Inspection on 31/10/05 for Speke Care Home

This inspection was carried out on 31st October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Speke Care Home 30/06/09

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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Speke Care Home 96-110 Eastern Avenue Liverpool Merseyside L24 2TB Lead Inspector Les Hill Announced Inspection 31st October 2005 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 Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Speke Care Home Address 96-110 Eastern Avenue Liverpool Merseyside L24 2TB 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) 0151 425 2137 Mr Abid Y Chudary Mrs Chand Khurshid Latif Joan Lorraine Vernon Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (53) of places Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 2005 Brief Description of the Service: Speke Care Home is registered with CSCI to provide care and support to 53 residents within the category of old age. It was purpose built and is situated in the heart of a residential area in Speke, Liverpool. The home is close to a range of local community amenities including local shopping. There are bus and road links to other parts of Liverpool and North Cheshire. Speke Care home is constructed on two levels with stair and passenger lift access. There are 51 single bedrooms and two that are available for double occupancy. Bedrooms in one wing of the home have an en-suite WC and wash hand-basin. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken on Monday 31st October 2005 over a period of four hours. It involved the examination of records, a tour of the building and discussions with six residents and four staff. CSCI inspection Questionnaires were completed by 10 residents or their families. The inspection was part of the Commission’s responsibility to visit and report on each care home on two occasions each year. What the service does well: What has improved since the last inspection? What they could do better: Some minor repairs were identified for action. The home must obtain appropriate CRB/POVA clearances for staff. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 6 Formal staff supervision must be undertaken and recorded. Risk assessments are required around the use of bedrails. 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. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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 Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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): 1, 2, 3, 4, 5 and 6. Residents are given the information they need to make a choice about the home. EVIDENCE: The home has a statement of purpose in pace that contains all matters identified in Schedule 1 of the National Minimum Standards, Care Homes for Older People. A service user’s guide is also in place. A Copy of the guide is left in each of the resident’s bedrooms. A written contract/statement of purpose was in place for each of the residents in the home. Residents had signed the ones seen by the inspector. The majority of admissions are made from social worker referrals. An examination of four resident’s files confirmed that a senior manager was undertaking pre-admission assessments. The assessments were comprehensive and gave a good picture of the needs of the potential resident from which staff could make a decision about the ability of the home to provide the levels of care and support required. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 9 The manager told the inspector that prospective residents and their families are invited to visit the home and to spend some time there before making a decision to stay. In practice many of the residents are admitted directly from hospital or from their own homes in emergency situations. The practice of a trial period of stay is supported. The home also offers respite care. Speke Care Home is not contracted to provide Intermediate Care. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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): 7, 8, 9, 10 and 11. The health and personal care needs of residents are being met. EVIDENCE: Each of the four care plans seen by the inspector contained a plan of care prepared by a senior member of staff. The plans could be linked back to the assessments on file and were completed with as much detail as was necessary for the individual resident. There was also evidence in place to confirm that the care plans were being reviewed. Some of the residents have been assessed as needing bed rails. However, a risk assessment was not in place on the file of one resident who needed them and “Bumper pads” were not in place on the rails in another resident’s room. A risk assessment confirmed by the resident or their relative must be in place each time bed rails need to be used and they must always be fitted with the appropriate “bumper pads” for improved levels of safety. The home receives good levels of support from local GP’s and from the district nursing service. Residents who need continence products or dietary advice are referred to the appropriate professionals for assessment and support. The Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 11 homeowner funds chiropody services in the home and the optician visits on a regular basis. The home is still experiencing difficulties in arranging for a dentist to provide domiciliary visits. A record is being maintained of the interventions from health care professionals for individual residents. Polices and procedures are in place for the receipt, storage, management and disposal of medicines. Staff who administer the medicines are provided withy training and the pharmacist visits regularly to check that medicines are being stored and given out appropriately. Most were supplied in blister packs. A sample check of the medicines confirmed that they were being managed appropriately. Policies and procedures are in place in relation to privacy and dignity. The inspector spoke with several residents who were complimentary about the care and support provided by the staff. The inspector observed staff to be sitting and talking with residents and during a tour of the building the member of staff accompanying the inspector knocked on bedroom doors before entering. Some of the resident’s files contained information about their wishes at the time of their death. The home’s manager told the inspector that most of the relatives have indicated a wish to be informed of a death at any time of the day or night. However, the home should have a record of the resident’s wishes so that they can ensure all appropriate procedures are followed. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15. Residents are helped to exercise choice and control over their lives. EVIDENCE: The home arranges some activities including a bi-monthly cinema show. Bingo and outside entertainers are also provided. The manager told the inspector that she has been advertising the post of activities organiser for some time but has not been able to attract any appropriate candidates. However, she is also to consider the option of employing one of the current care staff in this role. The manager said that most of the residents were happy to be entertained and were less willing to join in any activity. A recent planned trip to an old time music hall was cancelled when residents decided at the last minute they didn’t want to go. During the course of the inspection several visitors arrived at the home. Some took the resident they were visiting out. Visitors were well known to staff and they had a good rapport. It was clear that this was an everyday situation and gave support to the manager’s claim that visitors are welcome at any time. Through observations and discussions it was clear that residents are able to make choices about how they will spend their time in the home. One of the Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 13 residents has a talent for painting and spends a great deal of time pursuing his hobby. Others spend a lot of time in their own room that they have fitted out for comfort and where they have gathered treasured possessions. The cooks at the home write up the day’s menu on a white board in the dining room. A choice is offered at breakfast time (including cooked breakfast foods) and residents have a choice of snack lunch with pudding and a choice of cooked evening meal with a lighter sweet. If they don’t like any of the meals on offer they can choose to have something different. Residents can choose to take their meals in the dining room or in their own room. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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 the following standard(s): 16, 17 and 18 Policies and procedures are in place to protect residents from abuse. EVIDENCE: The home has a complaints policy and procedures in place and a system for recording the process of any investigation. Copies of the complaints procedure are posted around the home and are available in the service user’s guide that is placed in each bedroom. No complaints had been received by the home or by CSCI in the past twelve months. Adult protection policies and procedures are also in place and the home now has a copy of Liverpool City Council’s procedures. Staff have also been provided with training. All of the residents are listed on the Electoral register and have the opportunity to vote in national and local elections. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Residents live in a safe and generally well-maintained environment. EVIDENCE: Speke Care home is a purpose built facility that is suitable for its stated purpose. 32 of the 51 bedrooms have an en-suite WC and wash hand-basin and all are of a good size. Individual bedrooms have been personalised according to the wishes of the resident. There is a large lounge/dining room to the ground floor and a conservatory that is designated as the smoking room. A smaller lounge is available on the first floor. Communal space within the home meets the required standards. The home is equipped with adequate heating and lighting, ventilation and hot water supplies. A resident’s call system, fire alarm and emergency lighting is also fitted throughout the home. Since the CSCI inspection on 1st July 2005, a great deal of work has been undertaken to raise the standards of furnishing and decoration. The home is Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 16 now much brighter and the environment has benefited from the investments made by the homeowner. The conservatory is much improved with tiled flooring, repairs to the radiators, redecoration and replacement blinds. Dining tables have been replaced and the manager told the inspector she is awaiting the delivery of new dining chairs. Some other new furniture and lamps have given the lounges a more homely appearance and new chairs are in use. Some of the resident’s bedrooms have also benefited from redecoration. Others are waiting to be upgraded and the carpet in two rooms is in need of replacement. Door handles on several bathrooms/WC’s were in need of replacement or repair. The rear gardens have also been cleared and maintained to provide a more pleasant outlook. Bathrooms around the home were clean and two had been fitted with walk-in showers. A bath had been removed from one area of the home and the manager told the inspector that the homeowner intends to replace it with another walk-in shower. Grab rails were provided throughout the building and stand-aids and hoists were available. Some WC’s were fitted with rails and there are baths with a bath hoist. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Resident’s needs were being met by the numbers and skill mix of staff. CRB and POVA checks should be in place to protect residents. EVIDENCE: Good staffing levels were being provided at the home. The staff rota shows that one senior carer and six care staff are on duty each morning and that one senior and five care staff are on duty each afternoon. A senior carer and three care staff are on duty throughout the night. 14 of the home’s 20 care staff have an award at NVQ level 2 or above, in care. The home is therefore exceeding the standard of 50 care staff with this level of NVQ award. There was evidence on the staff files examined that induction training was being undertaken and that ongoing training was provided. The manager told the inspector that all staff had recently undertaken adult protection, POVA and confidentiality training and that further training in dementia was planned. The home is still awaiting confirmation of CRB clearances for longer serving members of staff that were submitted almost twelve months ago. The homeowner is in touch with CRB to gain a response. The process for obtaining POVA checks on staff has only recently been clarified with the homeowners and they are now following up appropriate checks. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 18 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, 32, 33, 34, 35, 36, 37 and 38 The home is run in the best interests of residents. Some additional work is required to confirm savings management and quality assurance processes. EVIDENCE: The manager has over four years experience of running the home and has gained the Registered Managers Award. She is also registered with the Commission. Throughout the inspection it was clear that staff knew what was expected of them and got on with their work. One of the senior care staff showed the inspector around the home and had a good understanding of what was in place and the processes and procedures to be followed. Visitors and residents appeared comfortable with the manager and they had a good repartee. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 19 The manager told the inspector that a representative of the organisation visits the home on a monthly visit to compete a report on what is happening. However, a system to routinely assess the quality of care provided through feedback questionnaires to residents, relatives and visiting professionals is yet to be introduced. Some progress has been made to ensure that resident’s investments are managed effectively and they receive whatever interest has accrued on their savings. Banks, building societies and the Post Office are reluctant to open individual accounts if the account holder cannot get to the bank himself or herself. So a separate account has been opened with the company’s bankers to deposit resident’s savings. The bank will provide each resident (who has savings) with a statement identifying their capital and any interest payable. This arrangement is acceptable to CSCI. The organisation manages the financial affairs of some residents. Records are maintained at the organisation’s head office. The person who manages the accounts was on annual leave at the time of this inspection and so the accounting procedures could not be checked. Some one-to-one supervision sessions are being undertaken for staff but not with the regularity of six each year that is identified as good practice. The home is supporting two staff on a mentoring course and it is expected that they will be involved in supervising colleagues once the course is completed. A completed appraisal form was located on one of the staff files seen by the inspector. The inspector was able to confirm that safety checks had been carried out, and safe certificates issued for the gas and electric installations at the home. The home’s public liability insurance policy was up to date. Confirmation of PAT testing of small electrical appliances was also in place. There was evidence that the temperature of fridges and freezers was being monitored, that fire equipment was tested regularly and staff received instruction in fire safety. The Commission is unaware of any matters that would affect the future financial stability of the home. All required records were being maintained. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 20 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 2 3 3 Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23 Requirement Timescale for action 30/11/05 2 OP29 19 3 OP33 24 4 OP36 18(2) The manager must ensure that matters identified in the report about repairs to the building are dealt with appropriately The Homeowner must ensure 30/11/05 that all checks on the suitability of staff including CRB and POVA clearances are undertaken in line with safe practices. The homeowner must introduce 31/01/06 a system to review the quality of care provided at the home taking account of the views of residents, their relatives and visiting professionals. The home’s manager must 31/01/06 ensure that all staff are provided with professional supervision to support them in their work with residents, six times each year. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 22 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 2 Refer to Standard OP7 OP11 Good Practice Recommendations The home’s manager should ensure that risk assessments are in place whenever bed rails are used and that no bed rails are used without the appropriate “bumper pads”. The home’s manager should ensure that a record is made of what the resident wishes to happen at the time of their death. Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Speke Care Home DS0000025180.V252155.R01.S.doc Version 5.0 Page 24 - 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. 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