Inspection on 16/08/05 for Prospect Mount Road (101) - North Yorkshire County Council

This inspection was carried out on 16th August 2005.

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

Prospect Mount Road (101) -... 09/02/09

Prospect Mount Road (101) -... 05/02/07

Prospect Mount Road (101) -... 08/02/06

Prospect Mount Road (101) -... 10/11/04

Prospect Mount Road (101) -... 02/06/04

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

CARE HOMES FOR OLDER PEOPLE North Yorkshire County Council 101 Prospect Mount Road 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW Lead Inspector Pauline ORourke Unannounced 16 August 2005 09:10-15:30 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 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. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service North Yorkshire County Council 101 Prospect Mount Road 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW 01723 366716 01723 350303 Address Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) North Yorkshire County Council Mrs Linda Bean Care Home 45 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (33) of places North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 12 service Users in the category DE(E) to be accommodated in the EMI Unit 2 All service Users for Intermediate Care (up to a maximum of 9) will be accommodated within the Homewards Rehabilitation Unit and be in the category OP Date of last inspection 10th November 2004 Brief Description of the Service: 101 Prospect Mount Road is a care home providing personal care and accommodation for up to 45 people. The home is divided into three units; an intermediate care unit, a dementia care unit and a unit that takes respite care. There are currently five long stay service users within the respite care unit. No further long stay admissions are planned. North Yorkshire County Council owns the home.The home is located on the outskirts of Scarborough. There is a bus service from outside the home into the town centre. All the bedrooms are used as single accommodation. The home has accessible grounds and the EMI unit has a secure garden area directly from the unit. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection including preparation time took place over 15 hours. A tour of the building was conducted. A number of the service users records, and records about the management of the home were inspected. Service users in the rehabilitation unit and on the respite unit were able to share their experiences in the different units, whilst time was spent observing the service users in the dementia care unit. Several staff, a district nurse and a GP were spoken with during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The management team need to ensure that the administration supporting the work done by the resource workers is in place from the assessments to the day-to-day recording. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 6 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. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 standard(s) 3 The service users can be assured they will be admitted to the right unit and their care needs will be met. EVIDENCE: Service users admitted to the dementia care unit have an assessment provided through the care management process and a member of the management team carries out their own assessment. The service users admitted to the rehabilitation unit have a multi-disciplinary assessment provided through the local health team. Due to the nature of the respite unit a care manager usually provides an assessment to the home prior to the placement. However on the day of the inspection a service user whose need for respite care was described as ‘urgent’ was admitted and the care manager was doing the assessment and care plan whilst he was being admitted. The home should ensure that an assessment of need is available for all service users not admitted on an emergency basis prior to their placement. Discussion with the team manager confirmed that where a respite placement is made that is not appropriate then an alternative placement will be made within 48 hours of a request made. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 standard(s) 7, 8, and 9 The health, social care and personal needs of the service users are met. EVIDENCE: Service user files were seen in the dementia care unit, the rehabilitation unit and the respite unit and they all contained an appropriate care plan. The care plans on the rehabilitation unit are based on a programme of improvement and were pertinent to the individual. These plans are reviewed weekly in a multi disciplinary meeting. The care plans on the dementia care unit are called Promotion of Independence Plans and contained information about the service users needs but also their support networks outside of the home. There was evidence to show these plans are reviewed on a monthly basis. The service users admitted to the respite unit had a basic care plan and this was reviewed on subsequent stays. Contact sheets are maintained for all the service users but the recording on these documents did not appear to be done on a regular basis. The service users spoken with said that they could see their GP on request and staff assisted them in maintaining appointments to see other health professionals. A district nurse spoken with during the inspection said that the staff worked with them and followed any instructions left about their health North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 10 care needs. A GP visiting the home said that the staff provided them with assistance as necessary during a visit and all visits were made in private. The handling, storage and administration of the medication was seen to be appropriate for the dementia care unit and respite unit. The service users in the rehabilitation unit manage their own medication and have lockable facilities in which to store their tablets. Service users are assessed as their capabilities in handling medication with a view to going home and on several occasions a monitored dosage system has been provided to the service user prior to their discharge. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 11 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 standard(s) 12 and 13, The service users are able to keep their own routine within the home and join in with social activities. EVIDENCE: The service users spoken with during the inspection confirmed that the routines of the home were flexible. The service user population within the respite unit is ever changing, yet the staff were knowledgeable about the service users likes and dislikes. Service users using the respite unit confirmed that the staff took time with them during their admission to the home. The service users in the rehabilitation unit said that their routines were dictated by their recovery plan. The service users spoken with did not mind this, as they were keen to get home. The routine in the dementia care unit was seen to be flexible and supportive of the service user. There is a visitor’s policy in place and service users can receive visitors at any time. They would be supported if they did not want to see anyone. Information about the visitor’s policy is available in the Service Users Guide. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Service users were confident that any complaints or concerns they had could be raised and acted upon. Service users are protected from possible abuse through staff training. EVIDENCE: North Yorkshire Social Services has a detailed complaints policy. This policy is provided to all the service users and is displayed around the home. There have been no complaints made to the CSCI but several have been made to the home in the last 12 months. Records showed that these were dealt with to the satisfaction of the service users and their relatives. Service users and their relatives spoken with said that if they had any problems they would go to the manager. There is an Adult Protection Policy in place. Staff spoken with had received training in Adult Protection issues and they had a good understanding of their responsibilities if they believed any inappropriate behaviour was taking place. Policies are also in place regarding the management of service users money. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The service users live in a home that is clean and well maintained. EVIDENCE: During the inspection several areas of the home were seen and found to be clean and odour free. The communal areas were comfortable and warm. The furniture was said to be comfortable by the service users. The home is located close to some shops and is suitable for its stated purpose. The grounds are well maintained and accessible to the residents. There is a separate garden area for the dementia care unit. The garden area is secure and allows for unsupervised access by the service users. There is currently a major improvement programme going on in the home to allow for the development of day services and any area of décor affected by this work will be made good on its completion. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. The service users needs can be met by the current staffing levels. EVIDENCE: The staffing levels allow for three staff to be on the respite unit, two staff on the dementia care unit and two staff on the rehabilitation unit over the day. During the nights there are three waking night staff. Service users spoken to on the rehabilitation unit said the staff were very helpful and positive in their approach. They respected their privacy at all times. Service users in the respite unit were equally positive about the staff although felt that they did not always have the time to spend and talk with them. However, there is a programme of planned activities including when possible trips out. The dementia care unit although not full appeared to be quite busy as the dependency levels of the service users in residence was high, one service user was provided with their own carer during the day in addition to the established staff. Whilst it is unlikely extra permanent staff will be provided the management team must monitor the dependency levels to ensure that any further admissions made do not compromise the service currently provided. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The health and safety of the service users and staff is promoted. EVIDENCE: The staff spoken with confirmed that they had received training in health and safety, first aid, back care, food hygiene, COSHH, and fire training. Evidence of this was seen in the staff files. The equipment used in the home is serviced at the prescribed intervals. Health and safety notices were displayed around the building. Accidents are properly recorded and where necessary reported to the Commission for Social Care Inspection. Information from the accident records is used in the care planning process. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 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. 1. 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. 1. 2. Refer to Standard 3 7 Good Practice Recommendations The registered manager should ensure that an assessment of need is is availale prior to any service user not admitted on an emergency basis. service user contact sheets should be recorded on at the most a daily basis and no less than once a week. North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 North Yorkshire County Council 101 Prospect Mount Road J53_J04_S34266_Prospect Mount Road_V236472_090805_stage4.doc Version 1.40 Page 19 - 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. 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