Inspection on 17/01/06 for Cymar House

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cymar House 15/02/07

Cymar House 09/08/05

Cymar House 28/02/05

Cymar House 04/08/04

Cymar House 10/03/04

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Whiteley House

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Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cymar House 113 Pontefract Road Glasshoughton West Yorks WF10 4BW Lead Inspector Susan Vardaxi Unannounced Inspection 17th January 2006 09:00 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 Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 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. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cymar House Address 113 Pontefract Road Glasshoughton West Yorks WF10 4BW 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) 01977 552018 01977 603038 cymar@daisyconnect.com Cymar Care Homes Limited Ms Jillian Gill Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Cymar House provides residential care for 22 older people over the age of 65 years, some whom may have dementia type illnesses or mental health disorders. The home is situated in a residential part of Glasshoughton on the outskirts of Castleford. It is on the main bus route and close to all amenities including shops, post office, supermarkets and public houses. Set back in its own grounds there is car parking to the front of the home and lawns to the front and rear of the building. the large hallway at the front entrance leads into the dining room and kitchen to the left, and a large lounge to the right of the hallway. a small quiet lounge is available for service users at the rear of the building. A shaft lift is available for service users and bedrooms are located on the upper and ground floor of the home. The main provision of bedrooms is for single occupancy, however there are two large bedrooms that are available for service users who wish to share. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection completed on 17th January 2006, which was generally a positive and enjoyable one with the inspectors talking to service users and staff, looking at records and a walk around the environment. The Commission would like to take the opportunity to thank the service users, the manager and staff for their hospitality and cooperation throughout the inspection. The home has achieved The Investors in People Award. What the service does well: What has improved since the last inspection? What they could do better: This was a positive inspection, however improvements need to be made to medication recording and water storage temperatures need to be tested and records kept to ensure service users are safe. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 6 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. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 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 Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Good assessment procedures make sure that service users’ individual needs are assessed prior to them moving into the home. EVIDENCE: Care plan files included details of pre-admission assessments completed both by the home and, where relevant by the placing authority. These assessments were found to be adequate Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 The provision of health care is satisfactory and the standard of care planning ensures that service users’ needs are appropriately met however the medication records do not always confirm that medications are administered as required. EVIDENCE: Care plans seen were appropriate to the service users’ assessed needs and had been reviewed monthly. Risk assessments had been completed for manual handling and falls. A copy of the home’s commitment to review service users’ needs was seen on a file. Manual handling risk assessments for falls and the action to be taken to minimise the risk was seen, the risk assessment had been reviewed in January 2006. Records seen showed that GPs, district nurses, physiotherapist, continence adviser and other health professionals visit the home. Nutritional assessments were seen, the manager said the form used could be adapted should changes in weight be observed. Records of weights were seen, the manager said the GP has been informed of a service user who had lost some weight and supplement foods had been prescribed. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 10 Staff were observed assisting service users to take medications appropriately, the medication trolley was not left unattended. The medication records and storage arrangements were checked; the manager said she would discuss future arrangements for returning medication with the pharmacist. Some signature omissions and incorrect balances were seen on the records checked. Staff were observed assisting service users throughout the inspection and no incidences were seen that would compromise service user’s privacy and dignity. Some cards from relatives expressing grateful thanks for the care of service users who had been terminally ill were seen. The manager said that six staff have completed a three-day Palliative care training course. Bereavement counselling had been offered appropriately. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15 Confirming the advocacy arrangements will ensure that service users are appropriately represented. Service users appear to be satisfied with the meals. EVIDENCE: The manager said that she had written to relatives to confirm the arrangements for handling service users’ personal allowances. The cook said that she still does home baking, staff were seen assisting service users to eat their meal appropriately. Service users had a choice of either homemade meat pie, chips and vegetables or fish fingers and chips and vegetables. The cook said she is provided with plenty of provisions to make the meals. Service users spoken with said the meals are “fine”. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Service users are provided with accurate information should they wish to make a complaint. EVIDENCE: A copy of the home’s complaints procedure was seen and is satisfactory. The home’s quality assurance questionnaires completed by service users showed that they are aware of the complaints procedure. The manager said adult protection training had been provided for staff. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 The home is suitable for its stated purpose. EVIDENCE: Service users are able to access the home by ramp if needed; a shaft lift provides access to the first floor. The grounds looked well tended and maintained given the time of year. The premises are clean, hygienic and generally free from offensive odours, however a very strong odour of urine was observed in one bedroom, which was discussed with the manager who said the carpet, was to be replaced later in the day. The manager said the fire officer had visited prior to the inspection; they were waiting for his report. The person responsible for checking water temperatures said there were no arrangements for testing water storage temperatures a requirement has been made in standard 38 in respect of this. The carpets in the hallways on the ground floor looked worn. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Service users are protected by the home’s recruitment practices. EVIDENCE: The staff files were not checked on this visit, no problems were observed at the previous inspection and the manager has contacted the Commission prior to the inspection to discuss proposed recruitment arrangements, which were satisfactory. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,38 The records seen show that generally the management of the home is satisfactory. EVIDENCE: Samples of the home’s quality assurance questionnaires completed by service users, four district nurses and a chiropodist were seen and generally the comments were positive. Where a service user had made a specific comment on the questionnaires there was evidence to show the manager had discussed the comments fully with them. The records show the manager completes spot checks to check the times the service users are got up from bed. A service user had stated that they would like to stay in bed a little longer; the manager had discussed this with them. When possible the service users sign the questionnaires. Some of the service users’ records for monies held by the home for hairdressing and chiropody were seen and the cash held and records balanced. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 16 The manager said she makes monthly health and safety room checks. Records seen showed that fire and in house manual-handling training had been provided, the manager said night staff attend fire training and a fire drill simulation is planned for later in the year. The manager said that external manual handling training is planned. Arrangements had been made for four staff to attend a three day health and safety training course later in the month and seven staff are due to attend a sixteen week medication training course in February 2006. Records of some system and equipment checks were seen and showed that regular checks are completed, however the water temperatures of in the water storage tanks had not been completed. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 1 Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? N/A 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. 1 2 Standard OP9 OP38 Regulation 13(2) 13(3) Requirement The registered person must ensure that accurate records are kept of medication administered. The registered person must maintain safe water storage temperatures and keep records of tests completed. Timescale for action 31/01/06 31/01/06 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 OP19 Good Practice Recommendations The carpets in the ground floor hallways are worn and should be replaced. Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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 Cymar House DS0000006176.V277954.R01.S.doc Version 5.1 Page 20 - 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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