Inspection on 24/01/06 for Shieling, The

This inspection was carried out on 24th January 2006.

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 01/09/05

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 Shieling, The 286 Southport Road Lydiate Liverpool Merseyside L31 4EQ Lead Inspector Mrs Janet Marshall Unannounced Inspection 24th January 2006 10:30 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 Shieling, The DS0000005378.V281275.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. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shieling, The Address 286 Southport Road Lydiate Liverpool Merseyside L31 4EQ 0151 531 9791 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) Minearch Limited Mrs Pauline Harris Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include up to 28 OP. The service should employ a suitably qualified and experienced Manager who is registered with the CSCI. 1st September 2005 Date of last inspection 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. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced. The Inspection was the second in the home’s required visits, which are 2 inspection visits per year. The last inspection report was examined and only one requirement needed to be followed up on this visit. That requirement has been fully met. Residents, relatives and staff were spoken to at the inspection. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events) were examined. A tour of the home also took place. What the service does well: What has improved since the last inspection? A greater level of information about what activities residents expect and prefer has been provided ensuring that these needs are met. The dining and kitchen areas have been refurbished to a high standard enhancing the comfort and dignity of residents. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 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. Shieling, The DS0000005378.V281275.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 Shieling, The DS0000005378.V281275.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): 2 & 4. Key standard 3 was assessed at the last inspection and was met. The home does not provide intermediate care therefore Key standard 6 does not apply. Full and proper assessments are carried out prior to admission of residents to ensure that the home is able to meet their needs. All residents have a contract so benefit from having a statement of terms and conditions of their occupancy. EVIDENCE: Several new residents have been admitted to the home since the last inspection. The current procedure when choosing to live at the home is a gradual process of moving in which was discussed with and confirmed by the 2 residents case tracked. Both the resident’s case tracked had recently moved in. Before moving in, they had a process of visits to the home to view it, to meet other residents, to join a meal and to stay overnight. Records seen confirmed this. Assessments of both residents were detailed and informative. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 9 One resident case tracked said, of moving into the home, “ I was allowed to bring my own belongings which make me feel more at home. Residents have been provided with a contract/statement of terms and conditions. The contracts are available in resident’s individual files. They set out the services and facilities offered by the home, terms and conditions of occupancy, fees, rights and responsibilities of parties and other issues as outlined in the National Minimum Standards. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed during this inspection. Key standards 7, 8, 9 & 10 were assessed at the last inspection and were met. EVIDENCE: Shieling, The DS0000005378.V281275.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 & 14. Key standards 12, 13 & 15 were assessed at the last inspection. Standards 13 & 15 were met. Standard 12 was not fully met so was reassessed during this inspection. Resident’s interests are better recorded so that the home can be sure of meeting those needs. Residents make choices and decisions about their lives. EVIDENCE: A requirement was raised as part of the last inspection report to ensure that care plans provide more detail of what activities residents expect and prefer. This is so that staff have the information they need to provide residents with the right oppertunities for stimulation through activities in and outside the home to suit their needs and preferences. Examination of care plans showed that this has been done. Care plans that were examined included a greater level of information about what activities residents expect and prefer. Activities in the home include aromatherapy, music & movement, bingo, film shows, hairdressing, religious meetings and musical entertainers. Activities outside the home include trips to the theatre, shops and local churches. A record of all the activities that each resident is involved in was viewed. A programme of activities was displayed in the home. One resident said, “there is plenty going on”, another resident said, “I don’t always join in the shows and Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 12 games but I know others do”. The relative of one resident said that she is happy with the level and variety of entertainment provided for her mother. Residents spoken with said that they could get up and go to bed when they choose. Shieling, The DS0000005378.V281275.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): None of these standards were assessed during this inspection. Key standards 16 & 18 were assessed at the last inspection and were met. EVIDENCE: Shieling, The DS0000005378.V281275.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. Key standards 19 & 26 were assessed at the last inspection and were met. All parts of the home that residents have access to are safe and comfortable. EVIDENCE: A tour of the premises was undertaken. There is a rolling programme of redecoration within the home. The dining room and kitchen areas have been refurbished to a high standard since the last inspection. A handy man that attends to day-to-day maintenance is employed at the home. The building presents as a well-decorated and home-like environment. A laundry is available and is separate from the food storage area. The laundry is organised and contains a number of industrial washing and drying appliances. A system of identifying residents’ laundered clothes is in place to minimise loss and confusion. Hand wash facilities are in place in the laundry. The home was noted to be clean and hygienic throughout during the day of the inspection with no offensive odours noted in any area. The home has Protective equipment available as well as a system for the disposal of clinical waste. All hand wash areas had soap and paper towels available. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 15 Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 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 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): 29 & 30 Key standards 27, 28 & 30 were assessed during the last inspection and were met. The homes recruitment procedure is robust ensuring the protection of residents. The levels and quality of staff are appropriate ensuring that residents needs are met. EVIDENCE: A selection of staff files were examined. Records for a new member of staff showed that a robust recruitment procedure is followed before a person is allowed to start work at the home. Records for that person included two references an enhanced Criminal Record Bureau check (CRB) and a fully completed application form. Records showed that new staff have completed or are due to undertake mandatory training (training that is required of them) including Induction training, First Aid, Fire Safety and Moving & Handling. Specialist training that is linked with the needs of the residents is also completed, for example, Diabetes and Dementia Care. Records showed that training is focused around the needs of the residents, safe working practices and the principles of care. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 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 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, 35, & 38. Residents benefit from receiving a service that is managed by an individual who has the experience of their needs. The home is being managed in the best interests of the residents. Systems are in place that ensures residents finances are safeguarded. EVIDENCE: The Manager was approved by the Commission for Social Care Inspection in 2004. She has worked for some time in the field Social care and remains conversant with the needs of the residents in the home. Comments made about the manager by residents, relatives and staff included: “She is very good”, “She listens to you”, “I like the manager she knows what she is doing and always has time for you”, “The manager has encouraged me and other staff to progress,” Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 18 Records showed that quality monitoring systems are in place at the home. This involves residents and/or their relatives/representatives being consulted on their views about the home. This is done through discussion, which is recorded and/or written questionnaires. This is an important process as it shows that the home is run in the best interests of the residents. Residents and relatives are very happy with the way that the home is run. This was supported through discussion and on examination of questionnaires completed by residents and their relatives. They were in the homes information pack available at the front entrance of the home. Also as part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations 2001 Amended (2004), the owner of the home visits the premises monthly. He interviews residents and staff and inspects the environment. It is important that this is done to check records and form an opinion of the standard of care in the home. Following the visit the owner writes a report including the outcomes and sends a copy to the Commission. Records show that the visits and reports are being carried out each month as required. The majority of residents have appointees who deal with their finances given that these individuals are no longer able to manage their finances independently. There are some cases in which the Manager deals with small amounts of money. Records of this were maintained, monies were securely stored, the system was accountable and monies were individually stored as opposed to being pooled. Records and certificates showed that staff have completed health and safety training. A detailed health and safety manual was available at the home. The manual included certificates of safety checks and details of tests carried out on the environment and equipment. Those examined were well kept and up to date. Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X 3 X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 20 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 Shieling, The DS0000005378.V281275.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House 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. 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