Inspection on 21/02/06 for Catherine Miller House

This inspection was carried out on 21st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Catherine Miller House 07/10/08

Catherine Miller House 17/09/07

Catherine Miller House 10/10/06

Catherine Miller House 31/10/05

Catherine Miller House 28/02/05

Catherine Miller House 14/09/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Catherine Miller House 13-17 Old Leigh Road Leigh On Sea Essex SS9 1LB Lead Inspector Ron Reeves Unannounced Inspection 21st February 2006 10:00 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 Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Catherine Miller House Address 13-17 Old Leigh Road Leigh On Sea Essex SS9 1LB 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) 01702 713113 01702 713113 Mr Andrew Howard Stern Mrs Virginia Margaret Prodger Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30) of places Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31st October 2005 Brief Description of the Service: BRIEF DESCRIPTION OF THE SERVICES PROVIDED. Catherine Miller House provides personal care and accommodation for up to thirty older people. The registration category also permits the home to provide care to those service users who have dementia. The home was originally three properties which have been converted into one. This has created a home, which has several different levels with two quite separate living areas. Catherine Miller House has twenty six single bedrooms and two shared bedrooms, all with en-suite facilities. The home is well maintained and decorated. Catherine Miller House is situated in a residential area of Leigh on sea, close to local shops . There are good bus and train links in the area. The home has a large well maintained garden to the rear of the property with limited parking facilities to the front of the property. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place during the day of the 21st February 2006 and lasted for 6 hours. During the inspection the inspector spoke with four residents, a visiting District nurse and a member of staff. The home’s manager took part in the whole inspection and the proprietor arrived towards the end. The inspection also included a tour of the premises, examination of a sample of care plans, policies and records. 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. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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 Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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): 2-5 The home’s operated a thorough pre-admission process, care and attention is given to ensuring the home can meet individual needs. EVIDENCE: The home’s manager always carries out a pre-admission assessment. Prospective residents and their families are invited to the home as many times as they like before making a decision. Each resident is issued with a contract, which includes the Terms and Conditions of residence. From observations throughout the day and discussions with staff and residents it was clear that staff had a sound knowledge of the residents and their care needs. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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- 10 Resident’s personal and health care needs are consistently being met by the home. EVIDENCE: Three care plans examined contained appropriate assessments regarding residents’ care needs and risk assessments. More detailed information for night staff on resident’s night care needs has been introduced. Daily recording has improved since the previous inspection. Further minor developments were discussed with the manager. Care Plans evidenced that residents’ health care needs were being met. The home’s medication administration system was generally satisfactory, although the temperature of the office where the medication is stored was in excess of 25˚C. All senior staff have received a refresher course on medication administration. Personal care is carried out in the resident’s bedrooms or in the bathrooms. Privacy screens have been provided to the shared bedroom. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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): 12- 15 Daily routines were generally flexible. Activities provided for the residents have improved. Dietary needs of the residents are well catered for with a balanced and varied selection of food. EVIDENCE: Arising from the previous inspection the proprietor has agreed to an additional member of staff to be employed in the afternoon to ensure activities take place every day. In addition an outside activities organiser is employed one afternoon a week. From discussions with residents and staff, routines in the home were flexible and individual choices were generally accommodated. The home operated an open visitors policy. Residents spoken with confirmed that they could have visitors at time. Menus seen were varied and appeared nourishing. Menus are discussed at resident meetings. Although only one main meal on the menu, staff ask residents every day if they want an alternative. Residents spoken with were very complimentary regarding the food provided by the home. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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): 16, 18 The home has appropriate policies and procedures for responding to residents’ concerns and protecting them from abuse. EVIDENCE: The home has an appropriate complaints procedure. No complaints have been received by the home for over two and an half years The home has an abuse policy which details all forms of abuse. A copy of the Southend Protection of Vulnerable Adults procedures was available. Most staff have attended training for the protection of vulnerable adults and remaining staff booked on future training. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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): 19-26 Catherine Miller was clean, bright and well maintained and provided the residents with a homely and comfortable environment. EVIDENCE: Catherine Miller House was originally three properties which have been converted into one. This has resulted in the home being on several different levels with two separate living areas. There are two passenger lifts to ensure access to both living areas. The home is well furnished, decorated and maintained. There is a large well maintained garden to the rear of the property which is accessible by the residents. All bedrooms have ensuite facilities and there are sufficient bathrooms and communal toilets to meet the needs of the residents. Most of the radiators have been covered others have been assessed as presenting a low or no risk to the residents. However, the two radiators identified at the previous inspection as being hot and accessible to residents have not been covered. The proprietor said he is aware and will be addressing the problem. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 12 It was noted that some signs have been placed on toilets and bathrooms to aid those residents who have varying levels of dementia. The manager is aware that there is still more to be done. The home was found to be clean and tidy throughout. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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, 28, 29 The home benefits from a stable care group of conscientious staff who provide a good standard of care for the residents. EVIDENCE: Staffing levels have been increased in the afternoon to promote more activities for the residents. A wide range of training is available to staff. One member of staff has achieved qualification at NVQ level 2 and two staff training at NVQ level 3. the proprietor informed he is attempting to increase NVQ training for those staff over 25 years of age but is finding it difficult to get any funding. Residents spoken with were unanimous in their praise for the staff. Staff were observed during the day to be caring for the residents in a sensitive and unhurried manner. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 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, 36, 37. The home benefit from experienced and stable leadership which enables the home to provide a consistently high quality of care. EVIDENCE: The manager has worked in the home for many years and has managed the home for the past six years. She holds the City and Guilds 325/3 Advanced Management in care and is investigating what additional training is required to achieve the Registered Managers Award. Residents and staff spoken highly of the manager saying she was easy to talk to and supportive. Staff meetings are held regularly and individual staff supervision carried out on a two monthly basis. Policies, procedures and records seen during the inspection were generally well maintained and stored in the office. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 15 Although Health and Safety issues were not inspected on this occasion it was seen that weekly tests are now being carried out on the home’s fire prevention equipment and hot water temperatures. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 16 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 3 X Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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. 1. Standard OP25 Regulation 13(4) Requirement The registered provider must ensure that all parts of the home are so far as is possible free from avoidable hazards. This includes hot radiators. Medication must be stored at below 25˚C. Timescale for action 31/03/06 2 OP9 13(2) 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard OP28 OP31 OP12 Good Practice Recommendations A minimum of 50 of care staff should attain NVQ Level 2 by 2005. The registered manager should achieve NVQ Level 4 by 2005. The home should continue to develop the premises and activities to suit those residents living with dementia. Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. Extracts may not be used or reproduced without the express permission of CSCI Catherine Miller House DS0000015490.V280993.R01.S.doc Version 5.1 Page 19 - 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. 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