Inspection on 07/02/06 for The Anchorage

This inspection was carried out on 7th February 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

The Anchorage 20/06/07

The Anchorage 03/11/05

The Anchorage 18/01/05

The Anchorage 17/08/04

The Anchorage 02/03/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Anchorage Rutland Street Grimsby North East Lincs DN32 7RS Lead Inspector George Skinn Unannounced Inspection 7th February 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 The Anchorage DS0000002770.V262175.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. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Anchorage Address Rutland Street Grimsby North East Lincs DN32 7RS 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) 01472 250817 manager.theanchorage@hica-uk.com HICA Mrs Kay Ling Care Home 40 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (40), of places Physical disability (25), Physical disability over 65 years of age (25) The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: The Anchorage Care Home is one of several in the Grimsby area owned by the, ‘not for profit’ organisation, HICA, based in Hull. It is registered for the care of 40 residents with nursing and residential care needs. The categories of care include dementia, physical disabilities and problems associated with old age. It is purpose built and provides accommodation on two floors; access to the upper floor is via stairs or a passenger lift. All rooms are for single occupancy, have en-suite facilities and are decorated to a good standard. In addition residents have access to four lounges, one of which is a designated smokers lounge, and a large dining room. The home has four bathrooms, two of which have specialised baths and two shower rooms. There are sufficient toilets strategically placed throughout the home. The grounds are secure and easily accessible. The home is situated close to the town centre of Grimsby and near to local shops, amenities and bus routes. The Anchorage DS0000002770.V262175.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 inspection undertaken over 4 hours and the home was measured against the National Minimum Standards for Older People. The home was looked at as were some records, and residents were spoken with. What the service does well: What has improved since the last inspection? The home continues to be very well managed and all residents benefit from a well trained and consensuses staff group, as a result no improvement can be identified as the home is extremely well run with the best interests of the residents being first and foremost. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 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. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 All residents have their needs assessed prior to moving into the home, ensuring their needs can be met. EVIDENCE: Files were looked at and they indicted that residents are admitted to the home having undergone an assessment by either the Local Authority or senior staff from the home. The format of the home’s needs assessment covers all required areas; copies of completed assessments were detailed and appropriate. Copies of the Local Authority assessment and care plan are obtained prior to admission for those residents referred through the local Social Services care management teams. In addition to the pre admission assessment, the home undertakes a further assessment of strengths and needs once the resident has arrived. It is on the basis of both these assessments that the residents plan of care is formalised. Some of those residents interviewed knew the home kept information about them and said that they were involved in their care plans some commented on being involved with the reviews. One relative said “I’m always invited and it’s nice to think that the home take my mum’s care seriously”, however, due to The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 9 the dependency levels of the majority of the residents many were unaware of this. The care plans did demonstrate that all the residents are involved in the process of care planning, or have someone acting on their behalf. The Anchorage DS0000002770.V262175.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): 10 Residents feel they are treated with respect. EVIDENCE: Residents spoken with confirmed that privacy and dignity is respected whilst personal tasks are being undertaken. Assistance is always available but where possible independence is enabled. Medical examinations/treatment is conducted in the privacy of the resident’s own room. The preferred form of address is recorded on all case files. Residents are informed in the statement of purpose about their rights to have a private phone fitted in their bedroom. Residents can use the home’s payphone to make and receive calls. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 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, 13 & 14 The resident expectations are satisfied and their cultural and religious needs are met, and contact with families are maintained. residents’ choice is maintained. EVIDENCE: Staff provide a variety of choice and flexibility in the daily lives of the residents, with care being given to ensure that it reflects the wishes of the resident. Care plans indicated how even small preferences were to be accommodated like the preference for putting slippers on before the residents feet touch the ground. Leisure and social activities are arranged both in house and within the local community. Notices of forthcoming social events are displayed around the home. Residents interests are recorded in their individual care plans. Through discussion with residents it was evident they choose when to get up, go to bed, spend time in company, time alone etc. Whilst mealtimes are set residents are able to make choices about where they wish to eat and there is some flexibility around the timing and what they would like to eat. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 12 Residents are able to receive visitors at all reasonable times. The statement of purpose states that residents are able to choose whom they see and don’t see. No restrictions are placed on visiting. Relatives spoken to commented that they were made to feel welcome by staff and frequently joined in the main meal. Relatives were of the opinion that sufficient and varied social activities were organised. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 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): EVIDENCE: The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 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): 19 Residents live in a well-maintained and hygienic environment. EVIDENCE: The home was purpose built and is accessible, safe and well maintained. The maintenance of the building is audited by the home manager as well as the company bank to ensure environmental standards do not deteriorate. Redecoration is ongoing and subject to individual choice. Small garden areas are available and used by residents. The building complies with the requirements of the local fire and environmental health department. CCTV cameras are not used. The premises were clean and hygienic with systems in place to reduce the risk of odours. It is the organisation policy that where minor odours are identified as a problem that cannot be rectified by cleaning then new carpets are purchased. The location of laundry facilities is suitable and ensures that dirty laundry is not carried through food storage, preparation or dinning areas. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 15 Policies and procedures for the control of infection are in place along with the provision of protective clothing. The homes laundry is fitted with industrial washers and driers. There is separate hand washing facilities in the laundry room. The covering on the laundry room floor is impermeable and easily cleaned. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 16 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 The number and skill mix of the staff meet the needs of the residents. Residents benefit from a well trained staff group who have been employed using robust selection and recruitment policies and peocedures. EVIDENCE: The National Care Standards Commission have been advised that recommended guidance should only be applied to new registrations. For homes registered prior to April 1st 2002 staffing levels must at least meet the minimum requirements of the previous regulatory authority. At the time of this inspection staffing numbers were found to meet those previous requirements. The home retains a copy of duty rosters. All staff employed by the home to care for residents are aged over 18 years and those staff left in charge are at least 21 years old. Dedicated domestic staff are employed in sufficient numbers to ensure the home is maintained in a clean and hygienic state. The organisation has a detailed recruitment procedure. As part of this inspection random staff files were seen. From these files it was evident that two references were sought. Criminal Records Bureau (CRB) checks are undertaken along with a health assessment. A copy of the General Social Care Council (GSCC) Code of Conduct is made available to staff. All staff are The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 17 provided with written terms and conditions within 8 weeks of employment and copies of these are retained at headquarters. The organisations policy and procedures regarding the recruitment of volunteers outlines a thorough process, which includes the obtaining of references and a CRB check, the home does not currently have any volunteers. Those staff files seen did included a copy of passport and birth certificate. The company has a detailed induction program which meets National Training Organisations (NTO) standards and incorporates all mandatory training this is done in a weeks block training. From staff files seen it is evident that induction is a formal process, which is allocated the appropriate amount of time and attention. The company operates a thorough training program, which equips staff for their role and ensures they are able to meet the changing needs of residents. In addition the manager undertakes an audit of residents needs and compares this against the skills of the staff, the purpose of this is to establish if there is any shortfall in training need. Staff training is based on individual supervision; the amount of training provided was seen to exceed the three days required per year. Those staff spoken to during the inspection were knowledgeable about their role and the varying aspects of caring. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 18 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 The residents live in a home which is well managed and run in their best interest. EVIDENCE: The home has a quality assurance system in place, which seeks the views of all stakeholders. Residents confirmed that they are regularly consulted via questionnaires. The quality audit tool focuses monthly on areas such as the environment, complaints, individual care, etc. In addition to this, the home’s manager undertakes her own monthly monitoring. The company produces an annual development plan which looks at the organisation as a whole as well as each individual home. Residents who are able to manage their own finances are encouraged to do so; this was confirmed during the inspector’s discussions with them. For those who are not as able, finances are managed in varying degrees dependant on The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 19 individual abilities and wishes. This has resulted in a number of residents taking care of their own personal allowance whilst others ask the home to keep monies in safekeeping. The home maintains a rigorous system for the safekeeping of monies, with individual details and receipts of any monies spent on their behalf. Hard copies of this account are printed off on a daily basis. This account, whilst being rigorous, does fall into the realms of a communal non-interest account, which is in conflict with the regulations. However, from discussions with residents and having read information provided to them, it is apparent that any decision to utilise this system has been made by the resident or their representative and is based on individual choice often for convenience. On the basis of these findings this system has been accepted. The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 2 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations 50 of the care staff should be trained to NVQ level 2 The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 The Anchorage DS0000002770.V262175.R01.S.doc Version 5.1 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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