This inspection was carried out on 8th December 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Thornlea Rest Home 308 St Annes Road Blackpool Lancashire FY4 2QP Lead Inspector
Mrs Ruth Edgington Unannounced Inspection 8th December 2005 09:45 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 Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Thornlea Rest Home Address 308 St Annes Road Blackpool Lancashire FY4 2QP 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 345574 Mr Timothy Davies Wood Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: Thornlea is a large detached bungalow, which has been adapted to accommodate a maximum of 15 persons aged 65 years and over. The home has 13 single bedrooms and one double bedroom, none of which have en-suite facilities. There are two lounges and a dining- room. The bathing and toilet facilities are sufficient to meet the number of residents that can be accommodated. The home is situated in a residential area of South Blackpool, on a main road, which is an advantage in respect of public transport and local amenities. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and commenced at 9.45am and took place over 2.5 hours. The Inspector spoke to six residents, two staff, the manager and the homeowner. Four residents completed comments cards during the inspection. A number of records were examined, including residents’ files and staff training. The Inspector looked around the home and spent time observing the daily activities in the home. What the service does well: What has improved since the last inspection?
The Inspector found that improvements continue to be made.
Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 6 There have been improvements made to the way in which information about residents is recorded and more resident and staff involvement, ensuring that the needs of the residents are met. The information given to residents before admission to the home has been updated and improved. Redecoration and replacement of furniture continues. The homeowner has replaced the television in the rear lounge with a plasma screen and four bedrooms have also had plasma screens fitted. The residents said that they liked these because they did not take up so much room. It is the intention of the homeowner to provide all residents with these screens. 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. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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 Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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): These standards were not assessed. EVIDENCE: Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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): 7 The care planning system provides staff with detailed information to ensure that the individual needs of each resident are met. EVIDENCE: Since the previous inspection a great deal of work has been done on improving the information recorded on individual residents. A new system of recording is being carried out and this includes the life histories of each resident, which was a recommendation made during the previous inspection. The staff spoken to said that they had found this very interesting and gave them a better insight into the needs of the residents and how they can meet these needs. Residents said that they felt that staff were interested in them as people. During the inspection the Inspector witnessed the competent way in which the staff cared for a resident who was suddenly taken ill and how they worked with other professionals for the benefit of the resident. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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): 14 Residents are helped to exercise choice and control over their lives within their capabilities. EVIDENCE: Through observations and discussion during the inspection, the Inspector was able to evidence that residents exercise choice and control over their own lives within their capabilities. One resident who is very ambulant regularly exercises their right to control their own life, even though their actions cause the management and staff great concern. The management have discussed this with the resident and other relevant people and also carried out a full risk. During the inspection the Inspector was able to observe the supportive way in which staff dealt with this resident. A tour of the home confirmed that residents are able to bring in personal possessions and keep their bedroom as they wish to. Relatives are encouraged to be involved as far as the residents wish them to be.
Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 11 The day following the inspection residents were going to a hotel for their Christmas party, however those residents who did not want to go were able to make that choice. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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 that people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring that people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission. The manager said that there had been no complaints made since the last inspection and the Inspector was able to confirm that the Commission had also not received any complaints. Comments received from the residents confirmed that if they were unhappy with their care they would know who to speak to. The Inspector was able to evidence that the staff were made aware of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. On examination of the training records evidence was seen that this subject was included in future training to be provided. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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): 19 Improvements to the environment continue to be made and a programme of upgrading and refurbishment ensures that the residents live in comfortable surroundings. EVIDENCE: A tour of the home confirmed that improvements to the home continued to be made. Four bedrooms have been redecorated and refurbished. Furniture was being replaced; a new fire had been fitted in the rear lounge and work to provide a shower room was due to start the following week. The home was found to be warm, clean and free from any offensive odours. The Inspector was able to evidence that work had stated to improve the garden area, although this had stopped due to the inclement weather. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 14 Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 15 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 Staff morale is high resulting in an enthusiastic work force that works positively with residents to ensure that they receive a consistency of care at all times. EVIDENCE: The Inspector was able to witness the competent way in which the staff dealt with a resident who required medical assistance. Staff spoken to said that they worked well as a team and felt valued. One staff member said the atmosphere of the home continued to improve and they felt that staff remained calm in whatever situation developed, which made the residents feel very secure. The training information examined showed that of the twelve care staff employed, four had obtained a minimum of level 2 NVQ (National Vocational Qualification) and four staff were presently undertaking the training. The manager confirmed that the home was working towards all staff obtaining a recognised qualification. Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 Page 16 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 Inspector evidenced that the homeowner has obtained the required qualifications, having successfully completed level 4 NVQ and the Registered Managers Award. Whilst the homeowner is very involved on a daily basis, his deputy is a competent person who has taken on more responsibilities and developed the systems now in operation. Inspections of records for money being handled by the homeowner on behalf of the residents were up to date and correct. Receipts are kept of all expenditures and moneys are securely locked away.
Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 x 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x x Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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 OP28 Good Practice Recommendations 50 of care staff should achieve level 2 NVQ Thornlea Rest Home DS0000009737.V258265.R01.S.doc Version 5.0 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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