CARE HOMES FOR OLDER PEOPLE
Sandycroft Nursing Home 366-368 Lytham Road Blackpool Lancashire FY4 1DW Lead Inspector
Pauline Caulfield Unannounced Inspection 20th December 2005 12:30 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 Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Sandycroft Nursing Home Address 366-368 Lytham Road Blackpool Lancashire FY4 1DW 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 349400 Taskers (Blackpool) Limited Mrs Jennifer Norma Brooks Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (36), Terminally ill (1) of places Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 37 service users to include 36 service users in the category OP (older persons 65 and over) and 1 named service user in the category TI (terminally ill) 19th July 2005 Date of last inspection Brief Description of the Service: Sandycroft Nursing Home provides nursing and residential care for 37 service users over the age of 65. The home is situated within a residential area of South Shore and is close to local amenities, the promenade and bus and tram routes are situated close-by. Accommodation within the home is situated on the ground, first and second floors in single and double rooms, some of these are en-suite. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three and a half hours during the afternoon. The inspection involved a tour of some areas in the home, discussion with two residents and one relative, and with the manager and deputy manager as well as observation of staff and care practices in the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection.
Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Residents are treated with respect and their privacy is upheld, with staff providing supportive and individual care. EVIDENCE: The inspector quietly observed staff and resident interactions in the lounge and dining room. Observations showed staff treated residents in a caring, respectful manner. There were enough staff on duty to provide a very good level of care, enabling residents to receive individual attention from staff, as they wanted it. Several newspapers are provided free of charge each day and staff were seen assisting residents to read or discussing the contents of the newspapers with residents. Observations during lunchtime showed staff sitting chatting with and assisting individual residents who required help throughout their meal. Conversation was lively and cheerful. Residents spoken to said, that mealtimes were pleasant and those needing support were given this. One resident said “Staff treat us well and always knock before they come into the room. “A relative said the staff always have a lot of time for you. They will always listen and are polite and helpful.
Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 10 Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 &15 Contact with family and friends is encouraged and there are varied leisure activities on offer to encourage involvement in social activities. Residents are encouraged to retain control and make choices about their lives. There is a good choice of meals provided in a cheerful and social environment that meet resident’s needs. EVIDENCE: Many residents were involved in armchair exercises during the inspection followed by cakes and coffee. Residents spoken to said that they were fun. There are regular leisure activities available including entertainers visiting and short trips out as residents wish. Family and friends are encouraged and welcomed in the home. One relative said, “I am always welcomed. The staff are always willing to listen to any worries. One resident said, “I choose what time to get up and when I want staff to help me get to bed. They look after me well I can’t complain”. Meal times are cheerful and social occasions. One resident said, “The meals are very good. We can have what we want to eat. If I don’t like something, I don’t like lasagne, the chef checks what else I would like instead”.
Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 12 A relative said, “The meals are very good with a lot of choices”. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 13 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Complaints are handled well ensuring people feel listened to. Staff know how to respond to any suspicion or allegation of abuse enabling them to protect service users in their care. EVIDENCE: The home has a detailed complaints procedure. There have been no complaints since the last inspection. Residents and relatives spoken to are aware of how to complain if they are unhappy. There is a suggestion box and residents, relatives and staff are encouraged to discuss any minor concerns immediately they have them, before they become bigger issues for them. Staff training records were checked. All staff receive basic abuse awareness training during induction and are aware of how to ensure that residents are kept safe. All except a new member of staff have received further more detailed training as well. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 14 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 & 26 The standard of the environment within the home is very good, providing residents with a comfortable and homely place to live EVIDENCE: A tour of the communal areas of the building and one bedroom was carried out. There is a large communal dining area and lounge that has recently been refurbished and redecorated to a high standard. The home is immaculately clean throughout, homely and comfortable. Incontinence is managed well with no unpleasant odours. The bedroom seen was well personalised and pleasantly decorated. There is also an enclosed safe rear garden, which is used regularly by residents in the summer months. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 15 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 The relationships between staff and residents are good and staff numbers are high creating a safe, caring environment in which to live. Staff are well trained in all mandatory areas of training and NVQ training has increased improving staff knowledge and skills. EVIDENCE: Residents spoken to said staff were kind and caring and always willing to help. Staff interactions with residents were observed and were friendly, caring and supportive. There were sufficient numbers of staff on duty during this unannounced inspection to provide a high level of care, support and leisure activities. Staff training records were checked. All staff have received training in moving and handling and fire safety. Nine of the seventeen nurses and care staff have received basic food hygiene training, in addition to the two full time chefs and all kitchen, laundry and domestic staff. This ensures that all staff that deal with food are trained. Five of the thirteen care staff have completed National vocational qualifications (NVQ) and five others should complete their courses soon. The home would then easily meet the required 50 of care staff trained to NVQ standard. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 16 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34. 35 & 38 The manager is providing clear direction in the home. It is effectively managed, supporting residents and staff. EVIDENCE: The Manager, Jennifer Brookes is a registered Nurse with many years experience of managing Nursing Homes. She undertakes periodic training to update her skills and has the Registered Managers award, a NEBS management diploma, ENB 831 in palliative care and is an NVQ assessor. Residents, relatives and staff spoken to said that she is very capable, supportive and approachable. The manager ensures that she chats regularly to each resident to check that they are satisfied with the service. She also chats regularly to relatives and has an ‘open door policy’. Residents and relatives spoken to confirmed this. Surveys are sent to residents and relatives approximately every twelve months
Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 17 to see if they are happy with the service and where they feel it could be improved upon. The home has achieved the Investors in People award. There is a detailed up to date system for recording resident’s finances. Resident’s have access to their money at all times where the home is responsible for their money. Staff training as seen in staff training records and good practice observed in the home protect the health and welfare of residents, relatives and staff. Staff were observed to be moving and handling residents appropriately and good food hygiene practice was in place before, during and after meals. Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 X X 3 Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 19 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 OP30 Good Practice Recommendations The Registered Person should ensure that 50 of care staff receive NVQ 2 training by end of 2005 Sandycroft Nursing Home DS0000006080.V250572.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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