Inspection on 13/01/09 for Normanby House

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

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

Normanby House 22/01/07

Normanby House 12/12/05

Normanby House 12/05/05

Normanby House 16/12/04

Normanby House 22/06/04

Normanby House 11/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Normanby House 6 Belgrave Crescent Scarborough North Yorkshire YO11 1UB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 1 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Normanby House 6 Belgrave Crescent Scarborough North Yorkshire YO11 1UB 01723501638 01723369318 gillian.stockill@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Anchor Trust Name of registered manager (if applicable) Debra Mary Jenkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Normanby House provides personal care and accommodation for up to 25 older people and is owned and managed by Anchor Trust. The home is a semi-detached property, which consists in part of a converted dwelling house and purpose built accommodation. Resident accommodation is over three floors and there is access to all levels by a vertical passenger lift. The home has a small patio area with flowerbeds and a summerhouse. There is a car park to the rear of the home. The front access to the premises in Belgrave Crescent is close to local amenities such as shops and public transport. 0 Over 65 25 care home 25 Care Homes for Older People Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: - information provided by the registered person on an Annual Quality Assurance Assessment. Care Homes for Older People Page 5 of 23 -A visit to the home by one inspector that lasted for 6 and a half hours. -Information received from surveys from people using the service and professionals involved with Normanby House During the visit ten people using the service three staff members and the manager were spoken with. Care records relating to three people using the service, four members of staff and the management activities of the home were inspected. Care practices were observed, where appropriate and time was also spent watching the general activity in the home. This enabled the inspector to gain an insight of the work done at Normanby House The manager was available throughout the visit. Information about Normanby House is available in a Statement of Purpose and Service User Guide and provided on request. The weekly cost for Normanby House on 13th January 2009 was between three hundred and fourty four pounds and four hundred and sixty pounds. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who decide to use this service can be assured their needs will be met. Evidence: The files for three people who live at Normanby House were seen and these all contained comprehensive assessments by either a care manager or by a member of the management team. These assessments were carried out prior to admission to the home. Where the assessment has been carried out by a care manager a member of the management team also visits them either at home or in the hospital and completes their own assessment. A trial period is arranged and this time is used to consolidate the assessment information. A review of the placement is held within the first two months of any stay to ensure all parties are happy with the placement. Several people spoken with during the visit said that the manager had visited them Care Homes for Older People Page 9 of 23 Evidence: prior to their admission. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care and support they need. The staff provide support in a sensitive way that promotes the independence and dignity of the people who live at Normanby House. Evidence: The three case files seen each contained a care plan that enables staff to care for the person as an individual. These plans have not been reviewed on a monthly basis over the last year and the new manager is re-instigating monthly reviews. The case files are kept in the persons bedroom if they want them there and staff complete any records in their rooms. There was no evidence that that the person concerned was always present when they were completed. One person said that staff had updated their care file but they were not aware of what had been written. Daily records are also kept but again these are not consistently maintained. One person had identified on their care plan that regular reviews were required because of their psychological and emotional state and the reviews had been carried out only at three monthly intervals. Care Homes for Older People Page 11 of 23 Evidence: The case files examined showed that the health care needs of people are met. Everyone is registered with a GP and access specialist health services when necessary. District nurses visit on a regular basis to provide treatment and advice to staff. There was evidence on the files of people living at Normanby House attending appointments with dentists, opticians, audiologist and chiropodists. There is a monitored doesage system for those who require medication. A medication round was obsereved and the procedure was properly followed. The administration records were found to be accurate and upto date. Medication is logged in and out of Normanby House so that the quantity of medicines in the home at any given time can be audited. All staff who handle medication have recieved training, this is provided by the medication supplier. This training is further supplemented through supervision. Throughout the visit interactions observed between people who lived in the home and staff was seen to be relaxed and friendly. Staff called peopel by their chosen names and always knocked on a closed door before entering. People in the home said staff are wonderful, They always knock on my door before they come in and you can have a bit of fun with them Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices on a daily basis and are supported to do this by the staff. They have a varied diet and a social and recreational programme helps them to maintain their interests and hobbies. Evidence: People choose their own routines during the day, what time they get up or retire, if they use the communal rooms or stay in their own rooms. The lounge are has a kitchenette and people are encouraged to make their own drinks whenever they wish. Activities are available and these were seen to be advertised around the building. As part of the care planning process people are asked to provide their life history to allow staff to have a greater understanding of their lives. Visitors are welcome at anytime and a number of visitors were seen to come and go as they wished. The visitors spoken with stated that they were always welcome and could see their relatives in private if they wanted to. All of the people in the home spoken with said that the food was exceptional. The meals are planned on a four-week menu. Breakfast choices include a continental style Care Homes for Older People Page 13 of 23 Evidence: breakfast or a cooked breakfast. At the main meal there was a choice of two dishes, the vegetables are served in individual tureens. The lunch meal is available over an hour and a half allowing people to take their lunch when they are ready. The tea meal offers a selection of choices and staff do ask what people want so that several choices can be prepared. Drinks and snacks are available throughout the day and night. There are no special diets provided at the present time. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Normanby House and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected. Evidence: There is a complaints policy available to people living in the home and those visiting it. People have a copy and there is a copy displayed near the entrance hall to the home. There have been no complaints made during the past year. People spoke with stated that they would complain if they needed to directly to a member of staff. The home has a copy of the North Yorkshire and York Vulnerable Adults Policy and staff spoken with knew what action to take if they suspected someone was being abused. Staff are subject to thorough vetting prior to the commencement of their employment to ensure they are suitable to work with people who are vulnerable. Staff are aware of and had an understanding of the Whistle Blowing Policy. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a warm, comfortable and safe environment. They can access all areas of the home, which encourages independence. Evidence: The home is pleasant, homely and clean. A programme of refurbishing and renewal is ingoing. Work is undertaken on a bedroom as it becomes available and it is completely re-decorated. People spoken with stated that they were happy with there rooms. Many people use their own room as a bed sitting room and only use the dinning room at mealtimes. Adaptations have been made to the environemnt were necessary to allow people to remain as independent as possible. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff, that, have been thoroughly vetted prior to the commencement of their employment, support people. They receive regular training and are in sufficient numbers to ensure they can provide the support required by the people in the home. Evidence: The duty rota showed that there were two care staff and a Senior staff member on duty at all times during the day. There is one carer and a team leader on duty every night. The manager or deputy manager are on call and can be contacted through the night if necessary. There is usually a housekeeper on duty, along with associated ancillary staff and there is a chef manager. Five staff records were examined. The records showed that the necessary checks had been made. Staff records also contained evidence of training and staff spoken with confirmed they received regular training. Eleven of the sixteen members of care staff have obtained an National Vocational Qualification level 2 in care. Staff also have regular team meetings and these are used to discuss issues within the home and to keep training issues up to date. Staff spoken with said that everybody worked together and there was a good team understanding between people. People living at Normanby House said the staff are very friendly and respectful if you use the call bell they come pretty quickly and the carers are very helpful and kind Care Homes for Older People Page 17 of 23 Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed. Evidence: The registered manager has been appointed since the last inspection. She is experienced in the care field and has a national vocational qualification (NVQ) level three in care and is currently working towards her registered managers award. She is also an NVQ assessor. Staff spoken with said that she operated an open door policy and throughout the day people were seen approaching her with confidence. The home reviews its performance and has a quality assurance system that includes the views of people who live in the home. In discussion with the manager it was suggested that the questionnaires should also be sent to visiting professionals. This will give her an idea of how the home is seen in professional terms by others and may impact on their development plan. The organisation also reviews the home on a regular basis using its own quality assurance programme. Care Homes for Older People Page 19 of 23 Evidence: A number of people deposit personal allowance money with the home and records are kept of income and expenditure. The health and safety records were checked and all were found to be up to date. Risk assessments for fire, the environment, COSHH and people who live in the home were in place. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Accidents are reviewed on a regular basis and it was suggested that the key workers incorporate these in to the monthly reviews carried out. This might then show any patterns of incidents and allow staff to alter the care plan accordingly. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 To ensure that the care and support provided remains appropriate care plans should be reviewed on a monthly basis. Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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!