Inspection on 18/07/07 for The Owls Rest Home

This inspection was carried out on 18th July 2007.

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 Owls Rest Home 26/07/06

The Owls Rest Home 09/01/06

The Owls Rest Home 19/08/04

The Owls Rest Home 28/04/04

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

CARE HOMES FOR OLDER PEOPLE The Owls Rest Home 168 St Annes Road Blackpool Lancashire FY4 2BL Lead Inspector Mrs Ruth Edgington Unannounced Inspection 18th July 2007 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 Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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 Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Owls Rest Home Address 168 St Annes Road Blackpool Lancashire FY4 2BL 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 402366 F/P 01253 402366 Mrs Sandra Smith vacant post Care Home 15 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (5) of places The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users to include: *Up to 15 service users in the category of DE (Dementia) *Up to 5 service users in the category of OP Old age not falling within any other category). 26th July 2006 Date of last inspection Brief Description of the Service: In January 2007 the home owners applied to the Commission for Social Care Inspection to changed the category of residents that could be accommodated in the home. The Owls Care Home is now registered to provide personal care for a maximum of fifteen residents of either sex whose primary care needs are those of persons with dementia. Conditions were placed on this registration to enable five residents who did not fall into this category to remain in the home for as long as the home meets their needs. The accommodation comprises of eleven single bedrooms, five of which have en-suite facilities, two double bedrooms with en-suite facilities, a lounge, a dining room and a sun lounge which is very popular with the residents. There are sufficient bathing and toilet facilities situated within easy access for all residents. A passenger lift enables residents to access the first floor without assistance. The grounds of the home offer a pleasant and safe area for residents to use when they wish and a ramp at the front of the home enables residents to access the grounds easily. There is a Statement of Purpose/Service User Guide, which is available for persons making enquiries about the home. The written information explains the care service that is offered and what the resident can expect if they decide to live at the home. Information received on the visit confirmed that the fees for care at the home are from £291.00 to £360.00 per week, with added expenses for hairdressing, chiropody and newspapers. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the homes Key Inspection. The site visit commenced at 9.30am and took place over approximately 4 hours. Prior to the visit the homeowner completed an Annual Quality Assurance Assessment document (AQAA), which provided information about the home and how the service provided was meeting the National Minimum Standards. Comments cards were completed by two residents, four relatives and one visiting healthcare professional, all of which provided views about the home. During the visit a number of residents were spoken to and also four members of staff and the homeowner. A random selection of residents, staff and administrative records were looked at and a tour of the home took place From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: What has improved since the last inspection? The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 6 The home has continued to make improvements to the environment since the last inspection to ensure that the residents live in a safe and comfortable home Improvements have been made to the recording of information by staff in relation to the needs of the residents and how the care is provided ensuring that residents needs continue to be identified and met. A photo of each resident has been placed on their individual medication record to ensure that there can be no instance of mistaken identity by staff when administering medication. 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 summary of this inspection report can be made available in other formats on request. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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 Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents were looked at in detail and were found to contain full assessment information including the religious, cultural and relationship needs of residents. Evidence was seen that one resident had been admitted to the home at short notice, however prior to the admission an assessment had been undertaken by a social worker and discussions took place with the homeowner to ensure that the home could meet their assessed needs. Evidence was gained that the residents and their relatives were involved in the assessment process and were happy that their needs were being met by the home. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 9 Staff spoken to confirmed that they had access to this information and could describe the care needs of the residents. This home does not provide intermediate care. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &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 care needs are met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out the action that is needed to be taken by care staff to ensure that all aspects of health, personal care and social needs of the residents are met. Also recorded on the individual resident’s file is their individual dependency level and any identified risks. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed at least once a month and updated to reflect any changing needs in the health and personal care of the residents. Evidence was seen of visits by doctors and district nurses and the outcome of these visits had been recorded. During the visit one resident was attended to by a district nurse and the use of specialist equipment to provide comfort and alleviate any problems was seen in use. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 11 Observations were made throughout the visit of the caring approach of the staff towards the residents. The practices in the home ensured that the residents were treated with respect and their right to privacy was upheld. Since the previous visit the category of care for which the home is registered has been changed to enable residents who have dementia to be accommodated. One visitor spoken to said that her relative had previously been in another home, which they felt was not meeting the resident’s needs. The relative said that they were very glad that they found ‘The Owls’ and could not praise highly enough the care that was being provided. The records of three residents were looked at in detail and these described their health care needs. The care plans were kept up to date and entries made showed good communication between the home and health care professional. Evidence was found to confirm that staff were meeting the diverse needs of the residents. Through observations and discussions with the staff evidence was gained that they were aware of the needs of the residents and the level of care and support required. On the previous visit the homeowner was advised to place a photograph of each resident on his or her medication sheet to ensure that there could be no mistaken identity by staff when administering medication. Examination of the medication records found that this had been complied with and the records were up to date and correct ensuring that residents received their medication as prescribed. All staff who administer medication have received training and two staff members have recently been on an advanced medication course. The homeowner confirmed that the information gained would be passed on to all care staff in order that they all have the knowledge and abilities to ensure that medication is administered safety. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Examination of residents’ care plans showed that their likes, dislikes and how they like to spend time were recorded. These varied greatly due to their individual abilities and the records seen confirmed that the home were promoting equality by treating people as individuals and ensuring that their needs are met. One resident who had been in the home for a long time had chosen to remain when the changes were made in regard to the residents being admitted. They confirmed that they were very happy and they enjoyed their daily outings to the shops and local amenities with the husband of the homeowner. Staff spoken to said that they spend time with the residents every day and this ranged from talking to residents on an individual basis, to going out or encouraging group activities. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 13 During the visit the relatives of one resident arrived to take them out for lunch, to which the resident declined but agreed to go out with them in the afternoon. Prior to the last visit the home had acquired an organ and one of the residents was having lessons every week, which they enjoyed. Visitors are encouraged and can visit at any time. This was confirmed through discussions with a visitor in the home at the time and from comments received in the questionnaires that were completed. One relative commented that “It is a home from home socially, the owners are constant in their care and support of the residents and their families”. Another relative said that they felt that the mix of abilities in the home was an advantage as it gave stimulation to those more alert and encouraged the less able. Through discussions with the residents and staff evidence was gained that the residents are provided with a varied and balanced diet. The cook confirmed that she had sufficient information to enable her to meet the individual preferences and needs of the residents. One relative commented that residents received wonderful home cooked meals. The cook confirmed that soups, cakes etc were all home made and the mouth-watering smells coming from the kitchen confirmed this. Meal were served in a relaxed and unhurried manner and the times were very much dictated by the individual residents wishes and needs, one resident was still enjoying breakfast when others were having their mid morning drink. Two residents spoken to said that they still enjoyed a drop of whiskey every day. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to, taken seriously and they will be protected at all times. EVIDENCE: The home has a detailed complaints procedure, which residents and their relatives are made aware of on admission. Comments received from residents and relatives confirmed that they knew who to complain to if they needed to. One person said that they had never had to complain about the service and care that their relative received. They said that they were always shown understanding and kindness in all matters, even beyond the duty of the home. At the time of the site visit no complaints had been received by the home or referred to the Commission for Social Care Inspection. The home has a procedure in place for dealing with the allegations of abuse. The owner and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect and the majority of staff had undergone training in regard to recognising any abuse practices. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: A tour of the home was undertaken, which confirmed that the home was well maintained and that all bedrooms were individualised by the personal possessions that residents had brought into the home. The bedroom of one resident contained a collection of miniature cars that they had saved over the years and many photographs of their family. The home was warm, clean and free from any obvious hazards to the health and safety of the residents. One relative commented that the home was “fantastically clean and never had any nasty smells” The member of staff spoken to who had responsibility for the cleanliness of the home confirmed that they took pride in their work in order that the residents felt comfortable. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 16 The homeowner had taken notice of recommendations made in relation to the ensuring that the building was suitable to meet the needs of residents now being accommodated. Bedrooms are being upgraded as they became empty and this includes changing the type of taps to prevent accidentally flooding if residents leave them running. Also alarms have been fitted to bedroom doors where felt necessary, due to the layout of the building, to alert staff to residents who may wander in the night in order that they are protected from any possible risk to their safety. A maintenance book was kept and anything found needing attention was recorded and then dealt with to ensure that the home was kept well maintained at all times. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Failure to follow the policies and procedures in place for the recruitment of staff potentially places residents at risk. EVIDENCE: The staffing levels in the home were sufficient to meet the needs of the residents presently accommodated. The staff spoken to said that they were clear about their role and worked well as a team to ensure the individual and collective needs of the residents were met. Evidence was gained that all staff undergo formal induction in line with TOPPs standards. Records showed that over 50 of staff had achieved National Vocational Qualifications ensuring that the residents are being looked after by a well trained and competent staff team. From discussions with the staff and information received, evidence was gained that training had been provided for staff to ensure they had a clear understanding of the specific care needs of residents accommodated in the home. Comments received from relatives included, “The owners and staff are always there for the residents and relatives, I don’t think that ‘The Owls’ could do more for the residents they are fantastic”. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 18 Residents spoken to were able to indicate that they were satisfied with the care they received, one said, “The staff are very good, it is a lovely place and I am happy with everything”. One area of concern identified was that the home’s recruitment procedures were not being followed correctly, which could potentially put resident at risk. Examination of staff records showed that two members of staff had commenced working at the home before clearance had been received through the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults(POVA). Examination of other staff member’s files confirmed that that the correct procedures had been followed during their recruitment. The homeowner confirmed that she would ensure that there would be no shortfalls in future in the home’s recruitment procedures in order to ensure that residents are protected from potential harm. The homeowner stated that in order to ensure that all the required documentation was received prior to any person commencing work a check list would be put at the front of each prospective staff member’s file to enable the recruitment procedure to be monitored and prevent this situation from occurring in the future. Through discussions with the senior member of staff, who was being trained to take over the deputy’s post, confirmation was gained that she was fully aware of the need to protect the residents by ensuring that robust recruitment procedures are followed. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 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 well managed and run in the best interests of the residents. EVIDENCE: The homeowner is a qualified nurse and very experienced in caring for the elderly. Following the departure of her deputy, who held the required management qualifications, the homeowner confirmed that she intends that the senior care should undertake the necessary training to enable her to take over more of the management role from the homeowner. The member of staff involved was spoken to and confirmed that they felt with the support from the homeowner they would be able to undertake this . Inspection of records for resident’s’ finances were well maintained and up to date ensuring that residents’ interests are safeguarded. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 20 The home has effective quality assurance systems in place to monitor the level of service being provided for the residents. This includes systems to gather the views of residents and their relatives, which are gathered on a yearly basis and a summery of the findings are available for people to read if they wish. The home successfully retained the Investors in People Award (IIP) award last year, which is an external quality assurance system demonstrating a commitment to staff training and development. An annual quality assessment of standards is also undertaken by a professional recognised organisation who complete an audit of the care being provided and seek the visits the residents and their relatives. Inspection of health and safety checks confirmed that facilities and equipment were being undertaken to ensure the protection of the residents and staff. The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 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 x x 3 x x x 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 x 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 x 3 The Owls Rest Home DS0000009812.V338650.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP29 Regulation 19 Requirement All information and documentation required by the regulations in respect of any person working at the care home must be obtained prior to appointment in order to ensure only suitable people are employed at the home. Timescale for action 31/08/07 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 hold a qualification at NVQ level 4 in management or register a manager with the required qualifications. 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