CARE HOMES FOR OLDER PEOPLE
The Owls Rest Home 168 St Annes Road Blackpool Lancashire FY4 2BL Lead Inspector
Mrs Ruth Edgington Unannounced Inspection 9th January 2006 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.V274146.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 Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 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.V274146.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: The Owls Care Home is registered to accommodate a maximum of fifteen persons aged 65years and over. The accommodation comprises of eleven single bedrooms, two 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. The Owls Rest Home DS0000009812.V274146.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 that commenced at 9.30am and took place over 2.25 hours. At the time of the inspection there were 15 residents in the home. The Inspector spoke to 5 residents, 1 visitor, 4 staff members and the homeowners. A selection of documentation was looked at and a general tour of the home was undertaken. What the service does well: What has improved since the last inspection?
Since the last inspection three bedrooms have been redecorated and refurnished completely. The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 Page 6 During the previous inspection, the homeowner was advised to confirm in writing to residents, before admission, that the home could meet their assessed needs. This advice has been acted upon. The assistant manager has successfully completed one course and is near to completing another, which are recognised qualifications, required for the management of a care home. 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 Owls Rest Home DS0000009812.V274146.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 Owls Rest Home DS0000009812.V274146.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): 3 Residents are informed in writing that the home can meet their assessed needs. EVIDENCE: At the time of the previous inspection it was noted that whilst the homeowner was confirming verbally that the home could meet residents assessed needs, they were not confirming this in writing. The Inspector was able to evidence that this was now being carried out. The Owls Rest Home DS0000009812.V274146.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): The above standards were not assessed during this inspection. EVIDENCE: The Owls Rest Home DS0000009812.V274146.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): 12,13 &14 Social activities and contact with family and friends are actively encouraged. Residents are helped to exercise choice and control over their lives within their capabilities. EVIDENCE: Examination of residents’ files confirmed that information is recorded about the resident’s social, cultural, religious and recreational interest and needs. The Inspector was informed that in addition to the daily discussions that take place, staff discuss with residents on an individual basis, their expectations and wishes. Relatives are also asked for their input to ensure that the needs of the residents are being met. Every afternoon staff spend time with the residents encouraging them to participate in activities, discussions and what ever they wish to do. Staff spoken to said that this can be difficult at times because of the frailty and capabilities of the majority of the residents. The homeowner told the Inspector that they are making arrangement to have a physiotherapist visiting the home to encourage resident to take gentle exercises.
The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 Page 11 One resident spoken to said that they enjoyed staying in their bedroom but came out to have a cigarette, which the Inspector observed during the inspection. The Inspector was told that only through spending time and talking to this resident had the staff found out that the resident had enjoyed a smoke when they were at home and dearly wanted to continue to have the occasional one. The abilities of the residents to make their own decisions varies greatly throughout the home. Residents who were able to communicate with the Inspectors confirmed that they were able to make their own decisions. Visitors are made welcome at any time and a visitor confirmed this at the time of the inspection. The Inspector was able to observe the warm, friendly manner in which visitors were received. The written information contained in the residents’ handbook includes information about visiting and the open house policy. The Owls Rest Home DS0000009812.V274146.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): 16 & 18 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to and protected. EVIDENCE: The home has a complaints policy and procedure that is clear, accessible and meets the requirements of the standards. A copy is displayed in the hall and the procedure is outlined in the written information given to residents in the Residents Handbook. The homeowner is aware that residents and their relatives should feel confident that their complaints are listened to, taken seriously and acted upon. The homeowner informed the Inspector that the home had not received any complaints in the past twelve months and the Inspector confirmed that the Commission had not received any complaints. The Inspector spoke at length to the homeowner and staff and through the conversation was able to evidence that they had a knowledge of the Adult Abuse Procedure and POVA (Protection of Vulnerable Adults) The Owls Rest Home DS0000009812.V274146.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): The above standards were not assessed during this inspection. EVIDENCE: The Owls Rest Home DS0000009812.V274146.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): The above standards were not assessed during this inspection. EVIDENCE: The Owls Rest Home DS0000009812.V274146.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 & 35 The home is well managed and run in the best interests of the residents. EVIDENCE: The homeowner and assistant manager work very closely together and both are experienced in caring for the elderly. The Inspector was informed that the assistant manager had successfully completed NVQ (National Vocational Qualification) level 4 and had almost completed the Registered Managers Award. The staff spoken to had a clear understanding of their role and what was expected of them. The Inspector was able to observe the relaxed atmosphere in the home and the positive, caring way in which staff and the homeowner interacted with the residents, visitors and each other. The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 Page 16 Residents are encouraged to take responsibility for their own affairs ,however in realty it is the relatives who take over this function. Examination of the records of money being handled by the home for the residents were up to date and correct. The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 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 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 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 x x x The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 Page 18 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 Refer to Standard 31 Good Practice Recommendations The registered provider should hold a qualification at NVQ level 4 in management or register a manager with the required qualifications. The Owls Rest Home DS0000009812.V274146.R01.S.doc Version 5.1 Page 19 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
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