Inspection on 19/01/06 for The Mayfair

This inspection was carried out on 19th January 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

The Mayfair 10/08/06

The Mayfair 24/05/05

The Mayfair 15/10/04

The Mayfair 10/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Mayfair Marine Road East Morecambe Lancashire LA4 5AR Lead Inspector Mr Ajam Auckburally Unannounced Inspection 19th January 2006 10:45 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 The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Mayfair Address Marine Road East Morecambe Lancashire LA4 5AR 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) 01524 411836 01524 411836 Mrs Kathleen Prada Mrs Licia Pickvance, Mr Antonio Giacomo Prada Mrs Moira Elizabeth Robertson Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2005 Brief Description of the Service: The Mayfair is a care home situated on Marine Road in Morecambe and facing the promenade. The building is a multi storey building and a passenger lift is available to access all the floors. The home is close to all the amenities but unfortunately they are still too far for most of the residents to access due to physical or mental frailties. The home can accommodate a maximum of forty-five people of both sexes. Accommodation is provided in thirty-seven single and four double bedrooms. Some of the bedrooms have an ensuite facility. The home is registered to take older people of both sexes who are aged 65 and over. The home is staffed 24hrs a day and care is provided according to needs. An assessment is carried out to determine the level of needs of all the residents. There were thirty-four residents living at the home at the time of the inspection. They are encouraged to retain as much of their independence as possible and the staff said that one of their roles is to help them achieve this. For those residents who need assistance, a team of staff are there to provide it. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the second of two to be carried out this year. The inspection took place on 19th January 2006 and was an unannounced one. It lasted for 3.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection was carried out in a relaxed atmosphere with the full cooperation of the owners, the staff and all the residents. The inspection took the form of looking at some of the records, talking to the residents and the staff and looking around the building. There were 34 residents living at the home and they said that they were well cared for and that all the staff were kind and helpful. What the service does well: What has improved since the last inspection? There has been an increase in the number of care staff who have completed their NVQ (National Vocational Qualification) level 2. Following a complaint, written records on the residents have been improved. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 6 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. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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 The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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): The home does not provide intermediate care. The other core standard was assessed during the previous inspection and was met. EVIDENCE: The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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): 9 & 10 The policies and procedures on medications are stringent. Practices to respect residents’ privacy are good. Residents’ privacy is respected and their medications are dispensed safely. EVIDENCE: The inspector observed the senior care staff dispensing medications to the residents. This was done according to procedures. The records of medications were examined and they were found to be correct. An audit trail of the medications of two residents was done and they were found to be accurate. The recommendations made by the pharmacist inspector during his visit have been implemented. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 10 The owners were aware that following the death of a resident, medications should be kept for a week in the event that a post mortem is carried out. The residents said that the staff respect their privacy by ensuring that they are given time on their own. They said that when they are in their rooms, the staff always knock before entering. The staff were observed providing personal care like toileting behind closed doors. The staff spoken to said that they treat all the residents with respect and dignity. They were overheard speaking to the residents with kindness and patience. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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 the following standard(s): 13 & 14 There are good practices to encourage residents to remain active and afford them choices. Visiting is unrestricted. Residents are given choices in their daily activity and can see their relatives when they want. EVIDENCE: The residents said that they can have as much independence as they want and that the staff help them when they need assistance. The owners said that the policy of the home is to encourage residents to remain as independent as they want. Residents were observed doing their own things. Some were in the lounge and others were in their rooms. They said that they are able to remain as independent as they want or able to. They said that staff are helpful and will provide assistance when required. One resident said “I prefer the privacy of my room, although I join the other residents in the dining room at meal times.” The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 12 One member of staff was seen playing recall cards with a resident. The staff spoken to said that although residents are encouraged to retain their independence, they are not forced to do anything. They can choose when to go to bed and when to get up. There are no restrictions for visitors to come to the home. Some were visiting their relatives and they said that they are always made very welcome and that the staff are kind. They added that there is always a good atmosphere in the home and that everyone is friendly. All visitors are asked to sign an in an out book for security reasons. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 13 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): 18 Policies and procedures on abuse are comprehensive. Residents feel safe and protected. EVIDENCE: The owners have produced a detailed written policies and procedures on adult abuse. The staff and the management of the home have had training on adult abuse. The owners are fully aware of the steps to take in the event of an abuse taking place to a resident. The staff spoken to said that they would never abuse any resident in their care and that they would report if they saw any form of abuse. The residents said that they feel safe and secure living at the home and that everyone treats them well. CSCI (Commission for Social Care Inspection) has received a complaint from a relative about poor care practices by the staff. This was referred back to the owners of the home to investigate. The complainant was not satisfied with the responses from the home. The owners carried out a further detailed investigation. The complainant has informed the inspector by telephone that he is still not satisfied with the responses from the home. Awaiting the complainant’s written responses. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 14 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 The environment in which the residents live is right for the purpose of a rest home. The residents have a comfortable home which is well maintained. EVIDENCE: The inspector found during the tour of the building that home is well maintained and that there were no hazards which could make it unsafe for the residents. The residents who were in their rooms during the visit said that they like their rooms and spend a lot of time in them. They said that the staff respect their decisions to spend as much time as they want in their rooms. All the bedrooms were found to be clean and adequately furnished. Some of the residents have personalised their rooms with their own furniture and other items. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 15 The owners said that there is a rolling a programme of maintenance and carpets are changed when necessary. The residents said that they feel safe living at the home and that their rooms are well maintained. There are policies and procedures regarding the handling of cleaning materials and infection control. Some staff have attended courses on the control of infections. A team of domestic staff is employed to do the cleaning and a handyman is also employed for maintenance. The home was found to be free form hazards and the residents said that they can get around the home safely. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 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): 29 The recruitment policy and procedures are stringent. Staff training plays an important part in staff development. Residents are cared for by a team of well chosen and trained staff. EVIDENCE: The written recruitment policy gives detail of the way a member of staff is employed. When there is a vacancy for a job, it is advertised locally and interested parties are given application forms to complete. From information received, prospective staff are selected for interviews. Once a new staff has been selected, two written references are taken and POVA (Protection Of Vulnerable Adults) and CRB (Criminal Records Bureau) checks are done. No staff starts work until satisfactory checks have been done. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also include, Fire Procedures, Moving and Handling and many other relevant courses The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 17 The management of the home has employed the services of a company to produce a new employee handbook to improve the recruitment of new staff and the training of all staff. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 18 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): 38 Care practices promote residents’ best interest and their health and well-being. Residents live in a safe home and they are well cared for. EVIDENCE: The residents said that the owners are kind and helpful and that they are always available to see them. The residents said that they feel safe living at the home. They said that the staff are very caring. Staff training such as Moving and Handling, Fire Safety, First Aid, Food Hygiene and Infection Control are given to ensure the health and well being of the residents. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 19 Risk assessments of the building are carried out to ensure that the home is safe and that there are no hazards that could hurt the residents. Every resident is risk assessed to ensure that care provided is tailored and safe. The residents said that all the staff have their best interest at heart. They said that they are all kind and encourage them to be independent and live as good a life as possible. The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 21 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. 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 The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 The Mayfair DS0000009685.V262314.R01.S.doc Version 5.0 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!