Inspection on 17/08/06 for Stafford House

This inspection was carried out on 17th August 2006.

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 14/12/05

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 Unannounced Inspection 17th August 2006 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 Stafford House DS0000009702.V299483.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. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 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.V299483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one (1) person between 60 and 65 years of age 14th December 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 and the promenade. 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. Parking facilities are limited close to the home due to its town centre position. At the time of this visit, (17/08/06) the information given to the Commission showed that the fees for care at the home are from £313.00 to £352.50 per week, with added expenses for hairdressing and chiropody. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a total of 5 hours. A tour of the home included bedrooms, lounge and dining areas, and bathrooms. All areas were clean, hygienic and pleasantly furnished. Administration records were also examined. Residents, visitors and care staff were also spoken to during this inspection. What the service does well: What has improved since the last inspection? Some of the rooms have been decorated and some new carpets have been fitted ensuring a pleasant environment for people to live in. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 6 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. Stafford House DS0000009702.V299483.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 Stafford House DS0000009702.V299483.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 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough admittance procedures and careful assessment ensures that the home can meet people’s needs. Written information provided to prospective residents is good enabling an informed decision about admission to the home to be made. EVIDENCE: The home’s Statement of Purpose and Service Users Guide is a set of written information that tells people about the care service that is offered, who the manager and staff are, and what the resident can expect if he or she decides to live at the home. This has been reviewed and updated. Each resident had been given a copy of this information. Two residents and two visiting relatives confirmed that they had been given a copy of this information and that it had helped them to make an informed choice as to whether or not the home was right for them. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 9 Each of the residents had been assessed before coming to live at the home so that a decision could be made as to whether the home could care for them properly and address their specific needs. There was evidence of this within each of the residents’ personal files held by the home. Stafford House DS0000009702.V299483.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are met and people are treated with dignity and respect at this home. Residents are supported and protected in their daily lives. EVIDENCE: All of the residents living at the home had a plan of care where important information was recorded. All of the plans were reviewed on a regular basis so that information was kept current and up-to –date and to see if the home was caring for the resident correctly. Evidence of this could be seen when looking through the care plans. Notes were kept of the outcome of any visits or healthcare professional input, providing evidence that individual health care needs were met. One resident had been admitted to the home with a pressure sore. There was evidence on her care plan to show that she had regular visits by the district nurse and that the home had the correct equipment to help care for her. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 11 None of the residents were responsible for their own medication. Systems were in place that ensured that medication was handled correctly and professionally. The records of all the people who received medication were seen and there were no concerns. Each resident had a photograph attached to his or her record sheet to help with identification. Only senior staff gave out the medication. There was evidence that the pharmacist visited the home to advise on medication issues. Two of the residents were spoken to and both said that they were treated with dignity and respect. One resident said, “ All the staff are really helpful and caring.” There were some good examples seen by the inspector of how respectful staff were when talking to residents and dealing with their specific needs. Stafford House DS0000009702.V299483.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy planned and stimulating activities. Friends and family are made welcome within the home, which helps to maintain positive relationships. Mealtimes are planned and unhurried and residents’ preferences are respected. EVIDENCE: There were lots of planned activities within the home to help ensure that the residents were entertained and kept active. These included bingo, sing-alongs, days out to places of interest, shopping trips, coach trips and parties. Several residents were spoken to during the inspection and all of them said that there was always plenty to do. Residents were also helped to enjoy their own interests and pastimes. One lady enjoyed reading and was assisted to use the local library. Another resident kept tropical fish in her room. There were several visitors to the home by relatives and friends and those spoken to said that they were made to feel welcome. One relative said, “ I’m always treated very well when I call and I’m always offered a drink and a quiet Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 13 place to sit whilst we talk.” It was clear that people felt comfortable when calling at the home and the atmosphere was pleasant and homely. Lunch was served during the inspection and the food looked wholesome and appealing. Residents were given plenty of time to finish their meals and help was on hand from the carers when required. The home had a dining area with place settings on the tables and table -cloths. The care plans held evidence that special dietary requirements were respected and that likes and dislikes were written down. Stafford House DS0000009702.V299483.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are treated seriously to ensure that the residents’ rights are protected. Training regarding safeguarding issues was poor, which could affect the residents’ safety. EVIDENCE: There were also policy documents for the staff to read about how to recognise and report suspected abuse. One of the staff that was spoken to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should abuse be suspected. It was some time since the care staff had received training on abuse awareness. It is important to have regular updated training regarding this important subject so that the care staff are constantly aware of their role and responsibilities. Some of the care staff had done this whilst achieving their National Vocational Qualification level 2 in care, which is a nationally recognised qualification. All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in several parts of the home. The manager was aware of her role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. Stafford House DS0000009702.V299483.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, 20, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable, clean and hygienic environment and bedrooms were personalised. This means that residents will feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was good; furnishings were very comfortable and aids and adaptations are in place to help with the residents’ mobility and personal toilet and bathing needs. The overall feeling in the building was that it was homely. Residents and visitors stated that they felt at home. Although the furniture was not all new it was evident that people felt at home because of this. Bedrooms were personalised and comfortable and three residents were able to say that they were happy with their rooms. All of the rooms had photographs, books, ornaments and other personal items within them. One resident had a Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 16 tropical fish tank in her room. Another had installed her own telephone line. A gentleman had his own television and free view box installed. It was clear that the residents were enabled to follow their own interests and pastimes, which made them feel more at home and content with the service being offered. The manager clearly took the maintenance and cleanliness of the home seriously. The home was well maintained throughout and maintenance tasks were dealt with quickly so as not to inconvenience residents. The home was also clean and hygienic. There were no unpleasant smells. Some of the rooms at the front of the building overlooked the promenade and had views out to sea. When a room became vacant it was usually redecorated in preparation for new residents. Some of the rooms were shared and the care staff spoke of their responsibility to ensure that everyone had privacy. There were screens available to maintain dignity. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. Good recruitment practices meant that residents were protected from unsuitable staff working in the home. Staff were caring and competent in their roles. Training in some areas was poor, which could affect the way that the service was delivered. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. One resident said, “The staff are busy but they always have time to sit and talk with us.” Three of the care staff were spoken to and all said that the training in the home was beneficial to their work. Over 50 of the care staff had a nationally recognised qualification in care. It is important that the care staff receive regular training in medication awareness and abuse awareness. The manager also said that she would be organising training in Dementia Care to enhance the carer’s knowledge in this particular subject. Staff records showed that new carers had been properly checked before starting their jobs. This helped to make sure that the residents were safer. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 18 There was a good induction process to help ensure that new care staff were competent before commencing their role. Most of the care staff had completed a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Thos meant that they were better trained to do their jobs successfully. The manager needs to ensure that training is available in important areas such as medication awareness and abuse awareness. Staff also need to have regularly updated training in areas such as ensuring that residents are moved comfortably and safely and fire awareness. Other training such as food hygiene awareness, first aid and the control of infection must also be available and updated on a regular basis to ensure that the residents are safer. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 19 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by an competent manager and there are quality systems in place to make sure that they are protected. Training in important safety areas was inconsistent which could affect the security of the residents. EVIDENCE: 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. There had not been training in learning how to move people safely for some time. This, along with other core training such as fire safety, infection control and health and safety are important in ensuring a safe home. All of the care Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 20 staff should periodically update training in these important areas to update their knowledge. The manager was also the owner of the home and was a trained nurse. She had achieved a recognised managers qualification. She ran the home well and had the respect of all of the care staff that were spoken to. One of the visitors to the home said, “The manager is doing a good job, she makes sure everything is right for the residents here.” The care staff had not been supervised for some time. This is important individual time for each carer where the manager can talk about and document aspects of their role. Individual support can be offered to ensure that the carer is working to the best of their ability. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 21 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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 22 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 OP30 Regulation 12 (1) (a) (b) Requirement There must be a coherent stafftraining programme to encompass all aspects of care practice within the home. Timescale for action 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP36 Good Practice Recommendations Care staff should be appropriately supervised and supported in their role. This should be on a regular basis. Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 23 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 Stafford House DS0000009702.V299483.R01.S.doc Version 5.2 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!