Care Home: Marina Lodge

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What the care home does well This was the first inspection for this service and one the day of the inspection there was only one person resident in the home, they had lived in the home for one month. Their needs had been assessed by the provider before they moved in to the home and they had signed their care plan. The person in the home was encouraged to be independent and to continue with their employment. Support was also provided to ensure they could remain in contact with their family. The home was fresh and clean and the registered rooms are maintained to a high standard. What has improved since the last inspection? This is the first inspection for this service. What the care home could do better: This is a new service and whilst there is only person in the home the systems in place to enable them to be independent and to be safe have been properly and thoroughly implemented. The registered provider needs to ensure the high standards he aspires to are achieved and this can be done consistently. Key inspection report Care homes for adults (18-65 years) Name: Address: Marina Lodge 46 Avenue Victoria Scarborough N Yorkshire YO112QT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 0 1 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 22 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Marina Lodge 46 Avenue Victoria Scarborough N Yorkshire YO112QT Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Hessan Emambocus and Madoomatee Emambocus Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: 1. The registered person may provide the following category of service: Care home only: Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categor: Mental disorder, excluding learning disability or dementia: Code MD. 2. The maximum number of service users who cam be accommodated is 4. Date of last inspection Brief description of the care home Marina Lodge is registered to provide accommodation and personal care for up to 4 people who have or have had mental health problems. The home is situated on the south cliff of Scarborough in walking distance of local shops and the seafront and close to a bus route to the centre of the town. Free on Care Homes for Adults (18-65 years) Page 4 of 22 Over 65 0 4 Brief description of the care home street parking is available close to the home. There are two bedrooms on the first floor with a small quiet area and on the ground floor there are two further bedrooms, a laundry and a large sitting room and dining room. There is a place in the back garden suitable for people who smoke. On the 1st December 2009 the weekly charges ranged from £390 to £750 depending on assessed need and a finacial assessment. Care Homes for Adults (18-65 years) Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Care Quality Commission inspects services at a frequency determined by how the service has been risk assessed. The inspection process has now become a cycle of activity rather than a series of oneoff events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.cqc.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: Care Homes for Adults (18-65 years) Page 6 of 22 Information provided by the registered person in an Annual Quality Assurance Assessment form (AQAA) A visit to the service by one inspector that lasted for four hours. The registered provider was available for feedback at the close. Care Homes for Adults (18-65 years) Page 7 of 22 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessments prior to admission are comprehensive and enable the staff and the person moving in to make an informed decision about the suitablity of the placement. Evidence: People looking to move in to Marina Lodge are referred through the care management system and a comprehensive assessment is completed and forwarded to the home. The registered person then visits them in their own home or in hospital to assess if their needs can be met in the home. A written assessment is made and kept on the persons file. People are also encouraged to visit the home and have several short stays to ensure they feel they can settle and to see if the placement remains appropriate. Only one person has been admitted to the home and another is in the process of going through the assessment process and those records seen showed that the necessary assessments had been completed before the person was admitted to the home. Care Homes for Adults (18-65 years) Page 10 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported and encouraged to make their own decisions about how they live their lives. Evidence: There is only one person currently resident at Marina Lodge and their care records were seen. They had a care plan in place that covered all aspects of the personal and social support they need. The person concerned had been involved in the development of the care plan and was happy with it. As the person has only been at the home for a month the care plan has not been reviewed yet. During the visit a support worker and community psychiatric nurse were spoken with and they both expressed their satisfaction with the placement. The person living at Marina Lodge is able to make their own decisions and there is a plan in place to help them to re-develop their links with the local community. Risk assessments are in place to help facilitate this. There is a missing persons policy in place so that staff will know what procedure to follow if someone goes missing from the home. Care Homes for Adults (18-65 years) Page 11 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live meaningful lives and have good access to a range of social and therapeutic activities. Evidence: The person who is living at Marina Lodge has a job and the provider ensures they continue to go to work. The provider is also working with the person to ensure that they have a good knowledge of the local area so that they can access the shops, the pub, and other community places. They are working with the social care professionals to ensure that contact with important people in their lives is appropriate. Restrictions placed on contacting people are identified in the persons care plan. The daily routines are flexible and allow for the person to follow their own routine. The registered provider said that this will continue when there are more people in the home. One person spoken with said he was able to follow his own routines as long as Care Homes for Adults (18-65 years) Page 12 of 22 Evidence: he wasnt late for work. He also said he is getting to know the local area and goes to the shops for himself and the provider. He is starting to socialise with people who live in the providers other home which is close by. Visitors are welcome at any time and they are asked to sign in on and out when they arrive and leave. Visits can take place in the communal areas or in the persons own room. People can lock their bedrooms to ensure their privacy. The providers are usually available to visitors. At this time the meals provided are purely on a request basis as there is only one person being catered for. When asked about the meals they had, they said they were good and they could visit the providers other home for a meal if they wanted to, which they usually did on a Sunday. The registered provider said that as the home fills up a menu will be established and will provide a healthy balanced diet as well as including peoples preferences. Care Homes for Adults (18-65 years) Page 13 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that their health care needs will be recognised and addressed and that any care provided will be sensitive to their own preferences. Evidence: The care plan seen contained information about the level of support required with personal care tasks. The person spoken with said that the provider was supportive and offered constructive advice with care tasks. He encouraged the person to be fully independent with their personal care. The provider was clear that people would be enabled to be as independeant as possible with their personal care. People moving in to the home can retain their own GP as long as they are not from outside of the area. The person spoken with had decided to change their GP so that they were more accessible. A community psychiatric nurse and a support worker are working with the provider and client to ensure they continue to access health services. The medication was seen, it is stored securely and records seen were accurate. The medication is logged on arrival into the home and any medicines returned to the chemist are recorded. There are no controlled drugs in the home. Care Homes for Adults (18-65 years) Page 14 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to information if they wish to make a complaint or raise any concern about their service. Evidence: There is a clear complaint procedure and this is available in the information people receive about Marina Lodge and it is displayed in the home. The current person living there said that they could speak to the owners if they were unhappy about anything. There is a whistle blowing policy for staff so that they may disclose poor practice without fear of being victimised. There have been no complaints received by the provider or by the Commission. Staff have not yet been employed to work at Marina Lodge. There is a policy in place that will ensure people will have been thoroughly vetted prior to the commencement of their employment to ensure they are suitable to work with vulnerable people. Once staff are employed in the home they will be made aware of their responsibility to report any incident that constitutes abuse. There is information in place to inform staff of how to refer any incidents where abuse is suspected or alleged to the local authority. Care Homes for Adults (18-65 years) Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and homely environment which is maintained to a good standard of comfort and safety and has been adapted to promote peoples independence. Evidence: All communal areas of the home were seen including peoples bedrooms. Everywhere was decorated to a high standard and people can access all areas of the building. There is a covered area outside for those people who smoke. The person currently resident in the home had picked their own room and was able to lock the door, although only from the inside. The laundry area is accessible to people in the home and they will be encouraged to manage their own laundry. The premises were clean and free from offensive odours. The building is maintained in compliance with the regulations required by the Fire and Rescue Service and Environmental Health departments. Care Homes for Adults (18-65 years) Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. N/a Evidence: There are no staff employed in the home at the time of the inspection. The providers Mr and Mrs Emambocus are providing the supoprt required. Policies and procedures are in place to ensure people are thoroughly vetted before they are deployed in the home. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed Evidence: The providers are both Registered Mental Health Nurses and have a great deal of experience in the NHS before acquiring Marina Lodge. They have clear aims and objectives for the home and these outlined in the information given to people before they are admitted. There is a simple quality assurance system in place. This has not been implemented yet as they only have had only someone in the home for a month. It is intended the quality assurance system will be carried out annually and will incorporate views for people in the home, their relatives, social and health care professionals and information gathered through the reviewing system. There are policies and procedures in place and these are under review to ensure they remain in line with current good practice and legislation. A selection of health and safety records were checked and these included the fire records, emergency call Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: system and the gas safety certificate. These were up to date. A record is kept of accidents and incidents when necessary accidents and incidents are reported to the Commission. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 24 People should be able to lock their bedroom door from the outside so that they can lock it when they go out if they wish. This will enable them to independent. Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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