Inspection on 05/07/06 for Stockdove House

This inspection was carried out on 5th July 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

Stockdove House 27/09/07

Stockdove House 25/10/05

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 Mr Kevan Royston Unannounced Inspection 09:45 5th July 2006 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.V287098.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. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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.V287098.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 facilities. 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.V287098.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit and was undertaken as part of the new inspection process “Inspecting for Better Lives”. The Inspector spoke to the registered person, three staff and briefly with residents living at the home. The site visit was undertaken over a period of five hours. The home is a family run business and is mainly staffed by members of the family. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. Surveys were sent to residents and relatives for their comments on how the home provides support and care. Four residents and four relatives completed the questionnaires and all were positive in their comments on how the home is run. Records of three staff members were also examined. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection. What the service does well: Observation of interaction between staff and residents showed a caring and patient attitude. One resident who needed help with meals was receiving lunch in the privacy of her bedroom ensuring her privacy and dignity was being respected. The staff member said, “She has the privacy of her own room”. The home is furnished and decorated to a high standard and provides the residents with comfortable and pleasant surroundings to live in. All comments received by relatives and residents were positive. Comments included “The owners share any concerns they have and keep me informed”. A resident said “I like living here I am well cared for”. Others said, “I am very Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 6 pleased with the care I receive”. And, “The staff are very caring and thoughtful”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 8 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.V287098.R01.S.doc Version 5.1 Page 9 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. Residents records examined confirmed they had been assessed and a plan of care developed with written terms and conditions ensuring they had information about the home and care to be provided. EVIDENCE: Information of the services the home provides is made available to any new residents. One resident spoken to said “I knew all about the home before I came in”. Records examined confirmed care plans were in place and been developed from sound assessments ensuring residents needs had been identified and recorded. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. Residents records kept have improved ensuring health details are accurately recorded. Medication procedures are good and provide safety and protection for residents. EVIDENCE: Records of two residents were examined and accurately reflected the individual’s health and social care needs. Care plans were up to date and regular reviews taking place outlining any changing health needs required. A staff member spoken to said, “Reviews on residents occur monthly”. Risk assessments are reviewed on a regular basis to minimise the risk of any health and welfare concerns. A staff member spoken to said, “We always look at risk regularly to see any changes that might affect the welfare of the residents”. Medication practices observed confirmed accurate records are being kept to ensure residents health is maintained and safe. The home owner said, “Only Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 11 trained staff in medication administers medicines”. There are controlled drugs administered at the time of the site visit and a separate locked cabinet is in use and proper procedures in place for the administration of the drugs so residents are protected. 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. One staff member said, “It is important to respect the residents wishes”. A resident spoken to said “They are always well mannered to me”. Most of the residents were unable to give responses to the care received to due to frailty and not being well however responses from relatives were positive. One relative written to said “I am very pleased with then care my mum receives”. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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. Contact with families and friends is encouraged and supported by staff to maintain relationships. Activities are centred on resident’s interests. Meals are varied and wholesome with choice provided ensuring residents dietary needs are met. EVIDENCE: Lunchtime meals served were seen to be wholesome, home baked with fresh vegetables providing a nutritious meal. Menus examined are balanced and interesting. Meal times are set although flexible enough to accommodate preferences. One resident was having lunch in her room by choice. Relative surveys and residents spoken to commented on the high quality of food at the home. Comments included “The food is lovely”. And, “There is always plenty if you want it”. Records examined confirmed food and drink intake for each resident is monitored ensuring any problems would be attended to. One staff Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 13 member spoken to said “We know the residents well with it being a small home so anyone not eating or drinking would be known to us”. Resident records examined contained information about their religious and social needs, interests, hobbies, family and social contacts. Observation during the visit did see residents talking to each other in the lounges however most were sleeping. One relative said, “Although most of the residents are not active they do go out a lot on trips”. A staff member said, “In summer we try and get out for coffee or a trip out as much as possible”. A tour of the home showed that residents are encouraged to bring possessions into the home to personalise their bedroom and provide comfortable surroundings. A relative spoken to confirmed visitors are allowed at any time of the day or night. One commented, “ I come and see my relative any time and made feel welcome”. A resident said, “Visitors come and see me any time I want ”. The visitor’s book confirmed times are varied for visitors to the home. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The homeowner and staff have good knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents and relatives on admission. One relative written to said “I know what to do if I have any concerns and the owners always address them if I have any concerns”. There have been no complaints since the previous inspection. Staff spoken to are aware of the complaint and abuse procedures. One member of staff said “We covered complaints policies during our NVQ training”. Another staff member said, “My NVQ training looks at abuse training”. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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): 19,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and tidy environment. The home is maintained to a high standard ensuring the residents comfort and safety in pleasant surroundings. EVIDENCE: Walking around the home it was found to be clean and well maintained to a high standard. A resident spoken to said, “The home is always kept clean”. Hot water temperatures were regulated and recorded providing protection for residents and ensuring appliances are in working order. This is a small home and the homeowner attends to any repairs. Maintenance records are kept. The Homeowner said “I attend to any maintenance concerns when they are reported to me”. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 16 Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are adequate. However staff employed must provide a full employment history with any gaps explained and have all the documentation on record required by legislation ensuring the safety and protection of the residents. Training for staff is available and accessible ensuring they have the skills and competencies for there roles. EVIDENCE: The Examination of staff rotas and discussion with staff confirmed there were sufficient numbers of staff on duty. The homeowner said “We are aware of the high needs of some residents and staff are able to provide the care and support needed”. A relative written to commented “There is always staff available to help”. Records show training is ongoing and the home has over 80 of care staff that has completed NVQ (National Vocational Qualification) level 2 in care to meet the 50 required by legislation. Training is ongoing for staff development and encouraged to attend courses to ensure they are competent and have the skills to provide the care and support for the residents. Records are kept of staff development. One member of staff said, “ I have completed my level 3 NVQ”. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 18 Family members mainly run the home, however staff employed must provide a full employment history with any gaps explained. And all documentation required by legislation must be kept on record in relation to staff recruitment to ensure the residents are safe and protected. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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): 31,33,35,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: Inspection of records indicated regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Areas of health and safety that required attention from the previous inspection have been addressed. Storage areas have been provided to reduce the risk of residents having an accident. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 20 There remains a recommendation for the homeowner who is the registered provider to achieve the Registered manager’s award. The homeowner said, “A member of staff will be put forward to be registered who is currently undertaking the required qualifications to manage a home”. Records show the management has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. A resident spoken to said, “They ask me if everything is good and if I think something could improve my stay they would do”. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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 N/A 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 3 3 X X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 3 3 Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? 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 OP29 Regulation 19 schedule( 2) Requirement Staff employed must have all recruitment checks required by legislation in place including a full employment history with any gaps explained. Timescale for action 30/08/06 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 OP31 Good Practice Recommendations The registered provider should obtain a level 4 NVQ in management. Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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 Stockdove House DS0000009711.V287098.R01.S.doc Version 5.1 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. 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