Inspection on 09/06/05 for St Annes Residential Care Home

This inspection was carried out on 9th June 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 28/10/05

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 9 June 2005 11:00 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service St Annes Residential Care Home Address 1-4 Rockcliffe Whitley Bay Tyne and Wear NE26 2BG 0191 252 9172 0191 251 0891 N/A Mr Trevor Nesbitt 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 Julie Charlton (awaiting application for registration) CRH 40 Category(ies) of DE(E) Dementia - over 65 (7) registration, with number MD Mental Disorder (1) of places OP Old Age (32) St Annes Residential Care Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: No conditions are applied. Date of last inspection 28th February 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted after a change of owner in January and a change in manager earlier in the month. The purpose of the inspection was to ensure a smooth transition had taken place and that residents’ care and safety was maintained. The inspection lasted 5 hours and in that time several residents and their visitors 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Annes Residential Care Home Version 1.10 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 Version 1.10 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) 1, 2, 3, 6. Each care plan contains an assessment of need to support the care of residents. No progress has been made to amend the home’s documentation to that of the new proprietor. New service user contracts have not been developed. EVIDENCE: New contracts were not available for inspection and documentation seen in the home was that of the previous proprietor. Care plans contained assessments conducted prior to admission. The information was appropriate to reduce the risk of inappropriate admissions being accepted. The new manager is currently reviewing the residents’ files as part of her induction into the home. The home does not accept referrals requiring ‘rehabilitation’ style care. St Annes Residential Care Home Version 1.10 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, 8, 9, 10. Residents spoken with confirmed their health and personal care needs are well met. This was supported by the working care plans reviewed. 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. More comprehensive case records were not reviewed. Several residents spoken with confirmed the standard of care provided is good and that their privacy and dignity is respected. Visitors stated they were provided with the information they required by senior staff. The system for ordering and dispensing medicines in the home was reviewed and found to be generally satisfactory. The manager’s attention was brought to the following issues; a variable dose medicine was not adequately recorded, a medication required by one resident was not available and hand written entries in the medical administration records were unsigned. Staff did not have access to a contemporary medical reference book and all staff dispensing medicines have not yet received appropriate training. St Annes Residential Care Home Version 1.10 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, 13, 15. Arrangements are in place to provide residents’ with choice and control over their lives. A range of food is provided with the opportunity for individual choice. A range of appropriate activities are in place both within and outside of the home. Visitors are made welcome EVIDENCE: An activities organiser is available to encourage residents to be involved in the home’s activities schedule. She does not have a defined budget but has access to a range of aids. The activities organiser was able to provide information demonstrating her involvement with many of the residents but she is not involved in any areas of care planning. Several residents are assessed as able to access community activities unsupported and those requiring help are assisted by staff. Residents and their visitors spoken to confirmed that visiting is flexible, that a quiet area can always be made available to them and that staff are very welcoming. 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. St Annes Residential Care Home Version 1.10 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) These standards were not assessed at this inspection. EVIDENCE: St Annes Residential Care Home Version 1.10 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, 23, 24, 25, 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. St Annes Residential Care Home Version 1.10 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) 28. Trained staff employed in appropriate numbers care for residents. EVIDENCE: Staff spoken to were aware of the needs of residents and on the day of inspection were employed in numbers appropriate to meet their needs. Other than this no other employment issues were inspected. St Annes Residential Care Home Version 1.10 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) 31, 37, 38. The home is managed by a competent person. Some safety issues could not be demonstrated. The home’s records required personalising to the new proprietor. EVIDENCE: The manager is known to the Commission, having been registered previously for other homes. An application for registration as manager is outstanding. Having been in post less than 2 weeks, the manager was not required at this inspection to demonstrate her awareness of the home’s systems. These will be reviewed at the next inspection. Staff and residents spoken to stated that the transition between previous and new managers had been conducted with a minimum of disruption to the service. The home’s records were not customised to reflect the new proprietor. St Annes Residential Care Home Version 1.10 Page 14 The following health and safety information was not made available; the standard of the home’s internal wiring and actions taken to eliminate the Legionella virus. A recent check demonstrated the lighting levels in the home are below an acceptable standard, this is being addressed. St Annes Residential Care Home Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 3 STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x 2 2 St Annes Residential Care Home Version 1.10 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. 2. 3. Standard OP1, OP37 OP2 OP9 Regulation 4, 5. 5 13 Requirement The homes documentation should reflect the new proprietor. A contract/statement of terms should be in place for each resident. The following pharmacy guidance should be adhered to; record the variable medication doses given to residents, medicines prescribed should be available in the home at all times, hand written entries in medical administration records should be signed by the transcriber, all staff dispensing medicines should have received accredited medication training, a contemporary medical reference book should be available to staff. The registered provider must visit the home unannounced each month to examine the quality of care provided. THIS REQUIREMENT IS OUTSTANDING FROM THE PREVIOUS INSPECTION. The following elements associated with health and safety should be demonstrated at the next inspection; the standard of Version 1.10 Timescale for action 31/8/05 31/8/05 31/7/05 4. OP37 26 31/8/05 5. OP38 12 31/8/05 St Annes Residential Care Home Page 17 the homes internal wiring and the standard of the homes water supply related to Legionella. 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 OP12 OP38 Good Practice Recommendations A budget should be considered for use by the activities organiser. Care plans should include appropriate information relating to theraputic activities. Address any sub standard areas of lighting within the home. St Annes Residential Care Home Version 1.10 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 Version 1.10 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. 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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