Inspection on 17/05/05 for St Margaret`s

This inspection was carried out on 17th May 2005.

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 Margaret`s 20/11/07

St Margaret`s 23/11/06

St Margaret`s 18/07/06

St Margaret`s 06/12/05

St Margaret`s 05/10/04

St Margaret`s 10/06/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 Margarets 25-27 Queens Road Harrogate North Yorkshire HG2 0HA Lead Inspector Terry Downey Unannounced 17 May 2005 09:30 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. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Margarets Address 25-27 Queens Road, Harrogate, North Yorkshire, HG2 0JH 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) 01423 507503 01423 875151 Mr John Kneller Mrs Ann Elizabeth Hayton Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5th October 2004 Brief Description of the Service: St. Margaret’s provides residential, personal, and social care to 25 people with dementia over 65 years of age .The home is situated in a residential area of Harrogate with good access to the town’s services and amenities. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 17th May 2005. The manager Mrs Hayton was available to assist with the inspection and it was also possible to speak to 5 members of staff, a visiting nurse, and 17 residents. The inspection also involved a check on the requirements from the previous inspection, a tour of the premises, and a check on some of the records. The inspection took 10 hours which includes preparation and travelling time. The home was very clean, well decorated and furnished, and there was a pleasant atmosphere. The residents were in the lounges, talking and listening to music and the staff were busy in a variety if care duties. All the residents spoken said it was a nice home and that the staff were courteous and helpful. The inspection showed that the home was well organised and managed and that the staff were aware of their duties, and the residents were well cared for. What the service does well: What has improved since the last inspection? What they could do better: Improve the quality of the assessments and care plans. Continue to improve the environment. Keep better records of hot water temperatures. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 6 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 Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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 St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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) 2,3, 6. The home is continuing to improve assessments but more detail is required which will then benefit the quality of care plans. EVIDENCE: The manager assesses all residents prior to coming into the home but the detail in the assessments could be improved. All residents have the information they need before they come into the home. All residents have a contract which gives the conditions of their stay in the home. The home is not registered to provide intermediate care. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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) 7,8,9,10 The residents health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: All residents have good care plans which are used by the staff to ensure that appropriate care is provided. If better assessments were carried out more detailed care plans would follow, but improvements are being made. Staff meet regularly to discuss the care plans to ensure that consistent care is provided. An incident took place between a resident and staff member which the inspector considered should have been handled better to show respect and dignity to the resident. It was discussed with the manager and staff member, who was doing her induction training, and dealt with immediately. This showed the home’s commitment to provide quality care. The manager said she will ensure that further training is provided. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 10 The home has good access to the local health professionals who visit regularly to ensure that the residents’ health needs are met. On the day of the inspection it was possible to speak to a nurse from the RRICE team. He stated that the contact between the home and the team was good which ensured that the psychological health of the residents was maintained. He also considered that the residents were well looked after in the home. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 11 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) 12,13,14,15. Residents eat well and have a suitable range of activities both inside and out of the home and are part of the local community. EVIDENCE: Food is an important part of the residents lives and they help to choose the menus weekly with the cook. Friends and relatives visit regularly and are welcome in the home. Some residents go out independently and one regularly visits friends locally. An entertainer comes into the home monthly and is very popular. Music and light exercise form the main part of the day but residents said they were happy with the level of activity. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 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 standard(s) 16,18. The residents physical and emotional health needs are met. Residents are protected from abuse neglect and self harm. EVIDENCE: All staff have been trained in the protection of vulnerable adults procedure and they were aware of their responsibilities, which safeguards the residents from abuse. Residents said that they would speak to the manager if they had any concerns and felt happy that she would help them. The home has a robust recruitment procedure. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 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 standard(s) 19,23,25,26. The home is clean, and improvements have been made to the decorations and furnishings making it a more comfortable place to live. More work is required and some is planned. EVIDENCE: Residents said that the new furniture in the dining room was a big improvement. They also liked the new furniture and carpet in the lounges which made them more comfortable. Overall the standard of furnishings and decorations did make the home a pleasant place to live. Some work is still required on :Two bathrooms upstairs. The stair carpet. The carpet in room 6. Ways of providing privacy for the use of commodes in shared rooms. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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) 27,29,30. The staff are well trained and well supported by the manager and this ensures that residents feel supported and staff are aware of their duties. EVIDENCE: There has been a big improvement in staff training related to the needs of the residents. This has ensured that staff felt more confident in their roles and the levels of care have improved. Residents said that they liked the staff and felt comfortable with them. The staff work well as a team which makes it a happy place to work and staff said they felt valued. It was clear from observation that the staff enjoyed their work, knew what they were doing and were very competent. Both staff and residents felt that there were sufficient staff available to meet the needs of the residents. The home has a robust recruitment procedure St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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) 31,32,33,35,36,38. There is clear leadership and guidance from the manager which ensures consistent quality care for the residents. This also means that the health, safety and welfare of the residents is promoted. EVIDENCE: The manager believes that the home should provide quality care for the residents and ensures that the staff are trained to provide this. The residents views are taken seriously and their dignity and respect is promoted by good staff supervision and on going training. Health and safety in the home is promoted and good records maintained to demonstrate this with the exception of the records of the hot water temperatures which need to be more detailed. St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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 3 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x 2 x 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 2 St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.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 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. 2. Refer to Standard 3 6 19, 23, 25 Good Practice Recommendations More comprehensive assessments will help to improve the quality of the care plans. The following improvements to the environment are considered necessary :Two bathrooms upstairs need upgrading. The staircarpet and carpet in room 6 need to be improved. A way of improving the privacy when using comodes in shared rooms should be agreed. Records of hot water temperatures should be maintained in more detail and on a room by room basis. 3. 38 St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI St Margarets J53_J04_S7791_St Margarets_V224933_170505_Stage 4.doc Version 1.30 Page 19 - 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. 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