Inspection on 17/02/06 for York House Residential Care Home

This inspection was carried out on 17th 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

York House Residential Care Home 09/11/06

York House Residential Care Home 21/11/05

York House Residential Care Home 24/03/05

York House Residential Care Home 10/01/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE York House Residential Care Home Waterside Billinghay Lincoln LN4 4BU Lead Inspector Vanessa Gent Unannounced Inspection 17th February 2006 09:30 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 Residential Care Home DS0000061879.V282827.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 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 Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service York House Residential Care Home Address Waterside Billinghay Lincoln LN4 4BU 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) 01526 860378 01526 860378 Mrs Linda Petruzziello Care Home 13 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number disorder, excluding learning disability or of places dementia (2), Old age, not falling within any other category (9) York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: York House is a detached property, situated in the Fenland village of Billinghay, ten miles north east of the town of Sleaford and sixteen miles from both Boston and Lincoln. The village community incorporates shops, a doctor’s surgery, a church and a library. The home is a family-run business; the proprietor lives on the premises and is actively involved in the day-to-day management of the home. Accommodation consists of nine single and two shared rooms, none of which are ensuite, located on the ground and first floor, with access to the first floor via a stair lift. There is a lounge, sun lounge and main dining room on the ground floor as well as further seating in the lobby. The home is registered to provide personal care for thirteen people of both sexes, nine of whom are over 65 years of age in the category of old age, three of whom are over 65 years of age with dementia and two with a mental disorder. The house stands in large, mature gardens with river frontage and is set well back from the main road. Access to the property is shared with another business but this does not present any difficulties to visitors. A small car parking area is available at the front of the property. The homes philosophy is to provide and maintain high standards of care for all residents, to ensure the environment is comfortable, friendly and therapeutic and to encourage the residents to develop their full potential within a safe, homely environment. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place by one inspector over 6½ hours. The main method of inspection used is called case-tracking which involves selecting a proportion of residents and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. Two residents’ assessments, care plans and records were examined. Two of the staff on duty, seven residents, including the residents case-tracked, three relatives and the manager were spoken with. A partial tour of the building took place. What the service does well: What has improved since the last inspection? Adult protection and abuse prevention training has been undertaken by most staff although not all staff have yet completed the course. Adult Protection training is given in the induction. The acting manager has successfully achieved her Registered Managers Award and is qualified to assess the staff in their NVQ courses as an assessor. All daily evaluation sheets in the care plans now are dated to identify exactly when they are completed. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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 Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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 Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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, 2, 4, 5 The documentation in place and the trial period offered are adequate to inform prospective residents whether the home is where they would like to live. EVIDENCE: A copy of the statement of purpose and service user guide were seen and contain all the information required to help people make an informed choice when selecting a care home. The terms and conditions contract contains the necessary details and number of the room to be occupied and is sent with the letter that goes to prospective residents to say that the home can meet their needs. Residents spoken with confirmed that a trial period of one month is given for the resident to settle in and decide whether to stay at the home long-term. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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, 8, 10 Care plans are basic but adequately inform staff of the residents’ needs, how to manage their care and how to preserve their privacy and dignity. Advice from other healthcare professionals is sought and followed. EVIDENCE: In the care plans examined, the initial assessments are in place but none had been reviewed since the residents’ admission although the care plans are adequately reviewed monthly. In one resident’s care plans, not all areas pinpointed in the activities of daily living assessments, used to formulate the care plans, were identified specifically as care plan issues although staff were knowledgeable about the issues that the resident has that requires specific awareness, and the daily evaluations demonstrated that the appropriate care is given. In another resident’s care plans, the initial assessment needed more detail although the care plan issues were comprehensive and relevant to their needs. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 10 Healthcare professionals are asked for and give advice on healthcare issues, including diabetes, tissue viability and continence care. One resident said, “It’s a good home; I like living here; they look after you.” Another comment received was, “they look after us tremendously well” and “We get looked after.” Residents say that staff are “very polite and sweet” and that privacy and dignity is respected and observed. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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, 14 Sufficient activities and autonomy and choice is given to enable the residents to be comfortable, occupied and happy living at the home. EVIDENCE: Although the home does not have an activities organiser, activities are provided, almost daily, before and after lunch, including card games, dominoes, snap, colouring, musical stimulus: singing, clapping, dancing, some food preparation, occasional quizzes, reminiscing and just sitting and chatting to residents. The provider often joins in some of the activities. Some residents are adamant that they do not want to participate in activities and their choice is recorded in their care plans. Residents say they have autonomy and choice in their lives, choosing when to get up and go to bed, whether they want the food offered on the menu, whether they want to join in activities and if and when they want to go out of the home, with the support of staff. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were examined at the previous inspection. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 13 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): 24, 25 The residents’ private accommodation is adequate to meet their needs and ensure they are comfortable and safe. EVIDENCE: The residents’ private rooms are clean, tidy, smell fresh and are personalised with the resident’s own possessions. The furniture and carpets are adequate for their purpose. The temperature of hot water in the residents’ sinks is appropriate for their personal needs. Radiators are not all covered but were not too hot to cause burns to residents. Most residents say their rooms are warm enough and they are warm in the communal areas. However, two visitors said the home had previously sometimes been cold at times and they had had to light the fire in the communal lounge. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 14 It was confirmed that sometimes some staff had turned the heating off at night time and forgotten to turn it back on when the home cooled down, but staff say this did not happen often. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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): 28, 29, 30 The home has safe practices for employing, training and supporting staff to safeguard the residents, themselves and each other at all times. EVIDENCE: Staff are encouraged to take NVQ courses; the acting manager is an NVQ assessor. One staff said the acting manager had been very supportive with her NVQ assignments and other training she had undertaken. Staff files show that all necessary documentation is received and kept as required and that induction is thorough. Staff feel well-supported until they are confident and competent to practice. Staff agree that training is valued by the provider, acting manager and themselves and that there are plenty of training opportunities as well as the mandatory training that has to be undertaken. Residents say “the girls are very polite and sweet. They’re lovely; will do anything for us. It’s OK here.” “Staff – can’t fault them.” One relative said a staff member had not always been polite but that the acting manager had handled the situation appropriately, the staff had been spoken with and had apologised and that the situation was now better. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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): 32, 33, 36, 38 The home’s auditing and monitoring practices ensure that staff are wellsupported and the residents’ opinions and wishes are known and respected. Except for the step near the front of the lobby, health and safety measures are in place to protect residents at all times. EVIDENCE: The acting manager is said, by staff, to be very supportive. “You can take anything to both the acting manager and the provider.” “She has helped with problems and with my studying.” Questionnaires and surveys have been used to ascertain the wishes and opinions of the residents and relatives. The provider is at the home most days of the week but has agreed that it is good practice to produce a monthly audit York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 17 of the home and the service provided in order to ensure that the home is meeting the needs of the residents and that the fabric of the home is maintained in good order. Staff, including the cook, all say that they have supervisions with the acting manager. Evidence was seen that the sessions are signed by both parties and dated. Staff meetings are held, but these have been only four monthly and staff spoken with all agree that more meetings are necessary, would be appreciated and attended. Residents say that the acting manager “looks after us tremendously well. A very nice place to be.” A small step from the lobby to the front door, that is used by residents going to the toilet, has not been marked to distinguish that there is a step there and this is a trip hazard for residents and staff alike. Otherwise, adequate health and safety measures are in place, and EHO and fire officer inspections have taken place in February 2006 and December 2005 respectively. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 3 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 3 X X 3 X 3 York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 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. 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. 1 2 Refer to Standard OP33 OP38 Good Practice Recommendations The provider should monitor the service provided by monthly, unannounced ‘visits’ and completion of a report or audit tool. The step between the lobby and the front hall should be clearly marked to ensure it is safe for residents, visitors and staff. York House Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Care Home DS0000061879.V282827.R01.S.doc Version 5.1 Page 21 - 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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