Inspection on 22/12/05 for Santralla

This inspection was carried out on 22nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Santralla 02/06/09

Santralla 07/06/07

Santralla 13/06/06

Santralla 30/06/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Santralla 8 The Crescent Scarborough North Yorkshire YO11 2PW Lead Inspector Mavis Pickard Unannounced Inspection 22nd December 2005 10:45 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 Santralla DS0000062594.V271606.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. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Santralla Address 8 The Crescent Scarborough North Yorkshire YO11 2PW 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) 01274 487207 Pennine Care Services Ltd. ****Post Vacant**** Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th June 2005 Brief Description of the Service: The service is situated in a large terraced house set in The Crescent in Scarborough and is conveniently placed for the main town shopping area, local and national transport including the mainline railway station and is a short walk from the ‘cliff lift’ service to the sea front. The home has steps to front of the building where a ramp has been installed. There is a garden area where residents can sit out in the warmer weather. The home has a passenger lift to some levels and a stair lift however mezzanine floors are accessed by stairs. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over a 3-hour period and was assisted by the deputy manager. Presently the home is without a registered manager. The home was found to be running well, and presented as being clean, comfortable and relaxed. People spoken with were complementary about the home and the service it provides. Time was spent speaking with the staff on duty who are in the main longstanding employees, were knowledgeable about their responsibilities and who said that they liked working at Santralla. It is about a year since a ‘new’ provider bought the home and staff said that there have been many physical and operational changes, which are to the benefit of the home, its residents and staff. Staff said that they are looking forward the immanent employment of a new manager. What the service does well: What has improved since the last inspection? Much of the home including the communal and private areas has been redecorated. All radiators have been covered. Some areas of the home have been re-carpeted. There is new dining furniture. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 6 The home’s daily diary is more detailed and residents care planning and assessment documentation is being updated. Staff are being provided with a broader range of training opportunities. 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. Santralla DS0000062594.V271606.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 Santralla DS0000062594.V271606.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): 4,5 and 6 Residents and their representatives can visit the home and are provided with the information they need to be able to make a decision about moving in. The home does not provide intermediate care. EVIDENCE: Records show and staff say that prospective residents and/or their representatives are provided with detailed information about the services the home provides and are, following assessment, informed if the home can meet their assessed needs. People interested in being accommodated and/or their representatives are invited to the home prior to admission so that they can see for themselves the service provided and so that they can make an informed choice to move in or not. The home does not provide intermediate care services. Santralla DS0000062594.V271606.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): 10 and 11 Residents are not at all times treated with respect and their right to privacy is not uniformly upheld. The home maintains and staff follows an appropriate dying and death policy and procedures. EVIDENCE: From direct observation and from the examination of care documents it is clear that people living at Santralla are treated with respect. During the inspection a tour of the home was undertaken where direct observation was made of staff going about their daily routine. It was evidenced that residents and staff have a good relationship and that people are treated well. However, a toilet situated near to bedroom 16 was noted to have a sliding door that will not close. When asked about this facility, which is used regularly by a resident, staff said that the door had been ‘like that for ages’. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 10 This situation is not acceptable and does not show respect to residents or uphold their right to privacy. [Please refer to standard 21] The home maintains a comprehensive policy and staff understand the procedures to be followed during the period, immediately prior to and following the death of a resident. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 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 the following standard(s): 12,13 and 14 A range of activities and pastimes are available to residents who are encouraged to maintain contact with family, friends and the local community. People are encouraged to take control of their lives. EVIDENCE: Staff said that residents have a range of leisure activities and pastimes available to them. Residents spoken with said that they can take part in planned activities provided by the home and/or that they have family and friends visiting who also provide leisure opportunities. All people spoken to have a television in their bedroom there is also a large screen communal television provided. Staff arrange to take residents into the shopping areas of Scarborough which is very nearby, the provider of the home will pay off duty staff up to 2 hours each day to undertake such shopping trips with residents. People spoken with said that they can exercise control over their lives by their decisions to take part or not in the leisure facilities offered in addition to being able to choose when and where to have meals, what to eat and other general daily living choices. All people spoken with said that they liked living at Santralla. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected at this visit. EVIDENCE: Santralla DS0000062594.V271606.R01.S.doc Version 5.1 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 the following standard(s): 20,21,22,23,24 and 25. Not all areas of the home accessible to residents are safe or well maintained. The home provides specialist equipment for residents. Private bedrooms suit resident’s needs and they have their own possessions around them. EVIDENCE: From direct observation it is clear that residents are provided with the specialist equipment they need and that people accommodated have personalised their own bedrooms and where necessary been provided with appropriate furnishings and furniture. Residents bedrooms visited were pleasant, comfortable and clean as was the home in general. However concerns were raised with staff during a tour of the premises that not all fire exit routes were fully accessible and/or free from obstruction. The home has some fire escape routes that are through resident’s private bedrooms, not all were free from obstruction as residents and/or their relatives had placed items of furniture in front of the fire escape door. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 14 Staff on duty was asked to ensure that these routes are kept clear at all times. The provider is required by this report to take advice from the fire authority regarding this issue and a further issue in respect to the wedging open of fire doors, the practice of which was noted in various parts of the building. A concern was raised regarding a sliding door to a toilet that cannot be fully closed. Staff on duty indicated that this door had been in a state of disrepair for some considerable time. [Please refer to standards 7-10] The home provides a designated smoking area for those residents who smoke. The room was inspected where it was found that it presents as being poorly maintained and not clean. Staff said that the provider is undertaking a programme of decoration and refurbishment throughout the home and that there are plans to bring the décor and furnishings of this room up to a reasonable standard. The smoking room does not have adequate heating. Staff said that residents using the room had complained of being cold, prompting a carer to provide a radiant electric fire. This was a kind act however, the fire did not have a suitable guard fitted nor was it anchored safely to a wall. Staff removed this item immediately leaving the room safer but cold. The person in charge said that she would alert the provider to this situation. The designated smoking area leads directly into the home’s laundry, which is not locked and was on the day of inspection wedged open. This situation that may not be unsafe in general terms, was noted to be so on the day of inspection as the laundry was being used as a storage area for a range of domestic chemicals, including bleach that may pose a risk to vulnerable residents. The communal areas of the home are nicely decorated and appropriately furnished the dining room has been re-carpeted and has new dining furniture. The home has 2 very pleasant sitting areas where people can meet and/or watch television. Both rooms were decorated for the festive period and looked lovely. In the larger of the 2 rooms it was noted that a quantity of vinyl floor covering that was being stored, a large roll of which was propped up near a window. The situation presented as a potential risk to residents and staff should it fall over on to someone. The person in charge was asked to ensure its removal and did so prior to the inspection being concluded. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 15 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): 27,28,29 and 30 There are sufficient experienced and competent staff employed to meet the assessed needs of residents. The home has an appropriate recruitment policy. EVIDENCE: From direct observation, from the examination of the staff roster and of a range of recruitment documents, it is clear that the home employs sufficient suitably experienced and competent staff to meet the needs of people currently accommodated. Staff were observed to be undertaking their role in a relaxed and pleasant way. Residents spoken with said that staff are lovely and helpful and that the home has a nice atmosphere. Recruitment files examined show that the home undertake all relevant checks necessary prior to employing anyone in the home and that they meet all the requirements of current legislation. The home’s training documents were examined evidencing that staff are encouraged to undertake a range of care related training including the intention that staff will undertake Adult Protection training. Presently the home has not achieved the standard recommended by current legislation to have a minimum of 50 of care staff trained to National Vocational Qualification at level 2 or above by 2005. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 16 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): 31,32,33,34,35,36,37 and 38 The home does not presently have a registered manager. The home is run in the best interests of residents. Resident’s financial interests are safeguarded. Staff are appropriately supervised. The home maintains appropriate records. There are some health and safety issues identified by this inspection. EVIDENCE: The home does not presently employ a registered manager although the Commission understands that a manager will be employed shortly, who will, in due course be put forward for registration. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 17 In the meantime the day-to-day running of the home is being undertaken by the deputy manager who is supported by an experienced care manager registered at another care home belonging to the provider. On the day of this visit the atmosphere in the home was pleasant and the home was running well. The home has a system of quality assurance that seeks the views of all interested party’s regarding the service it provides to residents, the outcomes of this survey are made available to those who wish to see them and for the purpose of regulation. The deputy manager said that where possible residents personal finances are dealt with by them or their representative and that the home manages just 3 people’s personal allowances. The system employed ensures that records are maintained, receipts kept and that all transactions are appropriately recorded. Staff it is noted are appropriately supervised receiving formal supervision regularly that covers all aspects of care practice and career development. In the main all records examined at this visit are detailed, accurate and up to date. However there are a range of health and safety issues noted during this visit that are required to be dealt with. A number of requirements are therefore made at the end of this report. [Please refer to standards 7-10 and 19-26 of this report] Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 18 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 1 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X 1 X 3 3 3 1 X STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 3 3 1 Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 19 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 OP10 Regulation 12(4)(a) Timescale for action The registered person must 05/01/06 ensure the privacy and dignity of people accommodated when using the toilet facilities by ensuring that all toilets doors are fully operational and have an appropriate lock fitted. The registered person must 30/01/06 ensure that all parts of the care home are kept clean and reasonably decorated. The registered person must 05/01/06 ensure that heating suitable for residents is provided in all parts of the care home used by residents. The registered person must 30/01/06 appoint an individual to manage the care home if he/she does not intend to be in full time day to day management. When such a person is appointed notice must be given to the Commission of the name of the individual and the date on which the appointment is to take effect. The registered person must 15/01/06 DS0000062594.V271606.R01.S.doc Version 5.1 Page 20 Requirement 2 OP20 23(2)(d) 3 OP25 23(2)(p) 4 OP31 8(1,a, iii,1,8,2(a &b) 5 Santralla OP38 23(4) (c)(iii) 6 OP38 23(4) (c)(i) 7 OP38 23(4) (c)(iii)&(e ) 8 OP38 13(4)(a)& 23(2)(l) forward to the Commission their plans to consult with the fire authority regarding the steps they take to ensure the evacuation in the event of fire, all persons in the care home and the safe placement of residents. The registered person must 15/01/06 forward to the Commission their plans to consult with the fire authority regarding the steps they should take to ensure adequate arrangements for the containment of fires. The registered person must 15/01/06 forward to the Commission their plans to consult with the fire authority regarding the steps they are required to take to ensure that persons working in the home and so far as is practicable residents and visitors do not obstruct or allow that fire escape routes are obstructed. The regsitered person must 22/12/05 ensure that health and safety of residents and staff by the provision of suitable storage facilities for the purposes of the home in general and in particular for the safe storage of any substances hazardous to health. 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 28 Good Practice Recommendations The registered person should ensure that a minimum of 50 of care staff working in the home are qualified or working toward qualification at NVQ level 2 or above. Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Santralla DS0000062594.V271606.R01.S.doc Version 5.1 Page 22 - 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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