Inspection on 19/02/07 for Madeline Mckenna Court

This inspection was carried out on 19th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 09/02/06

Madeline Mckenna Court 10/08/05

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 Ms Julie Porter Unannounced Inspection 19th February 2007 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 Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Madeline Mckenna Court Address Haddon Drive Widnes Cheshire WA8 9DY 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) 0151 495 1233 0151 423 0057 Arena Housing Association Limited Mrs Diane Oliver Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23), Physical disability over 65 years of age (1) of places Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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 maximum of 1 service user may be accommodated in the category of PD(E) (Physical disability over the age of 65) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 9th February 2006 2. Date of last inspection Brief Description of the Service: Madeline McKenna Court is a residential care home providing personal care and accommodation for up to 23 people over the age of 65. It is run by Arena Housing Association, a not for profit organisation, and is situated 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. There are a variety of aids and adaptations to help residents. There are well-tended grounds with seating areas available for residents and their visitors to use. Information received from the manager on 06 December 2006 stated that the current fees for residential care are £358.41 per week. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 19 February 2007 and lasted 6 hours. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, and health and social care professionals to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents and relatives were also spoken with and they gave their views about the service. What the service does well: Residents are encouraged to manage their own health care needs for as long as possible and to attend appointments at the local surgery and opticians so they stay independent for as long as possible. Staff have good relationships with other health professionals to make sure that residents get the best possible care. One relative described the home as always “ahead of the game.” The staff in the home like their work and help to make it feel a happy, caring, fun place to live. Residents and visitors spoke of the staff as “lovely”, “excellent”, “they do a wonderful job”, “fabulous cook.” Family and friends are welcomed to visit the home at any time so that residents still feel involved in family life. The home is clean and well maintained to ensure that residents live in safe comfortable surroundings. Staff receive good training to make sure they can provide the best possible care for the residents. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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 Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information and visits to the home are available so that prospective residents and their families can be assured that the home can meet their needs. EVIDENCE: Three residents’ files were inspected and all contained assessment information relevant to the needs of the individuals. The files contained copies of the contract of the terms and conditions of living at the home. The contracts detailed the cost of living at the home, what is and is not included in this, and were signed by the residents or their relatives. Relatives of two residents who had moved into the home since the last inspection were spoken with. They said that they had been made to feel very welcome. Both families had visited the home before their relative had come to live there. Both relatives said that the manager has been very helpful and provided them with information about the home and the service it could offer. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 9 Intermediate care is not offered in the home. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be as independent as possible and their health care is monitored so they receive the care they need. EVIDENCE: Three residents’ care plans were inspected and provided information about daily events and changes in their health and wellbeing. Care plans had been reviewed monthly and contained information about contact with doctors, dentists, opticians, district nurses, chiropodists and others who are involved with the residents’ care. All residents are registered with the doctor and when possible they keep the same doctor they had before they moved into the home. Two CSCI questionnaires were returned from doctors’ surgeries and were positive about the home; “staff always pleasant and helpful. Home always clean and tidy patients appear content.” Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 11 A relative said that she was more than happy with the care her mother was receiving. She said that at any time when she had noticed that her mother was having any discomfort the home was always “ahead of the game.” She felt that her mother received better medical support and attention than if she was still living at home. During the visit one resident was preparing to go to the doctor’s surgery with staff support. The manager confirmed that if they are well enough residents are encouraged to attend appointments with doctors and opticians in the community. Residents use the dial-a-ride bus service for this. Seven residents were spoken with and were very complimentary about the care they received in the home. One resident who was having difficulty in settling in the home during the last inspection was spoken with and said she now felt better about things and enjoyed living in the home. Residents and visitors spoke of the staff as: “lovely”, “excellent”, “they do a wonderful job”, “fabulous cook.” Staff were seen talking with residents, encouraging them to have conversations with each other and spending time doing activities. In the afternoon they were playing board games. The relationship between the staff, residents and visitors was jovial and friendly. Medication records were checked and medicines were stored and recorded appropriately. Risk assessments had been carried out to see if residents could manage their own medication. One resident’s medication administration record showed that she managed her own medicines. The home has policies and procedures in place to ensure that those who are dying are cared for with respect and dignity. Care files contained information about the residents’ wishes should they become terminally ill and recorded their wishes after death. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are consulted regarding choice and the running of the home so that they still feel in control of their lives. EVIDENCE: Residents spoken with said that they enjoyed life in the home; one resident said that she “felt safe.” All residents said that they could go to bed and get up when they wanted to. Care plans identified what time residents preferred to get up and included their morning routines; for example ‘would like a cup of tea before getting out of bed, prefers to wash and dress before breakfast’. Members of local churches visit the home to see the residents. Residents who wish to attend church services, and are able to do so, are helped by volunteers. Throughout the visit to the home relatives and visitors, some with very young children, were seen coming and going freely. Visitors are able to meet with relatives in the communal lounge, in one of the quieter areas or in the residents’ own bedrooms. The manager confirmed that there are no restrictions in place for visiting times. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 13 Visitors spoken with confirmed that they vary the times of their visits and are all made to feel welcome. Regular meetings are held with the residents to find out what they think about the home, the activities they would like and menu planning. Activities are arranged each afternoon (except weekends) in the home. Some residents spoken with did not know what the afternoon activity was to be. Lunch was seen as a very sociable occasion. Residents had a three course lunch of soup, lamb chop with potatoes and vegetables, and dessert. Alternatives were available. Particular favourites were available in the kitchen and included tripe. One resident was heard telling her family that the home feeds her too well. The cook said that she talks with the residents about what they would like on the menus and no restrictions are placed on her regarding the food ordering. The cook was aware of the dietary needs, including diabetes, of individual residents. One resident needs a pureed diet and advice was given on the presentation to ensure that the food continues to be appetising and appealing. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an effective complaints procedure and staff have received training in adult protection to ensure that the residents’ welfare is safeguarded. EVIDENCE: A record is kept of all complaints, written or spoken and includes details of the complaint, the investigation and the outcome. Seven complaints have been made since the last inspection and had been handled satisfactorily. Eighteen of the twenty-five staff in the home have completed training relating to adult protection and this includes ancillary staff. The manager of the home has made one referral under the local authority’s adult protection procedures. The records of this were inspected and had been maintained appropriately. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was clean, fresh and well maintained throughout to ensure that residents live in safe, comfortable surroundings. EVIDENCE: There are staff employed in the home for cleaning, and to assist in the kitchen. The home continues to maintain high standards of hygiene and was clean, fresh and well maintained throughout. The quality of furnishing in the home is good and it was seen to be well maintained. The lay out of the home gives the residents the choice of spending time in a number of areas of the home without being isolated. The home has: a large communal lounge and dining room; a smaller lounge that tends to be quieter; Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 16 “cosy corners” and a smoking lounge. Two seating areas are available in the garden for the residents to use in warmer weather. All bedrooms have en-suite facilities (toilet and washbasin) and bathrooms are situated within easy reach of residents’ rooms. Pre-set temperature control valves are fitted to taps to avoid scalding. The corridors are fitted with handrails to help residents move round the home as independently as possible and service contracts are in place for all specialist equipment. Residents’ bedrooms all have emergency call alarms. One resident was not able to use the call aid in her room and a risk assessment had been done so that staff regularly monitored her when she was in her room. Residents can have telephones installed in their rooms at their own expense if they wish at their own cost but the home has a payphone that can be plugged into residents’ own rooms so they can use in it private. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are looked after by a staff team that is well trained and has been thoroughly checked out so that residents are well cared for and protected from possible harm. EVIDENCE: The home has a very low turn over of staff and employs twenty-four staff in total (excluding the manager); eighteen care staff and six ancillary staff. All but one newer member of the staff team has achieved a formally recognised qualification. The cooks and the cleaning staff have achieved a National Vocational Qualification (NVQ) at level 1 or 2. Seventeen care staff have got or are doing NVQ at levels 1, 2, 3 or 4 in care. The registered manager has achieved NVQ level 4 and is currently doing level 5. The staff are encouraged to further their training past NVQ level 2 and the manager confirmed that the organisation that runs the home actively supports this. Staff achievements in relation to refresher and mandatory training are monitored by the manager and cover 1st Aid, moving and handling, food hygiene, adult protection, health and safety and medicine administration for the senior staff. Specialist training in dementia care and palliative care are also available so staff can meet the residents’ needs. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 18 A chart showing what training staff had completed was available and evidence that the training had been completed was kept on personnel files. Two staff recruitment files were inspected and both contained information to show that thorough checks had been carried out, including obtaining Criminal Record Bureau checks, before the member of staff started work at the home. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is aware of her responsibilities in respect the day-to-day running of the home to ensure the residents are well cared for and kept as safe as possible. EVIDENCE: The manager has managed the home for a number of years. She has achieved a National Vocational Qualification (NVQ) in care and a management qualification at level 4. As part of her continuing development she is currently registered for NVQ level 5. Throughout the visit the manager’s office door was open and she was seen around the home chatting with residents, visitors and staff. Four relatives were spoken with and were very complimentary about her management ability. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 20 They said that she was very approachable and one relative commented that during her mother’s admission to the home the manager could not have been more helpful. There is a small safe in each resident’s bedroom. When residents need staff to support them with managing their money, they still have the use of the personal safe but the keys are kept secure by senior staff in the home. The majority of residents in the home do not need staff support or are supported by their family to manage their money. However, it became apparent during the visit that large sums of money may be stored in individual safes. An upper limit of the amount of money that can be stored in these safes should be discussed with residents and families to safeguard the residents and ensure that the home’s insurance cover is adequate. The manager and the area manager conduct regular quality audits of the home at least monthly. Regular reviews of the homes policies and procedures are in place. Information is obtained from residents regarding their satisfaction with the services through the annual questionnaire, the complaints procedure and informal meetings with residents and visitors. Staff are given the opportunity to comment about the home at any time to the manager and during staff meetings. Insurance certificates and public liability insurance as in place for the home. During the inspection the following records were checked and found to be in order; accident records, fire alarm testing and emergency lighting. The home’s health and safety audit was also available. Information provided by the manager before the this visit indicated that up to date safety certificates were in place for the following: • • • • • Fire equipment Gas installation Electrical wiring Emergency call systems Bath hoists, mobile hoists and wheelchairs. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 21 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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 4 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 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 22 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 2 Refer to Standard OP12 OP35 Good Practice Recommendations An activities timetable should be displayed on the residents’ notice board so that residents and visitors know about future activities. A limit regarding the amount of money placed in residents’ individual safes should be agreed with them and their families to ensure that the home’s insurance is sufficient. Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Madeline Mckenna Court DS0000005194.V315151.R01.S.doc Version 5.2 Page 24 - 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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