Inspection on 09/02/10 for Melrose House
Also see our care home review for Melrose House for more information
This is the latest available inspection report for this service, carried out on 9th February 2010.
CQC found this care home to be providing an Adequate 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.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Melrose House 25 Beverley Terrace Cullercoats Whitley Bay Tyne & Wear NE30 4NT one star adequate service 30/10/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne Brown Date: 1 1 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Melrose House 25 Beverley Terrace Cullercoats Whitley Bay Tyne & Wear NE30 4NT 01912513259 Telephone number: Fax number: Email address: Provider web address: scnemelrose@tiscali.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Stephen Hunter,Mrs Linda Hunter care home 9 Number of places (if applicable): Under 65 Over 65 2 learning disability Conditions of registration: Date of last inspection Brief description of the care home 7 3 0 1 0 2 0 0 9 Melrose House is a small home for nine people who have a learning disability. The home provides care for male and female residents. Situated on the sea front, it provides a central location for access to local facilities. All of the bedrooms are single occupancy with bathrooms/toilets located around the building. There is a spacious and comfortable communal lounge and dining area. The fees range from £392 to £432 per week. Inspection reports and information about the home are readily available. Care Homes for Adults (18-65 years) Page 2 of 10 What we found:
We carried out this inspection to follow up requirements made at the last key inspection which took place on 22nd October 2009. An unannounced visit was made on 9th February 2010 and a further visit was made on 11th February 2010 to speak to staff. During the inspection we:Looked at information about the people living in the home and how well their needs are met; Spoke to the operations manager, acting manager and staff on duty; Spoke to some people living in the home; Looked at relevant records; Looked around the premises; Checked what improvements had been made since the last inspection. The home is registered to provide care for up to nine people. At the time of the inspection there were eight people living in the home. The requirements made at the last key inspection are listed below:Requirement 1 - Risk assessments must be put in place to address all aspects of peoples lives. We looked at the records of three people living in the home. Risk assessments were in place but these need to be expanded to include more detail. Staff have not been provided with training on completing risk assessments. There was no written evidence that people living in the home had been involved in the risk assessments. The assessments are not in an easy read format. Requirement 2 - A robust system for dealing with peoples money and valuables must be introduced. We looked at the system for dealing with peoples money and valuables. Where possible people sign to confirm they have received their personal allowances. If people are not able to do this two staff signatures are maintained. Receipts are kept for any money that is spent and appropriate records are maintained. This requirement has therefore been met. Requirement 3 Events which affect the well being or safety of any persons living in the home must be reported to the Commission to decide who will investigate. Care Homes for Adults (18-65 years) Page 3 of 10 The Commission has been informed of any events that affect the well being and safety of people living in the home. This requirement has therefore been met. Requirement 4 The front panel on the washing machine must be replaced. This panel has been replaced providing people with appropriate laundry facilities. This requirement has therefore been met. Requirement 5 The frayed carpet edging on the middle floor must be made safe. The carpet edging has been made safe to help ensure this does not cause a trip hazard. This requirement has therefore been met. Requirement 6 - Various items which are hazardous to people living in the home must be removed from the laundry and the backyard. These items have been removed, therefore this requirement has been met. Requirement 7 - All repairs to bedroom furniture must be carried out. The furniture identified in the last inspection report has been repaired. This requirement has therefore been met. Requirement 8 - There must be sufficient staff on duty to meet the health and personal care needs of the people living in the home and ensure their safety throughout a 24 hours period. At the last inspection there were times when only one member of staff was on duty and people were not always able to access activities of their choice. On the first visit to the home the acting manager and two carers were on duty. One carer had recently been employed and was shadowing another member of staff until she was fully aware of peoples individual needs. However there would normally be two staff on duty from 9am until 5 pm then one member of staff from 5 pm until 9 am. The operations manager said that now that the extra member of staff had been appointed she would be looking at how the hours could be allocated throughout the day and evening to help people to access more activities and outings of their choice as well as meeting their personal care needs. A member of staff on duty confirmed that people were now getting out more as staff were able to escort them. Requirement 9 - All staff working in the home must receive appropriate training for the work they carry out. This must include mandatory health and safety training and specialist training to meet individual needs. There were training programmes in place and training courses had been booked to ensure all staff received appropriate training. Some staff had attended the courses. However the operations manager stated that the training agency had cancelled the remaining courses and she was contacting other training agencies in order to provide this training.
Care Homes for Adults (18-65 years) Page 4 of 10 Requirement 10 - A thermometer must be provided to check food temperatures and fridge and freezer temperatures. The proprietor has confirmed that the thermometer had been mislaid at the last inspection but was now available. This requirement has therefore been met. Requirement 11 - The seal on the fridge door must be replaced. A new fridge has been purchased. This requirement has therefore been met. Requirement 12 - Requirements made by the Fire Authority must be carried out. A new device has been installed to ensure the fire alarm is audible in the staff sleep-in room. A general fire risk assessment has been completed by the home in November 2009. However information was not available for each person living in the home should they need to evacuate the building. A staff member on duty confirmed that fire drills were carried out regularly and everyone living in the home were aware and able to follow the correct procedures. The fire log book confirmed that the last fire drill took place on 4th February 2010. Since the last inspection a new carpet has been laid in the attic bedroom and estimates have been received for new carpets for the dining room, lounge and corridor. New blinds have been provided for the lounge window and a new fridge has been purchased for storing medications. Work has continued to expand and improve the care plans. This needs to continue to ensure they are more person centred and address all the individual needs. The operations manager said a new manager was due to commence employment the following week. She intends to work with the new manager at Melrose House and the manager at Manor Park (another home owned by the company) to produce a care plan format which will be more person centred and involve people in developing their own plans. One person living in the home has been assessed by an Occupational Therapist for using the bath chair provided by the home. However other people who use this chair have not been assessed and appropriate instructions are not provided for the staff. This does not protect the health and safety of the people living in the home or the staff. We checked the system for dealing with medications and the requirements made at the last inspection carried out by the Pharmacist Inspector had been met. However we found that internal and external medications were not stored separately. This is not in accordance with the Pharmacy Guidelines. One person living in the home administers their own insulin. There was no documentation to confirm they have been assessed as competent to do this and how it should be done. This may not protect this person. One part of the policy and procedure for dealing with medications refers to a hospital and
Care Homes for Adults (18-65 years) Page 5 of 10 may not be relevant to the home. A call system is installed in the home so people living there can summon help from the staff from their bedrooms. The staff on duty said one person could not reach the buzzer from his bed. The acting manager said she was in the process of obtaining an extension lead to remedy the problem. The people living in the home who were spoken to said they were very happy and felt the staff cared for them well. One person said they found the stairs difficult to manage. However the staff said this person had recently been assessed by a Physiotherapist who felt they were capable of negotiating the stairs. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 6 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 10 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, 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 6 Further progress should be made to expand the information held in the care plans and ensure they are more person centred. Staff should be provided with training to complete risk assessments to help ensure peoples safety and wellbeing. Written evidence should be available to show that people living in the home have been involved in their risk assessments. Risk assessments should be expanded to include more detail and be available in an easy read format to help ensure staff are given comprehensive information. The policy and procedure for dealing with medications should be reviewed so it is fully relevant to the home. Written documentation should be available on how one person living in the home manages their insulin medication. Internal and external medications should be stored separately in according with the Pharmacy Guidelines. 2 3 9 9 4 9 5 6 7 20 20 20 Care Homes for Adults (18-65 years) Page 8 of 10 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 8 29 An extension to the call system should be provided so the person occupying the room has access to it from their bed. This will help protect their safety. Staffing arrangements should be reviewed to ensure they are flexible to support people to access activities of their choice as well as meeting their personal care needs. A training plan should be produced to ensure all staff receive training that is appropriate for the work they carry out. Written information should be available outlining the assistance each person living in the home would need to evacuate the building in the event of a fire. 9 33 10 35 11 42 Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
