Inspection on 29/01/07 for Hylands The

This inspection was carried out on 29th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Hylands The 25/03/09

Hylands The 09/02/06

Hylands The 21/09/05

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 Hylands The The Crescent Filey North Yorkshire YO14 9JR Lead Inspector Brian Hallgate Key Unannounced Inspection 10.45 29th January 2007 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 Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 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. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hylands The Address The Crescent Filey North Yorkshire YO14 9JR 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) 01723 515213 01723 516279 Mr Anthony Rhoden Mrs Diane-Marie Rhoden Mrs Diane-Marie Rhoden Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54) of places Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 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 46 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. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to inform this report was obtained from the information documented in previous inspection reports, a pre-inspection questionnaire completed by the registered manager of the service, a site visit, completed survey forms and discussions with 5 service users, 2 members of staff and the registered persons and registered manager. Prior to the inspection ten survey forms were sent to service users and 3 were returned, two survey forms were sent to GPs and none were returned and one was sent to a care manager and this was returned. This unannounced inspection took place on the 29th January 2007, commencing at 10.45am. A number of records were inspected including service users’ assessments, care plans and medication. A tour of the home was made and staff were observed interacting with a number of service users. The fees on the day of the inspection were £320 per week. What the service does well: What has improved since the last inspection? 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 summary of this inspection report can be made available in other formats on request. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 6 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 Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments are completed prior to admission and used to provide informed decisions about moving into the home. EVIDENCE: The majority of service users are reasonably independent and use the home as a hotel and only ask for any assistance from the staff if it is necessary. The home has basic assessments of care in respect of people admitted privately. Full care management assessments are available for those service users admitted through community care assessments. Intermediate care is not provided. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users who require personal care receive care with privacy and dignity. EVIDENCE: Care plans for four service users were examined at random. The detail within the care plans vary according to the level of care that service users require. Several service users do not require personal care. The files were up to date and in order. Service users spoken to considered that they were well cared for and that the staff were always polite to them. One service user self medicates. Other service users are capable of self-medicating but prefer the staff to administer medication for them. The home operates a medication policy and procedures for administering medication to service users. The system was seen and found to be up to date and in good order. Staff who administer medication have had the appropriate training. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some activities are arranged for the service users who are not independent. EVIDENCE: Some of the service users stated that they are independent and they decide if they wish to be involved in any community activities in the surrounding area. They go out unaided whenever they wish and participate in external activities. One service user had gone independently to the local golf club for coffee on the day of the inspection. Some service users attend church in the community with transport provided if needed. All service users stated that they can have visitors at anytime and they are welcomed by the staff. The food, according to the service users spoken to, is of a high standard. Choices are available and special diets are provided when necessary. One service user stating “The food is very good and I can always have something that I enjoy”. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory complaints and abuse procedures in place and staff are aware of what action to take if any complaints or alleged abuse situations occur. EVIDENCE: The home has policies and procedures on abuse and complaints. Staff stated that they had received training in abuse awareness. Service users spoken to considered that their complaints would be listened to and acted upon by the staff. The home has a copy of the York and North Yorkshire Vulnerable Adults Policy. Staff spoken to were fully aware of what action they would take in the event of an adult abuse situation occurring. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing service users with a homely place in which to live. EVIDENCE: The home is clean, pleasant and hygienic. The home is reasonably decorated and service users said they were pleased with their own bedroom accommodation that had been decorated to their individual taste. There is a CCTV system in place for use in the corridors to assist staff to keep service users safe. The system does not operate in any of the service users individual bedrooms. There are six different lounge areas that the service users have access to. Some service users prefer to use their own accommodation as a bed sitting room and spend the majority of the time in their rooms. There is a paved area to the front of the home that faces directly onto the sea where service users can sit when they wish. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The duty rota showed that there was sufficient staff on duty for the dependency levels of the service users. Staff had received training. EVIDENCE: The duty rota showed that there were sufficient staff on duty to meet the needs of the service users. There are a number of bedrooms vacant at the present time. At least one senior member of staff is on duty throughout the day. Staff stated that they had received training during the past year in equality and diversity, safe administration of medication, infection control. The staff spoken to had been employed in the home for many years and knew the needs of the service users. Employment checks are made before new members of staff are appointed. As many of the staff have been employed for many years there have been no major changes in staffing since the last inspection. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was evidence that proper attention is given to health and safety promoting a safe and secure environment in which service users can live. EVIDENCE: The home is managed by the registered manager and a number of senior care staff who take responsibility for the home in the absence of the registered manager. The registered manager has completed her NVQ Level 4 award in management since the last inspection. All service users spoken to considered that the home was well run by the registered manager and the staff team. The personal allowance of some service users is deposited with the staff and appropriate records are kept for the income and expenditure of the money. The health and safety records showed that proper attention is given to Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 14 providing a safe and secure environment in which service users can live. The staff spoken to considered that the home was very well managed by the registered manager. Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 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 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 16 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Hylands The DS0000007742.V326302.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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