Inspection on 26/06/07 for Mayfair Residential Home The

This inspection was carried out on 26th June 2007.

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

Mayfair Residential Home The 07/07/06

Mayfair Residential Home The 02/12/05

Mayfair Residential Home The 19/05/05

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 Mayfair Residential Home The 42 The Esplanade South Cliffe Scarborough North Yorkshire YO11 2AY Lead Inspector Karen Ritson Key Unannounced Inspection 09:40 26th June 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 Mayfair Residential Home The DS0000033567.V333840.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. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mayfair Residential Home The Address 42 The Esplanade South Cliffe Scarborough North Yorkshire YO11 2AY 01723 360053 01723 379084 mayfair@enqs.fsnet.co.uk 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) Mrs Fay E Crawforth Mrs Fay E Crawforth Care Home 22 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (22) of places Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2006 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. 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. 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 however the home overlooks the south bay and public gardens and walkways. The present fees are £317.00 to £385.00 a week. This information was provided to CSCI on 14/05/07. Additional charges are made for hairdressing, chiropody, toiletries, papers and magazines. Information about the services provided are made available in the home’s Statement of Purpose, Service Users Guide and through published inspection reports available from the home. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 12 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 26/06/07 between 9:40am and 1pm. Information for this inspection was gathered from the following: • • • • • • • • • • • A tour of the premises. Observations of care throughout the day of the site visit. Speaking with service users. Speaking with the manager. Speaking with staff. Case tracking service users on the day of the site visit. Looking at information provided by the home in a pre inspection questionnaire. Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The deputy manager was present at the home throughout the site visit and assisted the inspector until the manager arrived. The manager was then present throughout the remainder of the visit. What the service does well: Mayfair provides a good level of care for its service users. The staff are skilled at finding out what care is needed for people and offering this care in a kind and helpful way. They are good at asking health care professionals for advice and help. They treat service users with respect and dignity. The home provides good home cooking and there are plenty of choices. The home listens to any complaints and puts things right whenever it can. Mayfair is pleasantly decorated and the rooms are light and airy. People are encouraged to bring their own belongings with them whenever possible. There are enough staff on duty so they don’t have to rush, and they are employed only after safety checks and a formal interview process. The manager is well qualified to run the home and has a very competent deputy manager. Service users are kept safe by the attention to health and safety. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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 summary of this inspection report can be made available in other formats on request. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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 Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. Prospective service users and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and are clearly told about the service the will receive. This judgement has been made using a range of evidence including a visit to the service. EVIDENCE: Service users are provided with a service user guide on or before admission which gives detailed information about what the home offers and to whom it seeks to offer care. A summary of the previous report is included, with sample copies of the terms and conditions of residence, an assessment of needs template and summaries of policies regarding privacy, visiting, fire, advocacy, chiropody and others. Comments from service users and families are included also. This helps give a prospective resident an idea of what the Mayfair offers, what to expect and if it will suit them. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 9 Assessments are detailed, including a personal history and a capabilities profile, which emphasises those things service users can do for themselves. Manual handling risk assessments are routinely completed and other risk assessments according to individual needs. A service user said: ‘They seem to understand what I need. They understand where I have come from and what I’m interested in.’ This ensures that service users needs are well understood and that care planning may be based on detailed knowledge of support required. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using a range of evidence including a visit to this service. EVIDENCE: Care plans are detailed and based upon a thorough assessment. Risk assessments are included where needed. All health care professionals notes are kept separately on file and their advice is incorporated into care plans. Three health care professionals returned survey forms and all indicated that their advice was listened to and acted upon. They also felt that staff understood the care needs of the service users. One wrote: ‘It is my opinion that the home provides a good standard of care for the residents. I have not encountered any problems.’ Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 11 Medication is generally well handled according to policy. When recording sheets were checked it was found that one medication had been signed for before administration. The member of staff was spoken to and appeared to have made a mistake. She realised that she had to sign at the point of administration in future. All other recording was accurate and up to date. Controlled drugs are double signed and a running total of packet medication is kept. Throughout the day staff and service users were observed in the communal areas of the home. Staff always spoke with service users in a friendly respectful manner and made time to chat. The home has a policy on privacy and service users confirmed that staff always knock on the door before coming into a room and that they are discrete and kind when offering personal care. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. People who use this service are enabled to make choices about their life style. Social cultural and recreational activities meet individual’s expectations. They have a balanced diet they enjoy. This judgement has been made using a range of evidence including a visit to this service. EVIDENCE: Care plans and personal histories contain details of preferred activities and interests. The home has a plan of entertainment and exercise classes, often led by people employed to come into the home. On the day of the site visit service users were enjoying an exercise class. Other activities include games, nail care, outings, aromatherapy, sing alongs, sherry social and film club. Service users said they enjoyed the activities arranged. One said she had begun to become interested in painting again and now attended a painting class in a nearby village. This attention to the social aspect of life ensures that service users are offered the opportunity to continue with a lifestyle which suits them. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 13 Visitors are welcome at any time. One service user said she had regular visits from her friends who lived nearby and they were always welcomed in. Sample menus were provided and showed a range of nutritious choices on offer. The cook said that she was not providing any specialist diets at the moment but she had done so in the past and had just updated her food hygiene training. All fruit, vegetables and meat are purchased locally and the midday meal of poached salmon with hollandaise sauce and vegetables looked appetising. All service users spoken to said they had enjoyed it. One service user added that the quality of meals in her opinion was variable and that she often had yoghourt or a tea -cake when she did not like the supper choice. All others said the meals were good. The variety of meals and the insistence upon fresh produce ensures that service users receive a good diet and have choice about what they eat. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using a range of evidence, which includes a visit to this service. EVIDENCE: Service users all said that any concern was listened to, acted upon and taken seriously by the staff. There had been no complaints since the last inspection. One service user said: ‘I don’t like it here. I didn’t want to leave the last place, but they couldn’t look after me any more. There’s nothing anyone can do about it. I need more people to talk to.’ This person did however say she had visitors from the place she was last living which apparently catered for more able residents. Others said if there was ever a problem they had only to mention it and it would be sorted out. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 15 GP’s and health care workers wrote that they hadn’t had reason to complain. The home has a complaints procedure which is available to all service users in the home. All complaints would be fully recorded with outcomes, however, there have been none since the last inspection. The open culture of the home encourages service users to feel that their complaints will be acted upon. Service users are protected from abuse through well -trained staff. Most staff understood the abuse policy and procedure and were aware of the procedure for the Protection of Vulnerable Adults. One however, seemed unsure and needed prompting, although she was aware that she would need to inform the manager who would know what to do. This on the whole ensures that service users are safe and well cared for. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. They live in a safe, well-maintained and comfortable environment. This judgement has been made using a range of evidence which includes a visit to this service. EVIDENCE: The home is well decorated and maintained. It complies with the requirements of the fire department environmental health authority. Service users said they liked the décor of the home and each room was individually arranged according to individual taste. The laundry facilities meet the needs of the service users. Te home has an infection control policy and procedure. This attention to the internal décor of the home ensures service users live in a safe and pleasant environment. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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 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. People who use the service experience adequate quality outcomes in this area. Staff in the home are well recruited and have some training though recording of this should be updated and more should have NVQ level 2 in care. They are in sufficient numbers to support the people who use the service and to support the smooth running of the service. This judgement has been made using a range of evidence including a visit to this service. EVIDENCE: Rotas showed the home is well staffed. Staff reported having time to talk with the service users in addition to offering the care required. Service users said there were plenty of staff to carry out their duties without having to rush and that there was time to chat. This ensures that care is offered by sufficient staff at a pace to suit them. Staff are recruited according to policy and procedure. The record of training was not up to date and it was difficult to see what recent updated training had been given on foundation subjects or what induction had been offered for new staff. All staff said they had received induction and foundation training however and service users said that staff knew what to do and felt confident in their care. Under 50 of staff have achieved NVQ to level 2 in care, however Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 18 an NVQ trainer said that many were enrolled and they all seemed very keen to learn. This approach to staffing levels, recruitment and a commitment to staff being adequately trained ensures that service users needs and wishes are mostly met. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 19 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. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect. Service users views and preferences influence practice, although a more quality assurance procedure would enable other interested people to formally comment and they are protected by the health and safety procedures of the home. This judgement has been made using a range of evidence including a visit to this service. EVIDENCE: The manager is well qualified to run the home. Staff said they found her approachable and supportive. The deputy manager is in charge of the day to Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 20 day running of the home and staff said she also was supportive and very easy to talk to. A visitor to the home said: ‘She is very comfortable with her staff, but she can pull them in when she needs to.’ Staff agreed that Alison the deputy had good management skills and that they felt confident the home was in good hands when the manager was not present. Service users are offered the opportunity to comment upon the home in regular meetings for which minutes are taken. Surveys however, have not been carried out this year so that visitors and health care professionals for example do not have a formal method of commenting on the quality of care in the home, or of influencing the way in which the service is offered. Comments from previous surveys and letters are included in the service user guide however. The manager said she intended to make this a priority for the coming year. A small amount of personal money is kept for some service users. A running total is kept and all spending is recorded. The records for this were checked and no discrepancies were found. The home indicated in the pre inspection questionnaire that all relevant health and safety checks had been carried out and were up to date. The fire risk assessment certificate was seen in addition to the infection control policy and staff training records in foundation health and safety. This ensures service users are kept safe. Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 21 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 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 12,13 Requirement Staff must always sign for medication at the point of administration not before. All staff must have received training to make sure they know what to do when there is a suspicion of abuse. Knowledge of the POVA protocol is required to ensure service users are kept safe. Evidence must be provided that staff have adequate updated training in induction and all foundation training areas. Timescale for action 26/06/07 2 OP18 13 31/08/07 3 OP30 18 31/08/07 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 OP33 Good Practice Recommendations Quality assurance systems should be developed to show a cycle of consultation, planning for improvement and outcomes of consultation on an annual basis. DS0000033567.V333840.R01.S.doc Version 5.2 Page 23 Mayfair Residential Home The 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. Extracts may not be used or reproduced without the express permission of CSCI Mayfair Residential Home The DS0000033567.V333840.R01.S.doc Version 5.2 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. 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!