Inspection on 13/02/06 for Scarbrough Court

This inspection was carried out on 13th February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Scarbrough Court 20/01/09

Scarbrough Court 12/06/07

Scarbrough Court 04/10/05

Scarbrough Court 01/02/05

Scarbrough Court 25/10/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Scarbrough Court Alexandra Way Cramlington Northumberland NE23 6ED Lead Inspector Jim Lamb Unannounced Inspection 13th February 2006 10:00 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 DS0000000603.V273419.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. DS0000000603.V273419.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Scarbrough Court Address Alexandra Way Cramlington Northumberland NE23 6ED 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) 01670 712215 cedden@rmbi.org.uk arichards@rmbi.org.uk Royal Masonic Benevolent Institution Mrs Caroline Edden Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places DS0000000603.V273419.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Scarborough Court is an older, purpose built building situated in a residential area of Cramlington. The accommodation is on two floors. All rooms are single. There is a passenger lift to take residents to the first floor. The home has extensive gardens at the rear. Car parking is provided to the front and the side. Local shops and public transport are within walking distance. The home can admit frail elderly people, some of who need nursing care. DS0000000603.V273419.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. The inspection lasted three and a half hours. Time was spent with the homes registered manager, three service users records were examined together with other records relating to the running of the home including, some of the homes policies and procedures. During the course of the inspection visit the inspector spoke with eight service users and three members of staff. What the service does well: What has improved since the last inspection? The requirements relating to the building have been addressed. DS0000000603.V273419.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. DS0000000603.V273419.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 DS0000000603.V273419.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): Information regarding the homes statement of purpose and service users guide for the new build will need to be made available in a range of formats example; large print, audiotape. Appropriate admission procedures were seen to be in place. Prospective service users are able to visit the home prior to admission. Each service user is provided with a detailed statement of the homes terms and conditions. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Two service user interviewed confirmed they had been given a copy of the guide. DS0000000603.V273419.R01.S.doc Version 5.0 Page 9 There are plans to build a new home in the existing grounds, on completion a new statement of purpose and service users guide will need to be provided, it is recommended that these should be made available in a range of formats, for example; large print and audiotape. Three service users’ files were checked and on each were a copy of a full needs assessment. They did contain a range of appropriate information and the service user interviewed confirmed she was involved in drawing up both these initial assessments and the home’s subsequent service user plans. The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service users interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. DS0000000603.V273419.R01.S.doc Version 5.0 Page 10 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): The service users care records clearly identify their individual holistic needs and the staff interventions necessary to meet their needs. The service users are supported to take risks as part of their independent lifestyle. Service users are treated with dignity and respect. The medication records on the nursing unit are not being appropriately maintained; hence service users are not protected by the homes medication practice. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. DS0000000603.V273419.R01.S.doc Version 5.0 Page 11 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Service users’ all indicated that they are able to make decisions for themselves. DS0000000603.V273419.R01.S.doc Version 5.0 Page 12 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): The service users are involved in all aspects of community life and they are supported to maintain links with their family and friends. The service users rights are protected and recognised in their daily lives. The service users receive a healthy well balanced diet. EVIDENCE: Each service user has a detailed pen picture and practical life skills assessment carried out, all service users participate in this process. Validated intervention treatment programmes are accessed if a need does arise. The service users have access to a range of community-based services, and regular outings are provided. The home employs an activities co-ordinator; the service users said, “She does a great job” All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. DS0000000603.V273419.R01.S.doc Version 5.0 Page 13 There was evidence that daily routines promote independence, choice and freedom of movement. The inspector observed staff interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least three hot meals are provided on a daily basis. The service users said that the food was very good. DS0000000603.V273419.R01.S.doc Version 5.0 Page 14 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): The service users complaints and concerns are listened to and taken seriously. Service users rights are protected. The service users are safeguarded from abuse. EVIDENCE: The service users confirmed that privacy and dignity are respected at all times. Several service users require technical aids or equipment all were previously assessed by an occupational therapist. Equipment appeared to be well maintained. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. DS0000000603.V273419.R01.S.doc Version 5.0 Page 15 All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well maintained, however the medication records on the nursing unit showed that two service users medication charts had not been singed as given or any indication that one service user had refused their medications. The manager will deal with this issue and take appropriate steps to ensure that all records are fully and accurately completed at all times. DS0000000603.V273419.R01.S.doc Version 5.0 Page 16 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): The service users live in safe comfortable surroundings, the home is clean, pleasant and hygienic. The home is well maintained. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. The service users interviewed did say it was homely and comfortable. The grounds were tidy, safe, attractive and accessible. The environmental health department had made visits to the home; no requirements were identified. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. DS0000000603.V273419.R01.S.doc Version 5.0 Page 17 Service users can see visitors in private in their own rooms. The dining areas are large enough to cater for all service users. There is a smoke-free sitting room. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors had privacy locks. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. The home was clean and free from offensive odours. DS0000000603.V273419.R01.S.doc Version 5.0 Page 18 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): The home has sufficient staff to meet the needs of the service users. Training for staff is provided to ensure the needs of the service users are met. Appropriate recruitment procedures are in place to protect the service users. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty at all times. The service users interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. The manager confirmed that all staff receives three days paid training. Appropriate and robust recruitment and selection procedures were seen to be in place. DS0000000603.V273419.R01.S.doc Version 5.0 Page 19 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): The home is well managed and there is a quality assurance system in operation. The health and safety of the service users is safeguarded. The staff team receive regular supervision sessions. EVIDENCE: The registered manager has many years experience in senior management, in the last year all of the staff team have attended several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities and they receive regular supervision sessions. DS0000000603.V273419.R01.S.doc Version 5.0 Page 20 Service users interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see. The home operates a quality assurance system based on the views of service users and staff, the manager agreed to involve professionals involved with the home in this process. The home has an annual development; all service users and their relatives have access to this. The organisation has developed a range of new policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed, these included the personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Appropriate insurance cover is in place. DS0000000603.V273419.R01.S.doc Version 5.0 Page 21 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 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 DS0000000603.V273419.R01.S.doc Version 5.0 Page 22 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 Op9 Regulation 13 (2) Requirement Staff should be reminded through formal supervision and if necessary disciplinary procedures, of their responsibilities with regard to the administration of medicines. Outstanding. Timescale for action 20/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000000603.V273419.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000000603.V273419.R01.S.doc Version 5.0 Page 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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