Latest Inspection
This is the latest available inspection report for this service, carried out on 21st April 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Starr Hills Methodist Home.
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. Externally the garden area has been improved to offer people the opportunity to take exercise. People that live at the home made positive comments about living at Starr Hills and said, "The staff are all nice and friendly. This feels like my home where I can relax and feel safe". 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 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 the care home could do better: We could not see any improvements the service could make other than ensuring that errors in medication administration practise were responded to quickly so errors could be reduced which was agreed during the visit. Random inspection report
Care homes for older people
Name: Address: Starr Hills Methodist Home 18 Ansdell Road South Ansdell Lytham St Annes Lancashire FY8 5PQ 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: 2 1 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Starr Hills Methodist Home 18 Ansdell Road South Ansdell Lytham St Annes Lancashire FY8 5PQ 01253735037 01253732466 Telephone number: Fax number: Email address: Provider web address: www.mha.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Annette Williams Type of registration: Number of places registered: Conditions of registration: Category(ies) : Methodist Homes for the Aged care home 36 Number of places (if applicable): Under 65 Over 65 36 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: 36 Date of last inspection Brief description of the care home Starr Hills is owned by Methodist Homes for the aged and offers personal care to residents of all religious denominations of both sexes aged 65 years and above. The physical standards of the home are good and all bedrooms are single with en suite
Care Homes for Older People Page 2 of 10 Brief description of the care home facilities. Aids and adaptations are available to promote independence and ensure individual needs are met. A passenger lift is in place and ramps are situated in and outside the home that allows for freedom of movement. Starr Hills is located in the residential area of Lytham close to all local amenities. Information about the services offered at the home and the range of fees can be obtained by contacting the manager directly. Care Homes for Older People Page 3 of 10 What we found:
This random visit took place on the 21st April 2010 and lasted six 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 and staff and they gave us their views about living and working there. 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 or support plans. We could see that the home used a person centred approach and care and support plans demonstrated that people were included in their care or support plans so staff had information on which to provide individual care so their care is based around their needs and choices. 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 or support 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. The care plans we saw said where people needed care and support and told us how people wanted their care to be arranged and how 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 preferences was provided. We saw information in care and support plans that guided staff about the health needs of people using the service. We saw positive outcomes when staff had requested help and advice from medical professionals. We saw that a person who had
Care Homes for Older People Page 4 of 10 swallowing difficulties and had risks associated with this was able to stay at the home as the home had consulted the persons doctor and other professionals had been involved because of this so the right advice and treatment was given and the person was able to remain safe and well and continue to live at the home. The home has a reflexology treatment room and a staff member is a trained reflexologist so people at the home can have alternative medical treatment. 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 saw that care and support plans referred to how people made decisions about their daily routines and choices or how people that use services made decisions for themselves so were confident that people made decisions that were important to them. 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 the policies and procedures for medicine administration with 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 included controlled drugs storage. We looked at how controlled drugs 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 so could take them independently. We saw that bedrooms contained lockable metal cabinets that were fixed to the wall so people could store their medicines safely. 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 not received any complaints about the home since our last visit and the home told us they had received eleven complaints. 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 we saw showed these had been recorded as received and the complainant received an acknowledgement of their complaint from the manager who had fully investigated the complaints received. All complaints had been agreed as valid even if they were minor. We could see where action had been taken by the manager. For example when staff received a written warning for not following care and support plans and not keeping to a persons choice about their daily routine. 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 the home was nearing completion of a major refurbishment which promoted the health of people living their as well as supporting them to remain healthy and independent. The full refurbishment includes aids and adaptations such as raised toilets as standard with raising bars, hand rails in corridors and an external lift in the garden to
Care Homes for Older People Page 5 of 10 allow people with wheelchairs to access this. Seven bedrooms have had wet rooms or showers fitted and bedroom toilets have been altered so they can accommodate portable hoists so the refurbishment supports health and Independence. The garden has been landscaped so people are able to walk around this safely and take exercise. People can be involved in the gardening as there are raised flower beds and vegetable patches. During the refurbishment the necessary steps were taken to prevent people living at the home being at risk from any work taking place. An example we saw was the use of a dust sheet and corridor being sealed off while work took place on widening a corridor door so people using wheelchairs could get through and the doors were replaced with fire door so additional fire protection was provided. We saw training records for the home and all staff had received safeguarding training in 2008 and 2009 with training arranged for April 2010 and beyond. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with the deputy and an assistant manager 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 to a staff member who was on her induction who confirmed she had received safeguarding adults training during her induction and said, A good refresher to training I had before. It helped me to remember what I needed to know. As I am knew if someone reported to me that a staff member has shouted at them I would ask them to tell me what happened and report it to my senior and not tell the person who the allegtaions had been made against. The senior tells the person in charge. She said about her induction, Excellent you are not rushed into anything as I have had a full week of shadowing or training. I have either shadowed some one or been training. In my last job training was a day and you were rushed into working. Here you have to do the training first. For example I am having my moving and handling training tomorrow, so I cannot help with this until then. 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. Externally the garden area has been improved to offer people the opportunity to take exercise. People that live at the home made positive comments about living at Starr Hills and said, The staff are all nice and friendly. This feels like my home where I can relax and feel safe. 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 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.
Care Homes for Older People Page 6 of 10 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 7 of 10 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 8 of 10 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 Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
