Inspection on 30/06/09 for Speke Care Home

This inspection was carried out on 30th June 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Speke Care Home 16/06/08

Speke Care Home 03/07/07

Speke Care Home 25/01/07

Speke Care Home 23/05/06

Speke Care Home 31/10/05

Speke Care Home 01/07/05

Speke Care Home 26/11/04

Speke Care Home 13/05/04

Speke Care Home 29/01/04

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 14/03/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Patricia Thomas     Date: This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB 01514252137 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : spekecarehome@aol.com Mr Abid Y Chudary,Mrs Chand Khurshid Latif care home 53 Number of places (if applicable): Under 65 Over 65 53 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 53 Date of last inspection Brief description of the care home Speke Care Home is registered with the Care Quality Commission to provide care and support to fifty- three people within the category of old age. This home was purpose built and is situated in a residential area in Merseyside. Speke Care Home is close to local shops and bus routes to Liverpool. Speke Care Home is a two-storey building with stair and passenger lift access. Bedrooms in one wing of the home have en-suite toilets and wash hand-basins. There are lounges on the ground and first floor, a dining area and access to a secluded garden at the rear with off road parking at the front of the building. Care Homes for Older People Page 4 of 26 Brief description of the care home Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means that people who use this service experience good quality outcomes. This visit to Speke Care Home, on 30 June 2009, was just one part of the inspection. We also looked at other information we had received about the home. Some weeks before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they needed to do better and what they had improved upon since our last visit to the home. This is so that we had up to date information about the service provided. This helps us to determine if the management of the home see the service they provide in the same way we do and if our judgments are consistent with the home owners or Care Homes for Older People Page 6 of 26 managers. We also used a system that we call case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service meets their individual needs. During the visit, we looked at various records and walked around the home. We spoke with a number of people who live at Speke Care Home as well as some visitors and staff and they gave us their views about the home. References to we or us represent the Care Quality Commission. The charge for living at Speke Care Home is £322 per week and this does not include hairdressing. What the care home does well: What has improved since the last inspection? What they could do better: We found the medication room to be very warm during the visit and there was no evidence that the temperature in this room is monitored and recorded. If medication is not stored at the manufacturers recommended temperature, it could become ineffective and unsafe for use. We have made a requirement that measures be taken to ensure that this room is maintained at a safe temperature to ensure medication is safe for use. We found the care plans to be up to date and well written, however in one instance a disability aid prescribed for a person had not been written about in their care plan. Staff need up to date guidance about such aids so they know about how to use and maintain them and about the benefits to the person who uses them. Care Homes for Older People Page 8 of 26 We thought that the building was clean and generally well maintained. However the smoking lounge was dusty and some of the chairs were shabby and worn. We have recommended that conditions in this room be improved to be in keeping with standards of comfort and cleanliness in the rest of the building. We recommend that a training plan be produced which gives a summary of staff employed, the training they have completed and the dates. This will help the manager to plan future training by providing information about when training needs updating and any skill gaps where training needs to be arranged. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given information, and have their needs assessed before deciding to move into the home so they know that their needs can be met there. Evidence: There is a good system to introduce people to this home, with information about the service provided and needs assessments done by trained professionals. In this way, people know what to expect from the service and that their needs will be met. People have contracts of residence in Speke Care Home so they know about their rights and responsibilities while living there, the scale of fees and any extra charges not included in the fee. The family of a person who had just moved in told us their relative was made welcome and comfortable when she arrived. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of peoples health is taken seriously at Speke Care Home and peoples personal care is given in the way they prefer. Evidence: To see how peoples care and support is arranged, we use a system called case tracking. This is a method that allows us to follow or track a particular situation to ensure that it was dealt with properly. We looked at four peoples care files using this method. There was good evidence that the information gained in peoples assessments had been used to form the basis of their care plans. Detailed care plans give staff the information they need to support people properly. In reading the files we saw that care plans and risk assessments had been regularly reviewed and changed if needed to keep people as safe and independent as possible. We saw evidence of best practice in that a care plan had been put in place to support a person with restricted vision at meal times. For another person, staff told us that specialist advice had been sought and an aid obtained to support the persons physical infirmity. However although the person was getting the support they needed, this information had not been included in Care Homes for Older People Page 12 of 26 Evidence: the care plan. All the aids people use should be written about in their care plans to ensure that staff are aware and know how to use and maintain them and of the benefits to the person using them. There was good evidence that peoples health is well supported in Speke Care Home, as they are registered with local doctors and receive support from paramedical services such as chiropodists, dentists and opticians. Each person who lives in the home has recently had their health care needs reviewed by the community matron, and action has been taken to meet any needs identified. Also, a review of moving equipment has been carried out by a physiotherapist to make sure that people who have poor mobility are being moved safely and have all the aids they need. We looked at how medication is managed by staff, and were informed that staff who give out medication have received relevant training to ensure they have the skills to do this safely. We looked at how medication is audited in the home and saw that records are kept of medicines accepted into the home and returns to the pharmacy. Medication administration records were in place for those in residence and each drug given to the person is signed for by a member of staff. For controlled drugs there is a more detailed monitoring system with double signatures to each drug given to a person. Medication is stored in a a secure room with a locked cupboard inside and a medication fridge. There is a thermometer to check the fridge is at a safe temperature; however room temperature is not monitored and it felt hot on the day of the visit. Medication needs to be stored at the temperature recommended by the drug manufacturers to ensure it remains effective and safe for people to take. People living in the home looked well cared for and visitors told us the care is very good and staff are caring and responsive. We saw that people were being supported discreetly by staff and bathroom and bedroom doors kept closed to ensure their privacy. People are accommodated in single bedrooms which were personalised with possessions they had brought in with them. We asked about how their clothing is looked after. They said it is returned to their bedrooms freshly laundered and in good condition. There was evidence in care files that peoples choices, such as rising and retiring times, their preferred drinks and meals, and whether they like a lie down in the afternoon, are recorded. We saw that arrangements are then made for them to get the support they need to have the lifestyle they choose. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed and provide daily variation and interest for people who live in the home. Evidence: Staff have obtained information about the social, cultural and leisure needs of people who live in this home. This means they have the information they need to make sure the care and support provided is right for that person. One person said that a vicar visits the home and there is a lady who arranges activities in the afternoons. She said if people dont want to take part, they dont have to. She said the staff are very friendly and there is a nice atmosphere. Visitors too seemed relaxed and said they are given a drink and left in private with their relatives. There is a four weekly menu which is seasonally reviewed and changed to ensure that peoples diets are varied and give choice. We saw the midday meal and noted that some people like to eat in the dining room, others prefer the lounges or their bedrooms. Staff confirmed to us that people have a choice in this. After the meal, the cook went around each table and asked people if their meal had been satisfactory. We looked at the food stores. There was plenty of food in the home and the catering Care Homes for Older People Page 14 of 26 Evidence: records had been well maintained. People who were asked were satisfied with their food. One person told us they have a good breakfast, plenty of drinks during the day, a cooked midday and evening meal, a snack at supper and that no one goes without in the home. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place which help to ensure that people using this service are protected from harm or injury. Evidence: So that people know their concerns will be taken seriously there is a complaints procedure which is displayed in the home and given to people who live there when they move in. The manager had not received any complaints since our last visit. The home has safeguarding and whistle blowing procedures and staff have received relevant training. In discussion, staff understood about the types of abuse that could be experienced by vulnerable people who live in care homes and how to go about reporting suspected abuse. Since our last visit to Speke Care Home we had received some concerns about cleanliness in the home, quality of food and support from staff being lacking during night shifts. We looked into these areas of practice and from speaking with people who live in the home and staff and through observation, could not find evidence of shortfalls during this visit. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recent improvements have been made and the home in general is in good condition and is clean and generally well furnished and fit for purpose. Conditions in the smoking lounge are not as pleasant and clean as in other areas. Evidence: Speke Care Home is a purpose built home on two floors with three lounges, one of which has a large dining area. Bedrooms are for single occupancy and there are bathrooms and toilets throughout the building. There is a separate smoking lounge with doors separating it from the main lounge. There is a pretty enclosed garden at the back of the home and off street parking at the front. The home has a passenger lift and a number of aids to assist people who have poor mobility. Meals are cooked on the premises and there is also a laundry, staff facilities, offices and a medication storage room. There have been a number of improvements in Speke Care Home to the lighting and decor in lounges and corridors recently and there is an ongoing maintenance programme. Domestic staff are employed and there are procedures for infection control and to keep them safe there are facilities for locking away cleaning materials under COSHH regulations (control of substances hazardous to health). The building was clean and odour free in most of the areas we saw during our visit and people living in the home Care Homes for Older People Page 17 of 26 Evidence: had no complaints about the condition of toilets, bathrooms, their bedrooms and communal areas. In the conservatory (smoking room) we saw that the window ledges were dusty and some of the furnishings were shabby and in need of replacement. We saw that this area was not in as good condition as other parts of the home. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in Speke Care Home are supported by a group of staff who know them well and have the knowledge to support them correctly. Evidence: There were no staff vacancies at the time of our visit and we saw that the staff rosters were kept up to date to show the staff names and the numbers on duty throughout the day and night. Over fifty percent of staff have National Vocational Qualifications in care and there is a programme of mandatory training and updates. The manager was able to inform us of what training was planned, and staff told us about the training they had done and courses had been certified. There was no training record available listing the staff and the training they have done, which could cause difficulties for the manager when planning new training courses for them and checking that their mandatory training is up to date. There is a low turnover of staff in Speke Care Home and there have been no recent staff appointments. We looked at two staff files and saw from the records they had been vetted through the criminal records bureau, two satisfactory references had been obtained for each person and the recruitment procedures had been followed. This is to ensure that only those who are suitable to support elderly and frail people will be employed. Care Homes for Older People Page 19 of 26 Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Speke Care Home is managed with systems, policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. Evidence: The manager is experienced and qualified in management. She was able to show good knowledge of the needs of the people who live in the home and has recently arranged health care and mobility equipment reviews for them to ensure they are getting the support they need. A quality assurance system has been established and letters and questionnaires were in the process of being distributed to people who live in the home, their relatives, professional contacts and staff. The process will include analysing the results in the returned surveys, making improvements and building on service strengths as needed. This means that the home will be developed according to consultation with the people who use the service and relevant others. The manager confirmed that the home does not become involved with peoples Care Homes for Older People Page 21 of 26 Evidence: personal finances. In the few instances where a personal allowance is held in safekeeping for people, records of all transactions are kept and these are regularly audited to ensure that peoples money is safe and managed in their best interests. The manager confirmed that where purchases are made on behalf of people who live in the home, official receipts from retailers are retained to ensure that all monies are accounted for. A series of health and safety checks are carried out on the building and equipment by staff and/or qualified engineers to ensure it is a suitable and safe place for people to live. We looked at the records and safety certificates in place and these were up to date. There is a procedure for recording accidents and incidents in the home and there was evidence that action is taken where risks to peoples safety is identified through contacting relevant professional support. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The medicines storage room must be kept at a safe temperature for drugs to be stored. This is to make sure that medication will be stored at a temperature recommended by the manufacturers and will remain effective and safe for people to use. 28/08/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Care plans should be in place for all the aids (such as hand supports), which people use. This will help to ensure staff know how to use and maintain the aids and of the benefits to the people who use them. Damaged and worn chairs in the conservatory (smoking lounge) should be replaced to ensure that home is comfortable and in good condition for the people who live there. The conservatory should be thoroughly cleaned to ensure it Page 24 of 26 2 19 3 26 Care Homes for Older People is pleasant and hygienic for the people who use it. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!