Inspection on 01/09/05 for Shieling, The

This inspection was carried out on 1st September 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

Shieling, The 07/04/07

Shieling, The 24/01/06

Shieling, The 08/02/05

Shieling, The 29/06/04

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 The Shieling 286 Southport Road Lydiate Liverpool L31 4EQ Lead Inspector Janet Marshall Unannounced 1 September 2005 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. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Shieling Address 286 Southport Road Lydiate Liverpool L31 4EQ 0151 531 9791 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) Minearch Ltd Mrs Pauline Harris PC - Care Home Only 28 Category(ies) of OP - Old Age - 28 registration, with number of places The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 28 OP. 2. The service should employ a suitably qualified and experienced Manager who is registered with the CSCI. Date of last inspection 8th February 2005 Brief Description of the Service: The Shieling is a purpose-built Residential Home located in a semi-rural environment. It has extensive grounds and farmland to the back. Some of the grounds are given over to car parking. The Home stands on the old Southport to Liverpool road, and has good links with public transport.The Shieling offers permanent residential care for a maximum of 28 residents. All have their own rooms and have access to 2 lounges and a dining room.Staff offer full care and support, promoting independence appropriate to service users’ capacities, and encourage the involvement of relatives wherever possible. Links with the community enable visits and entertainments to be provided within the Home, and service users are helped to use all local facilities. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours. It was an unannounced visit and was carried out as part of the regulatory requirement for care homes to be inspected at least twice a year. There has been no cause for any visits to the home since the last routine inspection in February 2005. The requirements and recommendations from the last inspection report were discussed and checked with a member of staff. They have all been met. A partial tour of the home was conducted. A selection of care records and other required records were inspected, they included a selection of residents care plans, daily diaries, medical notes, medication sheets, staff rotas and certificates of health and safety checks. The manager was not on duty, residents, relatives and care staff were interviewed and their views obtained. Two residents were ‘case tracked’. Case tracking means that the inspector concentrates on the care given and experiences of one or more residents to ensure that the persons needs are recorded in their care plan and are being met. The residents involved in this process were very helpful they talked about their care plans and confirmed information. What the service does well: The service benefits from a manager who is open, positive and inclusive. Residents and relatives spoken with were very complimentary of the staff and manager who they see as very hard working and supportive at all times. Care practices and the administration of records and policies that were seen are of a very good standard. One relative spoken to was very pleased for the level of support offered following a recent admission and felt this was very personal to their relative. The health and personal care needs of residents are well met. Care staff are prompt to report any problems as they arise and senior staff are good at assessing and planning care and making any medical referrals if needed. There is a relaxed and friendly atmosphere in the home. Staff ensure that opportunities for activities are provided for residents on a daily basis. Those interviewed were pleased that activities are offered even though not all join in. Residents particularly enjoy the film shows and outside entertainment. Residents enjoy meal times and staff provide the right level of support for residents who need assistance. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 6 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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 The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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, 3 & 5 A good information pack is available at the home so that prospective service users are able to make an informed choice about living there. Before admission prospective residents visit and try out the home so that they can make a positive choice about living there. There was a good standard of assessments enabling the home to be sure of meeting residents care needs. EVIDENCE: An information pack, which was available at the front entrance of the home, was viewed. It included a copy of the homes Statement of Purpose and Residents Guide. There is a lot of information about the home including a description of the services and facilities available. Information about trial visits for prospective residents was available within the Statement of Purpose it clearly described the process that the home follows for introducing new residents. One newly admitted resident who was case tracked confirmed that she was given a lot of information about the home and visited on several occasions before making a decision to live there. The resident stated that she ‘saw other homes but as soon as she came here she new this The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 9 was the one where I wanted to live’. Another resident who was recently admitted to the home said that ‘everybody made her very welcome’. Care records inspected contained assessment details completed by the manager of the home. The assessments contained information gained prior to admission and included further professional assessments by social workers and other community care professionals. Staff on duty were able to describe the care needs of residents assessed. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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, 8, 9 & 10 The health and personal care needs of resident’s are understood and are well met. Information about residents health and personal care is well recorded which ensures that their care needs are understood and fully met. Personal support is carried out in a sensitive and flexible way to ensure the privacy and dignity of residents at all times. EVIDENCE: Four residents who were case tracked had available individual plans of care, which identify relevant aspects of health and personal care and plan accordingly. Residents who have diabetic conditions for example have care needs identified on the care plan and relevant entries made in the daily notes monitoring the care. Mobility needs are well assessed and planned for as well as nutritional requirements. One resident interviewed described routine visits for health checkups and another had attended the opticians and these visits are recorded in care files. Medication recording was clear and the members of staff interviewed were able to describe the action and side effects of medication prescribed. Staff were aware of the personal care needs and individual routines of residents. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 11 There is therefore a good understanding of the medical, and personal care needs of residents. Care files contain evidence that residents and or their representatives are routinely consulted when drawing up the care plans and those interviewed said that they had been fully involved in putting together their plans of care. This ensures that that all individual needs are identified and addressed consistently All residents interviewed felt that staff were very respectful of their right to privacy describing them as ‘very polite’ and ‘helpful’. They also said that staff always knock on doors before entering rooms. Other comments made by residents included, ‘Staff are wonderful’, ‘everybody are kind and very respectful’, when staff help me to bath they are very helpful and respectful’. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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 Meal times and social activities are both well managed and help create a varied and positive day for the residents in the home. Residents are satisfied with their daily life and social activities, however individual records do not sufficiently detail their preferences. Residents are encouraged to maintain contact with their family and friends. EVIDENCE: There is a list of planned activities on display. Residents interviewed commented that they particularly enjoyed the activities as this gave opportunity to socialise. Outside entertainers and the frequent film shows were also commented on, as these were ‘relaxing and interesting ways to spend time’. Some residents said that they have been on day trips including a day out to Blackpool, the cinema and pub lunches. The information included in care plans provides only brief information about the interests, hobbies and social preferences of residents. This should be expanded upon so that staff have more knowledge of what activities residents expect and prefer. All of the residents spoken to commented on the food and were appreciative of the quality of the meals provided. One resident said that ‘the cook is wonderful, she knows what food I like’. One resident reported a lack of variety at supper time stating that biscuits are usually all that she is offered, although most actually were happy with the choice at supper time. The cook gave examples of residents who had not liked the main meal and had been given The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 13 alternatives. Residents interviewed all said that the food is always hot, well presented and tasty. Mealtime arrangements are flexible with residents eating in the main dining room, lounges and also in their bedroom if they wished. Visitors were seen at the home at intervals during the inspection. Those spoken with said that they visit at any time, although they try to avoid visiting at meals times. Visitors were seen with residents in their rooms. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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 There were no recorded complaints since the last inspection. Residents were confident that their concerns or complaints would be listened to and acted upon. Safeguards were in place to protect the people living in the home from abuse. EVIDENCE: A complaints procedure was viewed at the home. The procedure includes details about the action and timescales involved in the process, and it also included details of the Commission for Social Care and Inspection (CSCI). The complaint record showed that no complaints had been made since the last inspection. Residents spoken with had no concerns about the service and said that if they did they would be confident in approaching the staff should any arise. A number of policies and procedures were in place to protect the safety, health and welfare of residents including a Protection of Vulnerable Adults Procedure (POVA), which clearly describes what action, must be taken in response to suspicion or evidence of abuse. A member of staff stated that they have undertaken Protection of Vulnerable Adults training, she appropriately described what she would do in the event of suspicion or an allegation of abuse. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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 home was clean, tidy and maintained to a good standard providing a comfortable and safe environment for the people who live there. Cleaning timetables and routines were in place to ensure that a high standard of cleanliness and hygiene is maintained at all times. EVIDENCE: Residents and relatives spoken to were pleased with the standard of the décor and fittings in the home. Residents were able to describe and display their own belongings and furnishings they had brought in which, as one resident commented ‘ helps me feel more at home’. One resident said how happy she was that she was able to bring her budgie with her. Residents were observed using all communal areas of the home. Residents interviewed said that they are happy with all aspects of the home. Residents bedrooms that were seen were well furnished and nicely decorated. Keeping the house clean and hygienic is important to residents and staff this showed by how clean the house was. A member of staff said that residents are encouraged to keep their own room tidy, residents ability and level of involvement is recorded in their care plans. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 28 & 30 Staff have completed the required training, so that they are skilled in what they do. Staffing arrangements are appropriate ensuring that the needs of residents are met. EVIDENCE: Staff rotas that were looked at showed that there are sufficient numbers of staff on duty throughout the day and night to meet the needs of residents. There are four care staff on duty during the day and two waking staff on during the night. Staff said that domestic staff and the manager are flexible depending on care needs and staff interviewed felt that the home was sufficiently staffed at present. Resident’s interviewed where unanimous in their praise of the staff and said that they were very supportive and patient in their approach. The way that staff were seen speaking and supporting residents supported this view. A relative commented that the manager and staff had been most welcoming and supportive following the recent admission of his mother. During interview a new member of staff said that she was involved in an induction programme. She also said that she has completed other required training and is due to take part in further training. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 17 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) 32, 36, 37 & 38 The home provides formal and informal support for the staff, enabling staff to have a good understanding of their role in caring for residents. The required Health and Safety checks have been carried out which ensures the safety of residents and staff. The homes Policies and Procedures protect the health, safety and welfare of the residents and staff. EVIDENCE: Staff interviewed felt that the manager and senior staff were very approachable and would support them if needed, for example if they had a particular issue concerning the care of a resident. One member of staff said that have regular one to one sessions with the manager and have regular staff meetings. Senior staff are currently undertaking training appropriate to their roles. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 18 A relative said that they have a high regard for the staff and the manager, he described their attitudes as very good and said that ‘they have an eye for detail’. A Health and safety Manual was available at the home. The manual included the required Health and Safety Policies. Certificates of safety checks and details of tests carried out on the environment were also seen. Other records that were seen were well kept and up to date. The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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 x 3 x 3 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 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 4 x x x 3 3 3 The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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. Standard OP12 Regulation 16(m)(n) Requirement The manager must ensure that care plans provide more detail of what activities residents expect and prefer. Timescale for action 31/11/05 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 Good Practice Recommendations The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG 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 The Shieling F53 F03 The Shieling S5378 V247918 01.09.05 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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