Inspection on 30/12/05 for The Conifers

This inspection was carried out on 30th December 2005.

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

The inspector 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 25/08/05

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 Mr Patrick Rooney Unannounced Inspection 10:00 30 December 2005 th 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 Conifers DS0000009857.V270646.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 Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Conifers Address 66 Victoria Road East Thornton Cleveleys Lancashire FY5 5HQ 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 860531 01253 863085 Suzanne Marie Clague Mrs Patricia Annette Thompson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The registered manager must achieve the Registered Manager Award by 31 December 2005 The home is registered for a maximum of 15 service users in the category OP (older persons over 65) 25th August 2005 Date of last inspection 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. The 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. Accommodation is provided in two double rooms with ensuite facilities and eleven single rooms, one of which has ensuite facilities. There is a lounge and 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. Trained staff meet all the personal needs of residents, medical needs are managed by resident’s general practitioners and district nurses. The Conifers DS0000009857.V270646.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; the proprietor completed a pre inspection questionnaire. The inspection place over a five-hour period beginning at 10.00 am. Care records were consulted and most of the residents were spoken with. Visiting relatives were also consulted. Comments received from residents and relatives were positive and were complementary about the care they receive. One resident said, “The care we get is very good and there are plenty of things to do, the staff are really helpful”. Another said, I have everything I need and am very happy here”, The building was toured and staff were interviewed. The registered manager was consulted and records and policies and procedures. Were examined. Questionnaires were issued to residents and relatives. What the service does well: The home continues to have a good group of staff that provide care and support for residents. Observation and discussion with residents and staff confirmed this. Residents whose care was tracked confirmed they are provided with the care they need. One resident said that the staff provide good care and more. Observations from visiting relatives 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 by garden fetes held at the home. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 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 DS0000009857.V270646.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 Conifers DS0000009857.V270646.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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 There are good policies and procedures in place, which promote safe administration of medication, however not all records were completed properly. EVIDENCE: Records showed that only staff who are trained in administration of medication are involved in ordering and giving medication out. Those staff signatures were seen on the drugs administration sheets. On admission residents are asked whether they want to deal with their own medication and a risk assessment is carried out regarding this, residents care files were seen and confirmed this to be the case. An audit of one person’s medication showed that there were incorrect entries for one drug, which showed that some tablets were not accounted for. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 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 the following standard(s): 13 and 14 Residents are able to maintain contact with family and friends and are enabled to maintain their links in the community. Most resident’s families deal with their finances; there is access to external advocacy services if required. Residents are able to bring their own personal possession into the home. EVIDENCE: The inspector spoke to residents and visitors to the home and was told that there are good contacts maintained with relatives and friends. The home organises social events for families and friends to take part in. Residents said they look forward to these and enjoy them. Visitors are able to see residents in private and are always made welcome. Residents finances are dealt with by families, however the home does administer some personal allowances and keeps records of this. These were seen during the inspection. Residents said they have access to their allowance whenever they need to pay for anything. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 11 Resident’s rooms were seen to be personalised and contain items of their own which they were able to bring with them. Residents said they are happy with their accommodation and the routines are flexible to allow them to have some control over what they wish to do. Information regarding advocacy services was seen in the home. The local advocacy service was used recently regarding one resident. Residents have access to their files and records showed they or their representatives sign reviews of care that take place. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 12 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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 13 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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 14 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): 28 and 30 Most carers are provided with training within the home to enable them to carry out their duties. However there needs to be more staff trained to NVQ2 in care to fully meet this Standard. EVIDENCE: The inspector saw the homes training records; these showed that all staff are provided with a Skills to Care Induction (formally TOPPS) and foundation training. This covers the aims and objectives of the home and the knowledge needed to provide care including the principles, dignity, independence, privacy and choice. Records showed the following training also being provided by the home are, Protection of Vulnerable Adults, Data Protection, confidentiality, Effective Communication, Abuse awareness, Whistle blowing, Health and Safety, Medication Administration, Fire Safety, Food Hygiene, Principles of Care, Dementia Care and moving and Handling. It was also noted that there are members of staff doing NVQ2 and 3 and that while the level presently is below 50 for staff with this qualification this will shortly be above this level required by Standard 28 The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 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 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 The registered Manager is experienced and is currently completing the Registered Managers Award. This qualification needs to be fully completed to fully meet this Standard. There are clear lines of accountability in the home. EVIDENCE: The registered manager has more than two years experience in management of a care home, however at the time of the inspection had not completed the Registered Managers Award. Staff and residents spoken to were clear about who is in charge of the home and are confident that they can approach management regarding any concerns. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X X The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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. 2 Refer to Standard OP28 OP31 Good Practice Recommendations 50 of staff should be qualified to NVQ level 3 The Registered Manager should complete the Registered Managers Award. The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 18 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 The Conifers DS0000009857.V270646.R01.S.doc Version 5.1 Page 19 - 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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