Inspection on 11/05/05 for West Court Lodge

This inspection was carried out on 11th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

West Court Lodge 12/06/07

West Court Lodge 10/08/06

West Court Lodge 28/02/06

West Court Lodge 02/12/04

West Court Lodge 01/06/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 West Court Lodge 6 West Street Scarborough North Yorkshire YO11 2QL Lead Inspector Terry Downey Unannounced 11 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service West Court Lodge Address 6 West Street, Scarborough, North Yorkshire, YO11 2QL 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) 01723 507256 Care UK Mental Health Partnership Limited (Arc Healthcare Limited) Mrs Catherine Rayner Care Home 16 Category(ies) of MD Mental Disorder (16), MD(E) Mental registration, with number Disorder - over 65 (16) of places West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The MDE category is only for current service users who reach the age of 65 years whilst resident in the home and whose needs can still be met by the home. Date of last inspection 02 December 2004 Brief Description of the Service: West Court Lodge is registered to provide residential social and personal care for 16 adults with mental health problems. The home is a detached Victorian property located in the south cliff area of Scarborough. It has five floors with the service users accommodation located on all floors. The main lounge is on the ground floor and the dining room on the lower ground floor. All of the bedrooms are for single occupancy. The home is conveniently situated for all main community facilities including the public transport network. The home does not have any grounds but is located adjacent to a public park. On-road parking is readily available for visitors. The registered provider is Care UK Mental Health Partnership Ltd. The registered manager is Mrs Catherine Rayner. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_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 on 11th May 2005 as part of the inspection process. The manager was available to help with the inspection and it was also possible to speak to 7 residents and 4 members of staff plus the manager from another home carrying out an audit. The conversations with the residents in most cases were brief so as not to be too intrusive but it was possible to observe their interactions with staff and each other. The residents in the home have been in hospitals or placed by Social Services. There is no evidence that the home has liaised with the Health Authority or Social Services Departments to stimulate local services for people with mental health problems. The residents have a variety of support needs varying from help with personal care to others who could seek employment if support was available. The home was able to demonstrate how some residents have improved since being at the home but there were also examples of staff being unable to support residents outside the home because of the inflexibility of the rota. The staff do not receive specific mental health training and this is considered a drawback in the level of support the home can offer to the residents. The staff are however very committed, work very well as a team and are well supported by the manager. The home was having some building alterations carried out and the contractors had arrived without notice so it was very disruptive. The office files were being kept in the dining room and during the inspection lunch was taken in the lounge. Despite the upheaval staff and residents coped well and did not allow it to upset their routine too much. The inspection took 12.5 hours which includes travelling and preparation time. What the service does well: It supports and encourages residents to make choices and to take responsibility for the decisions they make. It creates a nice atmosphere in the home so that it is a pleasant place to live. It regularly looks at the activities and events locally to see which will be suitable for the residents. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 6 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. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5. Residents know that if they choose to live here that they will be well cared for. EVIDENCE: Assessments involving service users and relevant professionals are carried out prior to admission which ensures that the staff can meet their needs. All residents have an individual contract and reasonable steps have been taken to ensure that it is explained to them. This ensures that they are aware of the terms and conditions of their stay in the home and that their needs can be met. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9. 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 a detailed care plan which identifies their personal and social needs. The plan and the risk assessments are discussed and agreed with the resident and signed. This enables them to be involved in their care and to take responsibility for the areas they are able. Residents have monthly meetings to make decisions about the home, the menus, and social activities The information in the home is kept securely in the office and the residents were aware that their files were confidential and could only be shown to others with their permission. This gave them confidence in the manager and staff team that any concerns that they shared with them would be treated with respect. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. The residents choose their meals and have a reasonable range of activities inside and outside the home but staff are not always available to support these activities as the rota can at times be restrictive. EVIDENCE: All day activities are chosen individually with each resident and provide stimulation as well as personal development. Unfortunately there are no specialist mental health day services in the area. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. This was witnessed during the inspection and confirmed by the residents. The staff hours are set by head office and strictly enforced so if there is a crisis in the home and additional staff required the hours have to be saved elsewhere which can affect support for the residents to go out. There is a concern that this can make them too dependent on the home. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20. Individual resident’s physical and emotional needs are met. EVIDENCE: Residents have their personal support needs identified in detailed care plans and include clear instruction about how support is provided safely and according to the service users preference Support is available from community psychiatric nurses, and psychiatrists. The home has good links with all healthcare professionals. The home uses a monitored dosage system and has a clear policy for the storage and administration of medication West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Residents are protected from abuse, neglect and self harm. The policy on confidentiality should be shared with partner agencies. EVIDENCE: The home has a lot information available to staff regarding adult protection. The Company policy is that the manager and deputy are given POVA training and they then pass this on to the staff team. Staff were aware of the procedure. A robust recruitment procedure offers protection for the residents in the home. Residents finances are well looked after and checks are in place to prevent them being abused. The recently updated complaints procedure is available but residents said they would speak to the manager or their key worker if they had a problem. Some also said they would bring it up at the residents meetings. The home should provide its policy on confidentiality to partner agencies so they are aware of the homes principles for sharing information. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,27,28,30. The home is clean and hygienic. Improvements to the environment are required to make it more homely and safer. EVIDENCE: The home is furnished to meet the residents’ needs. The home has had a new stair carpet fitted but the staircase itself and the new handrail fitted last year have not been painted. The decorations on the 1st floor landing are poor. The showers in the bathrooms on the 4th and 5th floors are in need repair. The kitchen units need replacing. The laundry floor needs renewing. The kitchens on the 4th and 5th floors require up grading. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32 34, 35, 36 The residents are supported by the staff in the home and professionals from the healthcare agencies. Staff pay and staff training remain an issue which affects staff morale. EVIDENCE: Staff morale is clearly affected by the fact that they are expected to care for vulnerable people and participate in training often in their own time and yet are only paid the minimum wage. There is no enhancement for working nights or weekends. They have taken their concerns to senior management but without success. The staff work well as a team and support one another. They are well supported by the manager and deputy which ensures that residents feel supported and staff are aware of their duties. Good links with the healthcare agencies ensures that professional support for the residents is available when required. Residents would benefit if the staff had specific mental health training. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,42. There is clear leadership and guidance from the manager which ensures consistent care for the residents. This means that the health, safety and welfare of the residents is promoted at all times. EVIDENCE: The manager believes that the residents should be involved in the running of the home so keeps them informed and asks for their opinions. The residents considered that they could trust in the manager and staff. The residents have regular meetings to make decisions about the home so can influence their lives in the home. Health and safety is a high priority in the home which ensures that residents and staff are well protected. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x 1 1 x 3 Standard No 11 12 13 14 15 16 17 2 1 1 1 x 3 3 Standard No 31 32 33 34 35 36 Score 3 2 x 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West Court Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 17 yes 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 12,13,14 Regulation 16 Requirement Staff must be available to support residents meaningful day activities and leisure persuits. ( Previous timescale of 1 September 2004 not met ) The registered provider must ensure that the home is maintained in a manner suitable for its purpose, namely: The decorations on the staircase and landing require upgrading. The laundry must have an impervious floor and wall covering.The showers must be repaired and the kitchenettes on the 4th and 5th floors upgraded Timescale for action 30 June 2005 2. 24,27,28 23 31 July 2005 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 11 Good Practice Recommendations It is recommended that senior managers liaise with the Health Authority and Social Services to stimulate specific local mental health services and rehabilitation programmes for the residents. External agencies involved in the care of the residents J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 18 2. 22 West Court Lodge 3. 32,35 should be provided with the home’s policy on confidentiality that sets out the home’s principles for sharing information on residents. Staff should be given specific training on mental health issues. West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 19 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 West Court Lodge J53_J04_S7829_West Court Lodge_V223719_100505_Stage 4.doc Version 1.30 Page 20 - 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. 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