Care Home: Royal Care Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. The owner continues to refurbish bedrooms adding en suite facilities so people living their have their own toilet and bathroom facilities. People that live at the home made positive comments about living at The Royal. A visitor said of the home, "I visit to offer communion and have been doing this for two years. I see the manager and the staff are really caring people who treat everybody with respect. I speak to the people that live here and they tell me how they feel loved and cared for. I would not say that if it were not true. I would recommend people to live here". The personal care and health needs of people that use services are met to an excellent standard so they are supported to maintain their personal appearance and hygiene. Complaints are listened to and taken seriously so prompt action is taken to rectify mistakes or unacceptable practise so people living at the home are protected by thecomplaints and safeguarding procedures in place. The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. What the care home could do better: Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples` daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Random inspection report Care homes for older people Name: Address: Royal Care Home 16-18 York Road St Annes on Sea Lancashire FY8 1HP three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anthony Cliffe Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Royal Care Home 16-18 York Road St Annes on Sea Lancashire FY8 1HP 01253726196 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kaye Whenmouth Type of registration: Number of places registered: Conditions of registration: Category(ies) : K. Whenmouth Limited (T/A Royal Care Home) care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 27. Date of last inspection Brief description of the care home The Royal Care home provides personal care and accommodation for up to 27 older people.The home is situated in St Annes, in a convenient location close to the town centre with a shopping area, local community facilities and resources and public Care Homes for Older People Page 2 of 11 Brief description of the care home transport. All the accommodation for people living there is located on the ground and first floor of the building and a stair lift is provided to ensure freedom of movement so people living there have access to all areas of the home. The home has garden areas to the front of the building that are well maintained and easily accessible. Further information about the range of fees and the facilities and services available at The Royal care home can be obtained by contacting the manager directly. Care Homes for Older People Page 3 of 11 What we found: This random visit took place on the 13th May 2010 and lasted over three and a half hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last two years we have completed annual service reviews which which told us the home was still providing an excellent service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home, a visitor and staff and they gave us their views about living, visiting and working there. At this visit we focused on the standards for health and personal care and complaints and protection. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care plans. We could see that the home used a person centred approach and care and plans demonstrated that people were included in their care when possible so staff had information on which to provide individual care so their care is based around their needs and choices. A person living at the home said she knew about her care plan and her key worker met with her regularly to discuss this. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care plans we saw were individual to people using the service and included information about their personal routines and choices about personal care or if they could help themselves but could have included more information about how people were involved in decisions about their care . The care plans we saw said where people needed care and support but not about how people wanted their care to be arranged and how Care Homes for Older People Page 4 of 11 staff would provide support or care to help them to care for themselves or if care was arranged or planned around their daily routines. So care based on their personal needs was provided but the plans did not reflect their personal preferences. We saw information in care and support plans that guided staff about the health needs of people using the service. We saw when staff had requested help and advice from medical professionals. We saw that a person who had medical health needs also had difficulty remembering things so the home supported the person to be seen by the mental health services. The home had also asked about how the Mental Capacity Act could be used to protect people. We looked at how the Mental Capacity Act, a law about making decisions and what to do when people cannot make some decisions for themselves, was used in the home. When people cannot make decisions for themselves, this is called lacking capacity. The Mental Capacity Act sets up safeguards that must be used when a person living in a care home, who cannot make decisions for themselves, is restricted in a way that deprives them of their liberty. This provides extra protection for them to make sure that anything being done is done in their best interests. Sometimes people may be stopped doing things they want to do, to give them extra protection. This may restrict them and might be done to keep them safe or protect them from harm. We saw that where an application had been made to deprive a person this had been agreed for a short period of time as it was in the persons best interest to safeguard their welfare. We saw that once the persons mental health had improved the agreement to restrict their liberty was removed as other less restrictive options were available and the staff at the home were providing a safe and caring environment for the person so they were settled and secure. Surveys returned to us by people living at the home before the visits said they always received the health care support they needed. Reviews of care were very good and told us people living at the home received the care and support they needed and was planned around their changing needs. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We did not see care plans refer to how people made decisions about their daily routines and choices or how people that use services made decisions for themselves so were unsure how people made decisions that were important to them. We did see information that told us where people could not make their own decisions, so staff would understand and know when people needed help with decision making. These were legal decisions were family members or representatives of people had been awarded lasting power of attorney. We did not see information that told us where people could make their own decisions, so staff would understand and know when people needed help with decision making and showed who helped people that live at the home in the decision making process so we could see who would be the best person to make decisions on the persons behalf if necessary and showed how people would continue to be involved in influencing decisions so would have choice and control over their lives. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage Care Homes for Older People Page 5 of 11 included a medicines trolley and controlled drugs storage. No controlled drugs were stored at the home at the time of the visit but the home had the necessary storage facilities. We looked at how medicines were received, recorded, stored and administered and found them to be managed safely so the policies and procedures of the home were followed. People that use services were able to manage their own medicines if they wished but at the time of the visit no one managed their own medicines. During the visit we saw the complaints policy was available to people using the service and displayed for people using the service to see so they had access to it. The records we saw also contained a copy of the complaints procedure. We had received one complaint about the home since our last visit and the home told us they had also received one complaint. Before the visit people living at the home returned surveys to us and said they knew who to speak to if they were unhappy and how to make a complaint. The records for complaints recorded one complaint was received and the complainant received an acknowledgement of their complaint from the manager who had fully investigated the complaint. The complaint had been agreed as valid and the manager made an apology to the complainant. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We saw training records for the home and all staff had received safeguarding training in 2009 and three staff are to complete training in 2010. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with two carers about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people from further distress. We spoke with people about the personal and health care support they received while living at The Royal care home. As person said about living at the home, When I moved here I was down, now I am happy, active and cared for and my health has improved. I knew I needed care and decided I was going into care. I remembered the Royal as a relative had care here. I telephoned and they brought me a brochure and within two weeks I moved in. I have really improved. I am killed with kindness and could not wish for anything. The staff are all loving and they keep me involved in things like watering the plants and asking advice on the garden. We also received surveys from people at the home before we did out visit. In our survey we asked people what the home did well. Comments we received were, Love and care from bosses and staff. personalised care for each resident and building a sense of community there. Cleanliness throughout. Big effort to make residents happy, Provides a caring friendly atmosphere, Provides a caring friendly atmosphere and Very caring staff who seem to take good care of my mother. The staff seem willing to try different things to keep my mother content as she suffers from memory loss and is confused. The home seems comfortable and has a caring lived in quality which is welcoming. The staff seem to treat the residents almost as family members. I am pleased my mother is there. We also received comments from staff in surveys returned to us before the visit and they commented upon what the home did well or could do better. Staff said that recruitment was thorough and induction was very well done. Staff said the manager met with them Care Homes for Older People Page 6 of 11 regularly to provide them with support and they also received information and training to be able to meet the health care needs of people living at the home, which included training on medical conditions and medicine administration so they could provide help and personal care. Comments received were I think the service users are made very welcome and put at ease and if they have made requests we go out of our way to please them. I think the food is very very good. I feel very lucky to work here, its a good team, we help each other and have a nice professional understanding. All of the team know the needs of the residents very well and the day to day running is smooth and enjoyable. Coming to work here is great and we are like a big family, Care for individual needs. its got a very homely atmosphere everything. The Royal is a very nice place to work or in the residents case live, Management are helpful, staff have a good understanding of what their job is and it creates a good atmosphere for residents knowing they are safe and well cared for and Look after individuals needs whatever they may be. Make individuals feel welcome whether its a service user , staff or visitor. The Royal care home is a great place to be. I enjoy my role at the Royal. I have been here nearly two years and I enjoy coming to work its so welcoming and a nice place to be at. We also received surveys from social and health care professionals involved in the care of people who commented on what the home did well and could do better as well as making comments about how peoples health needs were supported. Health professionals said that staff always sought advice and acted upon it to help maintain or improve the health of people living there. Comments received were, Good caring staff and proprietor who goes out of the way to help and care for residents, The royal is always welcoming and friendly and will often go the extra mile for their clients, I have arranged for two people to be placed at the Royal. In both cases the placement appeared satisfactory to the individuals concerned and When I visit the residents seem extreemly well cared for and staff are knowledgeable and informative. I feel that the staff listen to any concerns I may have about residents health care and they follow any suggestions I make. It is always a pleasure to visit this home and I feel I am always welcome and everyone goes out of their way to be helpful. What the care home does well: People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. The owner continues to refurbish bedrooms adding en suite facilities so people living their have their own toilet and bathroom facilities. People that live at the home made positive comments about living at The Royal. A visitor said of the home, I visit to offer communion and have been doing this for two years. I see the manager and the staff are really caring people who treat everybody with respect. I speak to the people that live here and they tell me how they feel loved and cared for. I would not say that if it were not true. I would recommend people to live here. The personal care and health needs of people that use services are met to an excellent standard so they are supported to maintain their personal appearance and hygiene. Complaints are listened to and taken seriously so prompt action is taken to rectify mistakes or unacceptable practise so people living at the home are protected by the Care Homes for Older People Page 7 of 11 complaints and safeguarding procedures in place. The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. 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 2. Care Homes for Older People Page 8 of 11 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 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, 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 7 Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. 2 7 Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!