Inspection on 21/04/05 for Sabre Court

This inspection was carried out on 21st April 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

Sabre Court 29/08/07

Sabre Court 13/09/06

Sabre Court 24/01/06

Sabre Court 19/10/04

Sabre Court 29/04/04

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

CARE HOME ADULTS 18-65 Sabre Court 4 Lonsdale Road Scarborough North Yorkshire YO11 2QY Lead Inspector David Blackburn Unannounced 21 April 2005 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Sabre Court Version 1.10 Page 3 SERVICE INFORMATION Name of service Sabre Court Address 4 Lonsdale Road, Scarborough, North Yorkshire YO11 2QY 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) 01723 361256 01723 361256 Mr Andrew Maurice Tait and Mrs Janet Tait Mrs Janet Tait Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (0) Sabre Court Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 19/10/2004 Brief Description of the Service: Sabre Court is a large semi-detached house situated in a residential area of the town. It is convenient for local amenities and facilities. Public transport to and from the town centre passes the door. Accommodation and facilities are provided on three of the floors. The ground floor houses the communal areas while the upper two floors provide the bedroom accommodation. The top floor is used for storage purposes only. Bathrooms and toilets are conveniently located throughout the building. The home provides accommodation for residents who have or who are recovering from mental illness. The staff provide personal care as and when required, help, advice and guidance on daily living skills and activities, a catering service, laundry facilities and a domestic and cleaning service. All these services are offered in conjunction with input from the residents. Leisure and recreational facilities are offered in-house by staff and at a number of locations in the town. Most residents are able to leave the premises unaided and can take advantage of the many attractions in the town. All residents are registered with local medical practitioners who will make arrangements for the provision of more specialised health services. Residents have direct access to community psychiatric nursing services. Sabre Court Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on which this report is based was the first to be carried out in the inspection year April 2005 to March 2006. It was carried out over 6 hours including preparation time. The focus was on a number of the key standards together with any subject to requirements and recommendations made at the last inspection. An inspection of some parts of the premises, including a number of bedrooms, was undertaken. A number of records were examined. Discussions were held with the registered providers, four residents, one member of staff and two visitors. A number of residents were reluctant or declined to speak with the inspector. What the service does well: What has improved since the last inspection? What they could do better: Staff should be encouraged to undertake and achieve a National Vocational Qualification in care to at least level 2. The registered manager should provide verification of the successful completion of the Registered Managers (Adults) NVQ 4 award. Formal staff supervision should be offered at least six times a year. A questionnaire about the performance of the home should be sent to families and visiting professionals. Sabre Court Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sabre Court Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Sabre Court Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2. Information available in the home together with the pre-placement assessment procedure gave prospective residents details of the care and services available and an assurance that their care needs had been properly assessed. EVIDENCE: A revised Statement of Purpose and Service User Guide were seen. They were supported by a Residents Charter. The information was presented in large type and in simple, plain English. Together the documents gave a clear indication of the care, services and facilities on offer in the home. Copies had been given to residents and were seen in some bedrooms. Three case files were examined. Each contained a pre-admission assessment provided either by the placing authority or undertaken by the registered providers. The information given formed the basis of the home’s care plan. Each assessment and care plan gave a good indication of the care needs of that resident. Risk assessments were in place and for some residents a risk and relapse management plan was available. One visitor said she felt the staff “were well able to meet her relative’s needs.” Sabre Court Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7. Residents can be confident their needs and choices are being met through the clear and consistent care planning system. Residents were free to exercise choice with any restrictions or limitations fully recorded thus enabling them to make decisions about their lives. EVIDENCE: Three case files were examined. They were well organised. The case files seen contained personal details, a current care plan, assessment details, a placement agreement if publicly funded, a signed copy of the terms and conditions of residence and a daily log. The care plans recorded needs and strengths, an evaluation and the actions required to meet the identified needs. Any potential areas of risk, limitations or restrictions were similarly recorded. Those care plans seen had been reviewed during the last every six months. The registered manager maintained a review register. One visitor said she was always invited to reviews. She felt her relative “was well placed and well cared for. They seem to know how to cope with him and meet his needs.” Residents said they were free to come and go as they wished. A number were seen entering and leaving the building. “I can go out when I want and as often as I like.“ “There are no restrictions on when or where I go”. While care plans recorded any restrictions or limitations the registered providers said any Sabre Court Version 1.10 Page 10 serious curtailment of liberty imposed on a resident would be difficult to police. Prospective residents with severe restrictions placed upon them would not as a consequence be admitted. Information about the local advocacy service was available in the home. All residents managed their own financial affairs. The registered providers had a policy of non-involvement in residents’ financial affairs. Sabre Court Version 1.10 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. Good links had been made with the local community giving residents the opportunity for employment, social interaction and the meeting of recreational needs. Visitors were very welcome and family contact was promoted enabling residents to take home leave or welcome their relatives and friends into the home. EVIDENCE: One resident had part-time paid employment. “It gives me pocket money and a bit of independence.” None of the other residents could or wished to take employment. Three were over retirement age. None was attending further education classes. Some residents attended local day care facilities. All but two residents could go out unaided. One expressed no wish to go out and the second said “I’ve used the Dial-a-Ride scheme in the past and probably will again in summer when it’s warmer.” One resident had his own motorcycle. A visiting policy was seen. No restrictions were placed on time or frequency of visiting. Visitors were free to access any part of the premises available to their relative. “I can come as often as I please and at a time to suit me.” “I’m always offered a drink and believe I could have a meal if I asked.” The right to refuse visitors was noted. Some residents had a number of visitors, others had few. One or two residents had no family contact either through choice or Sabre Court Version 1.10 Page 12 because they were no known relatives. Periods of home leave were enjoyed by some residents. “He comes for a long weekend every month.” Sabre Court Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20. Personal and health care needs, including medication, were well met and acted upon by staff promoting each resident’s general well-being. EVIDENCE: The case files examined detailed health care needs and how they were to be met. A record was kept that showed referrals to and attendance at doctors’ surgeries, clinics and other health related appointments. The reasons for nonattendance were recorded. All residents were registered with a local doctor. The majority attended the surgery accompanied by staff where requested. Optical and dental services were provided locally. One visitor was pleased with the support staff gave her relative to ensure the promotion of his continued good health. “It’s reassuring for me to know that they look after him so well. They always encourage him to go to his clinic appointments or see the doctor if not well.” Proper procedures were in place for the ordering, receipt, storage, recording, administration and return of medication. None of the residents self medicated. All had indicated in writing that they wished medicines to be administered by the staff. Only staff who had successfully completed a course on the safe handling of medication were allowed to administer medicines. Some certificates were seen. The medication administration and recording procedures were observed. They followed the policies laid down by the registered providers. One visitor was pleased that staff administered Sabre Court Version 1.10 Page 14 medication. “In his last placement they were very lax about his tablets. Here I know he receives what he needs when he needs it.” Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. Concerns and complaints were addressed properly. Each resident’s views were taken into account. EVIDENCE: A complaints policy and procedure were seen. Copies were in the Service User Guide and had been given to residents. The policy detailed the registered providers’ philosophy in dealing with complaints, how to complain and to whom. The policy gave a clear indication of each resident’s right to approach the regulatory authority at any time. The relevant address and telephone number were given. The procedure showed how any complaint was to be progressed, the timescales to be achieved, the method of response and the expected outcomes for the complainant. Residents were aware of the procedure. “If I’m worried I talk to the staff”. “I’d complain to the staff, but I’ve nothing to complain about.” Visitors were similarly aware of the procedure. “If I’m worried about anything to do with D (resident), I’d speak to J (registered manager).” Sabre Court Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. Environmental standards were good providing residents with a homely, safe and comfortable place in which to live. EVIDENCE: The premises appeared to be in good structural and decorative order internally and externally. The repairs and renewals record was seen. The premises occupied four floors. The ground floor had the communal areas and some bedrooms. The middle two floors had bedrooms. The top floor was used for storage purposes only. Only one bedroom had an en-suite facility. There were sufficient communal bathrooms and toilets on each floor. Those fixtures, fittings, furnishings and furniture seen were domestic in nature and in a serviceable condition. New carpets had been fitted to some bedrooms and new vinyl floor coverings to some bathrooms and toilets. Vanity units in some bedrooms had been replaced. Residents said they were happy with their rooms. The Fire Officer’s report of September 2003 was seen. The Environmental Health Officer’s report on health and safety in January 2004 made a small number of recommendations. These had been resolved. Those parts of the premises seen were clean, tidy, warm and free from odours. The laundry was accessed through the kitchen. A more secure door had been fitted between the kitchen and the laundry area to improve infection control and limit cross infection. Proper attention was given to the safe transportation of laundry. Residents and visitors made positive comments about the overall condition of the building and the facilities on offer. Sabre Court Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 and 36. There was a small but good and committed care team who had received the relevant induction and on-going training enabling them to give appropriate and consistent care to the residents. EVIDENCE: There was a full staff team of male and female support workers from a variety of different backgrounds. They brought a wide range of skills, knowledge and experience. Morale was described as very good. A good interaction was noted between the residents and staff with humour, friendliness and sensitivity much in evidence. Staff were able to discuss the ways in which the residents’ various needs were met. They spoke of the training being undertaken. One staff member had completed work towards a National Vocational Qualification (NVQ) in care to level 2 and was awaiting external verification. Other staff were keen to commence work towards NVQ awards but changes to the required standards had to be published before they could start. In house induction was supplemented by attendance on the Working in Care Induction Standards Programme (WICIS) for all new staff. This course met current agreed standards for the induction of care staff. A Statement of Completion was seen. A course invitation for the last appointed staff member was also seen. The registered providers had introduced a new foundation and on-going training package. This was provided by an external company. Worksheets and workbooks were completed and assessed by an external verifier before any certificates were granted. A training budget was in place with monthly updates of expenditure. A staff training matrix for 2005 was Sabre Court Version 1.10 Page 17 examined. This showed the courses on offer and the dates of attendance. These included challenging behaviour and protection of vulnerable adults. A six monthly staff appraisal was carried out. Copies were seen. Supervision was offered on a daily basis by the registered providers. Urgent matters were discussed as required. Formal supervision should be offered at least six times in any one year. Staff confirmed they had copies of the grievance and disciplinary procedures. Residents and visitors were complimentary in their comments about staff. One relative said “They’re caring and hard working. He couldn’t be better cared for.” A resident stated “I like the staff. They’re very kind.” Sabre Court Version 1.10 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. The home was well managed with the opinions of the residents sought and acted upon. Proper attention was given to matters of health and safety to provide a safe and secure environment in which residents could live. EVIDENCE: The registered manager, one of the two registered providers, was well experienced with a number of years working in the care sector. She had achieved a National Vocational Qualification (NVQ) in care to level 4. She had completed the Registered Managers (Adults) NVQ 4 award. External verification was awaited. Staff and visitors were complimentary towards the registered providers. A visitor commented “Mr and Mrs Tait are very conscientious and care about the people here.” Staff said “She’s the boss. She tells us if anything’s not right. She has high standards and we’re expected to follow them.” A questionnaire had been given to residents. The assessment, analysis and evaluation of their replies were seen. A similar relevant questionnaire should be offered to families, visiting professionals and other stakeholders. Proper attention was being given to the promotion and maintenance of a safe environment for residents, visitors and staff. A number of satisfactory safety Sabre Court Version 1.10 Page 19 reports and certificates were seen. It was noted that not all hot water to wash hand basins in bedrooms was regulated and that some radiators were unguarded. A number of residents had asked that the hot water temperature be increased and/or that radiators be unguarded. Their signed requests were on file. A risk assessment had been carried out for each resident including the risks from hot water and unguarded radiators. Some wash hand basins had been installed with taps of the “push and release” type. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 Sabre Court Score 3 3 Standard No 24 25 26 27 28 29 Version 1.10 Score 3 x x x x x Page 20 8 9 10 LIFESTYLES x x x Score 30 STAFFING 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 2 x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 3 x Sabre Court Version 1.10 Page 21 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. 1. Standard Regulation Requirement No requirements were made. 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. 3. 4. Refer to Standard 32 36 37 39 Good Practice Recommendations The registered providers are reminded of the need for 50 of the care staff to have achieved a National Vocational Qualification in care to level 2 by 2005. Formal supervision should be offered to all staff at least six times in any one year. The registered manager should provide verification of the succesful completion of the Registered Managers (Adults) NVQ 4 award. The views of relatives, visiting professionals and other stakeholders on the care provided in and management of, the home should be sought. Sabre Court Version 1.10 Page 22 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 Sabre Court Version 1.10 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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