Inspection on 25/07/06 for St Kitts

This inspection was carried out on 25th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Kitts 19/07/07

St Kitts 09/02/06

St Kitts 10/05/05

St Kitts 14/12/04

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 Revelstoke 88 Promenade Bridlington East Yorkshire YO15 2QL Lead Inspector Karen Ritson Key Unannounced Inspection 25th July 2006 09:30 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 Revelstoke DS0000062592.V305574.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. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Revelstoke Address 88 Promenade Bridlington East Yorkshire YO15 2QL 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) 01262 678253 01262 672362 Pennine Care Services Ltd. Mrs Julie Thomson Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users admitted for respite care in the category (DE(E)), OP is limited to a maximum of four (4) service users at any one time. 9th February 2006 Date of last inspection Brief Description of the Service: Revelstoke is registered for a maximum of 22 service users of either sex and provides care for people over the age of 65, some of whom may have dementia. The home is located in the centre of Bridlington, nearby local facilities such as the spa theatre, leisure world, restaurants, pubs and shops. Transport facilities in Bridlington include a train station and bus service. The home is laid out over three floors and has a lift to all areas, accessible to wheelchairs users. There is a patio to the front of the building, and no rear garden. Eighteen rooms are single and two rooms are double. Six are en suite. The home has one communal assisted bath, and there are plans to consider a second bathroom on the first floor. Two toilets are situated on the ground floor near the communal areas. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. Chiropody, hairdressing taxis and outings are not included in this fee and these are charged at cost. This information was provided to CSCI on 23/05/07. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 14 hours. This includes time spent gathering information and examining documentation before and after a site visit and in writing the report. The site visit took place on 25th July 2006 between 10:30am and 3pm. Information for this inspection was gathered from the following: • A tour of the premises • Observations of care throughout the day of the site visit. • Speaking with service users. • Speaking with staff. • Case tracking three service users on the day of the site visit. • Reading comments cards from health care professionals and relatives. • Looking at information provided by the manager in a pre inspection questionnaire. • Notifications sent to the commission from the home since the last inspection. • Examining policies, procedures and records kept at the home. • Examining information regarding the home on the file kept by CSCI. All key standards were looked at during this inspection. The manager was present throughout the day of the site visit. What the service does well: This home provides a very good service. A relative wrote of Revelstoke: ‘My mum is very very happy here. The care cannot be faulted.’ Some of the service users are reasonably independent and the home works well to help maintain and regain independence wherever possible. Service users said the staff were very kind and helpful. One said: ‘They are all lovely.’ The care needed is written down in detail for staff to follow. Each service user has a particular worker called a key worker who specifically helps them. All said this worked very well. The files are well organised and it is easy to follow what each person needs and what has happened with regard to doctors visits or any other care received from outside the home, including hospital appointments. The home has a safe method of looking after medication. Each service user is at the centre of planning for their care and their particular interests are written down. Service users are consulted regularly and changes Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 6 often come about due to comments from service users and families. The home is keen to make it possible for service users to go out and there have been several outings recently. The meals are excellent. A good choice of food is offered and the menus are devised with a great deal of involvement from service users. Several service users commented that the food was of a restaurant standard and mealtimes were a pleasure. Any complaints are dealt with politely and quickly. One service user said: ‘You can say what you want to them and they listen. They never take offence.’ Service users are kept safe by good staff training, and health and safety procedures. The home has a low staff turnover, and service users said staff always had time to chat and do things with them. The home is very well managed by Julie Thompson and she is enthusiastic about her staff team and about developing the service further. The staff all say they feel well supported in their work and speak highly of the manager and of Pennine Care. One service user said of the manager: ‘She is very efficient. She has a lovely manner.’ Another said of the Provider Mr Bassan: ‘He always takes the time to come and talk to each of us in turn and find out if everything is ok. He wants to know if it isn’t.’ 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. Revelstoke DS0000062592.V305574.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 Revelstoke DS0000062592.V305574.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is excellent. Prospective residents and their representatives have the information needed to choose a home, which will meet their needs. Service users needs are assessed in detail and their contract clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user receives a detailed assessment of care prior to admission. This draws upon a diverse number of sources: the individual, relatives, friends, medical notes and social services assessment. A personal profile and a care plan are drawn up using this information. Observations of care showed that all staff had an excellent understanding of each individual’s care needs. Details submitted on the pre inspection questionnaire showed that service users have the opportunity to visit and familiarise themselves with the home. Service Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 9 users agreed they were invited to visit prior to admission and that this had helped them to make their decision. The home has a service user guide and statement of purpose and offers intermediate care when required. One service user commented: ‘I knew straight away I wanted to stay here.’ Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 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): 7,8,9 and 10 Quality in this outcome area is excellent. The health and personal care a resident receives is based on individual needs. Service users are consulted at each step of the care planning process and this informs care practice. The principles of respect, dignity and privacy are put into practice. Service users are very happy with their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A detailed care plan is drawn up from the assessment and other information received. Service users spoke extremely highly of the personalised service they were offered by staff. One person wrote that her relative was: ‘Well and truly’ looked after. Risk assessments are carried out in all relevant areas of care. Service users said that care plans had been discussed at a recent residents meeting and they were satisfied that all information was kept up to date. Key workers review the care plans with the involvement of service users on a monthly basis. The home also runs a link worker system for when a key worker is sick or on holiday, which mean continuity of care is maintained. All medical interventions are Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 11 recorded on separate sheets, which makes it easier to track changing health care needs and previous treatment. Medication is well kept, recorded and administered, according to policy, and service users said they felt confident to leave the medications with staff. The home also has a self-medication policy. Observations during the day of the site visit confirmed that service users were treated with regard to their privacy and that dignity was protected. When asked if they were satisfied with the way they were cared for, one service user responded that the care could be: ‘No better, I would never leave this home.’ Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 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): 12,13,14 and 15 Quality in this outcome area is excellent. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet which they consider excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Social and activity preferences are recorded on each service users file. Key workers regularly review these and any required changes are made. Each service user has a separate file where activities are recorded. Service users spoke enthusiastically of the flexible way in which staff could work. One service user said: ‘I can get into town with one of the staff.’ and ‘ I wanted to visit someone in hospital and the staff said they’d come with me.’ Service users spoke of recent visits to Flamborough, Lavender Fields and Rose Pottery. These visits had been suggested by them and arranged by the manager. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 13 A church service is held each month at the home and if service users wish to go out to church, staff arrange this and accompany each person if necessary. Service users said they were regularly consulted over outings and activities. Some had requested a knitting circle and this had been arranged, with some service users knitting squares and making pompoms for charity and to help fund extras on outings. Visitors may call at any reasonable times. One visitor had written: The staff are lovely and I am made to feel welcome ‘ Sample menus were submitted prior to the site visit and these showed a good choice on offer. Service users said that the meals were exceptionally good and all thoroughly enjoyed them. Some comments are as follows: ‘The food is excellent.’ ‘Could not be better. It’s like the Ritz.’ ‘We are well fed.’ Service users regularly discuss menus at the residents meeting and suggestions had been made. These changes have been incorporated into menus and they now include a wide variety of favourites. Service users have a choice of almost any breakfast dish including a full English breakfast. They also have a choice at midday and teatime. A midday meal was observed. The tables were attractively set and service users were invited for their meal in an unhurried sociable manner. Staff and service users chatted and a variety of meals were served. All had been consulted over their preferred meal and the cook made time after the meal to ask service users if they had enjoyed it. Any dietary needs are recorded and taken into consideration when planning meals. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 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): 16 and 18 Quality in this outcome area is good. Residents have access to an effective complaints procedure; their complaints are listened to and acted on. Service users are protected from abuse, through updated staff training and abuse procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy and procedure. Service users said they could speak with staff if there was a problem or they had a complaint and that they were confident they would be listened to and any concerns acted upon. They could do this individually or at the regular residents meetings. All complaints are recorded with outcomes. Minutes of meetings were seen and action taken to resolve service users complaints was seen. Staff have received abuse awareness training. The home has an equal opportunities policy and procedure. Service users said they felt well cared for in the home, none said they had ever had cause to complain or had ever felt unsafe. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is good. Service users live in a safe, well-maintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been extensively redecorated since ‘Pennine Care’ became the owners. Service users rooms are decorated when they become vacant and all service users spoke highly of the internal décor and furnishings. A relative had commented that the décor was ‘excellent.’ Two single rooms have been created from one double room resulting in two pleasant en suite rooms, which are spacious and comfortable. The latest environmental health and fire visits generated no requirements. Environmental risk assessments are in place and staff carry out regular safety checks. The laundry facilities are unchanged and the difficulty with delicate items voiced by two of the service users at the last inspection has been resolved to their satisfaction. Revelstoke DS0000062592.V305574.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. Staff in the home are trained and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well staffed with little staff turnover. Whilst staff are on holiday or off sick, other staff usually work extra hours short term and all said this works well. Almost 50 of staff have NVQ level 2. Staff files are well organised and contain all relevant information. The home recruits staff well. The manager uses a recruitment tracking form which makes it easy to see the process which prospective new staff go through. The assistant manager has NVQ level 4 and staff are enthusiastic about training. Pennine care has its own training department and staff said they all had opportunities to train in areas of care they were interested in. The home lets applicants know that it follows an equal opportunities policy. Information provided on the pre inspection questionnaire confirmed that staff received induction and foundation training to TOPSS guidelines. Service users said they felt confident staff knew what they were doing and that they understood their particular needs. Revelstoke DS0000062592.V305574.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. Service users benefit from an open style of management based on respect and from the considerable experience of the manager. Service users’ and others’ views inform practice. Service users welfare is protected by good health and safety systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users and staff said that the home was well managed. Staff said they felt very well supported by the manager and that they had ample opportunity to consult with her, to receive supervision and to voice opinions in staff meetings. Staff and the manager all said they were well supported by the management structure at Pennine Care and never felt they were on their own with a problem. The manager said she had responsibility devolved to her on many decisions and felt confident she was left to ‘manage’ but with support. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 18 The Provider visits the home regularly each week and any niggles are usually dealt with face to face at these times. All staff said Mr Bassan asked each of them separately if things were okay and urged them to talk to him if there were any concerns. One service user said ‘Julie (the manager) is very efficient, she has a lovely manner.’ The home has developed a comprehensive quality assurance system. Feedback from service users and all other interested parties is sought and analysed. This informs future practice and actions taken are recorded. Results of surveys are also discussed in service user and staff meetings. Personal allowances kept for service users are recorded. Records were checked and no discrepancies found. This means service users finances are safely kept. Health and safety is protected and promoted through staff training, effective risk assessments, regular checks on water temperatures, the checking and maintenance of electrical systems, gas supply, and servicing of all equipment. This is underpinned by compliance with relevant health and safety legislation. Whilst the electrical wiring had been checked the home was awaiting the certificate. Revelstoke DS0000062592.V305574.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 X X 4 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 4 X 4 X 3 X X 3 Revelstoke DS0000062592.V305574.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. 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. 1 Refer to Standard OP38 Good Practice Recommendations Copy of wiring certificate must be forwarded when obtained. Revelstoke DS0000062592.V305574.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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