Inspection on 14/12/05 for Stafford House

This inspection was carried out on 14th December 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

Stafford House 04/08/08

Stafford House 27/09/07

Stafford House 17/08/06

Stafford House 29/08/05

Stafford House 03/12/04

Stafford House 17/05/04

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 Stafford House 7 North Promenade Cleveleys Lancashire FY5 1DB Lead Inspector Christopher Bond Announced Inspection 09:30 14 December 2005 th 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 Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stafford House Address 7 North Promenade Cleveleys Lancashire FY5 1DB 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) 01253 853073 Mr Gary James Meller Mrs Jill Margueretta Meller Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one (1) person between 60 and 65 years of age 29th August 2005 Date of last inspection Brief Description of the Service: Stafford House is a care home in the Cleveleys area, north of Blackpool. It is situated on the promenade, close to the town centre. There are a number of facilities and resources close at hand, including shops, social clubs, pubs, churches and leisure facilities. Most of these facilities are in walking distance. The upper rooms of the home overlook the sea. There is a bus station near by, and busses leave from there to most parts of the Fylde Coast. A tram service operates from central Cleveleys, which serves Blackpool and Fleetwood. There are four double and four single rooms and a passenger lift to all floors. None of the rooms are en-suite. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over four hours. The inspector spoke to the manager/owners of the home, four residents and two of the care staff. Two visitors were also spoken to. Staff records were seen as well as the care records of the residents. The manager also gave the inspector a tour of the home. What the service does well: What has improved since the last inspection? What they could do better: This was a good home where all of the National Minimum Standards have now been achieved. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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 Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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): EVIDENCE: This section was not assessed during this inspection. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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): 7, 8, 9 and 10. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs were met. Residents are treated with dignity and respect. EVIDENCE: Everyone who lived in the home had a care plan where important information was written down. This information was important as it helped the care staff to look after the residents properly. Each care plan was reviewed regularly and the information updated to ensure that the care given was constant. There was lots of information stored about health issues. The records also showed when the district nurse or the doctor had visited one of the residents. Those residents who needed to take medication had good clear records kept by the manager and the care staff to show that medication was given a the proper times, as prescribed by their doctor. The pharmacist had also visited the home to give the care staff training in handling medication. All of the residents that were spoken to during the inspection said that the care staff treated them very well and that they were shown respect. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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 Visitors are welcome at any time ensuring personal relationships are maintained. EVIDENCE: The inspector spoke to two visitors during the inspection. Both said that they felt that their relative was looked after well and that they were always offered privacy when they visited. One visitor said, “I’m confident that my mum is being looked after properly here. The place is very homely and comfortable.” Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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): EVIDENCE: This section was not assessed during this inspection. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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, 20, 21, 23, 24, 25 and 26. Residents benefited from living in a comfortable, clean, homely environment. EVIDENCE: Some of the bedrooms were quite large and there were views of the promenade and the sea from the upper rooms at the front of the building. The rooms were all warm and comfortable and some of the residents had spent some time personalising their rooms. For example one of the resident had a tropical fish tank in her room, as well as an armchair and a large television. Another lady had a collection of books in her room and a personal telephone had been installed. There were many comments about this service being ‘homely’. It was a cold day and the house was very warm and comfortable. The residents were mainly sat in the lounge at the front of the house and they looked happy, relaxed and content. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 13 None of the rooms were en-suite but there were lavatories and bathrooms on each floor. These were nicely decorated, spacious and well lit. The whole house was very clean and there were no unpleasant smells anywhere in the home. There was a dining room at the back of the house and there was space for residents to sit out at the front of the building in good weather. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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, 28, 29 and 30 Good training and proper recruitment practices mean that residents are safer and better cared for. EVIDENCE: The care staff on duty spoke of the training courses that they had attended and there was good evidence of regular training in the care staff files. Most of them had achieved or were working towards a nationally recognised care qualification (National Vocational Qualification level 2 or 3). Good training means that the care staff have the knowledge to provide a better standard of care. The care staff that were spoken to were enthusiastic and knowledgeable about their role and the residents were very complementary about the standard of care and how nice the staff were. The manager/ owner of the home lived on the premises and was available most of the time to assist with care duties if needed. There were no concerns about the amount of care staff on duty and the rota showed that there were enough staff employed to ensure that the residents were well cared for. The information held within the home regarding the care staff showed that employees were recruited properly and proper checks were completed before people started work. This included Criminal Records Bureau checks. This meant that the residents were less likely to be put at risk because of poor recruitment. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 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): 31, 33 and 38. The home is well managed and run in the best interests of the residents. Good safety practice helps to ensure that residents are not put at risk. EVIDENCE: Care staff had been trained in ensuring the safety of residents. This included learning how to move people safely and ensuring that food was prepared and served hygienically. All of the care staff had training in first aid. It was good to see that care staff carried a small hand spray with them to help ensure that infections were not passed on and that their hands were cleaned properly. The minutes of staff meetings were seen on the kitchen notice board. This meant that regular staff meetings were now being held to ensure that important information could be passed on verbally. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 16 Good records were being kept of safety checks within the home. These showed that tradesmen were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 17 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 3 8 3 9 3 10 3 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 3 3 X 3 3 3 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 3 X X X X 3 Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 Stafford House DS0000009702.V254879.R01.S.doc Version 5.1 Page 19 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. 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