Inspection on 09/02/06 for Madeline Mckenna Court

This inspection was carried out on 9th February 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.

Other inspections for this house

Madeline Mckenna Court 19/02/07

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 10:00 9 February 2006 th 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.V267879.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. Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 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.V267879.R01.S.doc Version 5.0 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) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commisison for Social Care Inspection 10th August 2005 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 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 is installed. There are well-tended grounds with seating areas available for residents and their visitors to use. Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five hours and involved a review of records held in the office of the Commission for Social Care Inspection, a tour of the premises, records held in the home and discussion with residents and staff. What the service does well: What has improved since the last inspection? What they could do better: Improvements need to be made to ensure that information provided by potential new staff is thoroughly checked and monitored against information provided from other sources. Madeline Mckenna Court DS0000005194.V267879.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. Madeline Mckenna Court DS0000005194.V267879.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 Madeline Mckenna Court DS0000005194.V267879.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): 2&3 Residents are assessed before moving to the home to ensure that the home can meet their needs. Contracts provide the resident or their relative with information regarding the terms and conditions of their stay. EVIDENCE: One care plan was reviewed as part of the inspection and provided information regarding the residents assessed needs on moving into the home. The contract relating to their occupancy of the home was available, which details the cost and what is and is not included and was signed by a relative. Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 9 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 - 11 Residents’ health is monitored to ensure that their needs can be met by the home. EVIDENCE: One care plan was reviewed during the inspection and provided information about daily events and changes in the residents’ health and wellbeing. The care plan had been 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. The care plan also identified what the resident could do herself to maintain some level of independence. All 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 staff are wonderful”, “we think staff do a good job.” Staff were seen talking with residents, encouraging them to have conversations with each other and spending time doing activities, in the Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 10 afternoon they were having a quiz. The relationship between the staff and residents was jovial and friendly. 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 DS0000005194.V267879.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 & 15 Regular residents meetings are held to seek the views of the people who live in the home. EVIDENCE: Since the last inspection residents’ views have been sort through the residents meetings regarding the activities they would like to have in the home. Regular meetings are held with the residents and the minutes were available at the inspection. The home has also registered with the dial-a-ride service so that residents can take opportunities for social activities outside the home. The residents have also been asked about changes they would like to the menu and these requests have been incorporated into the selection available to them. Madeline Mckenna Court DS0000005194.V267879.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 The home has a thorough complaints procedure to ensure residents are listened to. EVIDENCE: A record is kept of all complaints, written or verbal complaints are now recorded and include details of the investigation. There needs to be consistency in recording the outcome so as to demonstrate improvements and continual development. Eleven complaints have been made since the last inspection and had been handled satisfactorily. Madeline Mckenna Court DS0000005194.V267879.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): 21 - 26 The home was clean and fresh throughout; the manager continually monitors the fabric of the home 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, new dining room chairs have been bought since the last inspection and on the day of the inspection somebody was measuring windows with a view to renewing the curtains in the lounge and dining room. All bedrooms have en-suite facilities (toilet and washbasin) and bathrooms are situated within easy reach of residents’ rooms. Residents can have telephones installed in their rooms if they wish at their own cost, however a payphone is available which can be plugged in, in their bedrooms for privacy should they wish. Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 14 Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 15 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 has thorough vetting procedure for recruiting new staff, however systems need to be adopted to ensure that the information provided is factual and accurate. EVIDENCE: Three staff recruitment files were reviewed as part of the inspection and all contained information in respect of Schedule 2 of the Care Homes Regulations for Older People including Criminal record Bureau (CRB) checks. One file contained sensitive information and a declaration made by an employee was not factual, this had not been explored. See requirement 1 Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 16 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): 35, 36 Residents are encouraged to maintain their independence in managing their own finances, however where they are unable the home has good recording to safeguard residents and staff. EVIDENCE: Where residents are able they continue to manage their own finances, safes are provided in each bedroom for safekeeping of their valuables. Should staff need to support residents with managing their money, valuables are still kept in their own personal safe but the keys are kept secure by senior staff in the home. With the residents consent their finances were reviewed during the inspection and the records being maintained appropriately. Staff records showed that staff have formal recorded supervision bi-monthly, and personal development plans have been introduced for staff. A member of staff spoken with said that she found this useful in developing her training needs. Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 17 Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 18 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 X 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 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X X Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 19 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 OP29 Regulation 19 Requirement The registered manager must ensure that the recruitment process is thorough and explores all information provided by the candidate. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Madeline Mckenna Court DS0000005194.V267879.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich 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. Extracts may not be used or reproduced without the express permission of CSCI Madeline Mckenna Court DS0000005194.V267879.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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