Inspection on 14/06/06 for York House Care Home

This inspection was carried out on 14th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

York House Care Home 23/01/06

York House Care Home 27/06/05

York House Care Home 21/03/05

York House Care Home 17/01/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE York House Care Home York House Care Home York Road Kennington Ashford Kent TN24 9QQ Lead Inspector Mrs Sue Gaskell Unannounced Inspection 14th June 2006 14:00 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 York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York House Care Home Address York House Care Home York Road Kennington Ashford Kent TN24 9QQ 01233 613931 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) Mrs Patricia Mary Ireland Mrs Patricia Mary Ireland Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: York House Residential Care Home is registered to provide accommodation and personal care for up to 3 older people. The fees range from £378 - £454 per week. The registered owner and manager Mrs Patricia Ireland lives in a separate flat above the home. York House stands within the grounds of St Valery Care Home, also owned by Mrs Patricia Ireland. All policies and procedures and the overall running of the home is identical to St Valery. The residents at York House are more independent than those in the neighbouring home, however full support is provided to all residents. York House is located within three miles of Ashford Town Centre and is close to local amenities. Public transport links are close by, to the front of the property there is adequate parking for many cars. The home consists of two separate living units, each unit has a living/kitchen area, bedroom and en-suite bathroom. Residents of the home have full use of the secure landscaped gardens and the communal areas within St Valerys. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 14th June 2006 between 14.00 and 17.00. There were 2 people living at the home, and there is one vacancy. The inspector spoke to 1 resident and the other resident’s relative and 2 members of staff. One resident has limited communication and therefore the inspector sat with the residents for some time in order to see whether they appeared relaxed and comfortable. The inspection process consisted of information collected before and during the visit to the home, and relatives feedback after the site visit finished. Other information seen included incident report forms, assessment and care plans, medication records, duty rota and staff employment and induction paperwork. What the service does well: What has improved since the last inspection? Staff are regularly reviewing and referring to care plans which has assisted them in providing appropriate and consistent care. Consistency of care and communication between staff and residents has improved as policies and procedures have been reviewed and there is a better system of supervision. Staff training has improved which makes the home a safer to live. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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 York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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): 1,3 & 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide clearly says what service will be offered. Prospective residents can be confident that their needs can be met. EVIDENCE: The file of one resident admitted since the last inspection included a clear and comprehensive pre-admission assessment carried out by the home with supporting information from care managers. All residents are issued with terms and conditions of residence. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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): 7 - 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ care plans are reviewed and their health care needs are met. Residents are protected by the home’s policies and procedures for dealing with their medication. Residents are able to make choices and are treated with respect. There is support for residents and their families at times of bereavement. EVIDENCE: All files inspected included assessments and risk assessments on all various aspects of daily living including where appropriate, mobility, nutrition, behavioural, emotional and sexual needs, together with clear guidelines on how best to assist residents. Care plans have been reviewed recently. It was not possible to obtain accurate confirmation from both residents but one said that assistance with personal care is provided in a sensitive manner. The other resident’s relative was very satisfied with the level of care. Medication York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 10 administration records have been improved since the previous inspection as has storage. The home has a current copy of the medication guidelines and staff have undergone recent training. The owner and staff said that special attention is paid to spending time with residents at the end of their lives and assisting families in coping with bereavement and loss. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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): 12-15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Daily life meets the residents’ lifestyle preferences and expectations. Residents have regular contact with their families and friends Residents receive a nourishing and balanced diet. EVIDENCE: One of the residents and the other residents’ relative who were interviewed said that the residents are frequently asked whether they need anything and that they are encouraged to make choices wherever possible. Staff said that residents have access to a range of activities such as cooking under supervision, gardening, arts and crafts, visiting entertainers and occasionally being taken out on an individual basis. This was confirmed by the resident’s relative. The home keeps a record of activities or offers of activities which have been declined. One resident’s relative said that visitors always made welcome and offered refreshments or lunch. The food served on the day of the inspection appeared appetising and nutritious and the staff made sure that residents were seated comfortably and/or given appropriate cutlery. There was a wide range of fresh fruit and vegetables in the food store, together with good York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 12 quality food products. Residents and their family said that tastes, choices and dietary needs are well catered for, with a varied selection of food and drinks available during the day and evening. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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): 16 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be confident complaints will be listened to and dealt with appropriately and they will be protected from abuse. EVIDENCE: A service user guide is issued to each resident and includes the home’s complaints procedure. One of the residents and one resident’s relative confirmed that they would feel comfortable in mentioning any complaints to the registered person and were confident that any concerns would be resolved. The registered person has recently updated procedures and information relating to adult abuse and other staff referred to the procedures and ongoing training in adult protection. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 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): 19,21,24 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean environment. The bedrooms, communal areas and garden provide an attractive environment. EVIDENCE: The home is maintained and decorated to a good standard and the bedrooms are homely and comfortable. The two residents have their own sitting rooms. There are currently no hoists in the home and although they may not be necessary at present, this should be constantly reviewed and discussed with the care managers. Curtains have been installed to provide a form of screening in the shared room. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 15 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): 27 - 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing numbers are appropriate to meet the daily needs of the residents. Residents are protected and supported by the home’s recruitment and induction training procedures. Residents benefit from a well trained and supported staff team EVIDENCE: Although there is no separate cook, there seems to be sufficient staff to ensure that residents did not have to wait for attention. Night staffing has been increased to 2 wake staff and staff said that this has improved the level of activities provided since staff now spend little time during the day on housekeeping tasks. Staff files have improved generally and include an application form, references, CRB checks, evidence of identity, and supervision notes. There is a good proportion of staff who have completed NVQ training, and all staff have attended training in dementia awareness. Staff turnover remains very low and staff commented on the good working atmosphere and support from the registered person. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 16 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): 31,33,35,36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The current management arrangements ensure that the home is being run in a way that benefits residents and staff. The record keeping, and health and safety systems are generally sufficient to safeguard residents’ welfare, rights and best interests. EVIDENCE: Although the registered person said that does not intend to become qualified at this stage as she will be retiring and appointing a registered manager, she showed a good level of competency and has made a great effort to improve many of the management systems. Quality assurance questionnaires were issued to residents and or their families. Staff referred to regular handover periods and said that the registered person is also available to discuss any York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 17 issues either on a daily basis or through regular supervision. A new water pump has been installed since the last inspection to ensure that the water is at a safe temperature and extra devices have been fitted on doors to reduce any risk to residents. The records showed that fire alarm systems are tested regularly and all maintenance certificates were up to date. York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 18 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 3 3 X 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 4 X X 4 X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 4 4 4 York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 19 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. 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 York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 York House Care Home DS0000023132.V298470.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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