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Inspection on 31/10/05 for Catherine Miller House

Also see our care home review for Catherine Miller House for more information

This inspection was carried out on 31st 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a good standard of care for its residents. Residents and visiting relatives were unanimous in their praise of the manager and her staff and in expressing satisfaction with the care provided. The premises were clean, odour free, well maintained and continues to provide a comfortable homely environment for the residents. Dietary needs of the residents are well catered for with a balanced and varied selection of food.

What has improved since the last inspection?

The kitchen and a kitchenette has been refurbished. Decoration of a bathroom and hallway has taken place and part of the home`s electrical installation replaced. Temperature control valves have been fitted to all hot water taps accessible to the services users.

What the care home could do better:

The home needs to develop its services for residents with dementia. This includes the environment and activities. The home should review its risk assessments for uncovered radiators to ensure that those that present a risk to residents are covered. Systems should be developed to check that staff sign the records when administering medication and that regular checks are made on the home`s fire precaution equipment.

CARE HOMES FOR OLDER PEOPLE Catherine Miller House 13-17 Old Leigh Road Leigh On Sea Essex SS9 1LB Lead Inspector Mr Ron Reeves Unannounced Inspection 10:00 31 OCTOBER 2005 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 Catherine Miller House DS0000015490.V256235.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. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 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.V256235.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 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 close to the towns of Southend, Westcliff and Leigh on Sea. There are good bus and train links to 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.V256235.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which lasted for five hours. During the inspection, the Inspector spoke with four residents, two visiting relatives, three care staff and the Deputy Manager on duty. The proprietor arrived towards the end of the inspection and discussed the outcome of the inspection. The inspection also included a tour of the premises, examined a random sample of care plans, policies and records. The home’s manager was not on duty. 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.V256235.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 Catherine Miller House DS0000015490.V256235.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): 1-5 The admission process is well managed by the home and prospective residents and their families are given sufficient information and the opportunity to visit the home to enable informed choices. EVIDENCE: The home has an appropriate Statement of Purpose and Service Users Guide. Copies have been forwarded to the Commission. Each resident is issued with a contract, which includes the Terms and Conditions of residence. The home carried out pre-admission assessments and prospective residents and their families are invited to visit the home as many times as they like before making a decision. Staff spoken with demonstrated a good understanding of residents’ needs and visiting relatives expressed their confidence in the manager and her staff. Catherine Miller House DS0000015490.V256235.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): 7-10 Residents’ are looked after well in respect of the personal and health care needs. Further attention is required to medicine administration recording and daily recording. EVIDENCE: Of those care plans inspected, information recorded was noted to be appropriate and covered all residents’ assessed needs. Further development of the home’s daily recording was discussed with the deputy manager. Good use is made of he local health resources. The home’s medication administration system was generally satisfactory, apart from a few omissions were noted on the medication administration records whereby records were not signed by staff. Personal care is carried out in bedrooms and bathrooms and residents spoken with said that staff were caring and respected their privacy. It was noted that there were no privacy screens in the shared bedrooms. Catherine Miller House DS0000015490.V256235.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): 12-15 Daily routines were generally flexible with the home promoting residents’ choice. The range and frequency of activities require to be developed. Dietary needs of the residents are well catered for with a balanced and varied selection of food. EVIDENCE: From discussions with residents, visiting relatives and staff, routines in the home were flexible and individual residents’ choices were generally accommodated. An activities organiser is employed for one day per week. The deputy informed that the activities organiser was employed for two days a week, but one group of residents decided they didn’t want to be involved. Discussion took place with the deputy manager improving the range of activities and ensuring that activities are provided to residents, particularly, to those residents with complex/dementia needs. The home operates an open visitors policy and visiting relatives informed that they are always made welcome no matter what time they visit. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 10 Menus seen were varied, appeared nutritional and contained a choice of food. Residents are asked every day what they would like from the home’s menu and alternatives are available if residents wish. Residents were unanimous in their praise for the choice, quality and quantity of food provided. Catherine Miller House DS0000015490.V256235.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): 16-18 Arrangements for responding to resident’s concerns are satisfactory. The home’s policy for the protection of residents from abuse needs further developments to include the appropriate procedures of referring allegations of abuse to the local social services. EVIDENCE: The home has appropriate complaints policy and procedures. have been received by the home for over two years. No complaints The deputy manager informed that all residents are included in the local voters’ register and those residents wishing to vote are assisted by staff. The home has an abuse policy, which details all forms of abuse. However, there is no mention of the local authority’s procedures and no information regarding whom to contact at the local authority’s adult protection team. The majority of staff have now attended protection of vulnerable adults training. The remaining staff are booked to attend future courses. Catherine Miller House DS0000015490.V256235.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): 19-26 The home generally provides a comfortable standard of accommodation for the residents, although greater attention should be made to make the environment more user friendly for residents with dementia. 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 to a good level. 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. Thermostatic control valves have been fitted to all hot water taps accessible by the residents. Some radiators have been covered, others have been assessed as presenting a low or no risk to the residents. However, two radiators in the home were found to be hot and accessible to the residents. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 13 The home accommodates a significant number of residents with dementia. The home would benefit from the environment being more user friendly for those residents. The home was found to be clean, pleasant and odour free. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 14 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): 27-30 Staff at the home are conscientious and provide a good standard of care for the residents. EVIDENCE: Staffing levels remain appropriate to meet the needs of the residents. A wide range of training is available to the staff and NVQ training is promoted. However, there was no evidence to support that the home’s staff induction programme met the standards set by “Skills for Care.” Staff spoken with demonstrated a good understanding of the residents care needs and felt that their workload was not onerous. Residents spoken with were unanimous in their praise for the staff. Staff meetings are held, however, these should be held on a more regular basis. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 15 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): 32,33,35-38 Staff within the home are well supervised and supported by the registered manager. Records required to protect residents were generally well maintained, up to date and stored securely. Regular checking on the home’s precaution system needs to be maintained. EVIDENCE: The manager was not on duty at the time of the inspection. Staff spoken with said the manager was very approachable and supportive. A visiting relative said, “the manager is very straight forward, seems to care.” Another said that the home is very good, the manager is very approachable. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 16 The home looks after residents’ personal money for day to day expenses. A sample of residents’ money and records were found to be appropriately maintained. A number of records were studied during the inspection and were found to be generally well maintained and stored securely in the office. Safety certificates for services and equipment were examined. All were seen to be appropriate and up to date, apart from the portable electric appliance testing. The home’s records indicated that regular fire drills are carried out. However, the weekly tests on the fire prevention equipment have not been recorded since the 11 September 2005. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 17 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 3 3 3 3 3 N/A 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 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 2 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 3 3 2 Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO 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 OP9 Regulation 13(2) Requirement The registered person must ensure that medication administration records are signed at the time that medication is administered to service users. With immediate effect. Ensure that service users receive a range of activities, which meet their needs. This refers specifically to activities for service users with dementia/complex needs. This is a second repeat 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. The registered person must ensure that regular tests are carried out on the fire equipment in the home and recorded. With immediate effect Timescale for action 01/11/05 2 OP12 16(2)(m) and(n) 30/11/05 3 OP25 13(4) 31/12/05 4 OP38 23(4)and 17(2) sch4 01/11/05 Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 19 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 4 Refer to Standard OP28 OP31 OP38 OP18 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. Hot water temperatures should be monitored from wash hand basins/baths and showers. The home’s Protection of Vulnerable Adults policy should include notification to the Local Authority of any allegations of abuse. Catherine Miller House DS0000015490.V256235.R01.S.doc Version 5.0 Page 20 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.V256235.R01.S.doc Version 5.0 Page 21 - 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. 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