Inspection on 05/03/09 for Mayflower Court

This is the latest available inspection report for this service, carried out on 5th March 2009.

CSCI found this care home to be providing an Good service.

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

Mayflower Court 28/11/05

Mayflower Court 07/09/05

Mayflower Court 21/09/04

Mayflower Court 17/06/04

Mayflower Court 03/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Mayflower Court 8 Waterford Road Birkenhead Wirral CH43 6UT     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: Julie Garrity     Date: 0 5 0 3 2 0 0 9 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. 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. 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 © (2009) 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Mayflower Court 8 Waterford Road Birkenhead Wirral CH43 6UT 01516528810 Telephone number: Fax number: Email address: Provider web address: mayflowercare@tiscali.co.uk Name of registered provider(s): Type of registration: Number of places registered: Mayflower Care Homes Ltd care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To either service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 20 Date of last inspection Brief description of the care home Mayflower Court Residential Care Home is an Edwardian house located in the Oxton area of Wirral. This is a residential area. There is access to local buses a short walk from the home that supports access to the main shopping areas of Birkenhead. The home is registered to provide personal care for up to twenty people with an age related condition. Information regarding the last site visit from us is available upon request in the home. Accommodation is provided on three floors with stair and lift 0 Over 65 20 Care Homes for Older People Page 4 of 24 Brief description of the care home access. There are two communal lounges and a dining room. Parking is available to the front of the building. Most of the people living in the home have their own bedrooms those who share bedrooms have consented to do so. There is outdoor space such as gardens available at the front of the building. At the time of this site fees for the home were identified as being between 420 pounds and 500 pounds, depending on the assessed needs of people wishing to move in. People living in the home pay separately for newspapers, toiletries, Hairdressing and chiropody as examples. 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: This visit was carried out over a period of one day. We (the commission) arrived at the home at 11:10 and left at 18:50, at total of 6 hours 40 minutes. We spoke with 5 people living in the home, 4 staff members, 3 relatives and the deputy manager. The registered manager was not available for this visit. The homeowner attended the service for the majority of the day. We completed the inspection by a visit to Mayflower Court and a look at the building. Written records in the home were looked at and these included, care plans, assessments, staff files, staff training, staffing rotas, GP visit records, information to people living in the home and daily records. Information supplied from the home such as a completed questionnaire, reporting of incidents and correspondence was also reviewed as part of this inspection. The service also sent us a copy of their Annual Quality Assurance Assessment (AQAA), this is a self assessment that indicates to us Care Homes for Older People Page 6 of 24 what improvement the service has made and any plans for the future. We sent surveys to the people living in the home and the staff. The deputy manager confirmed that staff surveys had been completed and returned to us. They told us that they had not received the surveys sent by us for the people who live in the home. None of the staff surveys were received by us. Feedback was given to the manager during and at the end of the inspection. The arrangements for equality and diversity were looked at during the visit and are detailed throughout this report. Particular emphasis was placed on the methods that the home used to determine individual needs, promote independence and support people living in the home to make informed decisions in line with their individual choices. 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.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 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 move into the home have their needs looked at before they do. This helps the service make sure that they can meet peoples individual needs. Evidence: We looked at the assessments of a recently admitted individual and found that the service had made sure that they could meet their individual needs before they moved in. They did this by undertaking an assessment that looked at the persons needs. The AQAA from the home told us that assessments are always made by the Manager or Acting Manager Every care is made to ensure that the ethnic and diverse needs of the individual is met. Parts of the assessment available for people moving into the home does look at their social and cultural needs, that helps identify peoples individual needs. A copy of information in the home known as the statement of purpose (which states the services the home will provided) and the service users guide (information to the Care Homes for Older People Page 10 of 24 Evidence: people who live in the home about the services they will receive) was shown to us. Both these had been updated within the last two years. The service users guide is available in large print which helps make sure that it is accessible to more people living in the home. The homeowner told us that they were considering making this available in other formats such as Braille. The majority of the individuals have lived in the home for several years and told us that they thought lovely could not be nicer and girls are marvelous here. We spoke to three relatives who told us that they were shown around the home when they first came to look the reason that they choose the home was because we were made to feel very welcome. The place looked so beautiful and well kept it was easy to see that they would also look after my (relative) as nicely. 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 living in the home have their individual healthcare needs met. Evidence: The AQAA for the care home told us that, All of our residents have a comprehensive care plan that described their individual needs. We looked at three care plans and noticed that each person had their own plan of care. All the plans had been reviewed and in some cases signed by the person living in the home or their relative. Staff told us that they thought that the care plans were over complicated. Care plans did have relevant information in them that did in some cases describe how the staff were to meet the persons needs. Due to complicated paperwork not everyones assessed needs had a clear care plan that informed the staff how to meet that need. The owner and deputy manager told us that they thought that some of the planning was paperwork heavy but were not sure how to do this. We discussed with the owner and deputy manager ways to make sure that the paperwork did not over-whelm the care staff and the people who live in the home. Staff working in the home have done so for in some cases for several years and have a reasonably detailed knowledge of the majority of peoples needs and how to meet them. Clearly written records that Care Homes for Older People Page 12 of 24 Evidence: give staff clear instructions would make sure that staff members were consistent about the support they gave support the manager to monitor the care given and support people living in the home to be actively involved in the care they receive. We looked at how the staff members monitor the effect of the support that they gave. Each person living in the home has a record kept of care or support they received that day (a daily record). The quality of these records varied but was sufficient to detail some of the care that had been given that day. A daily record that accurately shows what support has been give that day helps the staff to monitor individual needs. We looked at how people were supported in getting their medications. This showed that people living in the home do not always received their medications in a safe manner that maintained their health. The majority of medications checked were accurately given and showed that most of the time people did receive their medications as they should. There were some documentation areas that do not maintain good practice. Of the medicines we looked at three medicines were not accurately given. Two people had not received the same amount of medicines that staff had said signed to say was given. We also noticed that there was evidence that staff were not carrying out other areas of best practice such as giving medicines at the right times and signing for medicines as they gave them. There were no clear instructions to staff as to when to give as needed medications. Staff need to keep clear records of the medications that they have given and have clear instructions to give out medications in order to make sure that the manage medications safely. The owner of The Mayflower informed us that all staff giving out medications would be required to attend further training to make sure that they gave managed medications in a safer manner. Carrying forward medications that are left over makes sure that the manager can always check that medications have been given properly. We noted that medications were significantly improved and information on external preparations and when required was now clear and informed staff of how to deal with these medications correctly. When we looked at how the service accessed external professionals such as doctors or dieticians we found that in all cases the staff had recognised changes in peoples needs and contacted the relevant expert. The AQAA from the home told us medical advice is sought as necessary and residents can register with a GP of their choice if so required. Access to all health services is available. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Mayflower supports people to live a lifestyle of their choosing. Evidence: A menu is available that does detail the meals available copy of this is usually written on a white-board for people living in the home. People living in the home told us that the food is very nice, I enjoy what we have to eat and I can have something different if I dont like whats available. The activities co-ordinator keeps records of the activities that individuals have done. This showed that there is a variety of activities available every day. The AQAA for the service told us that We have an activities notice board for future events and a white board for daily menus. We have an activities co-ordinator for 20 hours a week. Several of the people living in the home are able to organise their own activities with some support. The people living in the home told us that there is different things to do but I really would like to go out, We dont go out often enough and The staff try to have things happening sometimes its very good and I can choose what I want to do. The AQAA from the home told us Preferred bed and rising times are included in the Care Homes for Older People Page 14 of 24 Evidence: care plan. We spoke to the people living in the home who told us that apart from mealtimes they can sit were they want, get up when they want and sort their day as they would wish. They also told us that the manager discuss with them the food and activities available. 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 living in the home have confidence that any concerns they may have will be dealt with properly. Evidence: The AQAA for the home told us, We have a complaints procedure. Residents and relatives are given copies of this with the contract. We keep a record of all complaints received and the action which was taken. A copy of the complaints procedure was available in the foyer of the home an a copy is given to each of the people living in the home. People living in the home told us I have never had any reason to complain. Its a very nice place to live and if i have any worries I talk to the staff. They are always happy to sort anything I need. So if i had a complaint I bet they would deal with it properly. We looked at how the home dealt with serious concerns such as a potential allegation of abuse. There is a policy and procedure in the building that informs staff of how to deal with concerns. Staff also told us that they had seen the policy from Social Services who if an allegation of abuse was made would deal with it. Records in the home showed that staff had received training in recognising and dealing with any potential abuse. We have not received any formal complaints about Mayflower Court. 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. Mayflower Court is a pleasant, well-maintained building that provides the people who live there with a good choice of were to spend their time. Evidence: On the day of this inspection the home was clean and well cared for and there were no offensive odors present. Relatives visiting the home told us that they thought the building was beautifully decorated, always very clean and tidy and Id like to live here it looks lovely. The AQAA from the home told us We have sufficient and varied communal spaces to cater for all needs and suitable lighting and furniture. Mayflower Court is an Edwardian house that has been adapted to provide care and support to twenty older people. Accommodation was provided on three floors with stair and passenger lift access. The home had fourteen single and three double bedrooms, two lounges and a dining room. Outside gardens were well tended and offered a pleasant outlook from the lounges and bedrooms. People living in the home told us its a very nice building and the gardens are lovely. All individuals spoken with thought Mayflower Court was a welcoming and comfortable place to live. We looked at some of the bedrooms and noticed all those viewed were well decorated. The three, shared double bedrooms are large and have a movable screen to afford Care Homes for Older People Page 17 of 24 Evidence: privacy when personal care is being provided. All of the bedrooms have a wash handbasin. All of the people spoken with who live in the home told us, my room is lovely, Its a very nice room I have everything I need there and I have some of my own things in my room it makes it feel much more like mine. We looked at how the home helped reduce the risk of infection. Staff wore appropriate aprons when the cooked or served food. It was a recommendation at a previous visit the home removes all hard soap and replaces it with liquid soap and disposable paper towels as this reduces the risk of infection. All of the rooms we looked into both private and public did not have liquid soap or paper towels. The owner of Mayflower Court thought that this had been done and assured us that it would be done in the future. Care Homes for Older People Page 18 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 are recruited and trained in a manner that maintains the safety of the people who live in the home. Evidence: Four staffing files were looked at in all including newly recruited staff. The files contained information that showed staff had been properly checked before they started working in Mayflower Court. The AQAA told us that, There is a comprehensive training programme in action. Records regarding staff training were looked at. This showed that staff received training as needed. Staff told us that we have a lot of different training. People living in the home told us staff are marvelous. We spoke to people living in the home and staff about the staffing levels. All said that there was enough staff. Mayflower Court is a small home so staff do additional duties such as cooking and cleaning. They are allocated to this each day. duties. We observed staff during the day an noticed that they supported people in an unhurried and kind-hearted manner. Staff and visitors told us that they thought there was enough staff in the home. 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. The home is mainly run in the best interests of the people who live there. Evidence: The AQAA for the service told us, The Home has an open door approach whereby people are encouraged to talk to the manager in private about any issues which they may have. we spoke to people who live in the home who told us, the staff are great, I can speak to (the manager) or (the deputy) anytime I want. The owner visits a lot too so I can talk to her if I want and they are just like family if I want to ask about anything I can. Staff also told us that they felt supported by the management team and that they could talk to them about anything. The manager of Mayflower Court has worked their for several years and is registered with us as fit to manage a care home. Confidence in the managers ability to provide a quality service was evident from people who live in the home, staff, relatives and the home owner. Records in the home confirmed that annual staff appraisals are undertaken and that individual, one-to-one supervision is carried out on six occasions each year. Staff told Care Homes for Older People Page 20 of 24 Evidence: us that they found this useful and when it was applicable they were given praise for a job well done. These records were not kept confidential and were available in separate files in the main office. we discussed this with the home owner who agreed to make sure that they were kept confidential in the future. Health and safety procedures are in place. The fire alarm system is checked weekly and the emergency lighting is tested monthly. Records confirmed that contractors routinely check the fire prevention, gas and electricity. This is done in order to make sure that all these systems were safe and prevented injury to both people who live in the home and staff. In general risk assessments for the prevention of fire and for the building were available. 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 1 7 Review the arrangements for care planning and make sure that they provide information to staff in sufficient detail to make sure that consistent care is provided. The service needs to review its current arrangements for medications and make sure that staff are following best practice. This needs to be done in order to maintain the safety of the people living in the home. The hard soap in use needs to be replaced with liquid soap and disposable paper towels particularly in communal areas. Individuals need to be consulted about their personal preferences in their own bedrooms, This practice will reduce the risk of any infections spreading. 2 9 3 26 Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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!