Inspection on 22/01/07 for Normanby House

This inspection was carried out on 22nd January 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

Normanby House 13/01/09

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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Hawkhills

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Beeches The - North Yorkshire County Council

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Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Normanby House 6 Belgrave Crescent Scarborough North Yorkshire YO11 1UB Lead Inspector Brian Hallgate Key Unannounced Inspection 22nd January 2007 09:30 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 Normanby House DS0000007961.V326286.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. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Normanby House Address 6 Belgrave Crescent Scarborough North Yorkshire YO11 1UB 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) 01723 501638 01723 369318 gillian.stockill@anchor.org.uk keri.sherwood@anchor.org.uk Anchor Trust Miss Gillian Stockill Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: 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. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to inform this report was obtained from the information documented in previous inspection reports, a pre-inspection questionnaire completed by the registered manager of the service, a site visit, completed survey forms and discussions with 5 service users, 3 staff and the registered manager. Prior to the inspection seven survey forms were sent to service users and one was returned, three survey forms were sent to GPs and one was returned and three forms were sent to care managers and two were returned. This unannounced inspection took place on the 22nd January 2007, commencing at 9.30am. A number of records were inspected including service users’ assessments, care plans, medication and health and safety records. A tour of the home was made with the registered manager and staff were observed interacting with a number of service users. Weekly charges ranged from £317 to £425 on the date of the inspection. What the service does well: 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. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 6 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 Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 7 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): 2 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessments prior to admission are comprehensive and provide informed decisions about moving into the home. EVIDENCE: An examination of four service users files showed that comprehensive assessments are made prior to admission to the home. An assessment is made to ensure that the environment of the home and the skills of the staff team can meet the needs of all individuals admitted. A member of the senior staff team visits all potential service users in their own home or in hospital and completes a written assessment to ensure that the home meets the needs of potential service users. Intermediate care is not provided. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to ensure that the health needs of service users are met. EVIDENCE: Care plans for four service users were examined at random. All files seen contained detailed care plans, care plan reviews, risk assessments and an action plan to minimise any risks identified, dietary preferences, nutrition monitoring, details of any falls and a dependency assessment. The files were up to date and in good order. Reviews are held as necessary and at least once per month. Review documents were available on individuals’ files. All service users spoken to stated that they were treated with respect by the staff and that they were allowed choice to do what they wanted when they wanted. Some service users are self-medicating and staff use a monitored dosage system to assist service users with their medication when they are unable to care for the medication themselves. Medication and medication records checked were kept securely, were in order and up to date. Six identified members of staff who have received medication training are responsible for the Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 9 administration of medication. All service users are registered with a GP and access to specialist health services are arranged through their surgeries. One service user stated “We are very well looked after here and I can go out whenever I want.” Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visiting arrangements are flexible allowing service users to maintain good and regular contact with family and friends. Dietary needs of service users are met. EVIDENCE: An activity organiser has recently been appointed and she is at present discussing with service users what activities they would like including in the activity programme. At the present time a hairdresser visits, there is a monthly church service held in the home, a monthly coffee morning, two monthly cheese and wine evenings and an exercise class. Dial-a-ride is used to take service users who require transport to places of interest. Several service users can access community services themselves without any transport being provided. On the day of the inspection a service user stated “I’m just going to Whitby over the moors. I really like going through the moors. I usually go out everyday and just come back for my meals”. The menu clearly showed that service users had choice and only had to choose when they arrived for their midday meal. All service users spoken to stated that the food was very good and they could always choose what they wished to eat. Diets Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 11 are catered for. There are facilities in a room off the dining room that enables service users to make drinks for themselves and their visitors. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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 including a visit to this service. There are satisfactory complaints and abuse procedures in place and staff are aware of what action to take if any complaints or alleged abuse situations occur. EVIDENCE: There is a complaints policy. Service users have a copy and there is a copy displayed near the entrance hall to the home. Five complaints have been made during the past year. All the complaints have been dealt with within the timescale detailed in the policy. Service users spoken to stated that they would complain if they needed to direct to a member of staff on duty. The home has a copy of the North Yorkshire and York Vulnerable Adults Policy and staff spoken to knew what action to take in the case of a suspected abuse being reported. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. 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 including a visit to this service. The standard of the environment within the home is good providing service users with an attractive and homely place in which to live. EVIDENCE: The home is pleasant, homely and clean. The communal areas and some of the bedrooms have been decorated since the last inspection. There is a programme of refurbishing some bedrooms that is still ongoing. Work is undertaken on a bedroom as it becomes available and it is decorated, new carpets and curtains fitted. All service users spoken to stated that they were happy with their rooms. Many of the service users use their own room as a bed sitting room and only use the dining room at mealtimes. Several service users stated that they had their breakfast in their own rooms. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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 including a visit to this service. The standard of vetting and the recruitment process is good and the service users receive a good standard of care from the staff. EVIDENCE: The duty rota showed that there were two care staff and a member of the senior staff team on duty at all times during the day. Night staff had access to an on-call member of the senior staff team by telephone. There is usually a housekeeper on duty and there is a chef manager. Three staff records were examined. Full employment checks are made before a new member of staff commences work. The records showed that the necessary checks had been made. Staff records showed that training had been undertaken and staff spoken to confirmed this. A number of staff have obtained NVQ Level 2 in care and the senior team have also undertaken further training. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is undertaken by a manager, deputy manager and senior carers. The service users are is safe hands. EVIDENCE: The manager of the home has been registered as the registered manager by the Commission for Social Care Inspection since the last inspection. She has been able to appoint a deputy manager. The home reviews its performance and has a quality assurance system that includes the views of service users on an annual basis. The organisation reviews the home on a regular basis using its own quality assurance programme. A number of service users deposit personal allowance money with the home and records are kept of income and expenditure. The health and safety records checked showed that proper Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 16 attention is given to providing a safe and secure environment in which service users can live. Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 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 3 13 3 14 3 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Normanby House DS0000007961.V326286.R01.S.doc Version 5.2 Page 19 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. 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