Care Home: 20 Burlington Road

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What the care home does well The people who live at the home are well cared for, protected and encouraged to live an independent lifestyle as possible within their capabilities and wishes. Evidence shows residents are involved in all aspects of daily life ensuring there needs and wishes are well met. This is a family run home with both residents having lived at Burlington Road for a number of years and are regarded as part of the family. One person we spoke to said, " They refer to A...... as mum". They all live as part of the extended family and take holidays and outings as a family. One resident we spoke to said,"I am helping in the charity shop this weekend, looking forward to it" Routines are very relaxed and relatives of the residents are invited to stay over when visiting. The owner said when we spoke to her, "There is plenty of room and we always ask relatives if they would like to stay". As part of health and safety practices the person in charge has recently installed new fire extinguishes around the home to ensure people are kept safe. What has improved since the last inspection? Walking around the home we saw improvements to the furnishings and general building with a new shower room installed, some redecoration of rooms belonging to the people who live at the home and new dining furniture to make sure the home is comfortable. What the care home could do better: Whilst there is no concern to the well being of the people who live at the home, it would help if the owner keeps up to date with Care Homes Regulations through training courses related to running a care home in case future people are admitted to the home. The person in charge should look into attending formal medication training to ensure she has the competencies to administer and look after residents medication. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 20 Burlington Road 20 Burlington Road South Shore Blackpool Lancashire FY4 1JR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 2 0 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 20 Burlington Road 20 Burlington Road South Shore Blackpool Lancashire FY4 1JR 01253345980 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Marilyn Christine Wilson care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 The registered person may provide the following category of service only: Care Home only - Code PC To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 20 Burlington Road is a care home registered to accommodate three young Adults with a Learning Disability. The two residents living at the home when this inspection took place have lived with the owner for over 20 years. The home is run as a normal domestic household. Both residents participate in all normal family activities. Both residents have their own individual rooms with evidence of personal hobbies and interests in the personalisation of their rooms. The home is situated in the South Shore area of Blackpool and is convenient for all local amenities. There is a statement of Purpose/Service user Guide, which is given to all prospective residents/relatives. This written information explains the care service that is offered, who the owners are and what the resident can expect if he or she decides to live at the home. The fees at the home are £311.00 per week. There are no additional costs. Care Homes for Adults (18-65 years) Page 4 of 25 Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was part of the inspection process and took place on the 20th May 2009 and lasted approximately 4.0 hours. We spoke to the owner, the people who live there were out for the day,however we spoke to one of the residents on the telephone. There are no staff employed as this is a family run home so no surveys seeking the views of people were sent. We looked at care, financial, and maintenance records and had a walk around the home with the owner. As part of the inspection process we talked to one of the residents. We had permission to look into the rooms, checked care records and daily diary notes, this is called case tracking. Care Homes for Adults (18-65 years) Page 6 of 25 Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, also to make an assessment of the quality of their service. This document is called annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. Previous inspection reports were looked at as part of the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessment procedures are in place should anyone be admitted to the home. Evidence: This small home has looked after the two residents for 22 years and six years as part of the family. The owner is aware of the the admission procedure should another person choose to live at Burlington road. The owner spoken to said, I have grown up with them and at present do not expect to take anyone else One of the residents spoken to said, I love it here as soon as I came. We looked at assessment information provided by Social Services for the people who live at the home, they contained detailed information for the ownerer to develop a care plan. The owner spoken to said, The social worker does help if I need to speak to someone and they visit every year. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are helped to make decisions, which supports them in their day- to- day lives whilst taking risk into account. Evidence: The people who live at the home are part of the family and have grown up with the owners children as brother and sister. We looked at care records of the people who live here and found information which covers individuals needs, risk assessments, physical and social needs. Social services carry out reviews every year and information was available to look at to ensure the development continues and residents needs continue to be met. The owner tells us in the AQAA that support is given within a risk framework when needed to ensure residents are able to be as independent as possible, Records looked at show the health needs of people who live at the home are recorded and visits to professionals are recorded, we advised these would be better made Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: clearer so that health checks can be monitored and any problems can be identified. Care plans are being reviewed by the owner and dated when done so. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities for development and community participation are good to ensure people who live at the home develop independence and confidence. Evidence: The people who live at the home have a range of activities and social events both at the home and within the community. One resident spoken to said, I like going to the day centre and helping out. The owner tells us in the AQAA how they encourage residents to follow there chosen interests and social preferences to ensure they continue to develop confidence and independence. The owner spoken to said, M..... enjoys the church activities. Visitors are welcome at anytime and the owner said they encourage contact with family and friends as much as possible. The owner spoken to said, Family can stay Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: over if they like. There is enough space for people to spend time in private or together in the lounge area the choice is up to the individual. We had a look in the kitchen area and found plenty of fresh food available to ensure people receive a balanced nutritious diet. We spoke to the owner who said, We eat as a family and choices are decided between us. Food preferences have changed over time and choices are taken into consideration when meals are prepared. Speaking to residents and looking at records it was evident people who live at the home are encouraged to establish links in the community. This is achieved by the daily routines of each resident which include, attendance to the local day centre and the church. One resident spoken to said, I help out at the centre. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home have their health needs closely monitored ensuring any health related issues are met. Evidence: Support is given to people who live at the home if they need help with personal care needs. No staff are employed and the owner and family take care of the residents as part of the family unit. We spoke to the owner who said, We have lived together for years and we are all one family and help each other when needed. There is evidence of recording when residents need specialist health care services, access is available to ensure any health issues are identified and dealt with. Medication records are kept and policies and procedures are in place if people who live at the home require prescribed medication. The owner told us they have a good relationship with the local chemist and they help with any issues in relation to medication, however the owner should access formal training in administering, storage, handling and disposing of medicines to ensure people who live at the home are kept safe. Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: It was evident during the visit this is a family run home with the residents referring to the owner as mum.Routines are flexible and people are encouraged to make decisions on how to run there lives with support from the owner and family. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are aware of their rights and have a complaints procedure. Evidence: There is a complaints policy and procedure, however no complaints have been made from people who live at the home or there families.The owner spoken to said, We are one family and any problems are sorted as a family would do. One resident spoken to said, No I have never complained about anything. There are no staff employed at the home to provide safeguarding adults training to, however a policy is in place for procedures to follow should an allegation or suspicion of abuse occur. Through discussion with the owner it was evident every effort is made to protect the people who live at the home from abuse, neglect and and any harm ensuring residents feel protected. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at the home live in comfortable homely surroundings. Evidence: This family home is kept clean and tidy by the owner and is well maintained to ensure people live in safe and comfortable surroundings. We had a walk around the building with the owner who showed us improvements made to the home. A new shower room has been installed and the owner said, The new wet room has turned out well. Also residents rooms have been redecorated, double glazing fitted and new dining furniture obtained to make the home pleasant. One person who lives at the home spoken to said, My room has been decorated I chose the Blackpool colours. There is a continual programme of upgrading and redecoration of the building and the owner explained to us further improvements to the home will be done over the coming year. Any maintenance is carried out by the family or as the owner explains in the AQAA repairs are fixed quickly by contractors. Bedrooms are individually decorated and furnished well. All rooms had good lighting and personalised by the residents themselves so that it feels homely. Care Homes for Adults (18-65 years) Page 18 of 25 Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Outcomes are good for the people who live at the home as they all live and are supported as part of the family. Evidence: Family members offer support if needed for the owner, to ensure people who live at the home receive the care and support to live an independent lifestyle as possible. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people who live there. Evidence: The owner and her family have provided the people who live there a family home for up to 23 years and support them as part of the family. One resident said, This is my family. There is no formality in the day to day running of the home and people who live there are encouraged to follow their daily routines as part of the family. The owner spoken to said, We do most things as a family, my children have grown up with them both and are like brother and sister. The home is well maintained and the owner showed us evidence of fire procedures, checks carried out on electrical equipment and Insurance cover for the home to ensure people are kept safe. Care Homes for Adults (18-65 years) Page 21 of 25 Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 Any person administering medication should receive accredited training. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!