Inspection on 03/12/05 for Scalford Court Care Home

This inspection was carried out on 3rd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Scalford Court Care Home 24/05/09

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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB Lead Inspector Keith Williamson Unannounced Inspection 09:00 3 December 2005 rd 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.V270070.R01.S.doc Version 5.0 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.V270070.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Scalford Court Care Home Address Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB 01664 444696 01664 444499 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 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.V270070.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To be able to admit the named person in category PD as identified in correspondence with the previous registration authority dated 12th April 2000 No-one under the age of 55 years maybe admitted into the Home. To be able to admit the named person in the category PD under 55 years as identified in correspondence dated 20th October 2003. 03/12/2005 Date of last inspection Brief Description of the Service: Scalford Court is registered for 40 older people. It can provide a service for older people with physical disabilities and for up to ten older people with dementia or other mental disorder. The home is situated in its own grounds between the market town of Melton Mowbray and the village of Scalford. The home is mostly surrounded by farm land 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 accomodation is located on the first floor. The main lounge/dining area has views of an internal courtyard which 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 which overlooks another attractive internal courtyard. The home currently has 24 single and 8 double rooms although many of the double rooms are occupied by one person. Eleven of the single rooms and six of the double rooms have en-suite facilities. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. The inspection took place over one day, commenced at 9.30 am and was completed in 6 and one half hours by one Inspector. An opportunity was taken to view the care plans and other records in detail. Four residents and two staff were spoken with on this visit. The acting manager and a senior carer assisted with the Inspection, spending time with the Inspector discussing the management of the home. The current acting manager was not in post at the point of the last inspection report and has had little time to implement the requirements and recommendations enclosed therein. The Responsible Individual must bear responsibility for the intervening period and the lack of impetus to bring about the changes required by that report, this is reflected within this inspection document. What the service does well: What has improved since the last inspection? Comprehensive assessments are now performed on all residents prior to commencing in the home. Staff handling medication now does so appropriately and medication is not left unattended on top of the medication trolley. Staff detail records are now completed with more detail in certain areas. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 6 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. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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 Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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): 3. The assessment process is detailed and effective. EVIDENCE: Most resident assessments are initially completed prior to residents’ admission, and then periodically throughout the residents stay in the home, care plans and risk assessments are then compiled from the information supplied. The inspector viewed the assessment of a recently admitted resident this was detailed and comprehensive. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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): 7, 9 & 10. Residents are not looked after well in respect of their health, medication and personal care needs, areas of risk are not assessed appropriately. EVIDENCE: The majority of care plans are basic with little personal detailed information to enable staff to follow a consistent care regime, as some information is passed from staff to staff verbally. These care plans also lack information on assessed risks for individual residents this places residents at some degree of risk, however a more recently admitted resident has a comprehensive care plan, the acting manager stating that all plans shall be changed over time. Medication is still not well managed with information on medication changes being unclear and in some cases missing; again this places residents at some degree of risk. Residents’ privacy and dignity is upheld with staff witnessed knocking and waiting to be invited into residents bedrooms, prior to entering; residents Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 10 spoken with on the day confirmed that levels of privacy are recognised by all levels of staff in the home. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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): 14. Residents are provided with appropriate choices within the home. EVIDENCE: Residents have a number of positive choices within the home, ranging from a number of in house and external activities, meals and how to personalise bedrooms. Residents spoken with on the day confirmed that they are offered choices daily, one stating, “they always ask me what clothes I would like to wear, and what I would like to eat”. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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): 18. Residents are not protected from abuse by robust adult protection procedures. EVIDENCE: Staff remain largely unaware of the protection of vulnerable adults issues in the home. Staff training that was required at the last inspection has not been planned or introduced this places residents at a degree of risk. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 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): None. No standards within this group were inspected on this occasion. EVIDENCE: Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 14 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 & 30. Residents are not protected by a well trained staff group, or consistent recruitment practices. EVIDENCE: Staff are employed in numbers sufficient to care appropriately for residents, however there are times when the staff numbers are reduced and residents have commented adversely on the care and attention levied at this time, specifically “ I object to being changed for bed and helped back into the lounge”. It was not ascertainable to the numbers of care staff trained to National Vocational Qualification level 2 or above, similarly a consistent record of staff training does not exist for the “core” courses that are required by law. This approach to staff training and lack of training records is unacceptable. Recruitment practices in the home have not improved with a number of recently employed staff with no Criminal Records Bureaux disclosure, proofs of identification or current photograph on file, this was highlighted at the last inspection. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 15 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, 33, 35 & 36. The management approach promotes effective financial practices, ensuring residents’ care and protection. EVIDENCE: The current acting manager has attained her National Vocational Qualification Level 4, and is completing the Registered Manager Award. Quality assurance questionnaires are being compiled; the acting manager stated these would be distributed to relatives as well as residents in the home. Residents’ personal allowances that are managed by the home have appropriate individual records and balances. Staff supervision has commenced with a high percentage of staff benefiting from this personal development time. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 16 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X X Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes. 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 OP7 Regulation 15 Requirement All residents care plans and risk assessments must be reviewed periodically. The original date of the 12th April 2005 was not met. Residents must be the subjects of periodic assessments of their levels of need. Medication records must be complete and checked periodically to ensure staff have completed them appropriately. All staff must be made aware of the homes policies and procedures on safeguarding residents from abuse. The original date of the 12th April 2005 was not met. The Responsible Individual must not employ staff without an Enhanced CRB and POVA check. The original date of the 12th April 2005 was not met. The Responsible Individual must ensure that all proofs of identification (mentioned in schedule 2 of the National Minimum Standards) and Criminal Records Bureaux DS0000054020.V270070.R01.S.doc Timescale for action 16/01/06 2 3 OP7 OP9 13 13 16/01/06 19/12/06 4 OP18 13 19/12/06 5 OP28 18 19/12/06 6 OP29 18 19/12/06 Scalford Court Care Home Version 5.0 Page 18 8 OP29 18 9 OP30 18 clearances are in place prior to staff taking up post. All staff must have a clear record of their training and development needs and achievements. The original date of the 12th April 2005 was not met. The Responsible Individual must ensure the basic “core” training is arranged for all staff in the home. 16/01/06 16/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP7 OP7 OP7 OP9 Good Practice Recommendations It is recommended residents (or their representative) should be part of the review process. It is recommended that a key worker system be set up and individual staff be used in the compilation and review of residents care plans. It is recommended that care plans be detailed individually with the residents’ present abilities or staff assistance and numbers required. It is recommended that daily records should contain sufficient detail about care given and the use of the standard phrase all care given should be avoided. It is recommended that all medication “stock” is kept to a minimum, and any excess stock be returned to the pharmacist or disposed of appropriately at the end of each medication “month”. It is recommended that a note should be made within the medication administration records detailing any preference that residents have as to how they take their medication. It is recommended that hand written prescriptions are discouraged and appropriate labels obtained fro the pharmacist. It is recommended that “prn” medications have an appropriate risk assessment to indicate to staff the precise DS0000054020.V270070.R01.S.doc Version 5.0 Page 19 6 7 8 OP9 OP9 OP9 Scalford Court Care Home 9 10 11 12 13 14 OP9 OP19 OP21 OP27 OP30 OP36 circumstances in which they may be administered. It is recommended that medication that is dispensed from the original containers is the subject of periodic checks to ensure tat correct doses are administered to residents. Consideration should be given to fitting magnetic door release closures to the fire doors on the lower corridor. It is recommended that consideration should be given to providing shower facilities for residents as well as baths. It is recommended that the staffing be reviewed and numbers appropriate to the workload at peak times of the day be employed. It is strongly recommended that a training “matrix” be completed and any short falls in staff “core” and National Vocational Qualification training be planned accordingly. It is recommended that periodic staff supervision and appraisal be undertaken with all staff, and results from the appraisal be entered into individual staff planning. Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Scalford Court Care Home DS0000054020.V270070.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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