Inspection on 10/08/05 for Madeline Mckenna Court

This inspection was carried out on 10th August 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

Madeline Mckenna Court 19/02/07

Madeline Mckenna Court 09/02/06

Madeline Mckenna Court 25/01/05

Madeline Mckenna Court 28/09/04

Madeline Mckenna Court 05/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Madeline McKenna Court Haddon Drive Widnes Cheshire WA8 9DY Lead Inspector Julie Porter Unannounced 10 August 2005 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 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. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Madeline McKenna Court Address Haddon Drive Widnes Cheshire WA8 9DY 0151 4951233 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Arena Housing Associatin Limited Mrs Diane Oliver Care Home 23 23 1 Category(ies) of OP Old Age registration, with number PD(E) Physical Disabilities Over 65 of places Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 23 service users to include:* A maximum of 23 service users may be accommodated in the category of OP (Old age, not falling within any other category) * A maxumim of 1 service user may be accommodated in the category of PD(E) (Physical disability over the age of 65) 2 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commisison for Social Care Inspection Date of last inspection 25/01/05 Brief Description of the Service: Madeline McKenna Court is a residential care home providing personal care and accommodation for up to 23 older people, over the age of 65, and one person under the age of 65 who may have a physical disability. It is run by Arena Housing Association, a not for profit organisation and is located in the Hough Green area of Widnes, approximately 2.5 miles from the town centre, in a modern housing estate, next to a school. There are public transport links near the home and car parking facilities available. There is a health centre nearby with churches and other amenities in the area. The home is a modern purpose built single storey building with 23 single rooms with en-suite facilities, and sufficient dining room and lounge space, toilets and bathrooms. Hoists, grab rails and an emergency call bell system are installed. There are well-tended grounds with seating areas available for residents and their visitors to use. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours on 10 August 2005 and a tour of the building was undertaken. Records kept in the home were also checked. There were twenty three people living in the home on the day of the inspection The inspector was able to discuss with seven residents what their lives were like living in the home. Four family members were spoken with during the inspection regarding the care of their relatives. Five completed CSCI comment cards were received from relatives; these were positive about the care their relatives received at the home. All staff on duty were available to talk with the inspector. What the service does well: What has improved since the last inspection? What they could do better: The views of the residents relating to activities, hobbies and interests that they wish to participate in should be reviewed. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 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. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 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 standard(s) 1-5 Residents have their care need assessed before moving into the home so they and their relatives know their needs can be met there. Information provided to them and their relatives is thorough so they and their relatives know what is available at the home. EVIDENCE: The home’s statement of purpose and service user guide provides thorough information about the services available in the home. Contracts detail the terms and conditions of living in the home. Families spoken with visited the home before arranging visits for their relative, one family member said that she use to work in the home and “what better recommendation is that.” An assessment of the needs of the residents had been completed before they moved to the home to ensure that the staff could meet those needs. A fuller assessment continued for the two weeks after they came to live in the home. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 9 One resident spoken with was happy with her move to the home, as it was in the area that she was familiar with. She said, “I still see my old friends” and “it’s a stones throw away from my daughters’ house.” Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 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 standard(s) 7-11 Staff demonstrate a good knowledge of the residents’ needs, information was well recorded and up dated monthly so their care needs can be met at all times. EVIDENCE: Two care plans were reviewed during the inspection and provided information about daily events and changes to their health and wellbeing. Care plans are reviewed monthly and contained information about contact with other health professionals such as doctors, dentists, opticians, district nurses and chiropodists who are involved with the residents care. After moving to the home the resident’s care plan is developed during the following two weeks and agreed with the resident. Six of the seven residents spoken with were very complimentary about the care they received in the home and they said they enjoyed life at the home. Comments were made as follows; “the girls are great”, “they are lovely”, “nothing is too much trouble.” One resident said that she had everything she needed in the home, but she felt that she was too young to be there and from choice would prefer to live in her own home. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 11 Staff were seen talking with residents, encouraging them to have conversations with each other and spending time doing activities. One resident said that staff always knock before coming into her room, even when they bring her an early morning cup of tea. Medication records were checked and were recorded appropriately. Storage of medicines was satisfactory. The home has policies and procedures in place to ensure that those who are dying are cared for with respect and dignity. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12-15 Residents are able to exercise choice about how they live their lives in the home. They get help and encouragement so they can keep in touch with family and friends. The standard of the food provided was good so that residents enjoyed their meals and received a varied and nutritious diet. EVIDENCE: All the residents spoken with said that they could chose how they lived their lives in the home, they could have company if they wished or spend time alone in their bedrooms. Three residents said that they wished there were more activities in the home as they sometimes found it “boring”. On the afternoon of the inspection a number of residents were playing bingo which appeared to be enjoyed. Although there was evidence of other activities haven taken place it is suggested that residents are consulted as to their wishes regarding activities and a regular program developed around this. Family and friends are encouraged to visit the home at any time. Family and friends were seen visiting throughout the inspection and those spoken with said that they were always made to feel welcome. One relative commented that she visited the home almost daily and had coffee with her mother. Holy communion can be taken in the home, and people from the local church visit and support residents of the home to attend church. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 13 Mealtimes were flexible, relaxed and unhurried; lunch on the day was three courses and offered choice to individuals’ tastes. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18 There is an ongoing training program for staff to attend training in relation to adult protection to ensure the residents are protected from harm. EVIDENCE: During the inspection all staff on duty were spoken with. They spoke knowledgeably about whistle blowing and adult protection procedures. Information provided from the training record for the home identified that fifteen of the twenty-two staff have undertaken formal training in relation to adult protection. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19-26 The home is clean and well maintained, to ensure the residents live in a homely, comfortable environment. EVIDENCE: There are staff employed in the home for cleaning, and to assist in the kitchen. The home was clean, fresh and well maintained throughout. The quality of furnishing in the home was good and the manager continually monitors the condition of the furniture with plans to renew dining room chairs in the near future. One resident spoken with said that the home was “lovely” and “I have everything I need.” The home has limited outside space, but residents were seen on the inspection day enjoying time with visitors in the garden. The patio provides extra living space and shaded seating has now been provided under the pergola. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 & 30 The staff have worked at the home for considerable time so know the residents well. The training program for the home includes mandatory and specialist training so that staff have developed their skills and have a good knowledge of residents’ needs EVIDENCE: Staff spoken with were aware of the individual needs of the residents and spoke with confidence about the care that they would have to give to meet those needs. The home has a comprehensive staff training program and includes mandatory and statutory training. Fourteen of the home’s staff have achieved an NVQ and three are currently undertaking the qualification. Training certificates are held on staff personnel files and staff were enthusiastic about the training they had undertaken. The home manager has produced a training matrix and this gives quick easy access to information about the training completed and training that requires updating. This was seen as good practise. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33 & 36&38 The residents’ welfare and continuing independence are important to the staff and manager of the home so they run the home in the best interests of the residents. EVIDENCE: The registered manager of the home has been in a management role for a number of years and provided evidence of continued learning and personal development within that role. She is well known to residents and visitors to the home, her office is situated at the entrance to the home and enables her to be a very visible presence throughout the day. The atmosphere in the home is very relaxed and friendly. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 18 All visitors spoken with said the manager was approachable and that they would not hesitate in speaking with her if they felt that was necessary. All residents knew the manager by her first name and were seen in conversation with her throughout the inspection. Staff said that they felt they could tell her anything. Staff are supervised on a day to day basis and formal supervision is carried out by the home manager. Staff saw this as an opportunity to discuss problems and their future development. Public liability insurance was displayed in the home and records were maintained appropriately relating to service contacts for equipment, fire detection equipment, and electrical items. Regular checks are undertaken on the fire equipment, water temperatures and risk assessments. Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score x x 3 3 3 3 x x 3 x 3 Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 20 no 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. 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 Good Practice Recommendations Madeline McKenna Court F51 F01 S5194 Madeline McKenna V243732 100805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection UNIT D, OFF RUDHEATH WAY GADBROOK PARK NORTHWICH CHESHIRE CW9 7LT 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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