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

This inspection was carried out on 7th July 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

Mayfair Residential Home The 26/06/07

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 Mavis Pickard Key Unannounced Inspection 7th July 2006 10:00 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 Mayfair Residential Home The DS0000033567.V304000.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.V304000.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@engs.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.V304000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 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. 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. Front facing bedrooms have sea views, bedrooms with a rear aspect may have views across Scarborough’s South Cliffe. A small number of bedrooms have no scenic view. 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 £370.00 a week. 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.V304000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The outcomes for residents were evidenced from speaking with and case tracking 4 residents and from meeting with resident’s visitors and health care professionals during the site visit. Further information about the service was obtained from speaking with and/or feedback from relatives and other people who have an interest in the welfare of residents. Accumulated evidence was also provided by past inspection reports and other details about the service stored within the Commission for Social Care Inspection [CSCI] records. What the service does well: What has improved since the last inspection? The hallway and staircase have been re-decorated. The organisation of the staff team has changed. The home now has 1 deputy manager instead of 2 this presents as being a positive step. Staff have undertaken training with respect to First Aid and the Safe Handling of Medicines. Newly employed staff have undertaken Skills for Care Induction training. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 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. Mayfair Residential Home The DS0000033567.V304000.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.V304000.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1and 3 the home does not provide services under standard 6. Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. Prospective residents are appropriately assessed before admission to the home. However residents do not have the information they need to make an informed choice about where to live as some residents accommodated are outside the homes current registration category. EVIDENCE: Case tracking undertaken throughout the site visit confirmed good practice. A newly admitted resident and their daughters said that the assessment process met their needs and that they had visited several care homes and read inspection reports before deciding on this home for respite care. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 9 The Mayfair, they said is the only one where the manager and staff were welcoming and where the manager wanted to visit prospective resident’s before admission to assess their needs. When the prospective residents and/or their family visited the home prior to admission the manager and staff greeted them and introduced themselves saying what role they have in the home. The family were very impressed by this process. Both daughters said that, “they liked the home and that staff were open and honest about what they could provide. They were all clear about how their relative’s needs would be met. Two staff were spoken to about the assessment of prospective residents both were able to describe the admissions procedure and the importance of making sure that that new service users felt welcomed. Written admission documentation was examined for 4 people all of who had evidence that a good assessment had been made of their needs and that had a copy of the home’s service Users Guide. The manager said that all residents have received a contract of residence. The service however is found to be accommodating residents who are outside the stated registration category for the home. Mayfair Residential Home The DS0000033567.V304000.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. Health and personal care needs are met and residents have care plan albeit they are required to be in greater detail. People are treated with respect. EVIDENCE: From the examination of records, from direct and indirect observation and from speaking with residents and families it is clear that person centred support is provided by this service. The care pathways of 4 residents were examined. It was found that all people’s health and personal care needs are being met. 2 of the above residents have a specialist need and receive regular input from the Community Mental Health team. It was found through discussions with the manager and staff that up to 8 present residents have diagnosed past or present mental health needs. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 11 Although the service is not registered to accommodate people with mental health needs a Community Psychiatric Nurse [CPN] visiting the home during this inspection said that the service has a good record of meeting the needs of their clients. I spoke with a recently admitted resident who is presently receiving care from a CPN. The resident said that she is very satisfied living at The Mayfair and that she is being helped to continue as much as possible to live her life in the way she wants and in a way very much similar to when she lived at home but with the added security and support she now needs. This resident and others spoken with during the inspection said that the manager and staff are very supportive and will go out of their way to treat everyone as individuals, as people who have wishes and needs that go beyond just providing physical care. A gentleman spoken with said that although he would rather not live in a care home, he has received respite care in several homes and this home is the only one where he would stay. He said that his needs are catered for as he wishes, he receives help when he wants it and space when he doesn’t. “They don’t in any way interfere with my life, they “ just make things possible” he said. There are no concerns about the systems of administration, storage or logging of medication all residents have a lockable facility in their private accommodation. Mayfair Residential Home The DS0000033567.V304000.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence about the service including a site visit. Resident’s lifestyle in the home matches their expectations and choice is evidenced throughout the service. EVIDENCE: Leisure facilities and activity opportunities were observed throughout the day. Residents and their visitors said that people are treated as individuals at all times including when choosing meals and what to do with their day. People were noted to be using the internal and external space to its best advantage. Residents were seen to be going out either alone or with visitors to the town, seafront or communal gardens opposite the house where there are seats that overlook the bay. When spoken with residents and visitors said that this home is truly about its residents. A visitor said that “ its like home” “there is always someone to greet you when you arrive” another said “ I am fortunate to have this home for mum, its wonderful” Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 13 People are encouraged to keep up former pastimes and a resident said that they are being assisted to have their computer and sewing machine in the home and to have broadband fitted. Another resident organises a ‘home’ choir and plays the piano for weekly ‘get together’s’. There are regular residents meeting where all people are encouraged to participate. The service has an activities organiser 3 days a week and among the activities she provides are quoits, skittles and exercise to music. Menus were examined that showed there is plenty of choice provided. The cook said that she provides a choice at all meals and will additionally offer an alternative if anyone doesn’t want what is provided. All people said that the food is very good. Mayfair Residential Home The DS0000033567.V304000.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. People are protected from abuse and staff spoken with understands what to do in the case of alleged abuse. Complaints management is effective. EVIDENCE: Residents and visitors said that they feel safe in the home and that staff are kind and never rude or loud. This was evidenced from listening to the general conversations during the inspection day. It was noted that staff interacted with residents and visitors in a pleasant and relaxed way. There was lots of happiness and laughter but no harsh or loud words. Staff conducted themselves in a dignified and respectful way. Discussion with staff regarding their understanding of the complaints policies and procedure and safeguarding vulnerable adults procedure were productive. People said that they had received external training in respect to the protection of vulnerable adults. 2 newly employed staff had been the day previously to a ‘Skills for Care’ induction course, which focused on adult protection and dementia care. More sessions are planned. Although 2 new staff’s Criminal Records Bureau [CRB] and Protection of Vulnerable Adults [POVA] disclosures are not yet available for inspection, both Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 15 have been checked for their suitability to work with vulnerable adults through a ‘POVA First’ disclosure before starting to work in the home. Prospective staff may come into the home and work alongside current staff for several weeks before a decision is made to offer them employment. Employment does not routinely follow and the manager said that she would not employ anyone until she and her deputy are absolutely sure they are right for the service. The complaints policy and procedure was on display. Residents and visitor’s spoken with said they felt able to raise any concerns or complaints directly with the proprietor or staff. Mayfair Residential Home The DS0000033567.V304000.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. The home is pleasant safe, clean and well equipped. There is a planned maintenance programme. EVIDENCE: A short tour of the building was undertaken to look at specific areas of concern identified by the previous inspection. It was found that the hall way a cause for concern last visit has been decorated and is bright and pleasant. The provider is in the process of upgrading all area’s not yet completed as part of the ongoing maintenance plan. The manager said that the dining room and communal lounge has been redecorated, they are comfortable and pleasantly decorated in keeping with the general ambience of the building. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 17 Bedrooms inspected were in the main pleasant and people had their own belongings around them. In one bedroom an unpleasant odour was identified. The manager said she would deal with this issue. The deputy manager said that where necessary en-suite bathrooms are being refurbished. Two upper floor bedrooms have ‘patio doors’ leading to a common balcony. This facility is pleasant and the manager said would only be offered to people who she felt would not be at risk. There are written risk assessments in place in respect to any perceived risk to residents in respect to such areas of the home. Overall the home provides a clean, safe pleasant environment for older people. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. That the staff complement is appropriate and staff receives a range of appropriate training. However staff should receive training commensurate to the needs of all people accommodated. EVIDENCE: Recruitment practices examined as part of this visit shows that all people have appropriate checks and that where CRB and POVA checks are delayed ‘POVA First’ disclosures are undertaken and received prior to staff starting work. All new staff undertakes external ‘Skills for Care’ induction training that covers a range of care related issues including the protection of vulnerable adults. The home does not presently employ 50 of staff trained to National Vocational Qualification [NVQ] level 2 or above however 6 staff are due to start training shortly. And a number of staff recruitment documents were inspected where it was found that the home follows its own policies and meets the current requirements of the Care Standards Act 2000. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 19 Staffing levels are at a minimum of 2 care staff throughout 24 hours plus the manager when on duty. The deputy manager and staff spoken with say that should extra staff be required they are brought in. This procedure was evidenced during the inspection when for an unrelated reason a 3rd staff member was brought in to ensure that resident’s needs were not compromised when the deputy manager had to deal with administrative duties. Staff says there is never an issue regarding staff numbers and residents say that there are enough staff. However a visiting CPN said that though this is the case usually in the warmer months when people are out and about when residents spend more time in their private accommodation staffing could be stretched. This issue was discussed with the manager who said she would bear it in mind. Staff have in general received no training and have no underpinning knowledge of mental health issues or of the specialist needs of some of the people accommodated. However the outcomes for residents living in the home is good. These issues were discussed with the manager who said she would speak with professionals from the Community Mental Health team to see if any training can be offered. Staff already attends periodic mental health awareness training. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 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): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence about the service including a site visit. The home is well managed, safe and run in the best interests of residents. EVIDENCE: Service users spoken to knew the management structure of the home. A resident say of the manager “she is top rate”. People said that they could ask questions they need to and get a proper answer. They said that the manager asks about the service they receive and the support they are getting from staff One service user said that ‘we feel that this is our home’. Staff spoken with said that they like Mrs Crawforth the owner/manager and feel comfortable working at The Mayfair. New staff were asked about how they have settled to their role. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 21 People spoken with were positive that the home is well run and that they enjoy working there saying “the environment is pleasant and gives a good atmosphere for residents”. Staff said supervision happens regularly and that it was well organized and clearly recorded. Visitors to home confirm they are told about the management arrangements and feel they can broach any subject and be listened to. The quality assurance systems are not written down however Mrs Crawforth said that she regularly asks people if they are satisfied and spends time observing staff and residents in the communal areas of the home and listens to comments made. Visitors said that when they brought their mother first to the home Mrs Crawforth there to greet them, and because of that they felt welcome and included. The manager is committed to promoting equality and diversity in the service, to ensuring that people aren’t categorized by their disability and in ensuring that the service provided meets the holistic needs of individuals. The service does not deal with the financial affairs of residents but does where necessary ensure that people are financially safeguarded. Records previously examined and information provided by the service’s preinspection questionnaire evidence that the home maintains and uses detailed policies and procedures and that health and safety records are maintained appropriately. Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 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 1 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 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. 1 Standard OP1 Regulation 4 Timescale for action The registered person must 21/07/06 ensure that the service only admits those residents that it is registered to accommodate The registered person must 11/08/06 forward to the registration authority written proposals that will ensure that all current residents are accommodated within the homes registration category. The unpleasant odour noted in 21/07/06 the bedroom identified during the inspection must be eradicated. The registered person must 11/08/06 forward to the Commission details of training to be provided for staff in respect to the specialist needs of people accommodated. Requirement 2 OP1 4 3 OP26 16(j)(k) 4 OP30 18(1)(c) Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 24 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 Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office 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 Mayfair Residential Home The DS0000033567.V304000.R01.S.doc Version 5.2 Page 26 - 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!