Inspection on 01/02/06 for Alan Morkill House

This inspection was carried out on 1st February 2006.

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

Alan Morkill House 07/11/06

Alan Morkill House 15/03/05

Alan Morkill House 29/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Alan Morkill House 88 St Mark`s Road North Kensington London W10 6BY Lead Inspector Peter Montgomery Unannounced Inspection 10:30 1 February 2006 st 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 Alan Morkill House DS0000010842.V265699.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. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Alan Morkill House Address 88 St Mark`s Road North Kensington London W10 6BY 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) 020 8964 1123 020 8968 7247 Servite Houses To be appointed Care Home 46 Category(ies) of Dementia (15), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (2), Old age, not falling within any other category (29) Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: Alan Morkill House is a modern four storey residential home in North Kensington, providing accommodation for up to 46 older people. The ground floor comprises of three bedrooms, a large open plan lounge, a dining area, the main kitchen, laundry, staff and administrative facilities, and the managers office. The first, second and third floors are divided into six units for up to eight people in single rooms. Each unit has a lounge/dining area, and a small kitchen. Service users bedrooms include ensuite facilities, and many are equipped with a small kitchenette. Car parking is provided to the side of the home; well-maintained gardens and seating areas are available to the front. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 1st. February 2006. Communal areas were viewed, and both the people who live in the home and staff on duty were spoken to in the lounges and privately in their bedrooms. Individual and communal records were reviewed. What the service does well: What has improved since the last inspection? What they could do better: 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. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 6 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 Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 7 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): x EVIDENCE: These Standards were not assessed at this inspection. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 8 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 Individual plans of care for each resident are maintained. Service users and their advocates are encouraged to participate in care plan development, so that plans reflect the needs and wishes of the residents themselves. EVIDENCE: Records for service users were looked at and demonstrated there was a plan of care for each person in place, describing how the needs of service users were to be met by staff. Some improvements to the quality assessment process were evident from the last inspection, whereby service users are supported to make decisions and take risks as part of their independent lifestyle, and how these risks were to be addressed. In all instances residents and – where appropriate advocates - had been involved in the development of the care plan. The care planning process will be examined in greater detail at the next inspection. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 9 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): 13,14,15 Community links have been established to support and enrich service users social and cultural needs. Service users have access to a varied range of activities and outings facilitated by the home. EVIDENCE: Both service users and relatives have previously confirmed they considered the support from staff for communal, or group activities to be good. The range of activities agreed with individuals are less well facilitated by staff, and this remains an area were improvements could be made. It is noted staff are very familiar with the needs of service users - a number of whom have lived in the home for some considerable time - and are responsive to their needs and preferences. Service users were complimentary of the diet and the improved consultation process has resulted in a well balanced and attractive menu, with both the quality and variety of all meals taken in the home much improved. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 10 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): x EVIDENCE: These Standards were not assessed at this inspection. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 11 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): 19,20,21,22,24,26 The standard of the décor within the home is good with evidence of continued improvement throughout. Overall the home provides a comfortable environment for service users. EVIDENCE: Service users rooms and communal areas were visited, and facilities and décor throughout the home were considered to be of a good standard. Service users bedrooms are attractive, and individual taste and choice is evident in furnishings and equipment, both in their rooms and throughout the home. Décor in many areas of the home has been improved, including upgrading of bathrooms and toilets, communal areas are to be redecorated, and a colour psychologist is to be used to help design the colour scheme throughout the home, and it is proposed to install a “full spectrum lighting system” in the forthcoming redevelopment. There are also proposals to increase registered numbers by redeveloping facilities on the ground floor to create a new six bed unit. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 12 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): 27,29 Residents benefit from an experienced team of staff at the home who have the opportunity to access training and develop skills to meet their needs. EVIDENCE: Staff roles and responsibilities are clearly stated, and a wide range of appropriate training opportunities are available. Although many staff have worked there for a relatively short time, they have been able to develop a good level of knowledge and understanding of the needs of service users, and positive responses have been made to the inspector. Staffing levels are appropriate and ensure residents’ needs continue to be met. Staff had undertaken training in essential areas, such as food hygiene, health and safety, medication, mental health, first aid and most recently care planning. NVQ Level 2 training is being progressed for all staff, and this will be reviewed in subsequent inspections. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 13 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): 31,33,38 The manager has a clear development plan for the home and is well supported by senior staff. All staff are aware of their roles and responsibilities. EVIDENCE: The manager and staff continue to work well to maintain good standards of practice in the home, and feedback from service users was positive. Standards of services are monitored through monthly meetings with service users to help staff determine the views, preferences and needs of every one in the home. The results of this information is used in part to inform practice and forms part of the homes annual review. A number of records were looked at, including care plans, risk assessments, staff rosters etc. These records were detailed, up-to-date and accurate and confirmed that the home is being managed effectively. Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 14 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 3 3 3 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x 3 Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 15 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 Alan Morkill House DS0000010842.V265699.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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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