Inspection on 19/07/05 for George Edward Smart Homes

This inspection was carried out on 19th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

George Edward Smart Homes 18/04/07

George Edward Smart Homes 13/12/05

George Edward Smart Homes 01/02/05

George Edward Smart Homes 17/08/04

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

CARE HOMES FOR OLDER PEOPLE George Edward Smart Homes Stepney Drive Scarborough North Yorkshire YO12 5DJ Lead Inspector Brian Hallgate Unannounced 19 July 2005 09:30 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 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. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service George Edward Smart Homes Address Stepney Drive, Scarborough, North Yorkshire, YO12 5DJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01723 337509 01723 500717 mail@george-edward-smart-homes.org George Edward Smart Homes Mrs Elaine Margaret Heritage Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61) of places George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st February 2005 Brief Description of the Service: George Edward Smart Homes are located in a residential area on the western outskirts of Scarborough. The original house, Combe Hey, was built as a care home in 1958 and a further development, Fawcett House, was added in 1968. The two houses are collectively known as the George Edward Smart Homes. Formal gardens and car parking are situated at the front of the property and further extensive grounds and gardens are to the side and rear. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four and a half hours, including preparation time, and was an unannounced inspection that commenced at 9.30am. A tour of the home was made and a number of records were examined. Ten residents and five members of staff were spoken to. The staff were observed interacting with service users. What the service does well: What has improved since the last inspection? A quality monitoring exercise has taken place since the last inspection with a large percentage of questionnaires returned from both residents and their relatives. The results of the exercise are displayed on notice boards for residents and relatives to see. Improvements are being made outside the building for the storage and charging of scooters for those residents with mobility difficulties who can control the scooters. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 6 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. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 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 standard(s) 3 and 6 The assessments prior to admission are comprehensive and provide informed decisions about moving into the home. EVIDENCE: Each resident admitted via social services has a comprehensive care management assessment completed before admission. The home manager or a care manager from the home undertakes a written assessment prior to admission if a person is admitted privately. Files examined had assessments completed before admission. Intermediate care is not provided in this home. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 There is a clear planning system in place to adequately provide staff with the information that they need to satisfactorily meet residents needs. EVIDENCE: All residents have a written care plan completed from the initial assessment and the observations of the staff team. The plans enable staff to care for each person. All plans are reviewed as necessary and at least monthly. There is a separate document in the files completed by a care manager when the plan of care is reviewed. All residents are registered with a GP. Specialist health services are obtained through the surgery as necessary. Residents have access to chiropodists, dentists and opticians as required. Twenty-two people self medicate. There is a monitored dosage system for those residents who are unable to self-medicate. The medication cupboards, records and drugs checked were in order and up to date. There is a dangerous drugs cabinet and a fridge used solely for medication that is required to be stored in it. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 10 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 standard(s) 12,13,14 &15 Social activities are well organised, creative and provide stimulation and interest for people living in the home. Meals are nutritious and balanced and offer a healthy and varied diet for residents. EVIDENCE: The majority of the service users are independent. Activities are organised on a daily basis with clear notices placed on notice boards throughout the building of the activities programme. Activities take place inside the home and outings are arranged to places of interest and to the shops on a regular basis. An inhouse newsletter is published regularly by a resident. Many residents spoke about visits to the home by relatives and friends. They are welcome to visit the home when they wish. Some residents choose to spend the majority of their time in their own rooms. Some residents have chosen to have one room as a lounge/living area and an adjacent room as a bedroom. The menu is clearly displayed within the home with a note stating that anyone can ask for an alternative that is not on the menu. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 11 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 standard(s) 16 and 18 There are satisfactory complaints and abuse procedures in place. EVIDENCE: The home has a complaints policy and procedure. No complaints have been made since the last inspection. Residents are listened to by staff and in the residents meetings. Residents have recently taken part in a quality monitoring questionnaire. Very positive remarks were made by residents in respect of the care that they receive. There is a copy of the York and North Yorkshire Adult Protection Policy which senior staff are aware of. All care staff spoken to knew what action to take in the event of a suspected abuse situation. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 12 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 standard(s) 19 and 26 The standard of the environment within this home is exceptionally good providing service users with an attractive and homely place to live EVIDENCE: The home is situated in a residential area and is set in pleasant extensive grounds with well-maintained lawns and gardens. There is a summerhouse and garden furniture available for use by service users. The home provides pleasantly decorated and furnished lounges, from large rooms for entertainment to cosy areas for two or three people to talk together. All the bedrooms have en-suite facilities to a high standard. Rooms have been personalised to the taste of individual service users. The home is very clean, pleasant and hygienic. Since the last inspection a new industrial laundry has been completed and a small laundry that residents can use to wash their own clothes. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 &30 The residents receive a high standard of care from well trained and well supported staff. EVIDENCE: The home has sufficient staff to meet the needs of the residents. There are 5 or 6 care staff on duty each morning, 9 domestic staff, 2 staff employed in the still room and 3 staff employed in the kitchen. There is the home manager, a care manager and a care supervisor on duty each day. In the afternoon there are four care staff on duty. Two waking night staff and a manager sleep in each night. Application forms are completed by applicants for positions within the home. Two written references and a CRB check are completed before a new member of staff is employed. Newly appointed staff complete induction and foundation training to Skills for Care specifications. A comprehensive training programme is arranged for staff and management and supervisory courses are attended by the management staff employed within the home. NVQ Level 2 in Care is completed by care staff and the registered manager has recently completed her Registered Managers Award. All residents spoke highly of the staff that cared for them. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 & 38 The home is managed in an open and inclusive manner by the registered manager who enjoys the support of staff and residents. EVIDENCE: Residents and staff spoken to stated that the home was well managed by the registered manager and the care managers. Residents or their relatives or people with Power of Attorney deal with the individual finances of those people living in the home. The manager is not appointee for any resident. Residents who wish can have a small amount of money in safe keeping within the home. Receipts and records are kept for each transaction of each person who has money deposited in the home. The health and safety records checked included fire records, emergency lighting checks and the temperature of the hot water. All records were in good order. George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 16 No Are there any outstanding requirements from the last inspection? 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. Standard Regulation None 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 None Good Practice Recommendations George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 George Edward Smart Homes J53_J04_S7644_George Edward Smart_V235098_2190705_Stage 4.doc Version 1.40 Page 18 - 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!