Inspection on 02/05/07 for Priceholme

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Priceholme 10/01/06

Priceholme 05/09/05

Priceholme 26/01/05

Priceholme 13/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Priceholme Givendale Road Scarborough North Yorkshire YO12 6LE Lead Inspector Mrs Rosalind Sanderson Key Unannounced Inspection 2nd May 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 DS0000007666.V335138.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. DS0000007666.V335138.R01.S.doc Version 5.2 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.SCA@mha.org.uk 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 DS0000007666.V335138.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 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 is located in a residential area on the north side of Scarborough. It 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 personal care and accommodation 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. 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. Information about the services offered at the home is provided to people in the form of a brochure. The latest inspection report provided by the Commission for Social Care Inspection is also made available to people. The weekly fees charged range from £385- £486. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. This information was provided on 28/2/07. DS0000007666.V335138.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on a pre inspection questionnaire; Comment cards returned from 8 residents and 7 relatives. A visit to the home carried out by one inspector that lasted for four hours. During the visit to the home seven residents, five staff and one visitor were spoken with. Care records relating to three people, three staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Priceholme for the people living there. The area manager and the registered manager were available to assist throughout the visit for feedback at the close. What the service does well: Priceholme is a very pleasant home in which to live. The personal and communal areas are well decorated and maintained. People receive sufficient information about the home in order that they can make an informed decision to come and live here. Their holistic needs are fully assessed prior to admission so that they can be assured that the staff at the home can meet these needs. People are looked after well whilst maintaining their independence as much as possible. Comments received include, ‘The staff are marvellous, I get all the help I need’ and a relative stated, ‘The staff at Priceholme provide all round holistic care, individual needs are always met’ Activities provided at the home are what people want to take part in. The programme is devised after consultation with them. People commented, ‘The activities arranged are well organised and make Priceholme such a special place’. People are encouraged to keep in touch with family and friends and Relatives appreciate this saying, ‘Personal family and visitors are always made to feel welcome’ and ‘Staff always find time to talk to family members’. DS0000007666.V335138.R01.S.doc Version 5.2 Page 6 People living here feel safe and that they are listened to. The manager is very approachable and people like this. One person commented, ‘Elizabeth and I are the best of friends but if something isn’t right I let her know. She soon puts things right’ The organisation encourages people using their services to have a say in how things are run. People appreciate this and readily give their opinions on how things can be improved. They do this in the knowledge that their views will be taken into account when any decisions are made. 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. DS0000007666.V335138.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 DS0000007666.V335138.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. 6 is not applicable. People who use the service experience excellent quality outcomes in this area. People receive sufficient information about the service and can be assured that their assessed need will be met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The records showed that a thorough pre admission assessment is carried out for all prospective residents. Information about their needs is gathered from varying sources. This includes GP’s, healthcare professionals involved in the individual care of the service user and, where appropriate, social services. People take a full and active part in the assessment and are encouraged to sign to indicate their agreement with it. DS0000007666.V335138.R01.S.doc Version 5.2 Page 9 A relative said, ‘I always felt from the first interview that was moving into a safe and secure environment where they would be treated with dignity and their holistic needs met. This has proved to be the case’ DS0000007666.V335138.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use the service experience excellent quality outcomes in this area. People receive health and personal care safely and in a way that respects their privacy and promotes dignity and independence. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: All residents have a written care plan that details how their health and social care will be delivered. The plans are based on information received during the pre admission assessment. They are reviewed and updated as needed. All activities that people may be involved in have been the subject of a risk assessment and this ensures that they are cared for safely whilst maintaining their independence and choice. Staff were seen speaking respectfully to people and giving them the opportunity to express their wishes and receive care in a way that they have chosen. DS0000007666.V335138.R01.S.doc Version 5.2 Page 11 People commented, ‘The staff are marvellous, I get all the help I need’ A relative stated, ‘The staff at Priceholme provide all round holistic care, individual needs are always met’ Policies and procedures relating to the administration of medication ensure that people receive their medications promptly and in a safe way. Medication records that were looked at showed that this was the case. People are encouraged to look after their own medication if they wish following an assessment of the risk. They are provided with lockable facilities in their rooms to ensure that they can store these safely DS0000007666.V335138.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use the service experience excellent quality outcomes in this area. People enjoy their lifestyle and are provided with a nutritionally sound diet. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: People that were spoken with were happy with their quality of life in the home and particularly commended the efforts of the staff to provide a homely environment. There was a good programme of activities displayed for people to see. People confirmed that they enjoy the activities. One person said, ‘The activities arranged are well organised and make Priceholme such a special place’. The home employs an activity organiser to implement the programme. Designated staff at the home are in the process of being trained to become qualified reflexologists. They intend to cascade this training to all care staff and some relatives. The hope is that any people who would benefit from this will be able to receive this spontaneously from staff or relatives and not have to plan it. DS0000007666.V335138.R01.S.doc Version 5.2 Page 13 People confirmed that they were able to have visitors at any time. Comments received included, ‘Personal family and visitors are always made to feel welcome’ and ‘Staff always find time to talk to family members’. A resident said, ‘I have a key for the front door and can come and go as I please’. There is a facility to let staff know when people are out for a period of time. The menus indicated that the service users were provided with a varied and balanced diet. All of the service users expressed satisfaction with the standard of the meals. There was a genuine choice of main course and the service users had made a choice prior to the meal. All of the service users spoken to were aware as to what was on the menu. People were provided with a tureen of vegetables so they could make their own choices. DS0000007666.V335138.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. People who use the service experience excellent quality outcomes in this area. People are listened to and their interests are protected. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: An appropriate complaints procedure was in place and was readily available to residents and visitors to the home. People said that any issues that may become complaints were quickly identified by the staff and acted upon. Each wing of the care home had a person who acted as a representative on behalf of the other people accommodated in that area. One of the representatives confirmed that they regularly sought the views of the other residents and that these issues were discussed with the manager. The manager employed an open style of management and actively encouraged people and their visitors to discuss problems. One person said, ‘Elizabeth and I are the best of friends but if something isn’t right I let her know. She soon puts things right’ A policy and procedure on Adult Protection was available. Staff were clear that they would report any allegation of abuse immediately. The organisation have a confidential helpline for staff and people using their services to report any actual or potential abuse. This is brought to people’s attention in the form of a brochure with a free phone number provided for their use. DS0000007666.V335138.R01.S.doc Version 5.2 Page 15 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, 26. People who use the service experience good quality outcomes in this area. People live in a safe, comfortable environment. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The premises were clean and were maintained, decorated and furnished to a good standard. People expressed satisfaction with their accommodation and considered the en suite facilities to their rooms as being essential. There are several sitting areas and lounges provided so that people have a choice as to where and with whom they would like to sit. A new seating area had been provided in the garden allowing level access to a decked area. People expressed their satisfaction with this. All fire equipment is regularly serviced and staff receive regular fire training. DS0000007666.V335138.R01.S.doc Version 5.2 Page 16 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, 30. People who use the service experience excellent quality outcomes in this area. Safe and well-trained staff care for people using this service. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The duty rotas supplied show that there is sufficient staff on duty at all times of the day and night. People confirmed that there is always staff readily available both during the day and the night and that they respond to the call bells promptly. The staff team represented a reasonable balance in terms of age experience and gender. 65 of care staff have achieved a qualification in care at NVQ Level 2 or above. The manager continues to follow a robust recruitment and selection procedure that involved full vetting of a prospective member of staff before they took up their post in the home. Staff records confirmed that the staff had been provided with training in statutory subjects such as first aid and moving and handling. It was evident that good lines of communication existed in the home and that formal shift handovers were undertaken by staff during which every service user was briefly discussed. DS0000007666.V335138.R01.S.doc Version 5.2 Page 17 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, 38. People who use the service experience excellent quality outcomes in this area. The manager promotes an open and inclusive culture for people living and working at the home. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager is very experienced in care and well liked and respected by the people living at the home and the staff. It was evident from discussions with the manager that all decisions in the home were taken for the benefit of the service users. The service users have established a good relationship with the manager. People said that they would not hesitate in taking a problem directly DS0000007666.V335138.R01.S.doc Version 5.2 Page 18 to the manager. One relative praised the manager and her staff team saying, ‘They help people to keep their independence and dignity as far as they possibly can’. The organisation has an independent audit carried out annually to ensure standards and values in the home are maintained. The manager has arranged for residents representatives from each area of the home to meet with her on a monthly basis. These people are able to put forward suggestions and comments from all residents at the home. Full residents meetings are held every three months. Residents’ questionnaires on the services provided are sent out annually. Results from these are collated and any actions identified are carried out. People feel their opinions are valued. Peoples personal monies are handled correctly. All transactions are recorded and receipts available. The manager has taken all appropriate action to ensure that the people using the service and staff are provided with a safe environment. All health and safety records were up to date. DS0000007666.V335138.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 DS0000007666.V335138.R01.S.doc Version 5.2 Page 20 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 DS0000007666.V335138.R01.S.doc Version 5.2 Page 21 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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