Inspection on 25/05/08 for Scalford Court Care Home

This inspection was carried out on 25th May 2008.

CSCI found this care home to be providing an Adequate 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 24/05/09

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB Lead Inspector Debbie Williams Unannounced Inspection 25th May 2008 09:00 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 Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 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. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scalford Court Care Home Address Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB 01664 444696 01664 444499 brenda@scalfordcourt.co.uk 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) V & L Corporation Limited Brenda Ann Grant Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40) Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 2. Dementia - Code DE The maximum number of service users who can be accommodated is: 40 12th December 2007 Date of last inspection Brief Description of the Service: 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. 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. The current fees charged weekly fall between £319 and £450 per week, there are additional charges for hairdressing. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 5 A copy of the latest Commission for Social Care Inspection, inspection report is available from the home. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place over two days the first day being out of office hours at a weekend. This inspection was positive, as the providers were able to demonstrate they were working hard to meet previous requirements made at the last key inspection and in many areas had achieved this. The main method of inspection was called ‘case tracking’ which meant selecting three residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. Staff records were looked at to make sure staff get the training they need and checks are carried out on staff before they commence their employment. A partial tour of the premises also took place in order to assess environmental standards. What the service does well: People living in the home praised staff attitudes and said they were treated with kindness and respect. Care records and care plans were detailed and up to date and gave clear instruction to staff regarding the individual needs of people living in the home. A good range of social and recreational activities was on offer. Catering staff spoken with were professional and enthusiastic in their approach and were aware of the importance of presentation and nutrition. Residents spoken with praised the quality of the meals provided. Menus were also available in picture format and these were particularly useful for people with communication difficulties. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 7 The home is comfortable, clean and spacious providing a good level of comfort and choice of lounge, recreation and meeting areas for residents and their visitors. What has improved since the last inspection? What they could do better: Staffing levels did not meet the needs of people living in the home on the day of this inspection. Nighttime staffing numbers were also insufficient to meet needs. Not all staff had received safeguarding adults training and made aware of national policy and procedure and therefore people living at the home may not be fully protected. It was recommended that the statement within the service users guide regarding non discriminatory practice be made more explicit to include that the service does not discriminate on the grounds of age, gender, race, sexuality, religion or disability. The quality assurance programme should be expanded to include all areas of care and services provided, this is so the providers can continually monitor the of quality service provided. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 8 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. The summary of this inspection report can be made available in other formats on request. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 9 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 Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3 and 4. (Standard 6 not applicable to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is provided which enables people to make an informed choice before moving into the home. A thorough needs assessment ensures that people do not move in unless their needs can be met. EVIDENCE: Written information is provided to all prospective residents and this sets out the service that is offered. A contract of terms and conditions is provided at the point of moving into the home and this sets out the terms and conditions of residency. The written information also describes the admission process and states that a full needs assessment would take place before moving into the home. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 11 An assessment of needs is carried out prior to admission in order to ensure that the service can meet the resident’s needs. One resident who had recently moved into the home confirmed that a needs assessment had been carried out, written information provided and that staff were very welcoming on arrival to the home. Assessment records seen were comprehensive and included the individual needs and preferences of residents. Individual risk assessments were also carried out and regularly reviewed. There is also a resident’s charter that describes the rights that residents can expect to be upheld. The manager said that they would not discriminate on the grounds of gender, disability, sexuality, age, religion or race, it was recommended that this be made explicit within the service users guide. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning and medication management policy and practice ensure that health and personal care needs are met. EVIDENCE: Care plans and care records were detailed and recorded all the assessed needs and individual likes and preferences of people living in the home. This included the physical, psychological, social and cultural needs. Care records included individual risk assessments such as nutritional risk and moving and handling risk, this enabled staff to take the appropriate action to minimise the risk of malnutrition, falls and mobility problems. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 13 Care records demonstrated that people had good access to healthcare services and that the prevention and treatment of pressure sores was managed effectively. Medication was managed effectively and safely. Staff receive training and are assessed before administering medication unsupervised. Medication management is monitored as part of the providers quality assurance system, this promotes safety for residents as any problems or errors would be identified. Interactions observed between residents and staff appeared professional and respectful. Residents spoken with felt they were treated with respect and had their privacy and dignity maintained. Privacy and dignity was also addressed within individual care plans and within staff induction training. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Policy and practice promote autonomy and choice for people living in the home. Staffing numbers may not always be sufficient to ensure that activities take place at a time convenient to people living in the home. EVIDENCE: Individual preferences were recorded within care records, this included preferences of how to spend each day, when to get up and when to go to bed. Cultural and religious needs and preferences were also recorded. Residents spoken with felt they were able to exercise choice and autonomy in their daily lives and that their lifestyle needs and preferences were met. There were no restrictions on visiting time and people spoken with said that visitors were made to feel welcome and could be seen in private. There was a Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 15 separate ‘quiet’ lounge in the home which could also be used by residents for receiving visitors and a separate lounge for activities such as watching films. A separate staff member was employed for providing activities and this person was undertaking training regarding the provision of activities in care settings. A wholesome and nutritious menu was being provided and people were given a choice at every mealtime. Menus were also available in picture format and these were particularly useful for people with communication difficulties. People could take their meals in their own rooms or in the dining room. The dining room was pleasant and congenial; staff were seen assisting people with their meals in a sensitive and appropriate manner. The lunchtime meal served during this inspection appeared appetizing and nutritious. Catering staff spoken with were professional and enthusiastic in their approach and were aware of the importance of presentation and nutrition. Residents spoken with praised the quality of the meals provided. On the day of this inspection residents had to wait for an unreasonable amount of time for the lunchtime meal to be served this was because there were not enough staff on duty on this day. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home would be better protected if all staff received training regarding safeguarding adults and were fully aware of national policy and procedure. EVIDENCE: On the first day of this inspection the person in charge was not fully aware of national safeguarding policies and procedures and had not received adequate training in this area, in the event of a safeguarding incident, the registered manager would be contacted for advice and guidance. The registered manager was able to demonstrate their knowledge and awareness in this area. Safeguarding adults training for 12 staff had been booked to take place shortly after this inspection. The service has a complaints procedure and this is included in the contract of terms and conditions. Residents spoken with said they would feel comfortable raising any concerns or complaints with staff. There was a suggestion box in the reception area inviting people to make suggestions. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 17 Policies and procedures were in place to protect residents from financial abuse. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20,21,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, clean and comfortable environment was provided for people living in the home. EVIDENCE: All areas of the home seen were clean and fresh, residents spoken with said this was always the case. Residents own rooms were personalised and appeared homely and comfortable. Local fire authority and environmental health requirements were being adhered to and this promoted protection for people living in the home. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 19 There were a choice of lounges available and two outside courtyard areas. The environment was homely, comfortable and accessible to people living in the home including those with a physical disability. One shower room had recently been refurbished and one bathroom was due to be refurbished at the end of May 2008, there were sufficient and suitable washing and toilet facilities available for people living in the home. Laundry facilities were on site and suitable for purpose. Staff were aware of appropriate infection control policies and procedures and this minimised the risk of cross infection. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff were trained and competent to do their jobs but staffing numbers were not always sufficient to meet residents needs. EVIDENCE: On the day of this inspection staffing levels were not sufficient to meet the needs of people living in the home. Residents and staff spoken with confirmed that staffing numbers were not always sufficient. There was only two care staff on duty at night time for 34 residents. A requirement was made regarding staffing numbers. Separate catering and domestic staff were employed. A training and development programme was in place; many of the care staff have gained or are working towards a National Vocational Qualification in care. All new staff receive induction training which is in line with national training organisation specifications. This ensures that people are cared for by competent staff. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 21 Recruitment procedures were robust and promoted protection for people living in the home. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is run in the best interests of residents and promotes health, safety and welfare. EVIDENCE: The registered manager was experienced and holds relevant qualifications. Residents and staff spoken with felt supported by the management team. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 23 A quality assessment programme was in place but a recommendation was made that this should be expanded to include all aspects of the service. This is to ensure that people living in the home receive a quality service. Policies and procedures for managing resident’s personal money were robust and minimised the risk of financial abuse. Health and safety policies and procedures were in place and were accessible to staff. Staff received all mandatory health and safety training. All necessary risk assessments and routine maintenance was carried out in line with the relevant legislation. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 3 3 x x x 3 3 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP18 Regulation 18. Requirement All staff must receive safeguarding adults training and be made aware of national policy and procedure. The numbers of care staff must reflect the needs of the resident group. This would ensure staff have the appropriate time to care for residents. Timescale for action 30/06/08 2. OP27 18. 28/05/08 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 OP1 Good Practice Recommendations It is recommended that the service users guide be updated DS0000054020.V365263.R01.S.doc Version 5.2 Page 26 Scalford Court Care Home 2. OP33 to include a statement that the service does not discriminate on the grounds of age, gender, race, sexuality, religion or disability. Quality monitoring systems should be expanded to include all care practices and services, this is to ensure the development of the home is continual, and residents benefit from a good quality service. Scalford Court Care Home DS0000054020.V365263.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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