Inspection on 06/06/05 for The Chimes

This inspection was carried out on 6th June 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 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 Chimes 14/08/09

The Chimes 20/12/07

The Chimes 27/03/07

The Chimes 31/10/05

The Chimes 23/09/04

The Chimes 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Chimes 83 Park Road St Annes Lancashire FY8 1PW Lead Inspector Lillian McMullen Announced 6 June 2005 th 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 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 and Care Homes for Adults 18 – 65*. 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 Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Chimes Address 83 Park Road St Annes Lancashire FY8 1PW 01253 725146 01253 725146 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Margaret Elaine Brady Care home only 21 Category(ies) of MD Mental Disorder (1) registration, with number OP Old Age (19) of places PD Physical Disability (1) The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 21 users to include Up to 19 service users in the category of old age not within any other category (OP) One named service user in the category of Physical Disability (PD) and One named service user in the category of Mental Disorder (MD). Date of last inspection 23rd September 2004 Brief Description of the Service: The Chimes Care home provides residential care for up to 21 older people. It is situated close to the centre of St Annes. Leisure amenities are close by as well as local shops and public transport system. The home is on three floors and there is a passenger lift is in place. There are a number of aids and adaptaions in place throughout the care home suitable for the age range and needs of residents living there. There are fifteen single rooms and three double rooms and at present ten bedrooms have ensuite facilities. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection and started at 10.30 am and took place over 6 hours. The Inspector spoke to three staff members, six residents and the homeowner. Part of the inspection was spent on looking at care documentation together information in relation to the staffing and the homes recruitment procedures. What the service does well: This is a care home where residents are well looked after. The staff team work well together and show a good understanding of the needs of the people living at the home. The homeowner has continued to develop the service and has implemented systems that ensure the needs of the residents are met. Care documentation was well written and comprehensive in detail. Residents spoken to said they liked living at the home and felt the staff worked extremely hard. The assessment and ongoing review of care is thorough ensuring residents care needs are being met. Care plans are well written and contain details of specific intervention required. All care plans are reviewed monthly, and all are signed by staff and residents. Good communication systems are in place which include written notes of the handover meeting that take place at the changeover of each shift. Meals are based on good home cooking; they are varied with an alternative available if required. Residents were pleased with the choice and variety available. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 6 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 There is a good assessment procedure in place, which ensures the needs of the residents can be met. EVIDENCE: The records of three residents recently admitted had full assessment information. Also on file was information about the specialist needs required by residents all of which was acquired prior to admission. There was also evidence of social work assessments being carried out to supplement the homes assessment. Following the assessment of need which is carried out in the prospective residents previous home all residents are invited to visit the home and if felt appropriate a phased admission will be arranged. This provides the prospective resident to have periods of short term care that enables them to sample the care and provision provided. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 9 Residents, files were well constructed and contained supplementary information that provided an holistic view of the residents being cared for. Staff members confirmed they had access to this information and could describe in detail the care needs of residents. Residents confirmed they had been involved in their assessment and had met the homeowner prior to coming to live at The Chimes. Residents spoken to said they were happy that their needs were being met by the home. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 10 Promotion of health is taken seriously. Residents welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out the action that needed to be taken by care staff to ensure all aspects of health and the physical needs of the residents are met. Whilst the inspector is confident The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 11 that staff have a good knowledge of the residents social and emotional needs, care plans should be developed further to include all aspects of the residents needs, wishes and aspirations. All relevant information should be accessible to staff. Accompanying the care plan is a risk assessment and both documents are reviewed on a monthly basis. Significant events are recorded and daily entries made on case files, which inform the care, plan and used as the focus for the care plan review. One resident who has complex physical and mental health needs is currently being cared for at The Chimes, evidence was available to confirm that everything possible is being done, including seeking advice from other professional to ensure this resident enjoys a good quality of life. Discussion with staff confirmed they were aware of the needs of this residents and the level of care that needed to be provided. The inspector noted evidence of turning and nutritional records. Residents spoken to said they were satisfied with the care provided, one resident said that Margaret (homeowner) “will go the extra mile to make sure we have what we need”. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: None of the above standards were assessed at this inspection. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: None of the above standards were assessed at this inspection. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 There is a planned maintenance and renewal programme for the redecoration and refurbishment of the home that ensures residents live in a comfortable, homely and safe environment. EVIDENCE: The home is well maintained and a programme of maintenance is on going. A number of areas have been redecorated and refurbished since the previous inspection. Plans are in place to continue to upgrade the physical environment of the home, which will include making improvements to a number of communal toilets and bathrooms. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 15 The programme of replacing existing windows with double-glazed units is near completion there are now only two windows that require double-glazing. All bedrooms meet the minimum size requirements and plans are being considered to incorporate en suite facilities in all bedrooms. Currently there are ten bedrooms that have en suite facilities. The Inspector spoke to three residents in their own bedrooms. They all were happy with their rooms and said that the furniture provided met their needs. From observation the inspector was able to confirm that rooms are personalised to each residents taste and preferences. All radiators are fitted with guards. The programme of fitting thermostatic valves fitted to nearly all hot water taps, There, is currently only three hot water taps not fitted with thermostatic valves and plans are in place to complete this process in the near future. There is ample communal space residents confirmed that they are free to sit where they wish. There are two large lounges and a large dinning room with additional seating in the large hallway. The grounds to the home are well maintained; a patio area is situated at the side of the home, which is accessible to those with restricted mobility. The Inspector found the home to be warm, clean and free from any offensive odours. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. EVIDENCE: There is a stable staff group and only two new staff members have been recruited to work at the home since the last inspection including the appointment of a dedicated domestic. Staff confirmed this was a welcome addition as she is very conscientious and improving the cleanliness whilst allowing them more time to spend with residents. A number of staff files were examined and the homes recruitment procedures was seen to have been followed. All staff had been cleared through the Criminal Records Bureau and all other necessary checks had been completed prior to being offered employment. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 17 Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. Staff spoken to confirmed that were provided with excellent training opportunities and that the homeowner is extremely supportive in providing all the help they need. This was confirmed by the large number of certificates on display in the home. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 36 The home is well managed and run in the best interests of residents. EVIDENCE: Residents and staff members were very positive in their comments about the homeowner who also manages the home and her style of management. Staff spoken to said they found the homeowner to be approachable, supportive and was always available to offer guidance and direction. Residents confirmed that the homeowner is in the home each day and that she makes time to speak to them, one resident said that Margaret (homeowner) The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 19 “always come to my room and asks if I am alright and if there is anything that I need”. Systems are in place to monitor the service provided a questionnaire is sent to relatives on a annual basis in order to gain their views and opinions on the quality of care and service provided at The Chimes. In addition the home has achieved The Investors in People Award. Each member of staff receives an annual performance appraisal. Whilst staff supervision does occur, this however is currently linked to performance with senior staff carrying out observation of practice, the inspector advised that supervision should be a formal management activity that is recorded and based on the personal development of the individual staff member. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 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 x 2 x 3 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x x x x x 3 Score Standard No 7 8 9 10 11 Score 3 3 x 3 x Standard No 27 28 29 30 3 x 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x 37 x 38 x The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 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. 1. 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 36 Good Practice Recommendations To provide formal supervision. The Chimes F57 F09 S9855 The Chimes V192005 060605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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. 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