Inspection on 01/11/05 for St Stephens Nursing And Residential Home

This inspection was carried out on 1st November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Stephens Nursing And... 21/04/09

St Stephens Nursing And... 21/01/09

St Stephens Nursing And... 03/04/07

St Stephens Nursing And... 31/05/05

St Stephens Nursing And... 02/11/04

St Stephens Nursing And... 27/05/04

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

CARE HOMES FOR OLDER PEOPLE St Stephens Nursing And Residential Home St Stephens Nursing And Residential Home 4 St Stephens Avenue Bispham Blackpool Lancashire FY2 9RG Lead Inspector Mrs Jackie Riley Unannounced Inspection 1st November 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 St Stephens Nursing And Residential Home DS0000006087.V262666.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. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Stephens Nursing And Residential Home Address St Stephens Nursing And Residential Home 4 St Stephens Avenue Bispham Blackpool Lancashire FY2 9RG 01253 352625 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) Mr Keith Bell Mrs Brenda Christine Bell Mrs Annette Parkinson Care Home 31 Category(ies) of Dementia (31) registration, with number of places St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: St Stephens Nursing Home 31 people with dementia. The home is a converted 3-storey house with a purpose built 2-storey extension to the rear. The home is situated in the North shore area of Blackpool, close to the seafront, and approximately 10 minutes by car to the town centre. There are an appropriate level of aids and adaptations in place to meet the needs of residents who are frail and immobile. The home has 27 single rooms, 14 with on suite facilities, 2 double rooms. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for 2005-06. It was unannounced and undertaken during a weekday period. The inspection examined a number of standards, including medication, the environment, residents rights, staff training and health and safety issues which will be focused upon in the main body of this report. During the inspection the registered manager and individual staff members assisted the inspector with the process. Due to the level of dementia suffered by residents living at the home they are unable to provide comments regarding how they live at the care home, however general comments will be included. What the service does well: What has improved since the last inspection? What they could do better: Service certificates must be up to date and available for inspection. The home should continue to develop the current good practices seen during the inspection process. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 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 Stephens Nursing And Residential Home DS0000006087.V262666.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 St Stephens Nursing And Residential Home DS0000006087.V262666.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): These standards were not inspected. EVIDENCE: St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 9 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): 9 Medication in the home is managed and stored safety for the protection of residents and staff. EVIDENCE: The homes medication systems have recently been reviewed. These improvements ensure the safe handling, recording and storage of medication in the care home. Staff training has been extended. All staff responsible for the administration and recording of medication have recently had updated training. This makes sure they are equipped in the knowledge and understanding of current good practice in medication management for the protection of residents and staff responsible. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 10 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): 13 Relatives and visitors are encouraged by staff to visit whenever possible, so that residents maintain contact beyond the boundaries of the home. EVIDENCE: The homes written literature encourages visitors to come to the home without any restrictions, so that residents can maintain contact at any time. At the time of the inspection during the morning period, visitors were seeing relatives, and were able to take residents to private areas of the home including resident’s rooms for privacy. Staff members were seen to interact well with visitors and are able to provide emotional support when necessary. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 11 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): These standards were not inspected. EVIDENCE: St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 12 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, 22, 24, 26 The care home provides an environment, which is comfortable and well maintained for people to live in. Specialist equipment is in place to meet the high level of dependency of residents living at the home. EVIDENCE: The homes decoration is generally good throughout with a maintenance plan in place to ensure the general maintenance and decoration of the home is constantly reviewed and acted upon. Work was being carried out to the hall stairs and landing areas of the home at the time of the inspection, which reinforces the homes commitment in ensuring it is maintained to a high standard. The homes external environment is well maintained. Garden areas to the front and rear of the home are neat and tidy. The rear garden is walled and not overlooked, which ensure the privacy of residents choosing to use this area of the home. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 13 There is a range of bathroom equipment, which ensures residents with high dependency can bath in facilities specifically designed for them. Resident’s rooms were seen to be generally large, with personal possessions very much evident, so that residents have familiar things around them. The home has in place cleaning materials and designated domestic staff, which makes sure the home is clean and hygienic at all times. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 14 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 Residents are protected and cared for by a staff team, which is well trained and competent in delivering a high standard of care to meet the specialist needs of residents living at the care home. EVIDENCE: The staff team, in some cases, have worked together for many years. Those spoken to commented on the support received in respect of training and team spirit. Staffing levels are based on meeting the needs of residents, so that they have their individual needs met. Staff were seen to mix and communicate with residents, respecting their attitudes and behaviour, which is due to the levels of dementia they are suffering. Staff were seen to be sensitive in how they undertook their duties. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 15 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): 35, 38 There are systems in place to make sure the health safety and welfare of all users of the service are protected. EVIDENCE: Records seen confirmed the home has safe monitoring systems in place for the health safety and welfare of residents and staff, so that they are protected from harm. However there is a requirement for all service certificates to be up to date and available for inspection at any time, to ensure the requirements have been complied with. Residents are protected from financial abuse because of the system in place for managing resident’s allowances. St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 16 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 St Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No 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 OP38 Regulation 23(2)(b) Requirement All service records must be up to date and available for inspection Timescale for action 31/01/06 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 Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Stephens Nursing And Residential Home DS0000006087.V262666.R01.S.doc Version 5.0 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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