This inspection was carried out on 27th January 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.
CARE HOMES FOR OLDER PEOPLE
Ella McCambridge Residential Home Mitchell Street Walker Newcastle Upon Tyne Tyne & Wear NE6 3PR Lead Inspector
Allan Helmrich Unannounced Inspection 27 January 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 Ella McCambridge Residential Home DS0000000441.V276110.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. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Ella McCambridge Residential Home Address Mitchell Street Walker Newcastle Upon Tyne Tyne & Wear NE6 3PR 0191 2341881 0191 2343327 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) Manor Care Home Group Mr Kevin Bailey Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Three residents may be aged between 60-65 years. Date of last inspection 21st September 2005 Brief Description of the Service: Ella McCambridge is a modern purpose built care home providing accommodation with personal care for up to 37 older people. The home is owned by Manor Care Home Group who have two other homes in the vicinity. The home is in a residential area of Walker, close to shops, pubs and other local amenities. The home was opened in 1999 and was purpose built over two storeys. There is level access from the car park and into the enclosed garden and there is a passenger lift between floors. One bedroom is registered to accept double occupancy and all but two bedrooms have en-suite toilet and wash hand basins. There are lounges and dining rooms on both floors and a separate lounge that is used by smokers. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the home’s second annual inspection. It took 41/2 hours and in that time I spoke with several residents. Management and staff were interviewed, a selection of records maintained in the home were reviewed and there was a general tour of the building. 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. Ella McCambridge Residential Home DS0000000441.V276110.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 Ella McCambridge Residential Home DS0000000441.V276110.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): None of these standards were assessed at this inspection. EVIDENCE: Ella McCambridge Residential Home DS0000000441.V276110.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): 9. The home’s system for storage and administration of medicines is good. EVIDENCE: The manager and his deputy take responsibility for recording the receipt of all medicines into the home. A suitable secure storage system is in place and staff who dispense medicines are trained. Ella McCambridge Residential Home DS0000000441.V276110.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, 13, 14, 15. A programme of appropriate activities is in place. Visitors are made welcome. Community facilities are used. Residents are encouraged to be independent and well balanced wholesome meals are provided. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 10 EVIDENCE: Information is obtained at admission regarding residents’ preferences for activities and whenever possible staff try to meet these needs. One resident spoken to regularly shops in town and visits her church. Another shops independently and visits the local public house. Staff assist those residents who require support to shop locally. An activities programme is displayed and staff are supported by an activities co-ordinator who works for twelve hours each week in the home. Residents spoken to confirmed that a range of activities is available to them. Church services are held fortnightly in the home. A visiting policy is in place, however, the manager confirmed that in practice visiting is allowed at any time. The kitchen is clean and has a good range of equipment. The cook clearly knows the residents very well and can accommodate any requests for a change to the menu choice. Hot and cold drinks are available throughout the day. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 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): 18. Residents are comfortable about making a complaint. Trained staff protect vulnerable adults. EVIDENCE: Residents spoken with said they new who to complain to and that they would if necessary. Staff were fully aware of procedures to protect vulnerable adults and training is provided to all of the staff team. Staff have access to appropriate procedures and guidance on this topic. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 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. The home is safe, clean and well maintained. EVIDENCE: The home was found to be safe, clean and reasonably well maintained. Some bedrooms have been redecorated with new furniture and carpets. New seating was provided in the first floor lounge and staff lockers have been replaced. There were no offensive odours noted in the home. Ella McCambridge Residential Home DS0000000441.V276110.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): 29. The home’s employment procedures protect residents. EVIDENCE: The file of a recent employee contained appropriate information that included a Criminal Records Bureau check and references from recent employers. Each new recruit undertakes the company induction and is then supported to undertake a range of appropriate training. Ella McCambridge Residential Home DS0000000441.V276110.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): 31, 35. The home is well managed. The system for recording monies held for residents could not be audited. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 15 EVIDENCE: The manager has many years experience of providing care for older people. He has recently completed the Registered Managers Award. Staff spoken with stated morale in the staff team is high and that management provide clear direction in the standard of service expected. There are regular meetings involving management, staff and residents where a good range of issues are discussed. The system for holding and recording residents monies was reviewed. The records detail the monies spent and a receipt is retained for all purchases made. Two signatures evidence each transaction. The way the accounts are recorded did not allow me to audit the accounts. The company audits these accounts but this was last done in June 2005 when a discrepancy found was replaced. Ella McCambridge Residential Home DS0000000441.V276110.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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 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 X 17 x 18 3 3 x X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 2 X X X Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 17 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. 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. 1 Refer to Standard OP35 Good Practice Recommendations The system of holding and recording residents monies in the home should be revised to enable the Registered Manager to conduct an audit at any time. The interest earned by residents should be available for inspection. Ella McCambridge Residential Home DS0000000441.V276110.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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