Inspection on 14/09/05 for Maybury Court

This inspection was carried out on 14th 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 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

Maybury Court 02/06/09

Maybury Court 19/06/07

Maybury Court 28/02/06

Maybury Court 12/10/04

Maybury Court 06/07/04

Maybury Court 19/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Maybury Court 802-808 Holderness Road Hull East Yorkshire HU9 3LP Lead Inspector Malcolm Stannard Unannounced Inspection 14th September 2005 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 Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 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. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Maybury Court Address 802-808 Holderness Road Hull East Yorkshire HU9 3LP 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) 01482 704629 01482 704629 Mrs Diane Crowther Mrs Diane Crowther Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide care for one named service user under the age of 65 years Date of last inspection 12th October 2004 Brief Description of the Service: Maybury Court is a building, which consists of two adjacent houses connected on the ground floor by a corridor. Maybury court is registered to provide care for up to 28 older people who may also suffer from dementia. The home is situated on a busy road on the outskirts of the City of Hull. Shops, health services, recreational facilities and public transport are all easily accessible. Within the home are one large and two smaller lounges, a dining room for communal use. Two staircases and a passenger lift allow access to the first floor. Outside the home has a patio, garden area and car park. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. Some parts of the building were looked around and a few of the records were inspected. A number of residents were spoken with, some of these at length. Two groups of visitors were spoken with as well as chats with staff members as they worked. The manager was not available, however, the care manager could be spoken with during the inspection. What the service does well: What has improved since the last inspection? An ongoing maintenance programme has continued meaning no area of the home is left too long to become worse prior to been addressed. The NVQ training programme has continued and shown an increase from the last inspection of numbers of staff who are formally qualified. There are now fourteen care staff who hold a qualification compared to five at October 2004. The registered manager has now completed the registered managers award qualification. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 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. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 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 Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 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): 1, 2, 3, & 5. Prospective service users are able to make decisions based on information made available to them. Prospective service users or their representatives can be sure the service can meet their needs. EVIDENCE: A statement of purpose and service user guide are both available to prospective residents and other parties. The statement includes information relating to any part of the premises, which may not fully meet the size requirements of the national minimum standards. A comprehensive assessment is carried out on all prospective residents prior to admission, and each person admitted is provided with a statement of terms and conditions. Each of the residents has an individual file, which contains a copy of the assessment. The information in the assessment is used to make up the plan of care for each resident. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 9 The home does not offer intermediate care. Visitors spoken to said that they had been able to make visits to the home when choosing care for their relative. The care manager stated that the home do not accommodate emergency admissions. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 10 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. Health care needs of residents are identified and met. Residents are able to live in the home experiencing respect and privacy. Medication storage and administration is carried out in a safe manner. EVIDENCE: Each resident has an individual plan of care, which is developed from the previous assessment carried out. The plan contains details of their health, personal and social care needs. The plans are reviewed on a four weekly basis and discussed in key worker meetings where any changes being made to the care given are recorded. All developing health care needs are noted and recorded including any action taken should this be required. All residents are registered with a GP and no problems were reported accessing this service when required. A policy on handling medication is available and a local pharmacy is used for the provision. The pharmacy provides a staff member who visits on a three monthly basis to audit the system and to provide an accredited training Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 11 programme to staff members. There are now around ten staff members who have undertaken this training and are able to administer medication. One of the monthly training sessions available for staff is based on privacy and dignity. Observation of staff members during the visit demonstrated that they treat the residents with respect and understanding at all times. One lady spoken with stated, “ The staff treat us very well”. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 12 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): 12, 13, 14 & 15. A range of recreational activities is provided in the home and resident’s preferences are accommodated. Daily choice for residents is enabled and contact with friends, family and within the local community is encouraged where appropriate. Residents have choice, diversity and experience good quality in the meals provided. EVIDENCE: The residents spoken to at length were all complimentary of the food and activities provision at the home. One gentleman said, “The food is fine, I used to work in food, it’s great here.” The food provision seen at lunchtime was of a good quality and well presented. Those who required assistance were helped appropriately and sensitively. An activities coordinator is employed who arranges a whole range of recreational pursuits, although nobody is pressured to participate. Personal preferences of residents are recorded. Examples of activities undertaken recently are lunchtime trip to a local public house for a karaoke session, board Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 13 games, themed parties and bingo. A bingo session was been held on the day of visit, which was extremely popular, this was been led by a relative of a resident in the home. National and local papers were freely available and reading books were placed throughout the home. One lady was due to celebrate her 104th birthday and she said she was looking forward to a party, which had been planned. A notice board is available which held news of future events, photographs of previous events and notes regarding achievements of residents including sponsored swims etc. Those residents able to are encouraged to exercise their independence, one gentleman visits local shops whilst another has the facilities to make herself a cup of tea. All these activities are risk assessed. Visitors are encouraged into the home and there is no restriction as to when they may visit. Visitors spoken to during the visit said they could speak with their relative in private if required and that they were always made welcome. They told how they were happy with the homes quality of care stating “We would recommend the home to anyone.” A small tea making area is available adjacent to one of the lounges so that relatives can make themselves and others a drink if required. All residents spoken with told how they were able to make their own choices over what they did during the day, including when they got up and retired to bed. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 14 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, 17 & 18. The home has a complaints procedure, which meets the needs of residents, and relatives who feel their views are listened to. A vulnerable adults procedure and policy is available and staff are formally supervised and trained in order to protect residents from abuse. EVIDENCE: A complaints procedure is available and made known to residents and their relatives, this includes information on how to contact the Commission for Social Care Inspection, and ensures all complaints would be responded to in 24 hours. Any families or advocates are invited to discuss any concerns they may have at any time. There has been no recorded complaint since 2001, but any niggles made known are dealt with there and then. Residents spoken with stated they knew how to complain but had no concerns, one said” There’s nothing wrong here, I would be the first to say if there was”. A telephone is accessible for residents should this be required. All residents are entered on the electoral role and would be assisted to vote should they so wish. An appropriate adult protection procedure is available and staff members undergo two monthly supervision. All staff are checked via the Criminal Records Bureau including a POVA 1st check. A comprehensive training package is available for staff members, which includes vulnerable adults awareness. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 15 A written policy is available in the home, which covers the handling of resident’s money and the homes involvement in resident’s finances. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 16 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, 20, 21, 23, 24, 25 & 26. The home provides a safe, comfortable and clean environment for residents, which is pleasant and homely. Rooms available meet the needs of individual residents. EVIDENCE: The building provision is suitable for the stated purpose of the home. He home is well maintained and a maintenance person is employed to enable routine repairs to be carried out promptly. The home is comfy and homely with only a few areas in need of minor decoration. These had been identified and were part of the ongoing programme of refurbishment. Communal facilities include lounges, a dining room, and garden and patio area. Furnishings available in these areas are domestic type and suitable for the use of residents. Risk assessments have been carried out in relation to all external areas. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 17 There are ample toilet and bathing facilities in the home, with two bathrooms been provided with a hoist. A lift is available in the home, however, some rooms would require the resident to be ambulant in order to access them. A call system is provided to enable residents to summon assistance if required. Resident’s rooms seen during the visit were suitable for individual needs, with personal processions and some furniture been present. A lockable provision is available in all rooms. All areas were seen to be bright and sufficiently lighted, with central heating been provided by radiators. The premises were clean and hygienic with no malodours present. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 18 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): 27, 28, 29 & 30. Procedures for the recruitment of staff are satisfactory and offer protection for the residents in the home. Staff training and checking of their competence enables good quality care to be offered. EVIDENCE: The home has an established staff group with an extremely low turnover, making for a settled and knowledgeable team. Staff member’s files seen contained the required information, including evidence of a CRB check having been carried out, written references sought and copies of relevant qualifications. A comprehensive training programme is in place, which includes an induction and foundation module, a monthly training session on varying subjects and planning for all staff to undertake NVQ’s. Mandatory training in areas such as fire, health and safety and first aid is undertaken. Of the twenty-three care staff, fourteen have achieved an NVQ level 2, and one of these has also gained level 3. 61 of staff therefore hold an NVQ qualification, meeting the standard, which states at least 50 must hold one. An NVQ qualified assessor is also available. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 19 All new staff are employed on a four week trail basis, with either party being able to opt out of the arrangement at this point. During the visit staff were observed to have time to talk with residents and were able to discuss any queries they may have had. Supervision is held every two months and an assessment/review takes place every six months. Senior and full staff team meetings are held regularly. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 20 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): 31, 32, 33, 34, 36, 37 & 38. The management of the home is carried out with leadership and appropriate guidance; ensuring residents receive a quality of care, which is consistent. A resident centred ethos is promoted within the home. Health and safety provision within the home is addressed positively. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection and has completed the registered managers award. The home is resident centred and time is taken to ensure that no resident is isolated from the decision making process within the home. Residents meetings are held on a monthly basis. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 21 Residents are able to undertake a one to one session with their key worker every month, these sessions are recorded and residents are able to express any concerns to staff. The home operates an internal quality assurance system, which includes the use of audits, questionnaires and assessments. A local authority quality development provision is also held. Records are held of all financial transactions and insurance cover is provided. Day to day supervision of staff is undertaken by the management or senior staff, formal supervision takes place for each staff member. Health and safety of residents is protected by the management ensuring safety certificates are up to date and appropriate risk assessments are carried out. Accident records were completed appropriately. Records held in the home were appropriately compiled, residents and visitors spoken with were aware that they could access information if required. Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 22 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 3 3 3 x 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 X 3 3 3 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 3 3 3 X 3 3 3 Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 23 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 Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Maybury Court DS0000000862.V249995.R01.S.doc Version 5.0 Page 25 - 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!