Inspection on 24/01/06 for Sabre Court

This inspection was carried out on 24th January 2006.

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 21/04/05

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 Karen Ritson Unannounced Inspection 24th January 2006 10:00 Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 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 Sabre Court DS0000007730.V275305.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 Adults 18-65. 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. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sabre Court Address 4 Lonsdale Road Scarborough North Yorkshire YO11 2QY 01723 361256 01723 361256 Jantaittconnect.com 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) Mr Andrew Maurice Tait Mrs Janet Tait Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (12) Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User with a dementia and aged under 65 years of age may be accommodated. This condition will terminate when the named Service User ceases to be accommodated at Sabre Court. Service Users under 65 years of age whose primary need for care derives from a mental health disorder, but who have an associated dementia may be accommodated in the home. 21st April 2005 2. Date of last inspection 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 DS0000007730.V275305.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 24th January and took eight hours to complete which includes time for preparation and writing the report. One member of staff and one service user were spoken to and their comments are detailed in the main report. The home is now full whilst accommodating eleven service users although the home is registered for twelve. A shared room is now used for single occupancy. This will continue whilst this service user is resident at the home. There was a relaxed and comfortable atmosphere throughout the morning. This report assesses a number of core standards. The remainder of the core standards were assessed at the last inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 7 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 the following standard(s): None of these standards were assessed. EVIDENCE: Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 9. Service users are supported to take appropriate risks in daily living. EVIDENCE: Individuals have appropriate risk assessments in place, for example, in relation to diet or medication. The home has a missing persons policy and procedure. Most of the service users are able to go out unaided and are able to negotiate roads and route finding well. Service users are encouraged to take part in activities which will develop an independent lifestyle and this is recorded on file. One service user said he was supported in planning his transport and was to purchase a new motorbike. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 16 and 17. Service users privacy and dignity are protected and they are offered a good varied diet. EVIDENCE: All service users have the opportunity to hold a key to their rooms. One service user said that this privacy was always respected and staff always knock on doors prior to entry. Care plans detail the level of involvement each service user might be expected to have regarding household chores. The proprietors said this was difficult to achieve with service users, as they were often reluctant to become involved in domestic tasks. Service users are encouraged to keep their own rooms tidy but staff assist on a regular basis. Suggestions regarding menus are incorporated wherever possible. The proprietors said it was sometimes difficult to gain any clear preference from the current service users and that they had abandoned menu meetings as unproductive. The menu is displayed so that individuals can see the planned meals for the day. If a service user does not like what is on the menu an alternative is always available. Diabetic and other specialist diets are available. One service user said the meals were very good and varied. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 18. Service users are consulted and receive appropriate support. EVIDENCE: One service user said he would be supported to choose clothes, and receive any other help if this was required, however, he was independent in most areas of living and made most decisions regarding how he lived his life unaided. The proprietors confirmed that most of the service users were independent with personal care and with choosing clothes or having their hair cut for example. Support is offered through accessing physiotherapy, occupational therapy, speech therapy or CPN support when required. All such needs were recorded in care plans and all appointments and professional visits to the home were recorded in diary notes. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 23 Service users are protected from abuse and self harm. EVIDENCE: The home has policies and procedures on challenging behaviour and abuse, and staff have received abuse awareness training. One service user said that he felt safe in the home and that staff quickly dealt with any potentially abusive behaviour by other residents. A member of staff said he felt confident to deal with situations which may become abusive, and that it helped enormously that he had been working a the home for some time and that he had been able to gain an insight into how each individual reacted over this time. Diary notes reported incidents which had been resolved by staff. Staff discuss individual approaches to service users in staff meetings and supervision. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 12 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 the following standard(s): None of these standards were assessed. EVIDENCE: Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 13 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Service users benefit from well supervised staff. EVIDENCE: Staff now receive regular supervision at least six times a year. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 14 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39. The manager is appropriately qualified and the home informs and develops the quality of practice through regular consultation with all interested parties. EVIDENCE: The manager has NVQ level 4 in care and the certificate has been issued. The home has produced questionnaires for relatives regarding the quality of care offered by the home. The home received twenty-one replies, all of which contained positive comments about the care of service users. One service user was spoken to and he had great confidence in the proprietors’ ability to provide high quality care and to create a comfortable and relaxed atmosphere in the home. Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 15 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. 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X 3 X X X X Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 16 No 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. 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 Sabre Court DS0000007730.V275305.R01.S.doc Version 5.1 Page 17 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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