Care Home: St Cecilia`s

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What the care home does well This home provides a good level of care for the people living here, many of whom have a dementia. The care needed is written down in detail for staff to follow. Each person is at the centre of planning for their care and their particular interests are written down. The home works hard to make the lives of those living there as interesting as possible and uses various activities to help them make the most of their abilities and enjoy their life in the home. Each person has a particular worker called a key worker who specifically helps them. The files are well organised and it is easy to follow what each person needs and which other health care professionals are involved. The home has a safe method of looking after medication. The meals are very good. People living in the home are helped to complain if there is a problem, and all complaints are taken seriously. Staff are well trained and in sufficient numbers to make sure people receive friendly unhurried care. The manager is well qualified and approachable. Staff said they could go to either Mrs Edmond or Mr Padgham if there were any difficulties. What has improved since the last inspection? Since the last inspection the manager has introduced an updated assessment form and they keep in close contact with relatives of people recently admitted to the home. A choice in meals has also been introduced. This means that a direct choice is available at lunch and tea meals instead of just an alternative. The lower corridor has been decorated to lighten the environemnt as it was quite a dark area. They continue to provide staff with appropriate training so that they can develop the skills they have in order to continue providing a good level of service. Staff who work as key workers now have allocated time to ensure the care plans are updated regulalry. The quality assurance scheme has been improved and now feeds in to the annual development plan for the home. What the care home could do better: Nothing has been identified as requiring improvement. The manager continues to identifiy areas in which they wish to improve the service offered through their quality assurance scheme. Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Cecilia`s Glendale House 19 - 21 Stepney Road Scarborough North Yorkshire YO12 5BN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 0 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. Copies of the National Minimum Standards – Care Homes for Older People 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: St Cecilia`s 19 - 21 Stepney Road Glendale House Scarborough North Yorkshire YO12 5BN 01723503111 01723501080 m.padgham@stcecilias.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Josephine Edmond Type of registration: Number of places registered: St Cecilias Care Services Limited care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service Users in category (DE) must be aged 50 years and over. Date of last inspection Brief description of the care home St Cecilias is a large adapted property. The home is located on a main road giving direct access to the town centre. Public transport passes the door. It was originally two separate houses but these have been converted to provide accommodation for service users in single and shared bedrooms. Some bedrooms have an en-suite provision. There are a number of communal areas throughout the home. The home does not have a passenger lift and consequently service users occupying the first floor must be reasonably ambulant. The secluded and private rear garden is provided with outdoor seating and specifically designed for the category of service user accommodated. The home has a statement of purpose and service user guide, which provide information Care Homes for Older People Page 4 of 24 Over 65 21 21 5 0 Brief description of the care home about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. The home charges between three hundred and seventy two pounds and four hundred and ninty five pounds each week. Chiropody, hairdressing and newspapers are not included in this fee and these are charged at cost. This information was provided to CSCI on 06/11/08. Jo Edmond manages St Cecilias on a day-to-day basis; she works closely with Michael Padgham who oversees the home and both are registered managers of the home. Care Homes for Older People Page 5 of 24 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off 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.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: Reviewing information that has been received about the home since the last inspection. Care Homes for Older People Page 6 of 24 Information provided by the registered person on an Annual Quality Assurance Assessment. A visit to the home by one inspector that lasted for five hours. During the visit to the home eight people who live there and four staff were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at St Cecilias for the people living there. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. People who decide to use this service can be assured their needs will be met. Evidence: The Statement of Purpose and Service User Guide were seen during this inspection and they contained the information necessary to allow people to gain an understanding of what St Cecilias had to offer. These documents could be further improved by including an equality and diversity statement that outlines the different strands of the larger community whose needs could be met at St Cecilias. Four case records were examined, one of which was of someone who had been recently admitted to the home. These showed that prior to admission, information had been obtained about the person, their circumstances and background, and any needs, which were to be met. Discussion with people confirmed that they or their relatives had had chance to visit the home prior to admission. Where someone is placed Care Homes for Older People Page 10 of 24 Evidence: through the care management process his or her assessment information is used to inform the admissions process. The manager is currently adapting the pre-assessment form to include more open questions about someones life. Staff spoken with said that the information they initially received allowed them to develop a care plan. The first weeks of anyones stay is also used as a further assessment period during which a person centred care plan is developed. Observations of care also showed that all staff had a good understanding of each individuals care needs. Care Homes for Older People Page 11 of 24 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 receive the care and support they need. The staff provide support in a sensitive way that promotes the independence and dignity of the people who live at St Cecilias Evidence: Staff have recently had training in person centered care planning and this was reflected in the care plans seen. The plans are regularly reviewed and changes made when necessary that ensure the plans remain relevant to the person they are about. The case files seen contained evidence that staff work closely with health care professionals and this information is incorporated in to the care plans. The case files also contained risk assessments pertinent to the individual concerned. Medication is well kept, recorded and administered, according to policy; ensuring people are kept safe. Observations during the day of the site visit confirmed that people were treated with regard to their privacy and that dignity was protected. People spoken with said, the carers are like family and they are lovely Care Homes for Older People Page 12 of 24 Evidence: The caring and thorough approach of the home ensures that peoples care needs are met. Care Homes for Older People Page 13 of 24 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good and varied diet and a social and recreational programme helps them to maintain their interests and hobbies. Evidence: Activities are organised by staff on a daily basis and are often on a one-to-one basis and for short periods of time. Staff have found that due to the capacity of people in the home this approach works best. Activities are based around seasonal interests and people have just celebrated Halloween with costumes and on the day of the inspection were starting to make Christmas cards and tags. Several people spoken with said they enjoyed going out for trips in the local areas. Staff said that they have time to sit and chat with people in the home and this was seen during the visit. One of the lounges is used a sensory area, the dining room has memorabilia from the early 1900s and other areas have information from different eras. An activities organiser is employed by the home and she visits twice a week and spends time with people in group activities or on a one-to-one basis. Visitors are welcome through out the day although no visitors were seen during the Care Homes for Older People Page 14 of 24 Evidence: inspection. Information in the visitors book and in peoples case file showed that people visit at different times and frequency. Mealtimes are relaxed and people choose if they want to go to the dining room or not. Staff provide appropriate support and prompts when necessary. The cook is introducing new menus where there is a clear choice at each mealtime. Fresh local produce is used and this allows for changes to the menus and includes seasonal variations. The meal served looked appetising and was enjoyed by people spoken with. There are several people who require a liquidised diet and this is done in such a way that retains individual tastes and textures of the food. Peoples nutritional needs are assessed regularly and this is reflected in the variety of meals provided. Breakfast is flexible and people can choose what they want from a cooked breakfast to tea and toast. A choice is offered at both lunch and tea meals and there is also a supper meal. Care Homes for Older People Page 15 of 24 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 who live at St Cecilias and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected Evidence: There is a clear policy for making complaints. Staff said people living at St Cecilias and their relatives could speak with staff or the managers if there was a problem and that they were confident complaints would be listened to and any concerns acted upon. All complaints are recorded with outcomes; however, there have been no complaints since the last inspection. There is an Adult protection policy in place and staff spoken with were aware of their responsibilities in relation to any concerns they have about the safety of the people living in the home. All staff are thoroughly checked prior to the commencement of their employment to ensure they are suitable to work with vulnerable people. Care Homes for Older People Page 16 of 24 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, 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. 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 warm, comfortable and safe environment. Evidence: The home is well decorated and furnished and provides a safe environment for people living there. There is an attractive garden, which has a pond, a summer house is provided for people to sit outside in the warmer months. There is a paved area outside the day room. The walls of this are decorated with metal advertising boards from the past and form part of a reminiscence theme within the home. The home has two lounges, and two dining areas. Sufficient bathing and showering facilities are provided. Most room are single and screening is provided in the three double rooms for privacy. There is a housekeeper, who works hard to eradicate odour, keeps the home clean. Compliance with the fire authority and the environmental health department has been achieved. People have personalised their own rooms with photographs and sometimes furniture. There are no recorded problems with the laundry service. Care Homes for Older People Page 17 of 24 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Staff, that, have been thoroughly vetted prior to the commencement of their employment, support people. They receive regular training and are in sufficient numbers to ensure they can provide the support required by the people in the home Evidence: The home employs sufficient staff at each shift to care for people living in the home. Staff spoke of having time to talk with people and to engage them in activities. Currently three staff have achieved their level two in care in an National Vocational Qualification. Several other staff are working towards this achievement. Whilst there is only a low percentage of staff with a National Vocational Qualifications level two in care, several of the overseas staff are qualified nurses and so bring that experience to the job. Three staff files were seen and each of them contained an application form, two references, Criminal Records Bureau disclosure and a POVAFIRST check. The staff spoken with were clear about their roles within the staff team and their priorities were with the people who live in the home. The home has worked in accordance with its equal opportunities policy with regard to the employment of overseas staff and those with a disability. Care Homes for Older People Page 18 of 24 Evidence: Training is provided on a monthly basis and is provided by external trainers as well as in-house training. The manager has invested in a series of training videos and uses them with new staff and established staff to up date and refresh their knowledge. Staff spoken with said that they enjoyed their training and found it interesting. During the visit it was clear that the training has influenced the approach used by staff when dealing with people in the home. Their calm and unhurried approach means that people get the support they require in a dignified way. Care Homes for Older People Page 19 of 24 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 home that is well managed and systems are in place to protect their health and safety. Evidence: The manager is suitably qualified. All staff said they could approach her or Mr Padgham for support if there was a problem. Staff felt there was a homely and positive atmosphere most of the time. All said they enjoyed working at the home. The home has developed a quality assurance system. The views of people living in the home and relatives are taken into consideration and incorporated into care plans. The manager also sends out surveys to health and social care professionals as well as to staff. Staff meetings provide a place where any problems or suggestions can be discussed. The results of all surveys are discussed in staff meetings so that opinions expressed may affect the development of the service. The results of the surveys are published in the homes newsletter. There is also an annual development plan that is Care Homes for Older People Page 20 of 24 Evidence: developed as part of the quality assurance system. Staff do not handle peoples monies, as the people who live in the home and or their relatives are encouraged to retain control over their own money. The health and safety records were checked and all were found to be up to date. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Care Homes for Older People Page 21 of 24 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 Older People Page 22 of 24 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 Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!