Care Home: AA Bourne Retirement Lodge

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What the care home does well We spoke to people about the staff team and were told they provided sensitive and flexible care support. They told us they liked living at the home and felt well cared for. They were positive in their comments about the staff who were described as being caring and conscientious. One person said, "I get the care and attention I need when I need it. I am very well looked after by the owner and her staff". People we spoke to said they enjoyed the quality and variety of food provided by the home. One person said they had really enjoyed their lunch and confirmed they are always provided with a choice of meal. Meal times observed were very relaxed and people requiring assistance with their meals were treated with patience and dignity. Staff employed by the home have been well trained and are competent to do their jobs. Observation of care practices throughout the day confirmed people are treated with respect and dignity. The home has over 100% of staff who have achieved National Vocational Qualifications (NVQ) ensuring people are supported by competent and qualified staff. What has improved since the last inspection? This is the homes first key inspection since a change of ownership took place in October 2008 What the care home could do better: The owner of the home should ensure all staff including those not providing personal care have been recruited properly to provide protection for the people in her care. CARE HOMES FOR OLDER PEOPLE Isle of Iona Rest Home 156 Waterloo Road Blackpool Lancashire FY4 2AF Lead Inspector Mr Wesley Cornwell Unannounced Inspection 17th March 2009 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 Isle of Iona Rest Home DS0000072675.V374584.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. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Isle of Iona Rest Home Address 156 Waterloo Road Blackpool Lancashire FY4 2AF 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 401853 ionacare@aol.com Mariana Bourne Mariana Bourne Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP The maximum number of people who can be accommodated is: 12 Date of last inspection New Service Brief Description of the Service: The Isle of Iona provides residential care for 12 people of both sexes. The home is located in the South Shore area of Blackpool and is close to local amenities. Accommodation comprises of two lounges and a dining room. Service user bedrooms are situated on the ground and first floor and consist of 8 single rooms and 2 rooms with double occupancy. The home has a chairlift that facilitates access between the ground and first floor. Toilet and bathing facilities are available on both floors. There are two rooms with en-suite facilities available at this home. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services people can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is available from the owner to help people make an informed choice whether to move into the home. The fees charged by the home are £292.25 covering all aspects of care, food and accommodation. The owner provided this information on the 17th March 2009. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was undertaken as part of the homes first Key Inspection since the change of ownership and commenced at 09:30am and took place over five hours. Prior to the visit the owner of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. During the visit we spoke to three people living in the home and the owner. Staff, care, maintenance and financial records were examined during the visit and a full tour of the premises was undertaken with the Owner. What the service does well: What has improved since the last inspection? Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 6 This is the homes first key inspection since a change of ownership took place in October 2008 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people were met. EVIDENCE: There have been no new admissions into the home since the change of ownership took place in October 2008. We looked at the care plan records of two people who moved into the home before the new owners took over and found they had full assessment information including their religious/cultural and relationship needs. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. People spoken to during the visit confirmed they were happy with the care being provided and their needs were being met. One person said, “I am very happy with the care I am receiving” Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 9 This home does not provide intermediate care. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 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 and people’s welfare is closely monitored and were being met. EVIDENCE: Individual records are kept for each person with a plan of care setting out the action that is needed to be taken by support staff to ensure all aspects of health, personal and social care needs of the people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed with the people or their relative/advocate and updated to reflect any changing needs and these were being actioned as required. We looked at records of two people and these described their healthcare needs. Discussion with the home owner confirmed they were fully aware of the healthcare needs of people living at the home and these are monitored and their care plans kept up to date. Entries made on care plans showed good communication between the home and healthcare professionals. Daily entries Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 11 made on the care plans confirmed staff members were following the instructions of healthcare professionals and an appropriate level of care was being provided. The records of one person confirmed a healthcare problem had been identified and appropriate action had been taken to prevent any deterioration in their health. We spoke to the person who told us they were very happy with the care they were receiving. The person said, “I have been ill recently and they were very quick getting me the medical attention I needed. I have just come home from hospital and have been well looked after. I am glad to be home”. Medication practices we observed were safe and good records had been maintained. The staff members responsible for the administration of medicines had received or were receiving accredited training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. People we spoke to said the staff team respected their privacy and they could spend time on their own if that was their wish. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: People we spoke to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One person said, “I like to come and go as I please. It’s my choice whether to sit in the lounge or spend time in my room. I also like to get out for a walk when I can”. We spoke to people about the arrangements in place for receiving their visitors and were told they were happy with these. One person told us their family visit her often and they are always made welcome. The person said, “I have just celebrated my birthday and the owner provided a special tea to celebrate. My niece attended and we had a very enjoyable day”. The home provides a varied and balanced diet for the people who live there. People spoken to confirmed they enjoyed the food provided by the home and always get plenty to eat. One person spoken to after lunch said, “. Enjoyed my Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 13 meal as always. Never get fed up of having meals cooked for me”. Meal times were served in a relaxed and unhurried manner. The owner of the home was observed were being very attentive to the needs of people who needed assistance. People we spoke to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The home has a detailed complaints procedure, which is made available to everyone on his or her admission. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. At the time of this visit no complaints had been referred to the Commission for Social Care Inspection. The home has a procedure in place for dealing with allegations of abuse. Staff members have received training in the protection of vulnerable adults and showed a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Discussion with the home owner confirmed they wouldn’t hesitate to report any concerns they had about care practices to ensure people living at the home are protected from potential harm or abuse. At the time of this visit the Commission for Social Care Inspection had not received any safeguarding referrals about staff working at the home. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable, homely, clean and safe environment. EVIDENCE: The home was generally being well maintained and although some furnishings were looking tired and would benefit from being replaced they were meeting the needs of the people living there. People we spoke to were happy with the accommodation being provided and said they were comfortable. A tour of the building confirmed people had been encouraged to personalise their bedrooms with their own belongings. People we spoke to said they were happy with their rooms and confirmed they had the choice of spending time on their own or in the lounge areas. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 16 It was observed during the visit the home was clean and hygienic ensuring a pleasant environment in which to live. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient to meet the needs of people living at the home. EVIDENCE: Staffing levels were sufficient for the number of people living at the home. People spoken to said they were happy with the care they were receiving and were well treated by the staff. Routines observed during the visit appeared relaxed and the home owner appeared to have sufficient time to meet the needs of the people in her care. One person told us she was being very well looked after by the owner and her staff. Records show all staff members have access to a structured training and development programme ensuring the people in their care are being supported by a well trained and competent staff team. In addition 100 of staff members have achieved National Vocational Qualifications (NVQ) or nursing Qualifications ensuring people are in the safe hands of qualified and competent staff. There has been no new care staff members appointed to work at the home since the change of ownership. The owner had appointed one person as a cleaner and there was some confusion about the checks that needed to be completed before they could commence their employment. The homes Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 18 recruitment procedures were discussed in detail and the owner is now fully aware of the checks that need to be completed for all employees before they commence working at the home to ensure the protection of people in her care. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and ensures the health and safety of staff and people living there are promoted and protected. EVIDENCE: The owner of the home is a Registered General Nurse and is due to commence working towards achieving a relevant management qualification. Records seen confirmed the owner has access to training to ensure her knowledge and skills are updated. People we spoke to were very positive in their comments about the owner and her staff who were described as being friendly, approachable, very helpful and professional. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 20 The home owner has quality assurance systems in place to monitor the level of service being provided for the people in her care. These include informal meetings held to gather the views of people and keep them informed about events being organised by the home. We spoke to people during the visit and they told us they were happy with the service they were receiving and they are consulted about any changes taking place within the home and kept fully informed about forthcoming events being organised. The financial records of people were checked during the visit and were found to be well maintained and up to date ensuring their interests are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for people and staff. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP29 Good Practice Recommendations Staff working at the home should be recruited properly to ensure the protection of the people who live there. Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Isle of Iona Rest Home DS0000072675.V374584.R01.S.doc Version 5.2 Page 24 - 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. 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