietary needs. The main meal is served at lunch and residents were observed to eat their main meal in a relaxed and comfortable setting or within their own rooms. Staff were attentive at all times. Residents spoken with were complimentary regarding the food served. The kitchen is well equipped, clean and hygienic. Routines of the home are flexible and residents spoken confirmed this. “The food is good. I am never hungry”. “It’s not the same as home but the food is alright”. “I went to hospital and when I returned that made me a drink and a snack as soon as I came in”. “Food is lovely. You can see for yourself. The staff ask us the day before what we want for our main meal. There is always a choice”. Relatives and visitors are encouraged to call and this was witnessed throughout the day as they were made welcome and drinks and snacks offered. Relatives and visitors were spoken with and provided positve comments on the home. The home has an Autonomy policy which is suppoted by policies on Privacy and Dignity, Religion and Belief,Rights and Sexuality, Equal Opportunities. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 18 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): Standards 16,18. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Abuse and complaints policies and procedures are in place. Staff are trained to protect the residents. EVIDENCE: The home has a clear complaints procedure, which outlines the timescale and how complaints are dealt with. The procedures are contained within the service user guide and all residents have copy. Complaints records showed that the last complaint made was 1/5/06. Details of the complaints are recorded, dates, times, witnesses, action taken and outcome to the complainant. All incidents are recorded and incident reports maintained. All staff receive training on abuse and complaints within the induction process and further training in abuse is provided and evidenced within the homes training plan. The home has a copy of the ‘Safeguarding Adults Policy and Procedures, which is available to staff for reference. Procedures are in place which explains how to respond to evidence or suspicion of neglect or abuse. The home has a restraint policy which explains how to deal with angry aggressive behaviour, and states physical intervention should only occur as a last resort. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 19 Staff spoken with confirmed their understanding of the abuse procedures. “I wouldn’t hesitate to report any incidents to the manager”. Residents said: “I have no complaints at all”. “No complaints”. Quality assurance systems are in place in the form of residents meetings, comments box and annual surveys to enable the people who live there to comment on the care and support provided. The home’s policy is that all residents have the capacity and the right to make all decisions for themselves unless proved otherwise. Finance policies and procedures are in place for dealing with resident’s finances. Residents/or relatives are encouraged to deal with their own finances and have their own bank accounts. Advocates are encouraged and are used by residents where required. All financial transactions are recorded, receipts and signatures obtained and balances are regular updated on the home’s computerised system. The administrator is responsible for keeping account of all residents’ monies, which is regularly monitored by one of the directors who is also audited by the company. All monies are securely stored. All personal allowances are distributed monthly and signed on receipt by the resident. Residents and relatives are provided with Advocacy information if needed and staff are aware of how to contact Advocacy, if they felt it was needed. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 20 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): Standards 19,20,21,22,23,24,25. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home offers comfortable, ‘homely’ accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: A number of resident’s rooms were viewed and were found to be clean, comfortable and contained personal possessions. All areas are decorated to a very good standard and colours schemes are attractive and colourful. Residents spoken with said: “My room is lovely. I have one of the best”. “The rooms are cleaned every day”. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 21 The home’s environment was found to be warm and homely and residents appeared relaxed in their environment.The home provides private accomodation for each resident with one double room occupied by a married couple. All are centrally heated with controls in each room. There is a call system in place with a call bell alarm in each room. A garden is also available which is accessible to residents with mobility problems. There is a library area with internet access and a snoozelen room where residents can enjoy massages and reflexology provide by a trained activities organiser.There is a coffee bar area which can be used to receive visitors or just chat with friends. This has has tea coffee making facilities.The home has a hairdressing salon on site and hairdresser that visits twice a week. Toilet and bathing facilities are available to meet the needs of the residents and were found to be clean and hygienic. Adapted equipment is provided to residents in the form of grab rails, raised toilet seats, special cutlery, assisted baths and manual handling equipment. A call bell sytem is available troughout. The upper floors are accessed via two lifts. At the time of the inspection one lift was out of order and was being repaired during the visit. The home has recently purchased an evacuation chair to be used should the lift fail to work. The home has a full time maintenance person employed who carries out and records any routine maintenance undertaken, along with regular safety checks. The maintenance person also has the back up of a sub contracted electrician and gas engineneer if needed. All certificates for services are up to date. The home has an on going infection control training programme in place to reduce any risk of infection and cross infection within the home. Regular fire alarm testing is carried out and recorded. The home presently provides a ‘smoking area’ in a section of the lounge. An extractor fan is in place to expel the smoke. The manager confirmed that alternative arrangements are being sought to provide a ‘smoke free lounge’ in view of the no smoking ban in July 2007. Residents meetings have taken place to discuss the introduction of a smoking area to be provided in the garden at the rear of the home. Discussion took place with a relative who was concerned that her father smokes and what provision is being made. Her concerns were forwarded to the manager who is to consult with the relative. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 22 Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 23 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): Standards 27,28,29,30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are trained to ensure they are equipped with the skills to meet the needs of the residents. Robust recruitment and selection procedures are in place. EVIDENCE: An excellent staff training programme is in place and staff receive over and above the mandatory training required. The training programme includes core areas of training, such as, manual handling, COSSH, first aid, fire safety, health and safety and food hygiene. Additional training in continence care, risk assessments, stroke care, care of the dying and stoma care are provided to equip the staff with the skills to carry out their roles. Staff are encouraged to take NVQ qualifications. Of the 26 care staff employed 17 have NVQ Level 2 or above and 5 are working towards this. All the senior carers have NVQ Level 3 and the manager and deputy manager have achieved NVQ Level 4. 8 of the care staff are presently taking NVQ Level 2 in customer care. A full induction programme is provided for all new staff using the ‘Pathways to Care programme’. The programme covers all aspects of care, rights of residents, policies and procedures, health and safety and abuse. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 24 Staff interviewed said: “The training is brilliant”. “The training is excellent. We are always being updated. It helps us to keep the residents safe”. Certificates viewed confirmed the training received. The home has a recruitment procedure that requires various checks to be made on potential employees Criminal Record Bureau checks,two references and employment history. Staff files were viewed to confirm this. Interviews are conducted with two people and an interview form completed ensuring a fair interview is given and the right person for the position is employed. All workers are issued with an employee handbook and a job description. The home has a rota which clearly shows what staff are on duty at specific times. The homes staff rota is organised so more staff are available at peak times when more care is needed. Roles and routines are organised to make efficient use of all staff time. Staff breaks and lunchtimes are allocated at different times ensuring enough staff are available for the residents. At the time of the visit 4 care staff, 1 senior carer, activity organiser, domestics, maintenance and admin personnell were on duty. The manager and deputy manager came on duty during the afternoon after attending a training course. Staff were observed to interact positively with the residents at all times. Residents and visitors spoken with provided the following comments on the care provided. “The staff are very helpful and friendly”. “I have lived here for 13 years and get on well with all the staff”. “The carers are always kind. They look after me very well” The home has a workforce which consists of a mixed team from different backgrounds and various cultures, which helps promote equality and diversity within the home. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 25 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): Standards 31,32,33,35,36,37,38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed in the best interest of the residents. EVIDENCE: The occupancy levels are presently running at 100 . The home has as clear management structure appropriate to the size of the home. The manager was on a training course for the first part of the inspection. However as the records are very organised and accessible the inspector had no difficulties obtaining the information required. This was to the credit of the well organised, up to date and accessible information available at Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 26 the home. Residents are able to access their records if they wish. The manager holds a qualification in NVQ Level 4 and a Registered Managers Award and is supported by the deputy manager who also holds NVQ Level 4 and a Registered Managers Award. The manager has an open door policy and is always available for staff and residents. There was a pleasant and friendly atmosphere present throughout the visit. Feed back from residents, staff and visitors demonstrated respect and trust in the manager, who they feel runs the home well. Staff, visitors and residents spoken with confirmed this: “Sue (manager) is brilliant. She is always there for us”. Staff. “Sue is very easy to talk to”. Staff. “Sue is a good listener”. Staff. “Firm but fair”. Staff. “I love it here. I can’t wait to come to work. Sue is brilliant. If there is a problem she will sort it. I love all the reisidents”. Staff. “The staff are wonderful and very approachable”. Relative. The home has a full time administrator with the back up of a company secretary. Records are kept for a period of seven years. The home has up to date policies and procedures which are regularly reviewed. The home is run in the best interest of the residents as regular meetings, quality board meetings, surveys and monthly regulation visits take place. This ensures that residents, staff and relatives ‘have a say’ in how the home is run. The home regularly sends out resident questionnaires, which are reviewed as to what we do well or not so well, then acted upon. The home is assessed every three years by Investors in People. If a resident does not wish to mange their financial affairs or does not have the capacity, the home offers to help manage finanacial affairs and encourages the resident to appoint a power of attorney or an advocate. Staff records showed that staff are regularly supervised and annual appraisals are undertaken. Regular resident and staff meetings enable those who live and work there to ‘have their say’. All records are securely stored and kept up to date. Certificates are in place for all services, such as gas, electricity and lifts. These were confirmed during the inspection. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 27 All staff receive an excellent training programme which is kept up to date and ongoing. All accidents and injuries are recorded and reported to the various bodies for reference. The maintenance person ensures safe practices by completing water tempeeratures checks, fire safety checks and maitenance of the equipment and the building. A fire risk assessment of the home has been completed. Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 28 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 4 X 4 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 4 4 Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 29 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. Refer to Standard Good Practice Recommendations Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Promenade Rest Home DS0000005339.V341700.R01.S.doc Version 5.2 Page 31 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!