Inspection on 28/10/05 for St Annes Residential Care Home

This inspection was carried out on 28th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 02/08/06

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 Unannounced 28 October 2005 10:00 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 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 B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Annes Residential Care Home Address 1-4 Rockcliffe Whitley Bay Tyne & Wear NE26 2BG 0191 252 9172 0191 251 0891 jan@st-annes.org.uk Mr Trevor Nesbit Telephone number Fax number Email 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 Carole Diane Smith CRH 40 Category(ies) of DE(E) - Dementia - Over 65 (7) registration, with number OP - Old Age (33) of places St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No conditions are applied. Date of last inspection 9 June 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. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection this year and took 5 hours. In that time a selection of the home’s records was reviewed, several residents were spoken with, a tour of the premises was undertaken and staff views were obtained. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2, 3. Each new prospective resident is assessed to ensure the home can meet his or her needs. Each new resident is provided with a contract. EVIDENCE: Four files were reviewed and each contained a pre admission assessment, undertaken to assess if the home could adequately meet the needs of the prospective resident. Each resident is now provided with a written contract or statement of terms and conditions. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7, 9. Residents’ health and personal care needs are well met. The system for dispensing medicines does not comply with pharmacy guidance. EVIDENCE: Four care plans used by staff daily in the provision of care were reviewed and were found to contain good quality information that was regularly checked. The plans contained appropriate personal information with instructions to staff in the provision of care and a record of healthcare interventions. Several residents spoken with confirmed the standard of care provided is good. The system for ordering and dispensing medicines in the home was reviewed and found to be generally satisfactory. The storage of medicines is temporarily changed as the manager’s office is being refurbished and currently medicines on the controlled register are not being stored separately. The medication for one resident was not recorded as received or given. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12. A varied programme of activities is provided in the home. EVIDENCE: Care plans now include a personal history and pen picture to assist staff in providing appropriate social stimulation for residents. An activities organiser is available to encourage residents to be involved in the home’s activities schedule. She has recently been provided with a budget to support her activities. The activities organiser was able to provide information demonstrating her involvement with many of the residents. Several residents are assessed as able to access community activities unsupported and staff assist those requiring help. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 10 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 standard(s) 16, 18. A system is in place to support residents making a complaint and to protect them from abuse. EVIDENCE: A new notice informing residents and their visitors how to complain is posted in the lobby of the home. Those residents spoken to were aware of their rights and of how to make a complaint. Staff have access to appropriate training and information relating to caring for vulnerable adults and the manager is to attend an intensive training course in the near future. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19, 26. St Anne’s is a well maintained home that is safe and comfortable throughout. EVIDENCE: The home is appointed to a good standard with comfortable furnishings throughout. Bedrooms are varied in style to suit the individual with personal furnishings or furniture supplied by the home. The home was clean and well maintained throughout. The gardens at the front of the home are landscaped and professionally maintained. The new proprietor is improving the home; the outside is being painted, the manager’s office is being extended, a lounge carpet has been replaced and new dining tables provided. A new telephone system is being installed that allows private calls to be taken in residents’ bedrooms. Some bedroom door locks are not effective and one lock has been removed and not replaced. The bath water in the home was generally cooler than required. Residents spoken to stated the home was comfortable and safe and clean. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. Trained staff employed in sufficient numbers meet residents’ needs. The home operates a thorough recruitment process. EVIDENCE: The staffing levels are appropriate to meet the current residents needs. 44 of the staff team have obtained a National Vocational Qualification in care at level 2 or above and a further 36 are in progress. The new manager has not employed any staff yet but two staff files reviewed demonstrated good employment practice is in place. A comprehensive development programme for staff is in place. Induction training is provided for new staff and a training record and record of achievement is maintained. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38. The new proprietor has not as yet developed an effective quality assurance system. Residents and their families are encouraged to maintain their own finances. Some safety issues were not demonstrated and some records need personalising to the new owner. EVIDENCE: Although the previous provider had a system of quality monitoring, the new proprietor has not as yet developed his method of assessing the quality of care provided. The home has the Investors in People Award and this is due to be re assessed. Monies and valuables were not stored in the Home’s safekeeping facilities as service users and/or their families were encouraged to retain responsibility for their financial arrangements. The home operates a system of invoicing monthly for any goods or services obtained. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 14 The manager stated the assessment of the home’s wiring, required at the last inspection, has been done but the home are awaiting the certificate. The home’s records are not yet customised to reflect the new owner and the manager’s application for registration is still outstanding. The proprietor has not instigated his regulatory requirement to conduct a monthly assessment of the home. An immediate requirement is made in this respect. St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 2 x 3 x x 2 St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 16 yes Are there any outstanding requirements from the last inspection? 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 OP9 Regulation 13(2) Requirement Comply with pharmacy guidance in that all medication brought into the home should be recorded and that all medicines dispensed by care staff should be recorded. Attend to the following health and safety issues, ensure water in the home used for bathing is near 43 deg C. Produce a programme to improve those locks in the home that do not meet an approved standard. Provide the opportunity for staff to achieve NVQ level 2 or above so that 50 of the staff team obtain this award by 31 December 2005. Introduce a system of reviewing the quality of care provided in the home. The proprietor should introduce a system of visiting the home on a monthly basis. The associated report of his visit should be forwarded to the Commission. The manager should submit an application for registration as manager of the home. Provide a certificate to confirm the standard of the homes Timescale for action 18/11/05 2. OP19 12(1)(a) 30/11/05 3. OP28 18 31/12/05 4. 5. OP33 OP38 24 26 31/1/06 Immediate 6. 7. OP38 OP38 9(2)(c)(i) 23(4)(a) 30/11/05 30/211/05 Page 17 St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 internal wiring. 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. Refer to Standard Good Practice Recommendations St Annes Residential Care Home B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 B53-BO3 S63195 St Annes V241234 281005 Stage 4.doc Version 1.40 Page 19 - 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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