Inspection on 14/10/05 for Home Meadow

This inspection was carried out on 14th 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

Home Meadow 15/07/08

Home Meadow 24/07/07

Home Meadow 28/07/06

Home Meadow 17/06/05

Home Meadow 18/10/04

Home Meadow 24/05/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Home Meadow Comberton Road Toft Cambridgeshire CB3 7RY Lead Inspector Joanne Pawson Unannounced Inspection 14th October 2005 09:00a 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 Home Meadow DS0000015160.V260245.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. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Home Meadow Address Comberton Road Toft Cambridgeshire CB3 7RY 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) 01223 263282 01223 264201 homemeadow@uk2.net Home Meadow Limited Mrs Dawn Mills Care Home 34 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (26) of places Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th June 2005 Brief Description of the Service: Home Meadow is situated in the village of Toft approximately seven miles from the centre of Cambridge. There is a public house in the village and a shop that provides a wide range of services including a post office. A limited bus service operates between Toft and Cambridge. The building is single storey and is divided into five flats. Each flat accommodates between five and eight people. One of the flats is for service users who have mental confusion and another flat accommodates respite service users. Each flat consists of a bathroom with WC, a further WC, a kitchenette, and a lounge/dining area and between five and eight single bedrooms. The home has a day centre with a large lounge and service users in the home use this for communal gatherings when the day centre is not in use. The home has well maintained gardens. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection for Home Meadow for 2005/06. This unannounced inspection took place for four hours and was carried out by one inspector between 9.00 and 13.00hrs. On the day of inspection eleven residents were spoken to. Other methods used for the inspection included reading documentation, speaking to staff, speaking to the manager and a tour of the home. The home is pleasantly decorated with items that residents have made during activity sessions and makes the long corridors looks cheerful. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that staff are not employed before the receipt of a satisfactory POVA First check. Care staff should work supervised before the receipt of a satisfactory criminal records bureau check. This will help to ensure the safety of the residents. Home Meadow DS0000015160.V260245.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. Home Meadow DS0000015160.V260245.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 Home Meadow DS0000015160.V260245.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): 1,2,3,4,5 Prospective permanent residents are given the written information they need and are encouraged to visit the home before making the choice to move in. Not all residents receiving respite care are given a service users guide. This could lead to them having insufficient information about the care they should receive whilst in the home. EVIDENCE: Residents stated that they or a member of their family had visited the home before moving in. Residents files tracked contained evidence of both pre admission assessments completed by a care manager and the homes manager. All residents have a contract. The manager stated that she would ensure that there is a service users guide available in each flat so that they are accessible to all residents and their relatives. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 9 Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 10 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): 7,8,9,10 Care plans are clear but are not always followed by care staff. Not all care plans are reviewed regularly. This could lead to information about residents being out of date and inconsistent support from staff. Not all medical needs and the correct procedures are recorded in the care plans. EVIDENCE: Care staff are required to complete dietary intake charts for residents at risk of losing weight. Several charts were incomplete. The manager stated that staff had been reminded to fully complete the charts. Residents stated that they could make every day decisions about their lives such as when to get up and go to bed, Regular residents meetings are held. Risk assessments are completed for residents. Care plans are stored securely. One resident’s daily notes stated that he was MRSA positive. There was no care plan to advise staff what procedures they should be following to prevent the risk of cross infection. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 11 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 Residents have the opportunity to take part in various activities. EVIDENCE: The activities for the week of the inspection included music, crafts, pampering, library, crosswords, games, exercise, quiz, fabric painting and bingo. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 12 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 a satisfactory complaints procedure. Staff are aware of the correct procedures to follow in the event of suspected abuse of a resident. EVIDENCE: A copy of the complaints procedure is displayed on the notice board in each flat. A record is kept of complaints received, the investigation and the outcome. Staff stated that they would report any allegation of abuse to the manager. The records of service users money was inspected and found to be satisfactory and money kept on behalf of residents is stored securely. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 13 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, 20,21,22,23,24,25,26 The home provides comfortable bedrooms and communal areas for the residents. Staff are not following the necessary procedures to reduce the risk of cross infection. EVIDENCE: The home and its grounds homely and clean. Some internal walls were in need of redecorating. Residents are encouraged to personalise their bedrooms. In two of the bathrooms used disposable razors were found in a cupboard by the bath. These should be disposed of to reduce the risk of cross infection or accident. The manager stated that she had advised staff to follow the correct procedures. This was a requirement from the last inspection. If this requirement is not complied with the commission may take enforcement action. Home Meadow DS0000015160.V260245.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): 28,29,30 Staff have the appropriate skills to meet the needs of the residents. The homes recruitment procedure does not ensure residents are protected from abuse. EVIDENCE: Staff spoken to on the day of the inspection were able to state how they meet the needs of the residents and treat them with dignity and respect. The manager has not requested a Criminal Records Bureau Check or POVA First for a care assistant who commenced work in January 2005. The manager stated that she thought her previous employers CRB check was sufficient. Two care assistants have been working in the home unsupervised before the receipt of a satisfactory CRB. An immediate requirement was left stating that the home must receive satisfactory POVA First check before staff commence work and must receive a satisfactory Criminal Records Bureau Check before working unsupervised. The home is also required to complete a CRB and POVA First check for the member of staff who commenced employment in January 2005. Home Meadow DS0000015160.V260245.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): 31,32,33,35,36,36,37,38 The home was properly managed .The home carries out the required health and safety checks to provide a safe environment for the residents. EVIDENCE: Staff on shift stated that they could discuss any issues with the manager. Regular residents meetings are held. The staff and residents stated that they found the manager approachable and would raise any concerns with her. Staff attend regular staff meetings and can add any issues they wish to discuss to the agenda. Money held on residents’ behalf was checked and found to be accurate. Records show that care staff receive regular supervision. Not all staff have received training in first aid and infection control. Residents care plans should include procedures on prevention on cross infection where appropriate. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 16 Home Meadow DS0000015160.V260245.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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 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 3 3 3 3 2 STAFFING Standard No Score 27 X 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 18 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. 1. 2. Standard OP7 OP25 Regulation 15(2)(b) 13(3) Requirement Timescale for action 01/12/05 3. OP29 19(1)(b)(i ) The care plan must be reviewed at least once a month. The home must take measures 26/10/05 to prevent the risk of cross infection. This was a requirement from the previous inspection. If action is not taken to meet this requirement the Commission may take enforcement action. A satisfactory POVA First check 14/10/05 must be received before care staff commence employment. Care staff must work supervised before the receipt of a satisfactory CRB. 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 OP1 Good Practice Recommendations A service users guide should be made available to all residents. DS0000015160.V260245.R01.S.doc Version 5.0 Page 19 Home Meadow 2 OP38 All staff should receive training in first aid and infection control. Home Meadow DS0000015160.V260245.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Home Meadow DS0000015160.V260245.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. 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