Inspection on 29/08/05 for Stafford House

This inspection was carried out on 29th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stafford House 04/08/08

Stafford House 27/09/07

Stafford House 17/08/06

Stafford House 14/12/05

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 29th August 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 Stafford House DS0000009702.V250161.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. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 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.V250161.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one (1) person between 60 and 65 years of age 03-12-04 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.V250161.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over three hours. The inspection began at 09.30am. The inspector spoke to 5 residents during the inspection. The owner of the home gave the inspector a tour of the building. Staff and care records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The homeowner needs to ensure that 50 of the care staff within the home achieve NVQ level 2, or above, in care by the end of 2005. Information should be passed on through care staff meetings on a regular basis to ensure that everybody’s care is consistent. Stafford House DS0000009702.V250161.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. Stafford House DS0000009702.V250161.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 Stafford House DS0000009702.V250161.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): 1, 2, 3 and 5 All new residents have a full assessment completed prior to moving into the home, ensuring that the home can meet their needs. EVIDENCE: The owner of the home provides plenty of information about the home to those who may want to live there. This information included the facilities that the home offered and the category of resident that the home was registered for. It was clear that the owner of the home was carrying out detailed needs assessments prior to new residents being admitted. This would clearly help when planning what care the resident would need within the home. The homeowner confirmed that good assessment was a priority to ensure that the home would be able to care for the residents successfully. Two of the most recent residents were spoken to. They confirmed that they had the chance to look round the home and see their rooms before they made a decision to move to the home. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 9 All of the residents had been issued with contracts. These were kept in their personal files. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 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 The home ensures that residents’ health and personal care is closely monitored and reviewed so that the staff team meets individual needs. Residents are treated in a respectful manner. EVIDENCE: Everybody who lived in the home had a care plan which helped the care staff to deliver a good constant service. Examination of care plans and daily notes confirmed that the home asked for advice from other professionals such as the district nurses, GP and incontinence advisor when this was needed. Notes were kept of the outcome of any visits or healthcare professional input, providing evidence that individual health care needs were met. All of the plans were reviewed on a regular basis. 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 their record sheet to help prevent mistakes. Only senior care staff gave out Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 11 the medication. There was evidence that the pharmacist visited the home to advise on medication issues. The inspector spoke to several residents who said that they were well looked after. There were lots of comments from residents about the care that they received. One lady said, “ the staff always speak to me politely and always treat me with respect.” All of the ladies that were spoken to were very complementary about the way that their needs were met and all of them felt that they were treated with respect. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 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 and 15. Residents are able to have some control over their lives through increased choice within the home. Visitors are welcome at any time ensuring personal relationships are maintained. EVIDENCE: It was pleasing to see that residents were able to control their own lives within the home. One gentleman worked locally and was able to come and go as he wished. Another lady said how she enjoyed going shopping with carers and visited the local library on a regular basis. One of the residents chose to spend the majority of time in her room and had her own digital television, telephone and collection of books. Another resident had her own tropical fish tank in her bedroom. All of those spoken to said that they felt at home and that they were able to organise their lives as they wished. Although there were no visitors at the time of the inspection all of the people spoken to said that their visitors were always made welcome and privacy was always given. It was clear that all of those spoken to felt that there was a good choice of food and that it was appealing and wholesome. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 13 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 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The complaints procedure was available in the Service User Guide and Statement of Purpose and the procedure was available to residents and visitors in the main part of the home. The residents that were spoken to were all aware of where the procedure was and were all confident that, should they wish to complain, there concerns would be handled well and taken seriously by the home owners. Training had been accessed regarding the recognition of abuse, and staff were aware of what action to take should abuse be suspected. The home had good procedures and guidance for staff, as well as a ‘whistle blowing’ policy that protected staff when voicing their worries. There were no concerns regarding care practices within the home. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 14 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): This section was not assessed during this inspection. EVIDENCE: Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 15 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, 29 and 30. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of residents. Staffing levels are appropriate to meet the needs of the people accommodated. Staff are well trained to ensure they have the competencies to meet residents needs. EVIDENCE: The staff rotas for the home confirmed that sufficient staff were employed to ensure that the needs of the residents are dealt with correctly. The recruitment procedures were good, and Criminal Records Bureau checks were seen for all of the people employed at the home. The homeowner showed the inspector a list of TOPSS led training that care staff were accessing at the local community centre. This encompassed the whole of the core -training programme and also dealt with confidentiality and challenging behaviour. It was pleasing to see that most of the care staff had either completed this course or were in the process of doing so. The homeowner should continue to ensure that sufficient numbers of staff are qualified up to NVQ level 2. One of the care staff had reached this level and a further four were in the process of achieving this qualification. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 16 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, 32, 33 and 36. The home is well managed and run in the best interests of the residents. There is good leadership and direction to ensure that residents receive consistent care. EVIDENCE: It was clear that all staff were being supported to do their jobs effectively. Records of individual supervision were available within care staff files. The homeowner had recently completed her NVQ level 4 in management. She already had a nursing qualification, which meant that her mandatory training was now complete. Staff meetings should be more regular and a record should be taken of the issues raised. This would make certain that all of the care staff knew what was Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 17 discussed and help ensure that peoples’ care within the home was stable and constant. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 18 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 3 3 X 3 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 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 17 18 X X X X X X X x 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 3 2 3 x X 3 X X 3 X 3 Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP28 Regulation 18 (1) (a) Requirement The registered person must ensure that 50 of all care staff have been trained to NVQ level 4. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 1 OP32 Care staff meetings should be held regularly and a record should be kept of each meeting. This record should be made available to all care staff. Stafford House DS0000009702.V250161.R01.S.doc Version 5.0 Page 20 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.V250161.R01.S.doc Version 5.0 Page 21 - 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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