Inspection on 04/03/06 for St James Court

This inspection was carried out on 4th March 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 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

St James Court 20/05/08

St James Court 04/06/07

St James Court 21/08/05

St James Court 29/03/05

St James Court 07/10/04

St James Court 23/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE St James Court Milton Walk Doncaster South Yorkshire DN1 3QL Lead Inspector Ms Rosemary Reid Unannounced Inspection 4th March 2006 14:00 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 St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St James Court Address Milton Walk Doncaster South Yorkshire DN1 3QL 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) 01302 363696 Doncaster Metropolitan Borough Council Helen Booth Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit a service user under the age of 65 years of age One specific service user under the age of 65, named on variation dated 1st November 2004, may reside at the home. 21st August 2005 Date of last inspection Brief Description of the Service: St James Court is a 24 bedded for older people, the home has two care units. One is a 12 bedded unit for older people requiring respite care the other is a 12 bedded unit for older people requiring rehabilitation in a residential setting. The home does not provide nursing care. The home is owned and operated by Doncaster Metropolitan Borough. St James is located close to the town centre. Respite care service users may stay for short periods of time e.g. overnight or longer periods depending on the why they require the respite care. Service users in the rehabilitation unit initially come on a 6-week placement offer from a hospital setting. Their needs are reviewed at the end of the 6-week placement and may be extended if necessary. The accommodation is all in single bedrooms and is on the ground floor. Necessary aids are provided as required. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 4th March 2006 from 2:00pm – 5:30pm. The inspector sat in with the staff at the staff handover and spoke with the staff members that were on duty; three residents and one relative were spoken with. A notice was placed in the entrance and corridor to inform residents, staff and visitors to the home that an unannounced inspection was taking place. At the previous visits comment cards and prepaid envelopes were left at the home so that service users or their representatives can contact the CSCI with their views about the home, none of which has been received at the time of writing the report. The inspection focused on four residents’ files (two from respite unit and two from the rehabilitation unit), which were case tracked along with medication, complaints, staffing rota and Adult Protection issues. The senior member of staff on duty was the deputy manager. What the service does well: All of the service users who the inspector spoke with said they were highly satisfied with the delivery of service given at St James Court. They said that staff were kind and helpful. The relative said that she was extremely pleased with the care that was given to her mother and was delighted with the improvement to her mothers physical and mental well being. The staff continue to undertake a full assessment prior to admission whenever possible the assessments take place in the potential service users’ home or in hospital. The home has an Occupational Therapist and an Occupational Therapy Assistant plus a Physiotherapist available to work with those service users assessed as needing rehabilitation. All staff that administer medication at the home have undertaken accredited training in the administration of medication. Service users are encouraged to retain their own routines, as they will be returning to their own home in the community. Families, friends and other visitors are always welcome at the home. All staff have Food Hygiene certificates. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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 St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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): 6 All residents who are referred solely for respite and/or intermediate care have full assessments of their needs and are assisted to maximise their independence for their return to their own home. EVIDENCE: Prior to admission full assessments are undertaken by staff members employed at St James Court, whenever possible the assessments take place in the potential service users’ home or in hospital. The home has an Occupational Therapist and an Occupational Therapy Assistant and plus a Physiotherapist available to work with those service users assessed as needing rehabilitation. Service users who use the services, an individual financial assessment is undertaken by the DMBC Social Services and service users will be billed depending on their financial assessment. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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 - 10 The residents file and care plan system is clear and staff have received training on the care plan system. The care plans are reviewed. Staff are working to the policies for the administration of medication, which promotes the wellbeing of residents EVIDENCE: The four residents files sampled had a pre-admission assessment and care plans and found that each service user had a current care plan based on their assessment needs. “Easy Care” documentation format is used in both respite and in the rehabilitation units. Medication records were examined and found to be correct. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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 the following standard(s): 12 - 15 The home is promoting activities for the stimulation and enjoyment, which will benefit service users. EVIDENCE: There are no restrictions for visiting at any reasonable time and visitors can be seen in the individual resident’s bedroom or in a quiet area of the home. Staff encourage service users to do what they want for example stimulate discussion with each other, play dominoes, read newspapers and watch their favourite television programmes. A shopping trip was booked to the Yorkshire Outlet shopping centre. The service users spoken with said that they enjoyed themselves at St James in that they “had staff and people to talk to but it did depend on the people that were in”. Service users said that the “food at St James was good” and they “enjoyed their meals” and said, “certainly no complaints at all”. Breakfast time is St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 11 staggered and is dependent on the time that each service user arises. The main meal is at lunchtime and food is sent from the kitchen at Sterling Street Day Centre. Teatime meal is prepared and cooked at the home. All staff have the food hygiene certificate. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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): 16 - 18 The home has policies and procedures to protect service users from abuse. The home has a clear complaints system, which service users and relatives have used to register their grievances and/or concerns EVIDENCE: The organisation has a complaints procedure. No complaints had been recorded from residents or their relatives. There were many cards and letters of thanks from service users and relatives, which were complimentary about the care received at St James Court. Staff have received training on Adult Protection matters and these are discussed at induction. No Adult Protection investigations have taken place at the home. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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): 19, 26 Service users lived in a safe environment, which was clean pleasant and hygienic. EVIDENCE: All bedrooms are single occupancy. Residents said the home was “lovely and clean”, “the staff work hard to keep it clean”, “ my room is very comfortable, it has everything I need”. A relative said, “ I have only praise for the home – it is so comfortable and clean - all of the home the bedrooms, lounges toilets – I have been very impressed with the facilities and the care. Since the previous inspection new carpet had been fitted from the entrance hall to the dining room. The home is centrally heated and there are toilets and bathrooms near to all communal areas and bedrooms. All areas used by service users were clean and tidy without offensive odours. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: St James Court DS0000033245.V279487.R01.S.doc Version 5.1 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 - 38 The health, safety and welfare of service users and staff are promoted and protected. The manager ensured that staff worked as a team and they receive regular staff supervision sessions EVIDENCE: Mrs Helen Booth is the manager who has managed the home since it opened as a respite and rehabilitation unit. Staff said that they felt supported and valued by her and the senior team. Staff had received training in health and safety, fire instruction and infection control. They were able to verbalise the steps they took to promote the health and welfare of service users, and maintain a safe environment for them to work in, therefore reducing the risk of harm. Service users and/or their relatives look after their own financial matters. However, if any financial transaction is undertaken on the service St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 16 user’s behalf a receipt is obtained and/or given to protect both the service user and the staff member. Staff supervision is on track for staff to have six supervision sessions in a year. Staff appraisals have been completed. Health & Safety certificates were checked and found to be up to date. The line manager for the home undertakes monthly monitoring visits and the record is sent to the CSCI. St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 17 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 N/A N/A N/A N/A N/A 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X X X X X X 3 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 3 3 3 3 3 3 3 3 St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 St James Court DS0000033245.V279487.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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