Inspection on 25/10/05 for Stockdove House

This inspection was carried out on 25th October 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

Stockdove House 27/09/07

Stockdove House 05/07/06

Stockdove House 12/05/05

Stockdove House 01/11/04

Stockdove House 24/05/04

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 Stockdove House 12 Stockdove Way Cleveleys Lancashire FY5 2AP Lead Inspector Mrs Ruth Edgington Unannounced Inspection 25th October 2005 9.30 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 Stockdove House DS0000009711.V261326.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. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stockdove House Address 12 Stockdove Way Cleveleys Lancashire FY5 2AP 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 855967 Mr David Joseph Lalgee Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Stockdove House is an adapted property that has retained a great deal of the atmosphere of a large family house and is situated in a residential area close to local shops and amenities. The home is registered to accommodate a maximum of 13 persons over the age of 65years. Accommodation comprises of a lounge and dining room on the ground floor. There are three double bedrooms, one of which has ensuite facilities and seven single bedrooms, two having ensuite facilites. The double bedrooms are occupied as singles unless persons wishing to share make a specific request. There are sufficient toilet and bathing facilities to meet the needs of the residents. A passenger lift enables residents easily access the first floor. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 1.5 hours by two Inspectors. At the time of the inspection the homeowners were away and the Inspectors were unable to access many of the documents that are required by the Care Homes Regulations to be available for inspection at all times. During the inspection the Inspectors looked at the records that were available, spoke to the two members of staff on duty and three residents. Comment cards were received from two residents and one relative and all were very positive. The Inspectors looked around the home and were able to observe the daily activities of the residents. What the service does well: What has improved since the last inspection? The Inspectors were unable to assess what had improved since the last inspection, as they were unable to access the majority of the records. However they noted that the dining room had been redecorated and were informed that improvements had been made to other areas of the home. The Inspectors also noted that a new metal medicine cupboard had been purchased following recommendations from the Pharmacy Inspector. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 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. Stockdove House DS0000009711.V261326.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 Stockdove House DS0000009711.V261326.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 The lack of written information available to prospective residents could potentially prevent them from making an informed choice about the home. EVIDENCE: There have been no admissions since the previous inspection in May 2005. However the Inspectors were unable to access any of the written information provided to prospective resident before admission and therefore they were unable to confirm if the requirements and recommendations made at the previous inspection had been complied with. The staff member spoken to was unsure of what information was available should anyone make enquiries about the home. Stockdove House DS0000009711.V261326.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): 7 ,8 &10 The care planning system is not clear and consistent to provide staff with the information they need to meet the resident’s needs. Personal support is offered in such a way as to protect residents’ privacy and dignity. EVIDENCE: The care plans seen were not clear and contained only basic information, which in some cases was not up to date and had not been reviewed on a monthly basis. There was also no evidence that the residents or their representatives had been involved in this process. The way in which information is recorded does not comply with the Data Protection Act. A record is kept of all events that occur during the 24hour period, however the Inspectors noted that when a record was made of district nurses visiting, in some cases no reason or outcome was recorded. A record is maintained of all accidents that occur in the home. Two residents were noted to be falling regularly. However the Inspectors were unable to access any risk assessments to be able to evidence that preventative measures Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 10 had been put into place to reduce the number of accidents individual residents have had. The staff on duty were able to describe the care needs of individual residents and from observations made during the inspection evidence was gained that the residents dignity and privacy were respected by the care practices in the home. The majority of the residents presently accommodated are frail and the Inspectors were unable to gain any significant responses regarding their care. However prior to the inspection two of the resident and one relative had completed a questionnaire and the comments made were very positive. One resident wrote, “Very well looked after, lovely food, the staff treated them well and respected their privacy all the time and they felt safe.” A relative wrote, “All the staff at Stockdove house are so very caring, which has given me peace of mind when I leave my mum in their care. God bless them all”. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 11 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 & 14 It was not clear from the documentation available if the social, cultural, religious and recreational interest and needs of the individual residents continue to be met by the home. The lack of written information made it difficult to assess how much control and choice that residents have over their lives . EVIDENCE: The Inspectors examined the assessment records completed on admission to the home. These contained information about their religious and social needs, interests, hobbies, family and social contacts. However there was no evidence that this information had been reviewed recently. One resident spoken to said that they felt that the majority of the residents were becoming frail and therefore spent most of their time sleeping, or watching television. Another resident confirmed that they went out daily with their relative and also liked to set the tables in the dining room, which helped to keep them active. During the inspection the Inspectors did observe conversations between various residents in the lounge. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 12 A tour of the home showed that residents are encouraged to bring possessions into the home in order to personalise their bedroom. The written information examined did not contain any reference to how the financial affairs of the residents are handled and the choices given to them. Stockdove House DS0000009711.V261326.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): The above standards were not assessed. EVIDENCE: Stockdove House DS0000009711.V261326.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): 25 Failure to regulate the temperature of the hot water and surface temperature of the radiators present a potential risk to the safety of the residents. EVIDENCE: The Inspectors tested the hot water in a selection of resident’s bedrooms and in both bathrooms and found that the temperature was to hot to place a hand under and therefore placed vulnerable people at risk. The Inspectors found that the majority of the radiators were still not guarded appropriately or not maintained at a low surface temperature. The Inspectors were aware that the system controlling the heating and hot water was controlled by a computer system, which evidently required regulating to ensure that the correct temperatures were maintained. Stockdove House DS0000009711.V261326.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, 28, 29 and 30. The deployment and number of staff available is insufficient to meet the needs of the residents. It is unclear if the recruitment procedures and staff training protect the residents, as records were not available. EVIDENCE: At the time of the inspection there were only two staff on duty and their duties included, caring for the ten residents in the home, cooking the meals and cleaning. The Inspectors examined the rota and found that that the staffing levels were very low and that some staff were working long hours to provide even the basic cover. At times the rota indicated that the number of staff on duty fell below acceptable levels. Evidence gained through examining the written information available identified that the majority of the residents required a great deal assistance. There were also a large number of falls recorded for the same residents and some of these occurred when staff were otherwise engaged. This raises concerns over the level of staff available to ensure that the residents needs are being met and their safety assured. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 16 The Inspectors were unable to access the staff files to confirm if the correct recruitment procedures were being followed and access any training information. The staff on duty did inform the Inspectors that one of them was undertaking level 3 NVQ (National Vocational Qualification) training and the other staff member had commenced level2 NVQ the previous day. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 17 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, 37 and 38. The home is not being well managed. EVIDENCE: The limited staffing levels in the home would appear to have affected the amount of time that the homeowner has available to carry out management tasks. This includes recording and updating of information to ensure that the needs of the residents are being met and staff are receiving the appropriate training required to meet these needs. As stated throughout this report the Inspectors were not able to examine all the records that are required to be available at all times for inspection, therefore many of the standards could not be addressed. Staff on duty could not access certain records. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 18 Concerns have already been raised about heath and safety issues in the home. In addition the Inspectors found that the first floor bathroom was being used for storage, which whilst being inappropriate could potentially be a hazard for anyone using that room. Concerns were also raised about the practice of leaving the kitchen doors open. The kitchen was seen to be unattended at times whilst pans were boiling on the cooker. One resident in particular was seen to wander in that area and therefore at risk. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 19 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 2 X x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 2 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x X x x x x x 2 x STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 2 x 2 2 Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 20 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 OP37 Regulation 17(3(b) Requirement The registered provider must ensure that the records are available at all times for inspection in the home by persons authorised by the Commission to enter and inspect the home. The registered provider must ensure that the resident’s plan of care describes how their needs in respect of heath and welfare are to be met. The registered provider must ensure that the home is safe and free from hazards at all times. The registered provider must ensure that at all times suitably qualified, competent and experienced persons are working in the home in such numbers as are appropriate for the health and welfare of the residents. (Timescale of 12/05/05 not met) The registered provider must ensure that new staff are only appointed following completion of a Criminal Records Bureau check and check of the DS0000009711.V261326.R01.S.doc Timescale for action 31/12/05 2 OP7 15 31/12/05 3 4 OP25 OP27 13(4) 18 31/12/05 31/12/05 5 OP29 19 31/12/05 Stockdove House Version 5.0 Page 21 6 OP 31 12(1)(a) Protection of Vulnerable Adults register. (Timescale of 12/05/05 not met) The registered provider must ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of the residents. 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. No. 1. 2. 3. Refer to Standard OP1 OP7 OP31 Good Practice Recommendations The service user Guide should contain a summary of the service users views. All care plans should be agreed with the service user and signed by them or representative. The registered provider should obtain a level 4 NVQ in management. Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 22 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 Stockdove House DS0000009711.V261326.R01.S.doc Version 5.0 Page 23 - 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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