Inspection on 21/09/05 for Hylands The

This inspection was carried out on 21st September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hylands The 25/03/09

Hylands The 29/01/07

Hylands The 09/02/06

Hylands The 08/12/04

Hylands The 08/07/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Hylands The Crescent Filey North Yorkshire YO14 9JR Lead Inspector Karen Ritson Unannounced 21st September 2005, 10:00 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. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hylands Address The Crescent Filey North Yorkshire YO14 9JR 01723 515213 01723 516279 N/A Mr Anthony Rhoden 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) Mrs Dianne-Marie Rhoden Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54) of places The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08/12/04 Brief Description of the Service: The Hylands is a large former hotel occupying a prominent and elevated position overlooking the seafront of the town. It has been adapted to provide accommodation and care for a maximum of 45 older people. The home provides single and shared accommodation, many rooms having en-suite facilities. There is a passenger lift to each floor. The registered providers and their staff provide personal care where necessary. There is an in-house catering service, laundry facilities and a cleaning and domestic service. Staffing cover is provided 24 hours a day. Leisure and recreational facilities are offered in the home, service users also make use of the facilities in Filey itself. Consideration is being given to making all rooms en-suite. A number of service users are able to go out unaided or with the assistance of visitors or staff. Registered general medical practitioners provide primary health care and facilitate access to further medical services when required. Dental, optical and chiropody services are offered on a domiciliary basis or at local surgeries. The Hylands is owned by Mr and Mrs Rhoden and managed by Mrs Rhoden. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 21st September 2005. The inspection took ten hours, which included preparation, and time for writing the report. The owners Mr and Mrs Rhoden were both available throughout the inspection. Six service users were spoken to. Their comments were all positive regarding the care they were offered and are described in more detail inn the main body of the report. Three members of staff were spoken to; they reported a supportive working environment. There was a friendly and relaxed atmosphere apparent throughout the day, with service users and staff both happy to chat with the inspector. What the service does well: What has improved since the last inspection? Some on- going improvements have been made to the internal décor. The home is in the process of creating en suite facilities for all rooms. The outside of the home has been improved with new seating and planted tubs. The homes handling of medication has improved with a further plan to re-site the medication room on the ground floor. All health and safety maintenance certificates have been brought up to date. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 Service users are assured their care needs will be met. EVIDENCE: Basic assessments of care required were seen which covered all main necessary points and risk assessments were included where relevant. Most service users are reasonably independent and only a minority need help with personal care. Those who did, said they felt staff understood their care needs. The others said they used the home in the way of a hotel and only asked for assistance when it was necessary. The home does not offer intermediate care. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 Service users receive appropriate care in a way which preserves their privacy and dignity. EVIDENCE: Care plans are clear and service users sign their agreement. These are reviewed monthly. Several care plans were seen. Detail varied according to the level of care required. All outpatients’ appointments and visits from any health care professional are recorded. The home works with the district nurses to provide specialist mattresses where needed and nurses also assisted with the provision of continence aids and advice. Medication is stored in a trolley in a room dedicated to this purpose and locked to the wall. PRN medication, is given as and when required, and is recorded on separate sheets. No controlled drugs were in the home. Suitable arrangements could be made for their safe storage and a Controlled Drugs Register was available. Only senior staff administer medication. They had received training from the local pharmacist and within the home. The registered providers had also arranged a course of accredited training for all staff who administered medication. Records of this training were seen. Service users said they trusted that staff understood what medication was needed and were happy for them to administer it. A few service users self medicate, and this is recorded on file. The home plans to The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 10 move the storage of medication to a room on the ground floor. The home has locks on bedroom doors, bathrooms and toilets. All service users said they were treated with dignity and their privacy was respected. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 standard(s) 12,13,14, and 15 Service users are enabled to exercise choice and control over their lives. EVIDENCE: Service users are generally independent in terms of their choice of entertainment and lifestyle. Several service users said they continued to go out unaided and one said he took himself out for trips in his car. Some service users said they attended church and that transport would be arranged if getting there was a problem. Visitors are welcome at all reasonable hours and the home had a number of visitors during the inspection. More dependent service users said the home arranged for them to attend outside events and brought entertainment into the home every six weeks or so. Staff accompanied those who wished to go out in the evenings to a show or for a meal. Service users spoken to said they either managed their own finances or a third party did so for them. The home only handles money for a small number of service users. Service users said they had a good choice of meals, all meals included a cooked option and they said the food was of a high standard. Specialist diets would be catered for when required. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Service users are protected by the homes abuse and complaints policies and procedures. EVIDENCE: The home has policies and procedures on abuse and complaints. Staff said they had received training in abuse awareness and service users said they felt that all complaints would be listened to and acted upon. There have however, been no recent recorded complaints. Service users said they felt safe in the home and that staff were kind and thoughtful. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 standard(s) 19 and 26 Service users live in a safe well -maintained environment. EVIDENCE: The home is safe, clean and well maintained. The home employs a handyman. CCTV is used inside the building in corridors to assist with keeping service users safe particularly at night, but is not used in service users private accommodation. The communal ground floor areas are well decorated, well lit and comfortably furnished. Bedrooms are decorated to individual service users taste. Previous plans to develop the basement area to include leisure facilities have been abandoned due to projected costs. The outside front of the building has been improved, with a paved area and seating. Tubs are arranged between the seats and a new handrail has been fitted to the steps. Service users said it had ‘brightened it all up’ and appreciated they could now sit directly outside the home. Previously they had to cross the road to sit in the gardens opposite. The owners are in the process of obtaining quotes for a new fire alarm system. They agreed that the landings would now benefit from decorative attention but that this was planned for after the new fire alarm system was fitted. The home employs a person to work exclusively with laundry and her working The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 14 environment is in need of upgrading. The area where the washing machines and dryers are kept is in need of decorative attention. This is an outstanding requirement from the last inspection report. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 15 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 and 30 Service users are protected by the homes staffing levels and training programme but recruitment needs attention. EVIDENCE: The home is adequately staffed. Service users said they felt staff had sufficient time to carry out their duties without being rushed. Staff files were examined. Not all references were seen, as these are kept off the premises, however, the manager said that these would be made available if required and will be checked at the next inspection. The GSCC code of conduct was available to all staff. The home did not have CRB checks relevant to this employment for all staff. It was pointed out that CRB checks are not portable from another setting. A training package for induction and foundation following TOPSS guidelines was available and would be used for the next new member of staff. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 16 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) 35 and 38. Service users are protected by the health and safety procedures adopted by the home. EVIDENCE: It was not possible to assess standard 33 as all Quality Assurance documentation was with an external verifier. Personal allowance is held for a small number of service users. This was checked and all recording was in order. All certificates for electrical safety, gas safety, fire alarms and emergency lighting were seen and were up to date. Staff said that health and safety was a high priority and that they received regular updates on training in moving and handling and infection control. The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 1 STAFFING Standard No Score 27 3 28 x 29 1 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 x x 3 x x 3 The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 18 yes 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. 2. Standard 26 29 Regulation 23 19 Requirement The laundry must be made acceptable to work in. All staff must have suitable CRB and POVA checks prior to commencement of employment. Timescale for action 30/11/05 Immediate effect. 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 Good Practice Recommendations The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 Page 19 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 The Hylands J53_JO4 S7742 The Hylands V230667 260705 Stage 4.doc Version 1.30 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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