Inspection on 09/02/06 for St Kitts

This inspection was carried out on 9th 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

St Kitts 19/07/07

St Kitts 25/07/06

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 Unannounced Inspection 9th 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 Revelstoke DS0000062592.V275823.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. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 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.V275823.R01.S.doc Version 5.1 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. 10th May 2005 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. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 9th February 2006 and took five hours. This includes time for preparation and writing the report. This is the second report of the financial year and should be read in conjunction with the first. The first inspection covered most of the core standards and this report covers the remainder. Four service users and one member of staff were spoken to during the inspection. The manager was available throughout. There was a sociable and relaxed atmosphere throughout the morning, as staff and service users chatted with one another. All comments regarding the care offered were positive and complementary. This home continues to offer a good service to residents and the standard of care in the home is consistently high. What the service does well: 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.V275823.R01.S.doc Version 5.1 Page 6 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.V275823.R01.S.doc Version 5.1 Page 7 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): None of these standards were inspected. EVIDENCE: Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 8 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): 10 Service users privacy and dignity is respected and upheld. EVIDENCE: Service users said that all personal care was given in private and that health care professionals carry out consultations in the service user’s own room. Staff were observed knocking on doors before entering and generally conversing with residents in a polite and friendly manner. Several service users have a private telephone line. All shared rooms would have screening, however, the two double rooms are vacant at present. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 9 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 and 14. Service users are enabled to exercise choice and control over the way they live their lives. EVIDENCE: Service users interests are recorded on file and all leisure and social activities are recorded, often with photographs of outings. All service users said they had opportunities for going out either accompanied with a member of staff on a one to one basis or as part of a group on organised trips. Recent outings included a theatre trip at Christmas and a trip out to a local pub. One of the senior carers spends time organising indoor activities such as craft and artwork, and the service users get together to complete crosswords and watch videos. Visitors are welcome at any time. The service users were pleased to report that the proprietor visited the home often and took a great interest in every individual, taking the time to sit and chat with them and to find out if the care they were receiving was as they wished. They also said that the manager and staff were equally committed to making sure the care offered was good. They said they could get up and go to bed whenever they wished and could eat at times to suit them although most said they enjoyed the company of other service users and so would attend mealtimes together. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 10 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): None of these standards were inspected. EVIDENCE: Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 11 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 Service users live in a clean, well- maintained environment. EVIDENCE: At the last inspection it was noted that a carpet in one of the rooms would soon require replacing and that the flooring in another was in need of changing. The carpet in one has been replaced and the flooring in the other has also been changed. Service users commented that there were sometimes some difficulties with receiving the correct clothing back from the laundry and that despite labelling; some items were ending up in other service users rooms. The manager had already dealt with some clothing incidents, and a service user had been reimbursed for an item which had been damaged. Service users said that most of the time there were no problems and the manager said she would put some thought into how best to protect delicate items and to label clothes more clearly. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 12 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): None of these standards were inspected. EVIDENCE: Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 13 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 Service users health and welfare is safeguarded. EVIDENCE: The manager and a senior carer have completed NVQ Level 4 in care. The manager now has the equivalent of both the NVQ in care and management to level 4. The home runs a quality assurance system based on seeking service users and others’ views, and on planning, action and review. The results of service users surveys are fed back at service users meetings. Policies and procedures are reviewed centrally by Pennine care. The home keeps the personal allowances of some service users. This is well documented and on examination of the records, no discrepancies were found. The home has progressed well with health and safety documentation. Service users welfare is safeguarded through thorough staff training, the maintenance of electrical and other systems and risk assessments. Environmental risk assessments have been completed. Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 14 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X 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 3 X 3 X 3 X X 3 Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 15 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. 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 Revelstoke DS0000062592.V275823.R01.S.doc Version 5.1 Page 16 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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