Inspection on 28/02/06 for West Court Lodge

This inspection was carried out on 28th 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 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

West Court Lodge 12/06/07

West Court Lodge 10/08/06

West Court Lodge 11/05/05

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 Inspection 28th February 2006 09:30 West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 West Court Lodge DS0000007829.V283295.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 Adults 18-65. 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. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service West Court Lodge Address 6 West Street Scarborough North Yorkshire YO11 2QL 01723 507256 01723 507256 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) Care UK Mental Health Partnership Limited (Arc Healthcare Limited) Mrs Catherine Rayner Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (16) West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Category MD(E) 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. 10th May 2005 Date of last inspection 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 DS0000007829.V283295.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on 21st February 2006 as part of the inspection process. The manager was available to help with the inspection and it was also possible to speak to 9 residents and 4 members of staff and the cleaner. 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. There are very few facilities specifically for people with mental health problems in the area but it is clear that the home is making efforts to use what is available and being creative in finding and adapting other services. The home continues to improve under the management of Mrs Rayner and the support of her line manager. There is a settled staff team who continue to improve their skills which benefits the residents. The home also has very good links with other professionals to provide additional support. The residents are encouraged and supported to make choices and decisions about their lives and the home, and staff levels have been increased to ensure that support is available. The environment is being improved to make the home a more pleasant place to live and work. This inspection showed that the residents are well cared for by a well managed and committed staff team in a safe and improving environment. 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 uses local facilities and services to benefit the residents. It has a manager who is well organised and committed to improving the services for the residents. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 DS0000007829.V283295.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 the following 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 DS0000007829.V283295.R01.S.doc Version 5.1 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 the following 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 meetings are well attended and provide a useful forum for discussion and decision making. 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 DS0000007829.V283295.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16,17. The residents enjoy a wide range of activities both inside and outside the home. EVIDENCE: There are no specialist mental health day services in the area but good use is being made of other services. A member of staff has been appointed Activity Organiser and looks to provide suitable activities and the attendance at activities has improved both in and out of the home. All day activities are chosen individually with each resident and provide stimulation as well as personal development. Residents confirmed that they encouraged and supported to become involved in activities. The staff hours have been increased to allow staff more time to support the residents outside the home. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 the following 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 The home has very good links with all healthcare professionals which helps to support the residents and the staff. The home uses a monitored dosage system and has a clear policy for the storage and administration of medication. The pharmacist visits the home to audit the system and provides a report which ensures the system is safe. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 the following standard(s): 22,23. Residents are protected from abuse, neglect and self harm. EVIDENCE: Comprehensive staff training in adult protection has been provided for all staff and those spoken to were aware of the procedure which helps to protect the residents. 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 home has provided its policy on confidentiality to partner agencies so they are aware of the homes principles for sharing information. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 the following standard(s): 24,27,28,30. The home is clean and hygienic. Improvements to the environment are being made which makes it more comfortable and safer. EVIDENCE: The home is furnished to meet the residents’ needs. The environment is being improved and the following work has been carried out since the precious inspection :The The The The kitchen units have been replaced. showers on the 4th and 5th floors have been repaired. laundry floor has been renewed. back ‘garden’ has been improved by the residents and staff. Other work is planned and organised to be carried out. There does seem to be a problem with getting the hall carpet clean and in conversation the cleaner she considered that generally she has sufficient equipment but that the carpet cleaner was perhaps not suitable. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35,36 The residents are supported by a well trained and committed staff team with support from the healthcare agencies. EVIDENCE: Although staff pay continues to be an issue for the staff there is a very settled staff team who are well trained and committed to supporting the residents. 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. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following 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. The manager continues to provide good leadership, is well organised, and committed to improving the service. She is well supported by her line manager and her staff team. West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 West Court Lodge DS0000007829.V283295.R01.S.doc Version 5.1 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. 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