Inspection on 22/11/07 for Scarborough House

This inspection was carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Scarborough House 09/01/07

Scarborough House 13/02/06

Scarborough House 09/05/05

Scarborough House 07/02/05

Scarborough House 17/08/04

Scarborough House 26/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Scarborough House Clubbs Lane Wells Next The Sea Norfolk NR23 1DP Lead Inspector Andy Green Unannounced Inspection 22nd November 2007 11:30 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 Scarborough House DS0000027502.V355472.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. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scarborough House Address Clubbs Lane Wells Next The Sea Norfolk NR23 1DP 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) 01328 710309 NO FAX # karen@scarbhouse.orangehome.co.uk Imperial Care Homes Limited Position Vacant Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2007 Brief Description of the Service: Scarborough House is a care home providing personal care and accommodation for 17 older people. The home is owned by Imperial Care Homes. The home is located in the coastal town of Wells Next The Sea close to shops, public transport and other local amenities. The home is a two storey detached property with bedrooms provided on the ground and first floor. There is a stair lift to the first floor. There are a variety of communal areas throughout the home. There are patio and garden areas that are accessible to service users and these are well tended with attractive planting. The weekly cost of a placement at Scarborough House at the time of inspection was from £400 to £450. Copies of CSCI inspection reports can be made available to residents and their relatives on request from the home’s office. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection carried out an unannounced inspection of this service on 20th November 2007. We met with the manager, members of staff a number of residents during the inspection. A variety of records were inspected including care plans, risk assessments, staff files, organisational policies and medication records. A tour of the premises was also undertaken. Additional information was received in the AQAA supplied by the home. What the service does well: What has improved since the last inspection? What they could do better: Training for staff needs to be improved to ensure that staff are up to date with current practice. Staff supervision needs to be more regular so that work performance and development needs are monitored in accordance with guidelines in the National Minimum Standards. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 6 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. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 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 Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments are in place to make sure that that the care needs of new residents can be met. EVIDENCE: The Statement of Purpose has recently been reviewed and updated to include the details of the new manager, Karen Cordery. The home receives detailed assessment information from the local authority and a copy of the care plan. For those individuals who are self-funding the manager carries out a needs assessment using the home’s own assessment form. The home encourages family/relatives to visit the home as part the assessment process to ensure that the residents need’s can be fully assessed. The home has an enquiries form in place to document details of referrals made to the home. There have been no significant changes to the assessment process since the last inspection. Intermediate care is not provided in the home. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate health and personal care to meet their assessed needs. Medication administered in the home is recorded accurately. EVIDENCE: Four of the resident’s files were seen. Clear information and guidelines are in place to ensure that the care and support required to ensure can be safely met. Daily care notes are accurately recorded. Changes in care are clearly documented with evidence that reviews are carried out on a monthly basis. Where there have been significant changes a new sheet with the updates is inserted to ensure that the care plan remains current and up to date. A ‘Social History’ has been implemented since the last inspection to give detailed background information regarding the resident’s life. A variety of healthcare professionals continue to regularly visit the as required including district nurses, chiropodist, GPs, optician and a physiotherapist. All healthcare visits are recorded in individual resident’s care plans. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 10 The home continues to be committed to the prevention of pressure sores and there are a supply of appropriate aids. The manager stated that there are currently no residents with pressure sores in the home. Medication was adequately stored and administration records were recorded accurately. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide appropriate support to ensure that residents have access to activities appropriate to their needs. EVIDENCE: The home provides a range of activities including music entertainment, light exercise sessions, marbles contests, reminiscence sessions, board games and bingo. A lively bingo session was being enjoyed by residents in the lounge. Residents also have access to television, DVD, radio and daily newspapers. The home has a friendly and homely atmosphere and residents were seen socialising with each other and staff in the lounge. The manager stated that two residents continue to visit a local club in the town and day trips continue to be organised during the summer months. As the home is situated in a lively seaside town residents benefit from numerous events which occur during the year including a carnival which passes by the home. Christmas parties are being organised and children from the local junior school will be giving residents a carol concert. and to shopping centres and to local theatres. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 12 There is a varied range of meals provided throughout and residents are offered choices to the planned menu. Snacks and drinks are also available at all times during the day. Residents met during the inspection confirmed the provided in the home was of good quality and that choices are offered. Residents preferences are recorded in their care plans and the cook regularly discusses choices of meals with the residents. Residents spoken to were complimentary about the services they received and stated that they felt appropriately supported by a friendly and caring staff team. Interactions observed between staff and residents confirmed this to be the case. The manager has implemented a monthly newsletter for residents which advertises forthcoming events in the home. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure to ensure that residents have their complaints or concerns responded to properly. EVIDENCE: The home has a complaints procedure to ensure that concerns are dealt with and actioned appropriately. The home has not received any complaints since the last inspection. CSCI has also not received any complaints regarding the home. Staff confirmed that they receive updates regarding training in safeguarding residents from abuse. Conversations with members of staff clearly showed that they would always report any incidents of abuse or neglect to the manager or senior staff member on shift. Residents also confirmed that they knew who to speak to if they had any concerns and complaints and found the manager to be responsive to any issues they have raised. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 14 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): 19,20,23,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides appropriate premises and accommodation to meet the resident’s needs. EVIDENCE: The home is well presented and free from unpleasant odours. There is an ongoing programme of maintenance throughout the year so that the home remains in a good decorative condition and repairs are carried out in a timely manner. The home has maintenance person who is in regular contact with the home. The lounge areas and dining room are well furnished and decorated to provide a comfortable and homely atmosphere. Residents confirmed that the accommodation provided meet their individual needs. Residents are encouraged to personalise their bedrooms and this was evidenced by the rooms seen during the inspection. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 15 Since the last inspection two bedrooms have been redecorated and a number of carpets have been renewed where necessary. The manager stated that repairs to the chimney have been have been undertaken and that the roof is being retiled in the new year. Redecoration is also scheduled for the downstairs bathroom. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 16 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment policy and processes ensure that residents are protected from harm. Care staff receive training to ensure that they are competent to deliver care to residents. EVIDENCE: All staff are issued with contracts and clear details of their areas of responsibility. Two members of staff’s files were seen and they contained appropriate information including their application form, references and evidence of a satisfactory POVA/CRB checks. The home’s training records were seen and there was evidence of individual training. However, a number of mandatory sessions need to be updated and the manager is aware of this deficiency and will be booking training for the new year to ensure continuing safe practice. A requirement will be made regarding this issue. Two members of care staff were interviewed and they confirmed that they had received an induction and support from the manager. They both were aware that they would be receiving further training in the next few months. Staff meetings are held every three months. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 17 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): 31,33,34,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to ensure that residents receive a good and safe standard of care. EVIDENCE: Since the last inspection a new was appointed in May 2007. She is in the process of becoming registered with the Commission. She displays an enthusiastic approach and is keen to develop the service. Staff members spoken to confirmed that they were well supported by the manager and that they could freely raise any or concerns. This was evidenced through interaction observed during the inspection. Residents also confirmed that they found the management in the home to be responsive to any issues or queries that they have raised. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 18 Recorded supervision sessions are in place to ensure that the staff’s practice and development needs. It was noted however that sessions for some staff had been infrequent. The manager stated she was aware of this shortfall and would ensure that this would be improved through delegation with her care team. A requirement will be made regarding this issue. The fire safety records were satisfactory. Contracts for the servicing of the stairlift, hoists and fire safety appliances are in place and evidence of up to date checks were seen. Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 19 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 X 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 20 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 OP30 Regulation 18(a) Requirement Arrangements must be in place to ensure that staff have up to date training to ensure safe practice. Arrangements must be in place to ensure that staff receive regular recorded supervision. Timescale for action 30/01/08 2 OP36 18(2) 30/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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. Extracts may not be used or reproduced without the express permission of CSCI Scarborough House DS0000027502.V355472.R01.S.doc Version 5.2 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. 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