Inspection on 26/07/06 for The Owls Rest Home

This inspection was carried out on 26th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 18/07/07

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 10:00 26th July 2006 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.V303579.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.V303579.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 01253 402366 Mrs Sandra Smith Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2006 Brief Description of the Service: The Owls Care Home is registered to accommodate a maximum of fifteen persons aged 65 years and over. 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 £291.41to £340.34 per week, with added expenses for hairdressing, chiropody and newspapers. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which commenced at 10.00am and took place over five and half hours. Prior to the visit the homeowner completed a pre-inspection questionnaire and comments cards were received from two residents, four relatives and a local doctor. A copy of letter from the relative of a former resident was received prior to the visit. Through discussions with the homeowner, deputy, two care staff and the cook, information was gained about the care that the residents receive. Four residents and two visitors were spoken to individually and a number of residents who were sitting in the communal areas were also spoken to. Conversation with residents was very much dependent on their ability or wishes to speak to the Inspector. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together and this report produced. At the last inspection the homeowner was considering applying for the home to become registered for people with Dementia, to ensure that the needs of the resident can continue to be met. This proposal was put on hold until a firm decision could be made, however the homeowner was aware that the home should not admit anyone with dementia unless approval to vary the current conditions of registration has been given by the Commission for Social Care Inspection (CSCI). What the service does well: This is a home where the residents are well cared for. The atmosphere was very relaxed and visitors are made welcome. The majority of residents are very elderly and frail. One resident who was over 100 years of age had retained a sense of humour, which was very evident during the visit and was in some part due to the positive relationship between the staff and residents and the encouragement given to residents to keep their individuality. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 6 Evidence was seen of the care and attention being given to residents and the way in which staff worked as a team and with other professional to make sure that the needs of the residents were met. Staff spoken to said that they were very happy in the job and felt that the were included in decisions made in the home that affected the residents and themselves. Visitors spoken to during the visit said that they could not praise the staff enough for their care and attention. They said that this was “home from home”. The relative of a former resident wrote a letter in which she thanked the staff for everything that they had done and also for the way that the management and staff had given them support during what had been a very difficult time. Comments received through surveys that had been carried out included confirmation that the residents and relatives were more than satisfied with the care provided. One relative said that 100 care had been provided and outstanding support when needed most. What has improved since the last inspection? What they could do better: The homeowner, who is qualified nurse, should make arrangements to undertake a management qualification or ensure that a person with the required qualifications is registered in the position of manager. In order that there could be no mistaken identity when administering medication, the homeowner should ensure the a photograph of each resident is attached to his or her medication record. The homeowner and deputy recognised that improvements can always be made to the way in which documentation is recorded and kept. The The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 7 management team should continue to review all systems that are in operation to ensure that they are satisfactory in order that the needs of the residents are met at all times. 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 Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 8 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.V303579.R01.S.doc Version 5.2 Page 9 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): 1 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 procedures are clear to ensure the care needs of residents are met. The home does not provide intermediate care therefore this standard was not assessed. EVIDENCE: The records of four residents were looked at and all contained assessment information that had been gained before their admission to the home. The files also contained a letter to the resident and their relative confirming that the home could meet their assessed needs. The staff spoken to confirmed that they were made aware of the needs of the residents at the time of their admission to the home. Two relatives who were spoken to said that they had looked at a few homes before choosing the Owls Rest Home and from the information that they received and what they saw when they visited the home, they were happy that the needs of their relative would be met. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 10 Although at the time of the visit all the residents in the home were female, there is no restriction on the admission of male residents. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 11 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): 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 to ensure health needs are met. EVIDENCE: A care plan was devised for each resident from the assessment of his or her needs. Evidence was seen that the resident or their relative was involved in this process and that regular reviews were carried out. The documentation used to record all the information required to plan resident’s care and ensure that their needs are met, sets out the health; personal and social care needs of each resident and identifies any possible risks. It was noted that staff in some instances were not completing the documentation fully when felt that a particular section was not applicable. The management team were advised to ensure that some comment was recorded to reflect the needs of service users. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 12 Significant events were recorded and daily entries made so that a record was available to demonstrate the care given. Through discussions the staff confirmed that they were involved in the recording of information and were able to demonstrate their knowledge of the health care needs of each resident. Evidence was seen of visits by doctors and district nurses and the outcome of these visits was recorded. The district nurses were visiting one resident who prior to admission had developed pressure sores. A special bed and mattress had been provided and the care was well documented. A nutritional assessment had been carried and a visit made by a dietician demonstrating effective liaison with health care professionals. 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. Staff had noted deterioration in the mental state of one resident who had been in the home for a number of years. The relatives confirmed that they were kept informed and spoke highly of the staff and the care being provided and felt assured that they were all doing their best. The management confirmed that at this time they were able to meet this residents needs. Several of the residents were using walking frames that had trays fitted to them. They said that they liked these as the frames enabled them to carry their things around with them. The management team stated that since the last visit they had changed the community pharmacist that they used and the system for administering the medication. They found that this was an improvement and they felt more supported. Medication practices observed were safe and good records had been maintained. The homeowner confirmed that a photograph of each resident was to be placed with his or her medication sheet to ensure that there can be no mistaken identity. All staff that administer medication have undergone training to ensure that they are competent to undertake this task. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 13 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): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social, cultural and recreational activities meet resident’s expectation. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: The resident’s likes, dislikes and pastimes were recorded on their plan of care and every effort was made by the staff to ensure that these preferences were met. The majority of the residents in the home were frail and therefore activities were dependant on their ability to join in. Evidence was gained that staff encouraged resident to join in activities each afternoon. The home had recently acquired an organ, which one of the staff played for the enjoyment of the residents. Staff also spend time on a one to one basis with the residents, which in some cases residents prefer and found more beneficial. Visitors are encouraged and can visit at any time. This was confirmed by relatives who were spoken to, they said that they were made welcome and The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 14 able to see their relative in private. Observations were made of the positive interaction between the staff and relatives. Observations made when looking around the home confirmed that the residents are able to bring in personal possessions. Residents spoken to said that they enjoyed their food and they were observed having their lunch in an relaxed manner, staff did not hurry them and were on hand if they required assistance. Some residents needed staff to feed them and this was done in a very caring way. Two residents, who were diabetic, required slight adjustments to their meals to ensure that their dietary needs were met. Observations were made of one resident being using a cup when having soup because they found this easier to manage so promoting independence. The cook was able to demonstrate that she understood the dietary needs of the individual residents and confirmed that she was given sufficient information when a resident was admitted to be able to meet their needs. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 15 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): 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 and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected. EVIDENCE: The home has a complaints procedure that complies with the standards. All residents and their relatives are made aware of this in the information that they are given on admission. Relatives spoken to confirmed that they were aware of who to complain to if they had any concerns. This was also confirmed through the responses on the questionnaires received. The home has a procedure in place for dealing with allegations of abuse. The management and staff were able to demonstrate that they had a good understanding of the procedure to be followed in the event of any allegations or suspicion of abuse or neglect. There had been no complaints received by the Commission for Social Care Inspection (CSCI) since the previous visit. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: A tour of the home found that all bedrooms were individualised by personal possessions that residents had brought into the home. The home was warm, clean and free from any obvious hazards to the health and safety of the residents A maintenance book was kept and anything found needing attention was recorded and dealt with. The homeowner said that they would like to provide en-suite facilities in another bedroom, however on checking the room it was found to be too small The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 17 to accommodate this facility. Two bedrooms had been redecorated and recarpeted ensuring a pleasant and comfortable environment for service users. A continual programme of upgrading was in process and improvements were prioritorised. Future plans include replacement of windows in various rooms The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 18 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): All the above standards were looked at. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of residents. Staff in the home are trained, skilled and in sufficient numbers to meet the aims of the home and the changing needs of the residents. EVIDENCE: The files of the last three members of staff to be employed were examined and found to contain all the information required by regulation before new staff members commence working in the home. Examination of file and discussions with the staff provided evidence that they had undergone formal recruitment and induction process. Induction was in line with TOPPS standards. All training was documented and included training on medication, abuse, first aid, moving and handling and challenging behaviour. Of the nine care staff employed five had achieved a minimum of level2 NVQ and others were in the process of doing the course. The home has a policy on equal opportunities for staff. Examination of the rota showed that adequate cover was available to meet the needs of the residents. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 19 Staff spoken to said that they enjoyed their work and felt fully supported. From observations made it was evidenced that they worked well as a team and interacted well with the management and residents. Visitors commented that they were polite and nothing was too much trouble. A letter received from the relative of a former resident stated that every member of staff what ever their role gave their total commitment and not only provided excellent care but supported the family also. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the 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. She works very closely with the deputy work who has recently successfully completed the Registered Managers Award (RMA) and holds a level 4 NVQ (National Vocational Qualification) in care. It is the intention in the near future for the manager to apply to CSCI to become the registered manager. The homeowner will still continue to have input into the home but to a lesser degree. All health and safety checks were carried out in line with requirements. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 21 Aids and equipment used for the benefit of residents are serviced on a regular basis. Systems were in place for quality assurance. Residents, relatives and staff, complete questionnaires on a yearly basis. It was suggested that the outcome of these questionnaires was made available for everyone to read should they wish to. Regular staff and residents meetings enable people to voice their opinions and make suggestions that will benefit everyone. Policies and procedures were reviewed in April 2006 and it was recommended that a policy in relation to the residents was developed on Equality and Diversity in order that staff are aware of how such issues reflect on the daily lives of the residents. The home had successfully retained the IIP award this year. Evidence was seen that staff receive regular supervision and they confirmed that they felt well supported. Residents, who are able, can take responsibility for their own affairs, however in realty it is the relatives who take the responsibility. Records of finances were kept up to date. As stated already in this report the management should ensure that the staff complete records fully in order that the needs of the residents are met. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 22 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 2 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x 2 3 The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 23 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 3 4 4 Refer to Standard OP9 OP31 OP33 OP33 OP37 Good Practice Recommendations The registered provider should ensure that a photograph of each resident is placed with their medication records to ensure that there can be no instance of mistaken identity. The registered provider should hold a qualification at NVQ level 4 in management or register a manager with the required qualifications. The registered provider should produce a policy on equality and diversity for residents. The registered provider should make the outcome of the questionnaires available in the home for all interested. parties to read. The registered provider should ensure that staff complete records fully. The Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 24 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 Owls Rest Home DS0000009812.V303579.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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