Inspection on 28/02/06 for Maybury Court

This inspection was carried out on 28th February 2006.

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 14/09/05

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 28th February 2006 01:00 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.V285308.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. Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 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.V285308.R01.S.doc Version 5.1 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 14th September 2005 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.V285308.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on an unannounced basis. Some of the records were seen and time was spent talking to residents and visitors. All communal areas of the home were seen. The focus of the inspection was to assess those key standards, which had not been accessed at the last inspection, carried out in September 2005. The inspection was carried out with the assistance of the care manager, Ms Sue Partridge. What the service does well: What has improved since the last inspection? What they could do better: Formal NVQ qualifications of care staff members falls just short of the required standard. The home needs to continue it’s work to ensure that all care staff are supported to obtain qualifications. Maybury Court DS0000000862.V285308.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. Maybury Court DS0000000862.V285308.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 Maybury Court DS0000000862.V285308.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): None of the above standards were assessed on this inspection. All were addressed at the last visit and met at that time. Standard 6 is not applicable; the home does not offer intermediate care. EVIDENCE: Maybury Court DS0000000862.V285308.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. Health care needs of residents are identified and met. Appropriate records are completed. 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 been 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. Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, & 14. 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. EVIDENCE: An activities coordinator is employed in the home 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 trips to a local public house, board games, themed parties and bingo. National and local papers were freely available and reading books were placed throughout the home. The views of residents in regard to their life in the home and opportunities for choice are sought by key workers at every opportunity. There are also formal one to ones held with each resident on an almost monthly basis. These conversations are recorded and any concerns brought to light are discussed with the appropriate relative. This procedure is commended. Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 Page 11 Visitors are encouraged into the home and there is no restriction as to when they may visit. One of the visitors spoken to during the visit said their relative had moved into the home recently and she was extremely pleased with the provision as a whole and found the range of activities on offer of a good standard. Residents spoken with were also complimentary of the availability of activities and spoke fondly of past occasions. 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. Maybury Court DS0000000862.V285308.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): None of the above standards were assessed at this inspection. All the standards were addressed on the last visit and met fully. EVIDENCE: Maybury Court DS0000000862.V285308.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): None of the above standards were assessed at this inspection. All the above standards with the exception of standard 22 were addressed and met at the last inspection. EVIDENCE: Maybury Court DS0000000862.V285308.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): 30 Staff are competent and given appropriate training to carry out their roles. Formal qualifications fall just short of the requirements. EVIDENCE: The home has an established staff group with an extremely low turnover, making for a settled and knowledgeable team. 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. The home now employs thirty care staff, fourteen have achieved an NVQ level 2, and one of these has also gained level 3. 47 of staff therefore hold an NVQ qualification, just short of meeting the standard, which states at least 50 must hold one. A further five staff have begun an NVQ level 2 since the last inspection and there is no reason why the requirement can not be met in the very near future. A dedicated NVQ qualified assessor is also available. Maybury Court DS0000000862.V285308.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): 35 Resident’s financial interests are protected by the homes policies and procedures and systems for storage and safekeeping of residents money. EVIDENCE: Policies and procedures are available for guidance in relation to residents finances. The homes management encourage residents finances to be dealt with by families or appointed solicitors. The manager is an appointee on behalf of one resident who is subject to the condition of registration, but there are no powers of attorney held by anyone in the home. Only the manager and care manager have access to finances and valuables, which are held, securely in the safe. Resident’s individual finances are held separately, with individual record books for each. Weekly monies coming in and out are recorded and all entries are signed. The manager audits and signs each record on a monthly basis. Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 Page 16 Should the money held increase to a large amount; families are requested to move some to a bank account on the resident’s behalf. It has not been necessary for the home to open an account on any ones behalf, however the care manager said this would be done if necessary. Maybury Court DS0000000862.V285308.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 Page 18 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. 1 Standard OP30 Regulation 13 Requirement 50 of care staff must hold a qualification in care which is equivalent to an NVQ level 2 Timescale for action 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Maybury Court DS0000000862.V285308.R01.S.doc Version 5.1 Page 19 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.V285308.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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