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Inspection on 22/03/06 for Southlands Residential Home

Also see our care home review for Southlands Residential Home for more information

This inspection was carried out on 22nd March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Southlands is a very well managed home with a friendly and welcoming atmosphere. All the comments made by residents and relatives show a high level of confidence in the very good standards of care and the friendliness of everyone who works there. One relative said "I like the attitudes of the staff and the cleanliness. Staff are attentive to health needs" and felt residents are well looked after. Residents said they liked the home, have choice and control in their daily routines and enjoy the activities and trips. Staff have good training and support and work well together.

What has improved since the last inspection?

The manager always addresses requirements promptly. Window restrictors have been fitted since the last inspection. The home has had a new kitchen fitted. During the fitting, there was no disruption the meal service or the good quality of the food.

What the care home could do better:

The home was advised that footplates on wheelchairs should be used. The home does make sure that new staff are properly supervised, but should make sure that the required background checks on new workers have been received before they begin work.

CARE HOMES FOR OLDER PEOPLE Southlands Residential Home Withins Lane Breightmet Bolton Lancashire BL2 5DZ Lead Inspector Rukhsana Yates Unannounced Inspection 22nd March 2006 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 Southlands Residential Home DS0000009304.V282947.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. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Southlands Residential Home Address Withins Lane Breightmet Bolton Lancashire BL2 5DZ 01204 528369 01204 528369 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) Mrs S A Winterbottom Mr M A Winters Mrs S A Winterbottom Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Southlands is a privately owned care home providing residential care for older people. It is situated close to a bus route, at the end of short private access road in the Breightmet area of Bolton. The home is a large, detached building with 27 places on two floors. There are 13 single rooms (3 of which have ensuite facilities) and 7 double rooms. The grounds include a car park and large, enclosed gardens. Mrs Winterbottom has jointly owned, managed and worked at Southlands for 18 years. Southlands Residential Home DS0000009304.V282947.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 4 hours, including preparation time. During the day, discussions took place with 3 residents, the deputy managers and a visiting relative. Some time was spent watching the way in which staff supported and talked with residents and looking around the ome. Records were examined that related to the care and safety of residents, and staff records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The home was advised that footplates on wheelchairs should be used. The home does make sure that new staff are properly supervised, but should make sure that the required background checks on new workers have been received before they begin work. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 6 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. Southlands Residential Home DS0000009304.V282947.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 Southlands Residential Home DS0000009304.V282947.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): 3 Each person considering moving to Southlands has their needs assessed, and is given information about the home, before admission. The admission process ensures that new residents know what to expect of the service from the outset. EVIDENCE: Records and discussions show that the manager visits prospective residents, in their own homes or in hospital, to assess whether the home can meet their needs. The files of residents new to the home include an admission assessment, from which a care plan is developed. The assessment includes needs, preferences and relevant risk assessments. Introduction visits are arranged prior to admission if possible. The relative of a resident new to the home said that she visited several homes before choosing Southland for her mother. She was impressed with the atmosphere, cleanliness and care. All residents consulted felt this home was a good choice. Staff members demonstrated a good understanding of residents’ needs, likes and preferences. Southlands Residential Home DS0000009304.V282947.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): 7 and 10 Each resident’s personal, health, social care needs and risk assessments are reflected in their care plan. Monthly reviews ensure that staff have a good knowledge of each person’s changing needs and how to meet them. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans detail the actions to be taken by care staff to meet needs. They are reviewed monthly, with changes recorded and acted on. Risk assessments cover moving and handling and falls. If needed, risk assessments are carried out for areas such as pressure sores and nutrition. Records showed that health needs are promptly and appropriately addressed. The positive outcomes for residents of the high standard of care were reflected in the comments of a relative who said “I feel happy when I walk out of here that my mum is looked after. I like the attitudes of the staff and the cleanliness. She likes the food, her appetite has increased, staff are attentive to her health needs and she looks well looked after”. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 10 Comments were made by the visitor and by residents themselves about the choice of lounge areas that provide quiet areas for those who prefer to read. A resident said that she had a lock fitted to her door for privacy, and it is the policy at the home to provide locks on bedroom doors for those who want them. Staff demonstrated respectful attitudes in their interactions with residents. It was apparent during the inspection that there is a need to ensure that all wheelchairs have footplates and that they are used when moving residents. Southlands Residential Home DS0000009304.V282947.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): 13 and 14 The home maintains good links with relatives through open visiting arrangements, and has a good activities programme that includes links with the local community and trips out. EVIDENCE: Residents and visitors confirmed that there are open visiting arrangements and visitors are made to feel very welcome and able to speak to their relative in private of they wish. A resident described a good activities programme that includes a range of indoor activities and trips to places of interest. She had been on a shopping trip to the Trafford Centre and an outing to Oswaldtwistle which the residents very much enjoyed. A resident also said there were “several concerts and choirs over the Christmas period.” Religious needs are met through communion taking place at the home once a month and visits from the United Reform Church four times a year. Residents consulted felt that they are given choice and control over their daily routines, in terms of food, rising and retiring times, where to spend their time during the day, and participation in activities. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed during this visit. EVIDENCE: These key standards were assessed and met at the last inspection. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 13 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): 19 and 26 Southlands provides a very clean and comfortable environment for residents. The home and grounds are pleasant and well maintained. EVIDENCE: Residents said they are very satisfied with the standards in the home, describing their surroundings as “always nice and clean”. Bedrooms are homely and personalised with residents’ own belongings. The safe and attractive gardens are enjoyed by residents and their visitors in fine weather. There is a good choice of lounge areas, enabling a range of social and religious activities to take place without being intrusive to those who choose not to participate. Regular safety checks are carried out throughout the home, including fire safety, water temperatures and equipment checks. A variety of aids and adaptations are provided to assist residents, including grab rails, assisted baths and showers. The passenger lift and ramps enable wheelchair users to access all floors of the building. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 14 Since the last inspection a new kitchen has been fitted. It was clear from residents’ comments that disruption to residents while the refurbishment was carried out was kept to a minimum. One said “they were wonderful when the kitchen was out of action. The staff and the cook were fantastic and the food was still really good.” Southlands Residential Home DS0000009304.V282947.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): 28 and 29 The staff group has the knowledge, skills, training and management support it needs to effectively meet the care needs of residents. Background checks are carried out for new staff, but the home should ensure that the necessary checks are received before employment commences. EVIDENCE: Training arrangements at the home are very good, and staff are given the opportunity to develop their skills and gain relevant qualifications. The home has recently been reassessed for, and has retained, its Investors In People status. 13 care staff have achieved their NVQ Level 2, in addition to 3 senior carers, two of whom are qualified to NVQ Level 3. Both of the deputy managers have completed the Registered Managers’ Award. The home has a stable, longstanding staff group and, as such, there has been little recruitment activity in recent months. The one person recruited had her CRB with POVA check applied for but not yet received. The deputy manager was advised to ensure that the POVAFirst check is received before new staff commence employment. Southlands Residential Home DS0000009304.V282947.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): 35 and 38 Secure arrangements are in place for administering residents’ personal monies. Regular environmental checks ensure that health and safety requirements are met. EVIDENCE: The arrangements for managing residents’ personal monies were seen to be safe and secure. Written account records are kept and were accurately maintained. A range of health and safety testing certificates and records were examined and found to be satisfactory. These related to hoisting equipment, the lift, fire precautions, and gas and electrical installations. Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 17 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 18 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. 1 Standard OP7 Regulation 13 Requirement All wheelchairs must have footplates and be used when moving residents, unless there is a documented reason for not doing so. A POVAFirst check must be received before new staff commence employment. Timescale for action 10/04/06 2 OP29 19 22/03/06 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 Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Southlands Residential Home DS0000009304.V282947.R01.S.doc Version 5.1 Page 20 - 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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