Inspection on 25/08/05 for The Conifers

This inspection was carried out on 25th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Conifers 11/03/10

The Conifers 10/12/08

The Conifers 21/12/06

The Conifers 30/12/05

The Conifers 03/03/05

The Conifers 01/06/04

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 The Conifers 66 Victoria Road East Thornton Cleveleys Lancashire FY5 5HQ Lead Inspector Patrick Rooney 25 th Unannounced August 2005 10:00am 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. 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 Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Conifers Address 66 Victoria Road East Thornton Cleveleys Lancashire FY5 5HQ 01253 860531 01253 863085 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) Suzanne Marie Clague Mrs Patricia Annette Thompson CRH Care Home 15 Category(ies) of OP Old Age 15 registration, with number of places The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2. The registered manager must achieve the Registered Manager Award by 31 December 2005. 3. The home is registered for a maximum of 15 service users in the category OP (older persons over 65) Date of last inspection 3rd March 2005 Brief Description of the Service: The Conifers is registered with The Commission For Social Care Inspection to provide personal care for fifteen residents of either sex over sixty five years old. Th home is situated in a residential area of Thornton near Cleveleys and is close to shops and local amenities. It comprises a single storey detached property with a private front garden. Accomodation is provided in two double rooms with ensuite facilities and eleven single rooms, one of which has ensuite facilities. There is a lounge ans dining room and a sun lounge. The sun lounge is a designated smoking area. Relatives and friends are made welcome. Activities are organised for residents who wish to participate. Personal needs for residents are Catered for by staff, who receive training in all aspects of care of the older person. Medical needs are managed by residents general practitioners and the district nurses. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a period of five hours. The information contained in this report was obtained from discussion with the registered manager and the owner, interviews and informal discussion with staff and residents. The inspector also chose four residents files to look at and tracked their care and interviewed them about the care they receive. He also spoke to visiting relatives and has received questionnaires from relatives and most of the residents. The inspector also had lunch at the home. A tour of the premises took place and health and safety records were seen. Staff records were examined including Criminal Records Bureau checks. Since the last inspection, which took place on 3rd March 2005 there have been no complaints received regarding the home. What the service does well: The home has a good group of staff that provide care and support for residents. The inspector was able to confirm this from observation, discussion with residents and staff. The four residents whose care was tracked confirmed they are provided with the care they need. One resident told the inspector that the staff provide good care and more. The inspector spoke to a visiting relative, they said, “The staff have made ….. feel at home and she is pleased with the way they treat her. My observations are that the people in the home come first. A lot is done to ensure that everyone is encouraged to take part in activities in the home.” All residents spoken to confirmed these feelings about the care they receive. There is a very good rapport with residents and their relatives, this has been enhanced by activities provided which include them, for instance the garden fete recently held at the home. Meals are varied and there are plenty of choices. The inspector had lunch and observed that choices are available. Residents said that the food they receive is very good and they are able to ask for alternatives if they wish. Mealtimes are flexible according to the needs of residents. Meals may be taken their own rooms if residents wish. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 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 Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 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 standard(s) 3 The admission and assessment procedure is clear and ensures the care needs of residents are met. EVIDENCE: The home has good admission procedures to ensure resident’s needs are assessed and planned for. There are individual records kept for each resident. The inspector looked at the admission and care records for four residents. These detailed quite comprehensively the care needs of the residents. The admission procedures include a visit to the prospective resident from the manager and a visit to the home, if possible. All new residents are admitted on a temporary basis to enable them to make a more permanent decision about their future. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 10 Promotion of health and personal care is taken seriously and residents welfare is monitored and health needs met. Residents privacy and dignity is upheld by the home. EVIDENCE: Care records examined for four residents clearly describe their health needs including risk assessments. Staff spoken to showed an awareness of the care needs of residents, and consult the care plans which are drawn up for residents. One resident said, “They care for me very well here, I wouldn’t go home if I could, I love it here. Surveys carried out by the home indicated that staff perform personal care tasks in a respectful dignified manner protecting residents privacy. Residents spoken to told the inspector they are treated with dignity and respect and that their privacy is maintained. The inspector spoke to a visiting relative, they said, “The staff have made ….. feel at home and she is pleased with the way they treat her. My observations are that the people in the home come first. A lot is done to ensure that everyone is encouraged to take part in activities in the home.” All residents spoken to, confirmed these feelings about the care they receive. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12 and 15 Social activities are provided which are varied according to the needs of individual service users. Dietary needs of residents are well catered for and there are a choice of meals available to meet individual needs. EVIDENCE: Information regarding residents interests and hobbies are recorded in their care records. Residents and visiting relatives said that staff make every effort to involve residents in activities. Every afternoon activities are arranged. These include, pet therapy, coffee mornings, summer fetes, reminiscence sessions, entertainers, sing alongs, mobile library and outings. Each resident has an individual activities record. The inspector saw a varied menu, available for residents, special diets are catered for. Residents expressed satisfaction with the quality and variety of food they receive. Residents are asked what they would like to be included in the menus. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 16 and 18 Arrangements for complaints are good and an effective whistle blowing policy ensures protection of residents. EVIDENCE: The home has a detailed complaints procedure. Staff spoken to were able to explain the process, residents spoken to were aware of the procedure which is provided in their service users guide. They said that they are confident, any concerns they have, are dealt with promptly by the manager. A record of internal complaints is kept and outcomes recorded. There has been no complaint made to the CSCI since the last inspection. There is a procedure available to protect residents from abuse including a whistle blowing policy. Staff interviewed demonstrated an awareness and understanding of these policies. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 19,25 and 26 The standard of furnishings and decoration are good and provide a homely environment, which is clean and homely. EVIDENCE: The inspector toured the building and consulted maintenance records. Records showed that each room receives a full check and any repairs undertaken. Most areas of the home have recently been redecorated. Residents said they are happy with the standard of accommodation offered by the home. They are able to bring their own belongings to assist in furnishing their rooms. There are good hygiene procedures in place to prevent odour and infection, staff receive training to ensure they know these policies and procedures. All areas of the home were observed to be clean and hygienic. Staff records showed that staff receive TOPPS health and safety training. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 and 29 The policy and procedures for the recruitment and training of staff are robust and provide safeguards which protect residents. The number of staff on duty was sufficient to meet the needs of residents living at the home. There are under 50 of staff with the National Vocational qualification in care at level 2. EVIDENCE: The inspector saw four staff files all contained the necessary recruitment forms and checks to ensure the protection of residents. These include an application form, two references a POVA and CRB check. Induction and training records were seen and showed all staff receive an induction and training in providing care. Records also showed that 2 out of 10 care staff are trained to NVQ 2 however 2 are currently doing NVQ 2, 3 NVQ 3 and one NVQ 4. Staff were interviewed and confirmed they receive induction and training. Rotas examined showed that there are sufficient staff on duty to meet the needs of residents. Sufficient staff were observed to be on duty at the time of the inspection. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 14 Residents spoken to told the inspector staff are caring pleasant and helpful and provide the right levels of care for them. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,37 and 38 Management of the has improved during the past year there is leadership, guidance and continuity for residents and staff. The registered manager is currently doing the Registered Managers award and hopes to complete this by December this year. There are Health and Safety policies and procedures in place which protect residents and staff. EVIDENCE: The registered manager has worked in a senior capacity for several years, she is qualified to NVQ 4 IN care and is currently doing the Registered Managers Award which she hopes to complete by December this year. Staff and residents spoken to said management was open an approachable. The manager or the owner is available to residents in the home on a daily The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 16 basis, this was confirmed by residents who described management as approachable and helpful. The inspector saw the homes policies and procedures in relation to health and safety. These ensure safety for those living and working in the home. To ensure staff are fully aware of health and safety issues they complete the TOPPS health and safety training. This was confirmed from talking to staff and consulting training records. The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x 3 3 The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 18 NO 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 28 Good Practice Recommendations 50 of staff should be qualified to NVQ level 3 The Conifers F57 F09 S9857 The Conifers V220821 010805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. 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