Inspection on 21/11/05 for York House Residential Care Home

This inspection was carried out on 21st November 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

York House Residential Care Home 09/11/06

York House Residential Care Home 17/02/06

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 21st November 2005 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.V266472.R01.S.doc Version 5.0 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.V266472.R01.S.doc Version 5.0 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.V266472.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 March 2005 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 older people, five of whom may have dementia or 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.V266472.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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 and care plans were examined. Two of the staff on duty, the seven residents seated in the lounge, a relative and the manager were spoken with. What the service does well: What has improved since the last inspection? The statement of purpose and service user guide are now available and contain all the necessary information to help residents and their relatives to choose the appropriate home for their needs and wishes. Staff supervision has taken place but needs to be continued on a more regular basis to ensure that the care the staff provide is appropriate to the needs of the residents. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 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.V266472.R01.S.doc Version 5.0 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.V266472.R01.S.doc Version 5.0 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 (Intermediate care is not available.) The documentation in the home ensures that residents are able to make an informed choice and that the home can meet their needs after admission. EVIDENCE: The new statement of purpose and service user guide are clear documents which contain all the relevant information to enable prospective residents to make an informed choice of home. Each resident is provided with a service user guide which is written in clear type and format. Care plans studied show that pre-admission assessments are undertaken to ensure that the home can meet the needs of the residents for whom it cares and that the residents are given a terms and conditions contract that contains all the necessary information that confirms this. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 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, 9, 11 The needs of the residents are well set out in their records to enable staff to give them appropriate and adequate care. EVIDENCE: Care plans are orderly documents with information stored in separate sections for easy reading and understanding, giving adequate information for staff to provide the appropriate care needed by each resident and reviewed meaningfully each month. The daily evaluation sheets should have the date as well as the time written for each entry. More evidence of residents’ or their relatives’ wishes for involvement in the care planning process is needed. Medication practices were found to be adequate with medication appropriately stored, dispensed and recorded and each medication administration record displaying a photograph of the resident. The final wishes of each resident is recorded in their care plans to provide dignity at this sensitive time. Relatives said, “this is the third home my mother has been in and I am very satisfied”, “I have confidence in the staff”. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 10 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, 13, 15 The residents’ needs and wishes are catered for in activities, contact with family and meals to ensure their choices and expectations are satisfied at all times. EVIDENCE: Although the activities organiser has recently left, the activities provided by staff are frequent, meet the needs and wishes of the residents and are well documented. Questionnaires circulated to all residents and relatives by the manager and comprehensively analysed and summarised by her, ensure that their wishes are taken into account and that they can take control of their lives as much as possible. A relative spoken with said that there is a family atmosphere in the home and they feel very welcome every time they come to visit: ‘like one of the family’; ‘I always receive a warm welcome’. ‘I can visit any time I wish to’. Residents say that mealtimes are pleasant times and that the food is “lovely”: homemade, with plenty of fresh vegetables and fruit available and there is always a choice of menu. The tables were attractively set with tablecloths and fresh flowers and the atmosphere in the dining room at lunchtime was lively and cheerful. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 11 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 The training and positive attitude of staff to the residents ensure that they feel listened to and are protected from abuse. EVIDENCE: Neither the Commission nor the home has received any complaints before or since the last inspection. ‘Compliment’ letters are plentiful and all give confirmation of the satisfaction residents and relatives have with the quality of service provided. Adult Abuse awareness training has been undertaken by all staff and those on duty demonstrated their knowledge and understanding of the need and way to protect residents at all times. Residents say they are treated with respect and care and that the manager and staff are excellent and loving. Residents commented “the staff are very nice”; “it is very nice here”; “I love it”; “friendly and they work together”. Staff were seen to talk with the residents easily and cheerfully. A relative said “I can discuss any issues with staff”. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 12 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, 25, 26 The home provides a safe, pleasant environment is which the residents feel happy and comfortable. EVIDENCE: The home is clean, tidy and odour free throughout, with residents’ rooms personalised and communal areas attractively decorated and comfortably furnished. Shared rooms have curtain screens to afford some privacy for each resident. The tables in the dining room are laid with tablecloths and decorated with fresh flowers. The provider has been undertaking a ‘rolling’ programme of refurbishment and re-decoration; some carpets still have to be replaced and the kitchen is booked for renovation before January 2006. The bath in the upstairs bathroom would benefit from equipment to assist residents in and out of the bath. The manager said the provider is considering changing one of the baths into a shower ‘wetroom’ facility. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 13 Four radiators in residents’ rooms are still without covers although their surface temperature is not hot enough to risk scalding. The use of these should have a risk assessment to ensure that residents are cared for safely and they should be covered. Residents say they are happy living at the home. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 14 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 Staff work in sufficient numbers and receive a comprehensive variety of training to enable them to care for the residents efficiently and effectively. EVIDENCE: The duty rota demonstrates that there is a sufficient number and skill mix of staff on duty at any time to meet the residents’ needs. Residents say the staff are always available and during the inspection, staff showed awareness and were conscientious of the residents’ needs and wishes. Staff say they are up-to-date with all mandatory and other relevant training, including adult abuse awareness and dementia care and several staff have completed or are undertaking NVQ (National Vocational Qualification) courses. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 15 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, 37 The home is run by a manager who is well thought of. Residents are cared for in a safe and appropriate manner although more regular monitoring of practices by the provider and supervision of staff would improve the service provided and enhance this element of safe care. EVIDENCE: Staff say they have confidence in the manager; that “she is brilliant”. The manager is seen as very supportive, friendly and helpful and thought of highly by staff, residents and visitors to the home. The manager monitors and reviews the service provided through resident and relative questionnaires, relatives’ meetings, being aware of any issues and being available to deal with any concerns. The provider does not undertake any unannounced, monitoring visits to the home although visits the home several times weekly and is in regular contact York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 16 with the manager to discuss issues or concerns and the general management of the home. Staff supervisions take place but need to be on a regular basis to give them support to enable them to provide a safe, caring service to the residents. All record-keeping and resident-related documents seen were in excellent order, easily available and clear to read and understand. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 17 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 2 X X 3 3 X York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 18 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. 1 Standard 33 Regulation 26 Requirement The provider must visit the home, unannounced, at least once monthly, to evaluate and monitor the standard of care provided, and provide a report on the conduct of the home. Timescale for action 31/12/05 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 7 2 3 4 36 25 26 Refer to Standard Good Practice Recommendations The daily evaluation sheets in the care plans should be dated for each entry to ensure that accurate records are kept. The programme to provide cover for all radiators must be completed for the safety of the residents. The upstairs bathroom should be adapted to suit the needs of residents with mobility restrictions who use it. The formal supervision of staff should take place on a regular basis. The recommended number is six times per year. York House Residential Care Home DS0000061879.V266472.R01.S.doc Version 5.0 Page 19 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.V266472.R01.S.doc Version 5.0 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. 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