Inspection on 05/02/07 for Prospect Mount Road (101) - North Yorkshire County Council

This inspection was carried out on 5th February 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

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

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

Prospect Mount Road (101) -... 16/08/05

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 Prospect Mount Road (101) - North Yorkshire County Council 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW Lead Inspector Brian Hallgate Key Unannounced Inspection 5th February 2007 09:15 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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect Mount Road (101) - North Yorkshire County Council 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW Address 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 366716 01723 383429 ProspectMount.Road@northyorks.gov.uk 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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 12 Service Users in the category DE(E) to be accommodated in the EMI Unit 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 3 places are available to service users 50 years and over in the Main Home for short-term, respite and emergency placements. 8th February 2006 Date of last inspection Brief Description of the Service: 101 Prospect Mount Road is a residential care home providing personal care and accommodation for up to 45 people and a day unit for 12 people. The home is divided into four units; an intermediate care unit, a dementia care unit, a unit that takes respite care and an EMI day unit. There are currently three 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, the EMI unit has a secure garden area directly from the unit and there is a separate enclosed outside area from the EMI day care unit. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 inspections reports, a pre-inspection questionnaire completed by the registered manager of the service, a site visit, completed survey forms and discussions with six service users, five members of staff and two relatives. Prior to the inspection, ten survey forms were sent to service users and two were returned, five survey forms were sent to GPs and two were returned and four were sent to care managers and one was returned. This unannounced inspection took place on the 5th February 2007 and commenced at 9.15am. 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 a team manager and staff were observed interacting with a number of service users. Weekly charges on the date of the inspection ranged from £94.45 to £368.90. What the service does well: What has improved since the last inspection? What they could do better: A review of the staffing hours for the dementia unit should be undertaken to ascertain if two members of staff on duty are sufficient to care for up to twelve service users with dementia whose dependency levels appear to be increasing. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 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: A comprehensive care management assessment is made prior to a potential service user being considered for admission to the home. Service users admitted to the intermediate care unit are assessed by a multi-disciplinary health team and are placed in the unit for rehabilitation work to allow service users to be able to return to their own homes, if that is possible, at the end of their stay in the intermediate care unit. The unit operates with regular input from the health teams. Service users in the unit were very pleased with the input of the staff in attempting to assist them to return to their own homes. Over 90 of people admitted are discharged home after their rehabilitation. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 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. 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 were examined during the inspection. The plans continue to provide information that enables staff to care for service users in an appropriate way. The files are reviewed as necessary and at least every month in the main home and in the dementia unit. Care plans in the intermediate care unit are reviewed frequently and there is a meeting about service users each week with health service staff. Staff were observed treating service users with respect and dignity. All service users spoken to stated that they were well treated by the staff team. Some service users self medicate. There is a monitored dosage system for other service users who require medication. People admitted for short-term care will bring either a monitored dosage system in with them or tablets in the original boxes dispensed by the pharmacist. Observation of a member of staff administering medication showed that the appropriate action was taken and records maintained. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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: Service users spoken to stated that their routine was flexible. Activities were arranged within the home and outings to places of interest in the community. Service users who wished to participate in the activities stated that they enjoyed taking part and particularly liked the trips out of the home. Specific activities are arranged in the rehabilitation unit to assess the skills that service users would require if they returned home. Some service users stated that they enjoyed going out for car rides with their relatives on a regular basis. Service users stated that there was also choice available at meal times and that they enjoyed their meals. The menu is varied according to the season of the year and fresh food is used whenever possible. Visitors are encouraged to see their relatives and friends in the home at anytime and some service users stated how they looked forward to their visitors coming to see them. Relatives spoken to stated that they were welcomed by the staff and could see their Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 11 relatives in private if they wished. The relatives spoken to considered that the service users were very well cared for in a pleasant environment. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 situation occur. EVIDENCE: There is a complaints policy. One complaint has been made since the last inspection. This was recorded and investigated within the time scale of the policy. A relative of a service user stated “I would always ask who to approach if I was not satisfied with the care my relative was receiving. I have, however, always been very satisfied with the care that is provided within the home.” The home has a copy of the York and North Yorkshire Vulnerable Adults Policy and staff spoken to knew what action to take in the event of a suspected abuse situation occurring. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 of the home is good providing service users with a homely place in which to live. EVIDENCE: The home is clean and comfortable. The communal areas are suitable for the needs of the different service users who use separate parts of the home. Service users spoken to stated that they were satisfied with their own accommodation. The grounds are accessible and well maintained. There is a separate secure garden area for the use of service users in the dementia unit. This allows service users to walk in the gardens anytime that they wish. The newly developed day unit also has a separate outside garden area. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 service users needs are met by the staffing levels in the main part of the building and in the rehabilitation unit. The staffing hours in the dementia unit need reviewing. Staff receive appropriate training and new staff are only appointed after appropriate employment checks have been made. EVIDENCE: The staffing levels for the main unit and the rehabilitation unit are satisfactory. A relative of a service user stated, “Staff are extremely helpful”. A GP who visits the home stated, “The staff are excellent and caring and communication is good. I have no concerns”. A review of the staffing hours in the dementia unit needs to be undertaken to ascertain if two staff on duty are sufficient for up to twelve service users whose dependency needs appear to be increasing. Service users spoken to stated that the staff respected their privacy and were polite at all times. The home has a staff development programme and 78 of care staff have now obtained an NVQ Level 2 in care. The employment files checked showed that the necessary checks are made before a new member of staff commences work at the home. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 service users live in a well managed home with appropriate health and safety standards maintained. EVIDENCE: The registered manager is experienced and qualified in the care of older people. Service users stated that the senior staff were available to discuss any issues that they wanted to discuss. There is a quality assurance programme where the home assesses the service they provide against the National Minimum Standards for older people on a three monthly basis. Residents meetings, staff meetings and team briefings are held and quality is incorporated into the meetings. Personal allowance money is kept in the home for some service users. Income and expenditure records and receipts are Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 16 kept. The records and cash checked were correct and up to date. The health and safety records were found to be in order and up to date. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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 3 X X X X 3 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 4 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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? N/a 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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.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. Extracts may not be used or reproduced without the express permission of CSCI Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V328042.R01.S.doc Version 5.2 Page 20 - 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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