Inspection on 24/05/05 for The Mayfair

This inspection was carried out on 24th 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

The Mayfair 10/08/06

The Mayfair 19/01/06

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 Ajam AUCKBURALLY Unannounced 24th May 2005 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. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Mayfair Address Marine Road East, Morecambe, Lancashire. LA4 5AR 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) 01254 411836 01524 411836 Mrs Kathleen Prada, Mrs Licia Pickvance, Mr Antonio Prada Mrs Moria Elizabeth Robertson CRH Care Home 45 Category(ies) of OP Old Age, 45 registration, with number of places The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th October 2004 Brief Description of the Service: The Mayfair is a care home situated 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. There were thirty-eight residents living at the home at the time of the inspection. 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. 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 F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two inspections to be carried out this year. The inspection was an unannounced one and took place on the 24th May 2005 and lasted for 4 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a nice atmosphere and with the full cooperation of the owners, the manager, the staff and the residents. During the inspection, some records were looked at and several residents were spoken to. They were very positive about the care they receive and the way the staff treat them. One resident said that “It’s getting hard for the staff as many residents need a lot of attention, but they do not moan or groan. They are heroes.” There were 38 residents living at the home at the time of the inspection and there were 5 care staff, 2 managers, and 7 other staff on duty. The inspector spoke to some of the staff and the management during the inspection. The staff were observed to be polite and kind when talking to the residents. What the service does well: The Mayfair has been opened for many years and the owners have maintained a high standard of care for the residents. The building is well maintained and has been upgraded with a new passenger lift, several ensuite facilities, new shower and other work to improve the residents’ lives. There is a good method of assessing the residents before and when they come to live at the home. This involves asking questions about what needs a person has and also what he or she can do. The assessments help the staff to provide good quality care to the residents. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 6 There is an ongoing programme of training for the staff which helps them provide good care. The food served is good and a choice of meals is provided at all mealtimes. The home has successfully done a quality assurance. This is done by an external body which specialises in looking at all aspects of the care provided and the running of the home. 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. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 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 The Mayfair F57 F09 S9685 The Mayfair V221210 250505 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) 3 The pre admission procedures and the methods use to assess residents are good. Residents’ assessments and the delivery of services are tailored to meet their needs. EVIDENCE: Some of the residents the inspector spoke to said that their families visited the home on their behalf before they were admitted. They said that they trusted their families to make the right choice for them. Where appropriate and convenient, a member of the management team from the home will visit prospective residents in their own home or in hospital. On these occasions basic needs are assessed and notes taken. These will include mobility, sensory needs and other information which will help provide the right accommodation and appropriate care. Staff were observed taking residents who have been assessed as needing regular toileting to the toilets at regular intervals. This was done with sensivity. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 9 The case file of the last resident admitted to the home shows that written assessments have been done and that care provided is documented and reviewed. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 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 standard(s) 7 and 8 The written assessments and care plans done for the residents are good. Arrangements for meeting all health care needs are good. This means that the residents are cared for according to individual assessment and that they can access all health care facilities. EVIDENCE: The case files of 3 residents were examined and they showed that they been assessed properly and that care provided is according to assessed needs. The records also show that care provided is recorded and that regular reviews take place. The residents spoken to said that they receive good care and that they want for nothing. They said that the staff are good and care for them with kindness. Residents are able to have a doctor visit when they need or if they want they can visit the surgery. Similar arrangements are in place for other health professionals such as dentists, opticians. The district nurse will visit when required. She is currently training some of the staff about injecting insulin to a resident. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 11 The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 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 standard(s) 12 and 15 Care is provided to meet individual needs. The home encourages freedom in all areas of daily living. The quality of food served and the choices provided are good. Residents are free to do what they want and enjoy the great variety of food served. EVIDENCE: The residents spoken to said that they enjoy living at the Mayfair because they can do what they want. They said that all the staff are kind and help them to achieve their full potential. One resident said “ Although I would have liked to be in my own home, I realised that I cannot manage alone. This is the best place, I can do what I want and I get help when I need it.” One of the owners and the manager said that they would like to do more social activities for the residents, but because of their advanced age and frailties, most of them are unable to participate. They said that weekly sessions of music and movements take place with poor attendance. Similarly, the bingo sessions are only attended by a few regulars. The owner and the manager said that they will facilitate any reasonable request for any activity the residents may wish to do. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 13 The last residents’ meeting scheduled for February 2005 had to be cancelled as only one resident was present. The owner was hoping for better attendance from the residents for the next meeting due the day following this inspection. The inspector had lunch with the residents. The food served was well presented and residents said that they enjoyed their lunch. Lunch was a 3course meal with choices for all courses. Food is served in a pleasant dining room with the staff and the management of the home involved. All the residents appeared to enjoy the social interactions during their meals. The residents said that the food is always good and that the cook will always provide an alternative when asked. The home operates a choice system and residents are asked the day before what they would like to have. The owner said that the system works well although some residents do forget what they have ordered. The quality of food served and the choice provided at the Mayfair are very good. This is one of the major improvements made at the home in the recent years. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 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 standard(s) 16 The policies and procedures to deal with complaints are good. Residents live in a safe environment and are able to speak their minds without fear of reprisals. EVIDENCE: The home has a detailed complaint procedure which explains what people should do if they have a complaint. It says that in the first instance, people should complain to a member of staff unless the complaint is about staff. The next step is to speak to the manager or one of the owners. If this does not resolve the complaint, then the complaint can be passed to the Commission for Social care Inspection (CSCI). All complaints are recorded on an incident sheet. The home had received no complaints since the last inspection. The residents said that if they have any complaints, they would not hesitate to speak to someone about it. They said all the staff and the owners are very approachable and easy to speak to. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 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 standard(s) 26 The standards of hygiene and cleanliness in the home are good. Residents live in a clean environment and free from hazards. EVIDENCE: The inspector toured the building and found that the home was clean and that improvements to create a pleasant environment for the residents are ongoing. The bedrooms are redecorated when required and usually when they become vacant. The corridors and communal areas are tastefully carpeted and decorated. An adequate number of domestic staff is employed to clean the home. The residents said that their rooms are cleaned on a daily basis and the domestic staff are sensitive to their needs. They said that they do not need to leave their rooms when they are being cleaned. They added that they chat to the staff whilst they are working. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 16 The management of the home have produced policies and procedures for the control infection. Information on the hazards of the cleaning materials used in the home are available. Staff are trained in handling hazardous materials. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 17 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 and 30 The number of staff at the home is at the recommended level and most of them have attended training courses to improve their knowledge and skills. Residents are cared for by a team of staff who are trained and skilled. EVIDENCE: Eight of the care staff have obtained their NVQ (National Vocational Qualification) level 2 and above. Other training courses attended by the staff include; Moving and Handling, First Aid, Medications, Food Hygiene and many more. All new staff attend an induction training course at the local college once a week for 6 weeks. A new member of staff confirmed that she had attended the induction training and is currently waiting to enrol for the NVQ course. The walls at the entrance of the home are covered with framed certificates of training courses the staff have attended. There is an adequate number of care staff on duty during all the shifts. A member of the management team is also on duty during the day. The management is supported by senior staff. The home also employs domestic staff, laundry staff, catering staff and a handyman. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 18 The staff said that they can manage to do their jobs well and also find time to spend with the residents. At the time of the inspection the following staff were on duty: 5 4 2 1 1 3 care staff domestics kitchen staff chef handyman management staff The residents spoken to said that they are well cared by a team of good staff. They said there is always someone around if you need them. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 19 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) 33 and 35 The policy and procedures to protect the finances of the residents are good. The home is run to serve the best interests of the residents. The residents’ finances are safeguarded and they feel that the home is run for their benefits. EVIDENCE: The home has good policies and procedures to protect the finances of the residents. The records of monies held on their behalf were examined and they were found to be accurate and current. The owner said that residents and their families are encouraged to deal with their own finances if possible, and this seemed to be the preferred way for most of them. Fees due to the home are mostly paid by direct debit arrangements. The monies held by the home on behalf of some of the residents are for those whose families live far away or for those who have no families. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 20 Those residents who are able to deal with their finances said that they are free to use their money as they like and if they need help, the staff will provide assistance. The owner and the manager said that the residents have complete freedom in their daily activities. They said that residents can do what they want and that they are available to speak or advice them when they want. The residents said that they are happy living at the home and that everyone has their best interests at heart. The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 21 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x x The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 22 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. Refer to Standard 28 Good Practice Recommendations A minimum ratio of 50 of care staff should achieve NVQ level 2 by 2005 The Mayfair F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court, Portway 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 F57 F09 S9685 The Mayfair V221210 250505 Stage 4.doc Version 1.30 Page 24 - 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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