CARE HOMES FOR OLDER PEOPLE
Prospect Mount Road (101) - North Yorkshire County Council 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW Lead Inspector
Pauline O`Rourke Unannounced Inspection 8th February 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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.R01.S.doc Version 5.1 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 350303 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.V275762.R01.S.doc Version 5.1 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. 16th August 2005 Date of last inspection 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. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection including preparation time took place over 10 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. What the service does well: What has improved since the last inspection? What they could do better:
Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.R01.S.doc Version 5.1 Page 6 At this inspection it was noted that the lunch meal in the dementia care unit was chaotic and the staff struggled to serve lunch and provide the appropriate support required by each of the service users. The registered manager must look at the support arrangements at lunchtime and all other meal times so that staff can properly assist the service users. 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. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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 Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): 6 Service users receive appropriate support to help them maximise their independence so that they can return home. EVIDENCE: Dedicated lounge / dining, bathroom and bedroom facilities are available on the second floor of the building for up to 12 residents who are admitted for intermediate care. However, on the day of the inspection the rehabilitation unit was temporarily located on the first floor of the building using separate facilities to the respite service users. A separate staff team including support from physiotherapy and occupational therapy staff cares for this client group. Inspection of the unit’s facilities and records was made and were found to comply with required standards. The staff of this unit spoke enthusiastically about the unit and they are clearly committed to successfully assisting people to return to their own homes. The service users in this part of the home spoke very highly of the service they have received Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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 and 10 The service users personal care needs are identified in a plan and staff treat the service users with respect. EVIDENCE: The care plans for service users on the respite dementia care and respite unit continue to provide pertinent information about the person they are about. The staff now record on the contact sheets on a regular basis and this allows for a more comprehensive review of the care plans. The staff on the dementia care unit were seen to be treating the service users with respect at all times. They gave them time and encouragement to undertake any tasks the staff asked them about. The service users on the respite and rehabilitation unit were positive in their praise for the staff. They said that staff always treat them with respect and try to preserve their dignity at all times. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): 14 and 15 The service users are able to keep their own routine within the home and join in with social activities. The service users have a varied and balanced diet EVIDENCE: The service users spoken with said that they are able to follow their own routines within the routines for the home. They are able to choose where they want to be in the home and can go back to their rooms at any time. The service users spoken with expressed satisfaction at the quality and quantity of the food provided. They confirmed that choices are available at each meal. The menu was examined and appeared to provide a balanced and nutritious diet. The cook explained that local fresh produce is used and they are able to vary the menu to include seasonal foods. The meal observed in the dementia care unit was chaotic. There were two staff with 11 service users. One member of staff served up dinner whilst the other member of staff assisted the service users. The service users were unsettled and one member of staff could not provide the support and assistance required, consequently some of the service users were leaving the dinning room and unsettling the others. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): EVIDENCE: None of these standards were assessed at this time. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): EVIDENCE: None of these standards were assessed at this time. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): 28, 29 and 30. Staff that receive regular training support the service users and are experienced carers. Staff are employed following a thorough recruitment process. EVIDENCE: There has been a low turnover of staff in the last twelve months. The staff files of three staff members employed in that time were inspected and were found to contain all the necessary documentation as required by the Care Homes Regulations 2001 There is 71 of the staff team with a National Vocational Qualification level 2 and the remaining staff are currently in the process of completing this course. Staff also have access to induction, foundation, back care, challenging behaviour, first aid, fire awareness, and food hygiene. The manager also utilises the expertise of the visiting professionals to the rehabilitation unit and organises awareness sessions other health related issues. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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): 31, 33 and 35. The service users live in a well managed home where the service is regularly checked to ensure the standards don’t drop. EVIDENCE: The registered manager has been managing the home for several years and has completed the Registered Manager’s Award. The service users spoken with said that the manager was always available and were confident that she would deal with any concerns they may have positively. Relatives also spoke highly of the manager and expressed confidence in her North Yorkshire Social Services has introduced a quality assurance programme. This involves the home assessing the service they provide against the National Minimum Standards for Older people every three months. This information is then used to develop an action plan to improve services. Service user meetings, staff meetings, team briefings, and the quarterly
Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.R01.S.doc Version 5.1 Page 15 newsletter supplement this document. Staff have received training in the quality assurance system. The personal allowance for several service users is held in the office and the records were checked and found to tally with the cash held. Receipts are obtained for any purchases made. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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 X X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 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 X Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.R01.S.doc Version 5.1 Page 17 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. 1. Refer to Standard OP15 Good Practice Recommendations The registered manager should look at reorganising the dining arrangement for the service users in the dementia care unit to ensure the meals are relaxed. Prospect Mount Road (101) - North Yorkshire County Council DS0000034266.V275762.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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