Inspection on 24/05/09 for Scalford Court Care Home

This inspection was carried out on 24th May 2009.

CQC found this care home to be providing an Good service.

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

Scalford Court Care Home 25/05/08

Scalford Court Care Home 03/09/07

Scalford Court Care Home 03/05/07

Scalford Court Care Home 21/12/06

Scalford Court Care Home 20/04/06

Scalford Court Care Home 03/12/05

Scalford Court Care Home 07/11/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debbie Williams     Date: 2 6 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB 01664444696 01664444499 brenda@scalfordcourt.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : V & L Corporation Limited care home 40 Number of places (if applicable): Under 65 Over 65 10 40 40 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 0 The maximum number of service users who can be accommodated is: 40 The registerd provider may provide the following categories of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old Age not falling within any other category - Code OP Physical Disability - Code PD Dementia - Code DE Date of last inspection Brief description of the care home Scalford Court is registered for 40 older people. It is registered to provide a service for older people with physical disabilities and for up to ten older people with dementia. The home is situated in its own grounds between the market town of Melton Mowbray and the village of Scalford and is mostly surrounded by farmland although there is a Conference Centre nearby. Public transport is limited but the home has its own minibus for the use of residents. Care Homes for Older People Page 4 of 24 Brief description of the care home The home is a converted and extended stable block with all rooms used by the residents being on the ground floor. Staff facilities and the Proprietors accommodation is located on the first floor. The main lounge/dining area has views of an internal courtyard that is well maintained with plenty of flowers and shrubs. This courtyard has seating and is used by the residents during the warmer months. There is a further lounge and a conservatory that overlooks another attractive internal courtyard. The home currently has 24 single and 8 double rooms although there is an ongoing improvement plan of developing an area to the back of the home to provide further single en suite bedroom accommodation. Currently eleven of the single rooms and six of the double rooms have en-suite facilities. A copy of the latest Commission for Social Care Inspection, inspection report is available from the home. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The main method of inspection used was case tracking this meant selecting three residents and tracking the quality of their care through checking records, discussion with them and observation of care practice. We also looked at the providers Annual Quality Assurance assessment which they sent us, this provides information about what has happened at the service since the last key inspection. During this inspection we spoke with seven people who live at the home and two relatives. We also spoke with care staff, catering staff, the registered manager and the registered provider. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into Scalford Court were provided with the information they needed to make an informed choice and the providers ensured they could meet peoples needs before they moved in. Evidence: One person spoken with had recently moved into the home, they confirmed that they had been provided with the information they needed before making a decision to move in and that they had, had their needs assessed. People living at Scalford Court were provided with a contract of terms and conditions of residency. We looked at assessment records and found that they were comprehensive and included risk assessments. Care Homes for Older People Page 10 of 24 Evidence: Staff had collectively received the training they needed to meet the specialist needs of people living at Scalford court. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Scalford Court had their health and personal care needs met. Evidence: Evidence was seen that people had access to health-care services such as GPs and community nurses. Risk assessments were in place for the development of pressure sores and the relevant equipment for prevention and treatment was provided. We looked at care records and saw that staff had assessed peoples needs and generated a care plan for staff to follow in order to meet these needs. Care records included risk assessments and staff wrote daily statements regarding the care people had received. Where applicable care assessments carried out by social services were also included within care records. People spoken with said that staff maintained their privacy and dignity and treated them with respect. One person said the the two ladies who helped me this morning were delightful. Another person said the staff are wonderful. Care Homes for Older People Page 12 of 24 Evidence: We looked at the way staff manage and administer medicines and found that this was done efficiently and effectively. Staff have to undergo training and assessment before managing medication. Records seen appeared accurate and up to date and staff were aware of the providers medication policy and adhered to this. People spoken with said that staff managed their medication efficiently and brought it to them at the correct time. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Scalford Court are given opportunities to participate in social and recreational activities and are helped to exercise choice and control over their lives. Evidence: People spoken with praised the quality of food provided and said there was always a choice on offer. One person spoken with said they were able to choose how to spend their day but that on occasion staff came to assist with putting on nightclothes at six in the evening and this was far too early, also on occasion staff took a long time to answer the call bell. Peoples individual preferences for getting up, going to bed and other activities of daily living were included within care plans and care records. People spoken with said there was plenty of opportunities to participate in social and recreational activities. People said their visitors were made to feel welcome and could be seen in private. One person said the staff are so nice to visitors and will bring them a tray of tea, the food is absolutely amazing. Care Homes for Older People Page 14 of 24 Evidence: The lunchtime meal was observed during this inspection, the meal served appeared appetizing and nutritious. There was a relaxed atmosphere in the dining room and staff assisted residents in a sensitive manner. People could choose to have their meals in their private rooms if they preferred. People were able to observe their religious beliefs, religious services were held at the home and people said their ministers came in to see them. Information about advocacy services was available at the home. The providers were in the process of making wheelchair height, raised garden beds so that people with mobility problems could participate in gardening activities. Staff were due to undertake dementia care training which included the provision of activities for people with dementia. People were given the opportunity to participate in meaningful activities appropriate to their needs and where possible people were able to participate in daily routines such as laying the tables and feeding the birds. Residents meetings are held regularly, people spoken with said they had attended residents meetings. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Scalford Court were protected by robust policies and procedures and staff training in this area. Evidence: The complaints procedure was displayed at the home. People spoken with said they were aware of the complaints procedure and felt that staff would listen to them and take appropriate action if they made a complaint. One person said the manager and the owner were approachable and would always listen and sort things out. Staff training regarding safeguarding people and prevention of abuse was included in the staff training and development programme. Staff spoken with were able to demonstrate a good awareness of safeguarding adults policies and procedures. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A safe, homely and comfortable environment was provided for people living at Scalford Court. Evidence: The environmental health department had visited the home earlier in the year and awarded three stars for food hygiene. Routine checks and maintenance of fire detection equipment was ongoing and this promoted safety for people living and working at the home. All areas of the home seen were clean and fresh and furnished in a homely and attractive manner. Peoples private rooms were personalized and contained all required furniture, fixtures and fittings. There was a choice of lounges and accessible outside areas. Laundry facilities were suitable for purpose. Staff had received infection control training which minimized the risk of cross infection for people living at Scalford Court. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Scalford Court are looked after by competent staff and protected by robust recruitment procedures. Evidence: The provider had recently appointed a training and development manager. We looked at the staff training matrix and saw that the majority of staff employed had received the training they needed to do their jobs and to keep people safe. Over fifty percent of care staff had achieved a National Vocational Qualification in care and fifty percent of care staff had completed training in dementia care. Two people spoken with said they did on occasion, have to wait for their call bell to be answered by staff. We looked at the duty roster and saw that six or seven care staff where on duty in the morning, six in the afternoon and two at night. This was for thirty four residents. There were also additional catering and domestic staff. We made a recommendation that the providers review the numbers of staff on duty or the way in which staff are deployed in order to ensure that people are not kept waiting for staff to attend to them. Recruitment procedures minimized risk for people living at the home by ensuring that every member of staff had two references and a Criminal Records Bureau check and so Care Homes for Older People Page 18 of 24 Evidence: were suitable to work at the home. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is run in the best interests of people living at the home and promotes health, safety and welfare. Evidence: A programme of quality assurance, audit and risk assessment was in place. the provider had recently appointed a health and safety director. The quality assurance programme included resident and relative satisfaction questionnaires. The providers health and safety manual was seen and this included a monthly checklist of health and safety checks and maintenance work carried out. Information provided confirmed that all necessary routine maintenance and health and safety work had been carried out. Staff had received the required mandatory health and safety training. Care Homes for Older People Page 20 of 24 Evidence: The manager was registered with the Care Quality Commission and held the relevant qualifications and experience. People spoken with said the home manager was efficient and approachable. Regular residents and staff meetings were held. Procedures for managing residents personal money were robust and this minimized the risk of financial abuse. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 14 Staffing numbers should be reviewed to ensure they are sufficient to meet peoples needs and people are able to choose how to spend their day. In particular night staffing levels must be sufficient to allow people to choose what time they go to bed. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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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