Inspection on 19/05/05 for Mayfair Residential Home The

This inspection was carried out on 19th May 2005.

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

Mayfair Residential Home The 26/06/07

Mayfair Residential Home The 07/07/06

Mayfair Residential Home The 02/12/05

Mayfair Residential Home The 19/01/05

Mayfair Residential Home The 02/09/04

Similar services:

Snydale Care Home

Abbey The

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 Mayfair Residential Home 42 The Esplanade South Cliffe Scarborough YO11 2AY Lead Inspector Gill Sample Unannounced 19th May 2005 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 Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Mayfair Residential Home Address 42 The Esplanade, South Cliff, Scarborough, North Yorkshire YO11 2AY 01723 360053 1723 360053 mayfair@eng.fsnet.co.uk Mrs Fay E Crawforth 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 Fay E Crawforth Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to twenty two (22) people over 65 years of age and up to four (4) people with dementia, up to a maximum of twenty two (22) service users. Date of last inspection 19th January 2005 Brief Description of the Service: The Mayfair is a care home providing personal care and accommodation for 22 older people. Mrs. Fay Crawforth is the registered manager and the proprietor. The home does not provide nursing care. Should such care be required on a short-term basis then it will be provided by the community health care services. A condition of registration enables the home to provide care for up to four service users who have been assessed as having dementia. The Mayfair is a five storey Victorian terraced property located on the south side of Scarborough with good access to the main town centre and all the amenities including the public transport network. Ample on-street parking is available. The building was previously a hotel. There are fourteen single bedrooms twelve of which have en-suite facilities. There are also four double rooms and each of these has en-suite facilities. A passenger lift is available to all floors. The home does not have gardens but it is opposite a park and to the front of the property has sea views. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report gives the findings of an unannounced inspection which was made on 19th May 2005. The inspection focussed on a number of the key standards and those requirements and recommendations made at the last inspection. There were nineteen residents living at the home, one of whom was on a three month stay. Daycare was also being provided to one person three days per week. Some of the premises were inspected including a number of bedrooms, bathrooms and living areas. A number of written records were also examined. Service users of the service at The Mayfair were spoken with and these service users’ records were examined. Discussions were held with Alison Parker, the deputy manager and staff on duty while the inspection was being done. What the service does well: The care home has a calm, relaxed and friendly atmosphere which enables residents and their visitors to come and go as they please. Staff provide unobtrusive care to residents with a range of physical and social care needs. The space and layout of the home enables residents to spend time where they wish. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 6 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 Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.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 Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.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. Standard 6 does not apply Prospective residents are provided with information about the home. This includes the services and facilities offered by the home and how their needs would be met. Details of needs are gathered and recorded prior to any person being admitted to the home so that they can be assured these can be met. EVIDENCE: Four service users’ records were examined. These showed information gathered on residents prior to their admission to the home. Those people who had the assistance of a local authority care manager had a written care plan supplied to the care home prior to admission. Any specific needs, for instance, for nursing attention had been identified to enable medical needs to be addressed within the home. The Statement of Purpose and Service User Guide give the required information to any person considering living at the home. Residents said they or their family had visited the home which had helped them make a decision The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 9 about moving to live there. Information recording the needs wishes and choices of current residents were seen which were comprehensive. Intermediate care is not provided at the home. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 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 standard(s) 7 and 8 The physical and health care needs of service users were assessed, recorded and acted upon by staff. EVIDENCE: Four residents’ records were examined. These showed comprehensive information on each resident and a care plan detailing the care needed . Where information had been supplied by the local authority the information had been developed into the home’s own care planning system. Daily records of the care provided were being maintained which had been summarised on a monthly basis. Reviews of the care required had been recorded. While each resident had an individual case records, the daily records seen were being held collectively. Records showed the recognition of specific health issues, e.g. the risk of pressure sores, and the referral to health care services to address them. Risk assessments were recorded related to health problems. Records noted any dental or optical appointments. Residents spoken with said that they had private chiropody services provided at the home. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 11 A visitor spoken with said that she had raised concerns about the health of her relative following an operation. She had discussed this with the proprietor and had been reassured that the proprietor had been aware and was monitoring her relative’s progress. Residents spoken with her content with the care they received. One said “I am certainly well looked after here”. Another said “staff are very very kind and very helpful”. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 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 standard(s) 12,13,14 and 15 The culture of the home enables service users to live their own lives as they wish. Visiting arrangements are flexible allowing service users to maintain contact with family and friends. The dietary needs of residents were met with a varied menu being offered at flexible times to suit individual needs and choices. EVIDENCE: During the inspection one visitor was spoken with. She described her involvement with her relative and visited the home several times per week, and also took her relative out regularly. She said that she was always made welcome at the home and found the staff and proprietor approachable. Visitors are requested to sign in and out of the building, which is secured. Residents spoken with described a number of activities in which they engage. Some residents are able to take a walk outside the home and were seen doing so. Other residents were spending time in each other’s company on the ground floor. Many residents were interested in the inspection visit and introduced themselves. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 13 Lunch was being prepared and served during the inspection. The meal was served with attention paid to individual needs, with one resident needing liquidised food. The dining room was spacious and well decorated, and tables were nicely set. Residents said that they enjoyed the food at the home. Choice of menu is offered at all meals. Residents at the home were keen to engage in the process of the inspection and were seen spending time with each other and with staff. It was apparent that close friendships had been established between several of the service users and that they regularly spent time with each other. Residents were seen doing as they wished; taking a walk, spending time in their room, talking with each other. One resident was at the home on an extended short stay while her own home had some remedial work done and was to make a decision about whether she would return home or stay at The Mayfair. Staff were being supportive and reassuring while enabling her to make her own choice. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 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 standard(s) 16 and 18 Service users are protected by the recruitment process and are given information on how to complain. Staff have not had information and training in how to protect vulnerable adults or how to respond to a suspected or alleged abuse. EVIDENCE: The complaints policy was seen and the procedure was on display. Residents and the visitor spoken with said they felt able to raise any concerns of complaints directly with the proprietor or staff. No policy was available on the protection of vulnerable adults from abuse. A video on this had been obtained. This was a requirement of the last two inspections and the timescales given had not been met. The deputy Manager was given information on how to obtain the local authority’s protocol on the protection of vulnerable adults and made telephone contact to request a copy before the end of the inspection. She also took details of how to access the Department of Health ‘No Secrets’ document from the internet. All existing staff had a criminal record disclosure, records of which were seen. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 15 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 people using this service live in a well maintained environment, although cleaning needs to be improved. EVIDENCE: Remedial building work to a wall at the rear of the building which had caused concern and had been the subject of a complaint had been completed. A tour of the premises was made during which four door wedges were seen in use holding open fire doors. A notice was given requiring the immediate removal of the wedges to safeguard service users from potential harm in the case of fire. The deputy manager removed the wedges immediately. See also Standard 38 of this report. Several bedrooms, bathrooms and toilets were seen. Some bedroom carpets were in need of cleaning and several were in need of vacuuming. Two toilets were in need of cleaning and de-scaling. The deputy Manager said that cleaning staff are employed at the home but sick leave had affected the usual cleaning routine. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 16 Communal areas of the home were well laid out and furnished in a homely and comfortable way. The overall standard of furnishing and decoration is high and installation of new toilet and bathroom fittings has modernised some bathroom facilities. All areas of the home seen were decorated in keeping with the style of the building and suitable to the age group of residents. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 17 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) None of these standards were assessed. EVIDENCE: The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 18 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 While the home is generally safe, service users are placed at potential risk by failure the adhere to the home’s fire safety procedures. EVIDENCE: There were two instances identified which compromised the fire containment measures at the home. An immediate requirement was made for the owner to deal with these matters. See also Standard 19 of this report. A number of records were seen detailing the maintenance of equipment used in the home, e.g. the passenger lift and hoisting equipment. A current certificate of insurance was seen covering the owners’ employees and public liabilities. Service users’ records seen detailed risk assessments made in relation to their care, behaviour or need for physical assistance. A staff The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 19 training programme is in place covering mandatory training in health and safety topics. Information is available to staff about the handling of substances hazardous to health. The system for handling money belonging to service users was seen, and records checked against money held. Any money or valuables held at the home is locked securely and access is limited to senior members of staff who hold the key. Bedrooms seen had storage for residents to keep any medication, money or valuables. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 20 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 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x x x x x x 1 The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 21 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. Standard 18 Regulation 13(6) Requirement A policy and procedure on the Protection of Vulnerable Adults must be developed in line with the local authoritys protocol and the Department of Health No Secrets document. Staff must be trained in the types of possible abuse and their role and responsibilities under the procedure. (Previous timescale of 1st March 2005 not met). The stained carpets identified must be cleaned or replaced. Fire doors must not be wedged open by unauthorised means. Timescale for action 1st July 2005 2. 3. 19 19,38 23(2)(d) 23(4)(c(i) 17th June 2005 With immediate effect and maintained thereafter 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. 2. Refer to Standard 7 29 Good Practice Recommendations Service user records should be maintained individually and comply with data protection legislation. The criminal record disclosures of staff may be listed with J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 22 The Mayfair Residential Home the inidividual name, number and date of the disclosure. The Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 Mayfair Residential Home J53_J04_S33567_The Mayfair_V33567_210405_stage4.doc Version 1.30 Page 24 - 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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