Inspection on 13/02/06 for Magnolia House

This inspection was carried out on 13th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Magnolia House 21/11/07

Magnolia House 01/12/06

Magnolia House 26/07/05

Magnolia House 15/10/04

Magnolia House 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 Magnolia House 54 Salisbury Road Leigh On Sea Essex SS9 2JY Lead Inspector Christine Bennett Unannounced Inspection 13th February 2006 11:15 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 Magnolia House DS0000015448.V277964.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. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Magnolia House Address 54 Salisbury Road Leigh On Sea Essex SS9 2JY 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) 01702 712222 01702 712222 Magnolia House Nursing Homes Limited Valerie Daphne Gardner Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Number of service users to whom accommodation and personal care is to be provided shall not exceed twenty (20). Accommodation and personal care to be provided to no more than twenty older people over the age of 65 years (OP). 26th July 2005 Date of last inspection Brief Description of the Service: Magnolia House caters for twenty older people. It is an old building, which retains some of its original features. Accommodation is provided on two floors and there is a passenger lift to access both floors. The home consists of two lounges, a dining room, and single and shared bedrooms, some of which have en suite facilities. There is a small garden area with patio furniture, which is used by residents who wish to smoke. There is limited parking at the front of the building. The home is situated in a residential area, within easy reach of local shops and a bus route. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection on 13th February 2006, which lasted over seven hours. The inspection process included a tour of the premises and examination of random records and documents. Time was spent in the lounges and dining area of the home, taking note of the routines of the home, and chatting to residents. Four were spoken with more formally. Discussion took place with the manager of the home, three members of staff and the District Nurse. The residents and staff were very welcoming and helpful and this was appreciated. What the service does well: What has improved since the last inspection? The owner has made some improvements to the home and has bought some new equipment. The staff spoke with enthusiasm about some of these improvements. Trees and conifers have been cut back in the garden to allow more light into the home. A new tumble drier and washing machine have been purchased and the sluice has been upgraded. Equipment has been replaced in the kitchen, including saucepans, toaster and kettle. The bedrooms have been provided with bedside lamps and some beds have been replaced. New windows have been fitted to the front of the building. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 6 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. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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 Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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): 3 The home operates a thorough pre admission assessment with care and attention being given to ensure that individual needs can be met, ensuring appropriate admissions. EVIDENCE: The manager confirmed that the pre admission procedure for the home had not changed. She described a thorough process whereby she visits a prospective resident to ensure that the home can meet their needs. They and their relatives are able to visit the home before moving in to see if it meets their expectations. Residents are then admitted for a six week period before a review is held to see if it has been a successful placement. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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, 8, 9 The health needs of the residents are well met and care plans provide staff with the information to meet the residents’ needs. Medication is well managed, promoting good health. EVIDENCE: Residents spoken with and observed looked well cared for. Staff seemed to be gentle and caring when dealing with the residents, and communicated well with them. Residents all agreed that the care staff were not unkind to them but varied in their comments from, “The girls are kind” to “I have no complaints, some are sweeter than others” and “some staff are a bit short tempered”. Care plans were viewed for three residents and these had generally been well completed, detailing the care needs and how they were to be carried out. Any risks had been identified and the management of these risks needs to be recorded to enable staff to give optimum care. The manager spoke of a good rapport with stakeholders of the service and this was witnessed when the District Nurse visited the home. She said she had a good relationship with the home and had no concerns about the care given. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 10 The manager was also able to demonstrate that a resident had been able to be cared for in the home until she died, with support from the GP, District Nurse and the Pharmacist. The medication storage, practices and records were inspected and were being well maintained. Two members of staff were having medication training the following week, and this would mean that all staff who administered medication were up to date with this training. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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, 14, 15 Some social activities are in place but development needs to continue to ensure occupation of residents. EVIDENCE: The manager is endeavouring to develop the activity programme for the home. A professional entertainer visits the home once a month, a church service is held every two weeks, the hairdresser comes once a week and a member of staff does manicures. A sing a long is being introduced on a Saturday afternoon, and a sing a long was being held for Valentine’s Day. The home has a lively atmosphere and visitors are welcome at anytime. However one resident said there is nothing for her to do. Residents were happy with their rooms and confirmed that they were able to bring personal possessions and items of furniture into the home. Tea was spent with the residents in the dining area. Discussion with the cook confirmed that residents get a choice at mealtimes and the menu is written on a board in the dining room. Residents can choose to stay in their room but most come to the dining area. This is a pleasant area with cloths on the table and good quality cutlery. Cloth bibs were used for residents who required it. Music was played and staff and residents chatted amiably. Help was given sensitively to residents who required assistance. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 12 The food looked appetising and one resident said, “the food is good”. Three residents require a liquidised diet and it is recommended that this is done in a way to continue to look attractive when served. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 13 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 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: Residents and staff comments confirmed that people feel comfortable discussing concerns with the manager. No complaints have been received by the home or CSCI. Staff had a good understanding of abuse and reporting abuse. There have been no POVA issues within the last year. Staff training relating to adult protection needs to be updated. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 14 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, 22, 25, 26 Continued improvements to the home are necessary to provide a safe environment for the residents. EVIDENCE: The registered provider has continued to make improvements to the home since the last inspection. These include new fire signs, a new fire blanket, new fascias for the call bell system, and replacement windows to parts of the building. The manager and the registered provider have discussed the other areas of the home that need attention. These include the central system, to control the temperature at which heat is delivered through the radiators and the temperature at which water is delivered from the hot taps. The kitchen cupboards require attention, some windows need to be replaced and magnetic door closures need to be fitted to some doors. An annual programme of redecoration needs to be produced and a copy sent to CSCI. The home has a vacancy for a handyman and until this post is filled, the home shares a handyman with the sister home. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 15 The registered provider has also upgraded a lot of equipment used in the home. The staff were very happy about this and felt that the provider is working well to support them and the home. The equipment includes a washing machine, a tumble drier, three commode chairs, an upgraded sluicing facility, some new beds, bedside lamps and some kitchen equipment. Weighing scales appropriate to weigh all residents must be provided. The garden area has had trees and conifers cut down to provide more light into the home, however old furniture is stored here and to the front of the building which could be a hazard and must be removed. The home was clean and generally free of odour. There was one room which had an unpleasant odour and stained carpet, which the manager was aware of and was endeavouring to sort out. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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 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): 27, 28, 30 Staffing shortfalls and lack of staff training do not promote safe practice. EVIDENCE: A member of staff said that there is a good staff team at the home. A visitor who had responded to a questionnaire said that there are always sufficient numbers of staff but some do not seem so keen on performing their duties. Communication is good, with staff meeting twice a day in the dining area to have a handover and to voice any concerns. The manager said the home has a vacancy of 15 care hours and two days a week for a maintenance person. No member of staff works excessive hours. Extra staff are on duty if a resident has to leave the home for any appointments. The home has twenty staff. Four of these have achieved NVQ level 2, one has achieved NVQ level 1 and one member of staff is doing NVQ level 3. Five members of staff are at university studying nursing, dentistry or social care. The manager acknowledged that very little training has been done by staff in 2005 and needs to work with the provider in how to remedy this situation. Training opportunities in the future have been applied for and these include dementia awareness, basic signs, blood testing for diabetics, falls prevention and use of bedrails. The kitchen staff need updating on food hygiene and all staff need mandatory training including manual handling and protection of vulnerable adults. Lack of current training could mean that the staff do not have the skills to perform their work and could b e detrimental to residents. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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 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, 33, 35, 38 The home is run by a suitably experienced manager who provides clear leadership in the home. EVIDENCE: The manager has been in post for many years and is due to complete her NVQ 4 in Care and Management in April 2006. There was evidence that she attends additional training to update her skills. Staff meetings are held formally every three months, although staff meet daily to discuss any concerns. Residents do not have formal meetings but are consulted about the running of the home in an informal way. The manager was advised to collect the views of the residents/relatives, staff and stakeholders of the service to measure the success in achieving the aims and objectives of the service and to provide residents and CSCI with a copy of any report. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 18 No resident handles their own finances but have a family member to act on their behalf. Money held by the home for residents is stored securely and was accurate on two files checked at random. Records seen relating to the maintenance of the home were all up to date. The home was tested for Legionella in August 2005. Fire Drills are held monthly and incorporate discussion, although no formal fire safety training has been undertaken. Staff training in relation to manual handling, food hygiene, first aid, infection control and COSHH needs to be updated. The home has a contract for the disposal of clinical waste. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 3 X X 2 3 STAFFING Standard No Score 27 3 28 3 29 X 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16(2)(m) Requirement To continue to develop the occupation of residents time including involvement with the local community This is a repeat requirement The registered person must ensure that the home is properly maintained at all times. This refers to the central heating system and the kitchen, and clearing of furniture from garden. This is a repeat requirement The registered person must ensure that staff receive training appropriate to the work that they perform The registered person shall establish and maintain a system for reviewing and improving the quality of the care and supply to the residents and CSCI a copy of any report. The registered person must ensure the home is conducted to promote the health and welfare of the residents. This refers to training for staff in first aid, infection control, COSHH, DS0000015448.V277964.R01.S.doc Timescale for action 01/06/06 2. OP25OP19 23(2)(b) 01/06/06 3. OP30 18 (1)(c) (1) 24 01/06/06 4. OP33 01/05/06 5. OP38 12 (1)(a) 01/06/06 Magnolia House Version 5.1 Page 21 manual handling, food hygiene. 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. 3. 4. Refer to Standard OP15 OP19 OP9 OP22 Good Practice Recommendations Liquidised food is kept in individual portions to look appetising. A programme of routine maintenance and renewal of fabric and decoration should be produced and implemented and records kept. Transcribed medication should have the signatures of two staff. Suitable scales should be provided to weigh all residents. Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Magnolia House DS0000015448.V277964.R01.S.doc Version 5.1 Page 23 - 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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