This inspection was carried out on 4th October 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Scarbrough Court Alexandra Way Cramlington Northumberland NE23 6ED Lead Inspector
Janet Thompson Unannounced 4 October 2005 12:30
th 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 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. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Scarbrough Court Address Alexandra Way Cramlington Northumberland NE23 6ED 01670 712215 n/a cedden@rmbi.org.uk Royal Masonic Benevolent Institution Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Caroline Edden CRH 49 Category(ies) of OP Old Age (49) registration, with number of places Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection Brief Description of the Service: Scarborough Court is an older, purpose built building situated in a residential area of Cramlington. The accomodation 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 publice transport are within walking distance. The home can admit frail elderly people, some of who need nursing care. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced. It took place through the week at lunchtime. The manager was present at the inspection. The aim of the inspection was to look at the cleanliness of the premises. The registered persons have decided to build a new building in the existing grounds of Scarborough Court. This means that residents will move into the new build when it is ready. This has been taken account of when making the requirements regarding repair of the existing building. What the service does well: What has improved since the last inspection? What they could do better:
Bathrooms were not very tidy. Some bathrooms are not used for bathing because of the type of bath in them. These could be used as proper storage areas. The sluice rooms need to be redecorated to make them easy to clean. There Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 6 was some work needed to improve the hygiene arrangements in the sluices to ensure better control of infection. Window restrictors need to be fitted to the first floor lounge and the carpet in here is looking a bit worn. The medication records showed that, on one night, some medicines had not been signed as given. 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. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 standard(s) 9. Service users are not protected by the home’s medication practice. EVIDENCE: Medication records were examined for all residents receiving residential care. Some good practice was found in that all records were clearly and consistently labelled. The information regarding medications was very clearly recorded. One night shift of the 3rd of October showed many omissions in the records of administration. The inspector advised that this is followed up with the staff responsible that need to be reminded of the medication policy. The senior carer reported that she had trained to give medication by completing two courses, one external and one internal She was able to demonstrate a good understanding of the need for medication reviews and the effect of medicines on older people. Risk assessments were in place for those people who were in the home for respite care, bringing with them their own medication dosettes. This is good practice.
Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 10 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 11 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 12 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 standard(s) 19,20,21,23,24 and 26. Service users live in a safe environment but some maintenance is required. Service users have access to safe indoor and outdoor facilities. Service users do not always have suitable washing facilities. Service users own rooms suit their needs. Service users live in safe, comfortable bedrooms. The home was not always clean or hygienic. EVIDENCE: Resident’s bedrooms looked very clean and comfortable. They were very well personalised and appeared individual. There were no smells or odours near resident’s accommodation. Sitting and dining rooms appeared clean and tidy. The lounge on the first floor was worn in patches. Some of the patches were taped over to prevent tripping. Consideration should be given to replacing this in part. The small windows of the first floor lounge could open wide enough for a person to fit through. Window restrictors should be fitted.
Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 13 Most of the bathrooms contained extra items such as commode lids, walking aids and other equipment. Some bathrooms are not used for resident bathing at all. This is because they are not assisted baths. Some of those bathrooms can be used as storage, provided that this is checked with the fire officer. They should be properly decommissioned and labelled accordingly. All other bathrooms must be kept clear of non-bathing equipment. Some nurse call bells in the bathrooms did not reach the floor as they were tied up short. They should be released. External areas were well maintained and looked attractive. There were a number of issues relating to the control of infection that should be addressed: Sluice walls and floors were damaged and uneven, therefore they could not be easily cleaned. Sluices were untidy and, in some cases, dirty. Some waste bins had lids that were opened by hand. Foot-operated bins should replace them. Not all bathrooms had liquid soap or paper hand towels. Buckets with lids were used to transport used continence pads. The lids of these were grubby. The inspector advised that they should be replaced with disposable bags. Several cleaning cupboards or storage areas were found to be unlocked. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed at this inspection. EVIDENCE: Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 Service users financial interests are safeguarded. The health and safety of service users was not fully protected. EVIDENCE: Service users financial arrangements with the home were examined. The monies are held in one central account with individual records. Residents sign for their own money whenever possible. Two staff always sign for all transactions. The accounts are checked on a weekly basis and are externally audited on a regular basis. There were several cupboards found to be unlocked. These contained cleaning and cosmetic substances, which could be ingested by residents. A requirement has been made. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 2 3 2 x 4 4 x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x 3 x x x 2 Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 17 no 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 op21 Regulation 23(2) Requirement Review the use of bathrooms and inform the CSCSI which are to be used as storage. Remove all extra items form bathrooms. Ensure that nurse call systems in bathrooms are not tied out of reach. Fit window restrictors to first floor lounge windows. Address the issues raised that relate to the control of infection. All cleaning cupboards and storage areas must be kept locked. Staff should be reminded, through formal supervision and disciplinary procedures, of their responsibilities with regard to the administration of medicines. Timescale for action 1.12.05 2. 3. 4. 5. op19 op26 op38 op9 13(4) 16(2) 13(3) 13(4) 13(2) 1.11.05 1.11.05 1.11.05 1.11.05 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 Good Practice Recommendations
B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 18 Scarbrough Court 1. Standard op19 Replace the carpet in the first floor lounge. Scarbrough Court B53-B03 S603 Scarbrough Court V249394 041005 Stage4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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
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