Inspection on 07/10/05 for Midtown House

This inspection was carried out on 7th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Midtown House 07/12/06

Midtown House 15/03/06

Midtown House 13/01/05

Midtown House 11/08/04

Midtown House 15/03/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Midtown House Caldbeck Wigton Cumbria CA7 8EL Lead Inspector Paula Banham Unannounced Inspection 07 October 2005 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Midtown House Address Caldbeck Wigton Cumbria CA7 8EL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 016974 78528 Mrs Julie Ann Tickle Mrs Julie Ann Tickle Care Home 20 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (19) of places Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2005 Brief Description of the Service: Midtown House is registered with the Commission for Social Care Inspection to provide accommodation to up to twenty older people. Midtown House is owned by Mrs Julie Tickle who is also the registered manager, responsible for the dayto-day running of the home. The home is situated in the centre of the village of Caldbeck and is close all the local facilities available in the village. The premises are a larger period property which have been adapted for use as a care home. Accommodation for residents is provided on the ground and first floor of the home. The home has twenty bedrooms with ensuite toilet and bathing facilities. When suitable rooms are available arrangements may be made for two residents to share a bedroom. Short-term respite care is provided in Midtown House when accommodation is available. The home has a range of adaptations and equipment to assist residents including stair lifts, assisted bathing and toilet facilities and a call bell system. The home is set in attractive, well maintained grounds which are accessible to the people living there. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on Friday 7th October 2005. The inspection focussed on how well the services provided meet the needs of the residents living in the home. This was assessed by speaking to residents and care staff, observing activity in the home and examining the records care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed at this inspection were met and there were no areas identified as requiring action. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6. Admissions to the home are well managed and residents know that the services provided will meet their needs. EVIDENCE: Residents’ needs are thoroughly assessed before they are offered accommodation to ensure that the services and facilities in the home are suitable to provide the support they require. The needs assessments are used to inform care staff of the assistance individuals require. A high standard of care is provided in a manner which supports residents to maintain their independence. Residents made many positive comments about the home and said, “We’re well cared for in here” and “You’ll not find a better place than this if you spent six months looking”. Intermediate care is not provided in Midtown House and Standard 6 is not applicable to the home. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The home provides a high standard of care and residents’ health and personal care needs are met. EVIDENCE: A personal plan of care has been developed for each resident setting out the support they need. Care staff are knowledgeable about the support individuals require and provide it in a manner which protects their privacy and dignity. Residents are supported to access health care services including routine optician, dental and chiropody appointments and specialist health services. Advice from health care services is followed by care staff and residents’ health and welfare are maintained. Medication is handled safely in the home. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15. Residents make their own decisions and maintain control of their lives. Meals are well managed and residents receive a varied and nutritious diet. EVIDENCE: Residents make choices about their lives in the home including how and where they spend their time, where to eat their meals and the times they get up and go to bed. Care staff respect the decisions and choices residents make. Residents are provided with a varied diet and choose their meals from a menu which is changed regularly. Residents were very complimentary about the meals provided in Midtown House. Residents can eat their meals in the dining room, their own bedrooms or in the sitting room as they wish. Care staff provide assistance with meals as individuals need. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. Residents are informed about how they can make complaints about the home and know that their views are listened to. EVIDENCE: The home has a clear complaints procedure which is included in the information given to new residents and is displayed in the home. Residents said they have “no complaints at all” and said they would “Tell Mr or Mrs Tickle” if they had any concerns about the services provided. The home’s complaints procedure includes details of how residents and their families can contact the Commission for Social Care Inspection local office if they do not want to raise a complaint with the home’s owner. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24 and 26. Midtown House provides a pleasant, comfortable and clean environment for residents to live in. EVIDENCE: The home is clean and well maintained and is decorated and furnished to a high standard. The premises have been adapted for use as a care home and have a range of equipment to assist residents to maintain their independence. Residents can move freely around the home, assisted by care staff as they require. Residents said the accommodation is “very nice”. All areas of the home are clean and hygienic and residents have comfortable and pleasant accommodation to live in. Residents have brought their own possessions and furniture into their bedrooms and have personalised them as they choose. Two residents have chosen to share a bedroom and have been given a second room for their private use. Shared space is provided by a large sitting room, conservatory and spacious entrance hall with seating areas. The home has pleasant and well-maintained grounds which are accessible to the people living there. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30. Residents benefit from receiving support from care staff who are trained and competent and knowledgeable about their needs and preferences. EVIDENCE: Care staff have developed positive relationships with the residents in the home and residents said, “the girls are wonderful”. Care staff are knowledgeable about the needs of residents and provide the support they need in a timely manner. Residents said, “The girls answer the call bell within two minutes, even at night”. Residents are encouraged to self-care as far as they are able to maintain their independence and skills. Care staff have received appropriate training to give them the skills and knowledge to provide a high standard of support and to carry out their duties safely. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 38. Residents’ safety and welfare are protected in Midtown House. Residents’ views are listened to and they know they can affect how the home is run. EVIDENCE: The atmosphere in the home is welcoming and relaxed and residents are confident approaching care staff for assistance as they need. Residents are confident that they can express their views about the home and these will be listened to and acted on. Care staff have received training to enable them to provide a high standard of care and to carry out their duties safely. Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X X X 3 Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 16 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Midtown House DS0000022609.V253529.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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