CARE HOMES FOR OLDER PEOPLE
Priceholme Givendale Road Scarborough North Yorkshire YO12 6LE Lead Inspector
Mavis Pickard Unannounced Inspection 10th January 2006 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 Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 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. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Priceholme Address Givendale Road Scarborough North Yorkshire YO12 6LE 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 361022 01723 500159 home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Elizabeth Marion Dawson Care Home 33 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (33) of places Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: ‘Priceholme’ is one of group of care establishments operated by the Methodist Homes for the Aged (MHA) and was built for purpose. The property, which is in a residential area on the north side of Scarborough and is conveniently situated for all of the main community facilities and is adjacent to a Methodist Church that has strong connections with the home. The service provides residential care for a maximum of 32 older people 6 of whom may have a mild to moderate dementia type illness. In addition the home also has 1 bedroom that is used only as respite accommodation for a maximum of 3 weeks for each person accommodated. [Total registered number being 33] All rooms are en-suite. The home is not registered to provide nursing care should this be necessary the community health nursing service for individual residents would be involved. Resident’s accommodation is located on two floors, the upper floor being accessed by a passenger lift and stairs. The home has a stated Christian ethos based on the Methodist denomination. This does not, however, exclude admission for service users with other, or no, religious beliefs. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection was undertaken over a 6-hour period. The home was found to be running well, the registered manager was available and along with other staff facilitated the inspection process. Residents and staff spoken with during this visit were relaxed and comfortable and said that the home is a lovely place to live and work. There were no serious issues identified and the Inspector would like to thank residents, management and staff for their hospitality and thank the cook who provided a nicely presented and well-cooked meal. What the service does well: What has improved since the last inspection? What they could do better:
Residents spoken with although appreciative of the activities already available in the home said that they would ‘love’ to be able to go out shopping on 1-1 basis into town [Scarborough] occasionally and that presently this does not happen.
Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 6 This situation could be reviewed and that where possible people who would like to go shopping in to town could be provided with this opportunity. 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. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 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 Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 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): 1,2,4 and 5 Prospective residents are appropriately assessed, have the information they need and they and their representatives are confident that the home can meet their needs prior to moving in. All residents have a contract. EVIDENCE: The registered manager said and records examined evidenced that residents including those for respite care have appropriate assessments prior to being accommodated. All people involved with a proposed placement are told whether the home can meet their needs and are provided with a range of information to allow that they make an informed choice to move in or not. People accommodated have a contract of residence. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 9 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 All people accommodated have a care plan. EVIDENCE: Records examined showed that all people accommodated have a range of plans that are individual to their assessed health and social care needs. Care plans set out what care is needed and how this will be achieved, providing guidance to staff in respect to their responsibility. All people have individual risk assessments that identify any risk and show how the risk may be minimised giving guidance to staff about the action they need to take to keep people safe and well. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit. EVIDENCE: Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 11 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): These standards were not inspected at this visit. EVIDENCE: Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 12 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): 22,23 and 24 Residents are provided with necessary specialist equipment. Residents live in a safe well-maintained environment with their own belongings around them. EVIDENCE: A tour of the home was undertaken which evidenced that specialist equipment such as special baths, wheel-in showers, specialist toilet facilities and other equipment is provided to people who need it. The home presented as being well maintained. A number of resident’s private bedrooms and communal areas were inspected where it was found that people have their personal belongings around them in their private accommodation. All communal areas were noted to be nicely decorated and appropriately furnished.
Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 13 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 and 30 There are sufficient trained and competent staff to meet individuals current needs. EVIDENCE: The home employs staff in sufficient numbers to provide appropriate care for people accommodated. The home’s registration of 32 [plus 1 respite bed] includes provision that up to 6 of that number may have a degree of dementia. However the manager said that the size and layout of the home would preclude her admitting anyone with a profound dementia. Should any individual become profoundly demented over time, the manager said that she would take responsibility, along with the individuals family and/or representative and care manager to identify more suitable specialist accommodation. From direct observation and from speaking with the registered manager and staff about the level of training undertaken and about the competency of staff employed it is clear that all people working in this home are trained, competent and experienced to undertake the role for which they are employed. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 14 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): 23,36 and 37 The residents and staff benefit from strong leadership. Staff are appropriately supervised. Records are well maintained. EVIDENCE: The registered manager is impressive and shows a strong, fair and approachable leadership style that benefits all people associated with the home. From direct observation of the manager throughout a 6-hour inspection it is clear that residents are confident in her abilities and in her sense of fairness. It is clear that staff respect the manager’s experience, qualifications and skills in management and in leadership. This is to be commended.
Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 15 From speaking with the manager and staff and from the inspection of supervision systems in the home it is concluded that staff are appropriately and routinely supervised. A range of records were examined throughout the day all were found to be clear, detailed and well maintained. Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 16 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 3 3 X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X 3 3 3 X X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X X 3 3 X Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Priceholme DS0000007666.V276576.R01.S.doc Version 5.1 Page 18 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
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