Inspection on 02/08/06 for St Annes Residential Care Home

This inspection was carried out on 2nd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

St Annes Residential Care Home 17/05/07

St Annes Residential Care Home 28/10/05

St Annes Residential Care Home 09/06/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE St Annes Residential Care Home 1-4 Rockcliffe Whitley Bay Tyne & Wear NE26 2BG Lead Inspector Allan Helmrich Key Unannounced Inspection 09:45 2nd August 2006 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 St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Annes Residential Care Home Address 1-4 Rockcliffe Whitley Bay Tyne & Wear NE26 2BG 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) 0191 252 9172 0191 251 0891 Mr Trevor Nesbit Mrs Julie May Charlton Care Home 40 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (33) of places St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th October 2005 Brief Description of the Service: St Annes is converted from three Victorian style terraced houses. It is situated on the seafront between Cullercoats and Whitley Bay and has excellent views of the seafront towards St. Marys Island. The home is on three floors. A passenger lift, two short staircase lifts and some ramps, provide access to all areas of the home. The home is registered to provide care to 40 older people, 7 of whom have a dementia. There are 34 single bedrooms, 16 of which have ensuite toilet and hand basin. There are 3 shared bedrooms, 2 of which have ensuite facilities. The communal facilities consist of; a lounge, two dining/lounge areas, a dining room with adjoining conservatory and an amenities room used for crafts and hairdressing. The home is well maintained with a large landscaped garden at the front. Weekly fees are in the range £356 - £385. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first annual unannounced key inspection visit. The inspection was conducted over two separate days and took 10 hours. Time was spent talking to the manager, some care staff, the cook and several residents and their visitors. Some of the home’s care records were reviewed and the systems that maintain residents safety. Questionnaires were provided for residents and visitors to the home and information provided by professional visitors is used in the production of the report. Nineteen responses were received. What the service does well: What has improved since the last inspection? What they could do better: A new system for assessing residents’ needs has been introduced. This has resulted in a lack of information for staff to ensure good care is provided. Although a quality assessment system has been purchased, no work has been done as yet to assess the quality of care provided. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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 St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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, 3, 6. A good range of information is available to prospective service users and needs assessments are conducted before a placement is accepted. Intermediate care is not provided. EVIDENCE: The home’s Statement of Purpose and Service Users Guide are currently being upgraded to further improve the information provided to anyone interested. A home’s brochure has been produced with colour pictures and brief information. A quarterly newssheet is produced for residents and visitors to keep them informed about events in the home. Residents and visitors spoken with during the inspection were all happy with the level of information provided. One recently admitted resident suggested that information informing new residents of daily routines and hairdressing days would be useful. The manager is considering this useful suggestion. A senior member of staff prior to a place being offered assesses each resident. This is to limit the possibility of unsuitable placements being accepted. Four files reviewed each contained this information. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 9 Respite placements are accepted and one bedroom in the home is retained specifically for this purpose. Intermediate care with specialist support is not available. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Individual care plans do not support the home’s provision of health or social care. Substantial health assessments are not available for all residents. A reasonable system for administration of medicines is in place. Residents’ privacy and dignity are respected. EVIDENCE: Residents seen during the inspection were in good health with their personal care needs addressed. Residents and their visitors spoken with were content with the care provided. Appropriate equipment such as pressure mattresses are available in the home to support residents physical needs. Four care plans reviewed did not provide the level of information expected to instruct staff in the provision of good health and personal care. The information was of varying quality, with some health assessments not done and others with no personal care details provided. The home are introducing a new format of care planning and this has left many case files short of the information necessary to ensure staff provide appropriate care. It is expected that plans will be introduced urgently for those residents whose needs are greatest. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 11 Throughout the day the staff team demonstrated good practice in relation to respecting residents privacy and dignity. This is supported by comments made by residents. Residents have limited privacy when using the public phone but this has been addressed by the proprietor who has installed a system that allows residents connect to the public phone system from their bedrooms. The system for recording and administering medicines in the home was checked. An office in the home is being converted to store medicines and additional lockable units are being purchased. Currently because of a lack of storage residents are sharing a liquid medication. This is not good practice and should cease immediately. Staff are trained and appropriate policies and procedures are in place to assist them. One resident who self medicates has been assessed and details are recorded in the care plan. A lockable fridge is available should the home need this facility and a system is in place for recording medicines on the controlled register. An error was found in this system caused by staff not following the home’s procedures. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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, 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents enjoy a range of appropriate activities. There are many regular visitors in the home. Good meals are provided. EVIDENCE: Although again some records require updating, residents confirmed they choose how to spend their day. Residents were seen coming and going throughout the day, both unsupported and with relatives, friends and staff. Activities to meet a range of tastes are provided by the home activities organiser and other members of the staff team. Visitors to the home confirmed they are well received and can have privacy if they wish. Church visitors conduct regular services with communion for those interested residents. By arrangement residents can bring to the home, items of furniture and other personal possessions. Many instances of this were noted during a tour of the building. Should anyone require advocacy, details of this service is advertised on the home’s notice board. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 13 Residents confirmed they are offered three full meals each day with at least one of these being a hot meal. Hot and cold drinks and in-between meal snacks are available throughout the day and night where required. In the kitchen there was a four-week rotating menu with a choice of food available at all main meal times. Appropriate quantities of foodstuffs including fresh fruit and vegetables were available to kitchen staff. The inspector had lunch with residents in one of the home’s three dining areas. The meal was well presented, hot and tasty. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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, 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A system is in place to support residents making a complaint and to protect them from abuse. EVIDENCE: Each resident is provided with a copy of the complaints procedure when they enter the home and a copy is posted in the lobby for the benefit of visitors. Staff are aware of how to protect vulnerable people, they have received recent training and supportive procedures and department of health guidance is available to them in the home. The manager and some senior staff have attended additional training. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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, 26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is well maintained, safe and comfortable. EVIDENCE: St Anne’s is maintained to a good standard throughout. The frontage is recently redecorated and the gardens that are well maintained, have recently won a North Tyneside in Bloom competition. Lounges contain comfortable furniture and bedrooms are individual in style with personal furnishings and those supplied by the home. The home is clean with no odours noted. A good standard of safety is maintained. The temperature of the water in two bathrooms was below a comfortable level. This was noted at the last inspection also. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Trained staff employed in sufficient numbers meet residents needs. The home operates a thorough recruitment process. EVIDENCE: The rota demonstrated that sufficient staff are employed to meet residents needs. One of nineteen questionnaire returned from a visitor felt that staffing was not always sufficient. Residents and visitors spoken to during the inspection were happy with the staffing and several comments were made regarding the good qualities in the staff team. All staff are over 18 years old and no one under 21 years old is left in charge. The majority of care staff have a National Vocational Qualification and the manager has recently completed an audit of outstanding training and this is now booked. Staff files for two recently employed staff were reviewed. These contained appropriate references and Criminal Records Bureau checks. These staff are being taken through a formal induction process to ensure they are competent to care for older people. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. An experienced manager is in charge of the home. Quality monitoring has not been developed. Financial monitoring systems are in place. Safe working practices are promoted. EVIDENCE: The manager who is experienced in providing care for older people has achieved the Registered Managers Award. She is in day-to-day control of all aspects of care. A quality assurance system has been purchased for use in the home. As yet no system of self-monitoring has been developed and residents/visitors views have not been formally solicited. The home’s systems have been assessed previously and an Investors in People Award attained. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 18 A system is in place to account for any financial transaction in the home. A receipt is retained for any purchases or services provided in the home in addition to the weekly charges. The home is safe for residents. Risks are assessed and minimised. Maintenance certificates are in place for gas and electrical systems and staff are trained in this area of care. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X 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 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 20 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 OP7 Regulation 15(1) Requirement Ensure that each resident has a plan of care that reflects his or her health and social needs. Produce a plan to identify those residents with the greatest needs and produce these plans immediately. The plans should clearly identify the need and provide instruction to staff as to how this is addressed. Comply with pharmacy guidance; • Medicines should not be shared. They are the property of the named resident. • Controlled drugs should be counted and enumerated in the home’s register. Timescale for action 30/08/06 2. OP9 13(2) 02/08/06 3. OP19 23(2)(c) Ensure a system is in place to 30/08/06 record bath temperatures and regulate them to near the comfortable temperature of 43°c. Water temperatures to some baths were assessed as low at the last inspection. St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 21 4. OP33 24 Start a self assessment of the home and ensure that residents and visitors comments are obtained. 30/11/06 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 St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 St Annes Residential Care Home DS0000063195.V295186.R01.S.doc Version 5.2 Page 23 - 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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