Inspection on 26/07/05 for Magnolia House

This inspection was carried out on 26th July 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 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 13/02/06

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 Tuesday 26th July 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. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Magnolia House Address 54 Salisbury Road Leigh-on-Sea Essex SS9 2JY 01702 712222 01702 712222 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) Magnolia House Nursing Homes Limited Valerie Daphne Gardner CRH Care Home 20 Category(ies) of OP Old Age (20) registration, with number of places Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Number of service users to whom accommodation and personal care is to be provided shall not exceed twenty (20). 2. Accommodation and personal care to be provided to no more than older people over the age of 65 years (OP). Date of last inspection 15th October 2005 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 I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection on 26th July 2005, which lasted nine 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, and with people in their own rooms, chatting and taking note of ordinary routines in the home. Individual discussion took place with five residents, five visitors, three members of staff and the manager of the home. The residents, visitors and the staff were most helpful and this was greatly appreciated. What the service does well: What has improved since the last inspection? What they could do better: There are still areas in the home that need attention in order to make it a safe and comfortable place for residents. These include kitchen cupboards, finishing the decoration of a bathroom and trailing wires in a resident’s bedroom. The owner must provide lockable storage for staff to put their belongings. Staff must make sure they knock before entering a resident’s room to retain their privacy and dignity. Scales must be provided that are suitable to weigh all residents. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 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. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 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 Magnolia House I56 I06 S15448 Magnolia House V240752 260705 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) 3,4,5,6 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 described a thorough pre admission process to ensure that a resident’s needs would be met. This was confirmed by documentation in the care plans. Visitors said they viewed the home and spoke to the manager before the resident came to the home for the day. A relative was visiting the home during the inspection to see if she thought it was suitable for her mother. Residents are admitted for a six-week period when a review is carried out to ensure all parties were satisfied that needs would be met. The home does not provide intermediate care. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 standard(s) 7,8,10,11 The health needs of the residents are generally well met and care plans provide staff with the information they need to meet residents’ needs. Practices in the home promote a respectful handling of death and a caring approach to those who are ill or dying and their relatives. EVIDENCE: Residents looked well cared for and staff were seen to be kind and caring with residents. Residents were very complimentary about the home. One said, “it’s very homely here”, and visitors’ comments included, “she is very happy here, whatever she wants, she gets”, and “they are very nicely treated, the carers are very caring, they show the residents a lot of love”. Two care plans were seen and these contained the information needed to enable staff to give appropriate care. There was evidence of regular reviews and of relative involvement. A visitor confirmed that she was involved in these reviews. There was no indication that residents had been weighed and the manager explained that she did not have suitable scales. This must be addressed and records maintained of weight gain or loss. Daily records varied in their content, and often gave no detail as to how a resident had spent their time. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 10 The manager had been successful in finding a dentist for the home and a resident had an appointment that week. Another resident had been visited by the GP that day and a visitor said, “It’s a good service from the GP and District Nurse”. Most residents felt they were treated with dignity and their privacy respected and a staff member had a good understanding of confidentiality. One resident did mention that sometimes she didn’t like the way she was spoken to, and being told what to do. Letters were seen to be delivered to a resident unopened and some residents had their own phone in their bedrooms. It was noted that a staff member twice entered a resident’s room without knocking on the door. Care plans included individual wishes in relation to illness and dying, and the home has a policy relating to the death of a resident. A relative was visiting the home to collect her mother’s belongings, who had recently died in the home. She was very complimentary about the care her mother and the relatives had received during this period and said, “they were so approachable, they have the patience of a saint”. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 standard(s) 12,13 Some social activities take place but need to be developed to give the residents better occupation of their time. Visitors are encouraged to visit freely. EVIDENCE: The manager confirmed that she is continuing to develop activities in the home. She has recently acquired a book on reminiscence and a game of bingo aimed at elderly people. One of the care staff is a nail technician and was giving some of the residents a manicure, and a visitor confirmed that a hairdresser and chiropodist visit the home. The manager has arranged for a professional entertainer to come to the home on a monthly basis and has arranged for one resident to be taken to church twice a week. The home is also on the waiting list for the “Pat the Dog” scheme. Some residents go out with their relatives but there are no other links with the community. Two visitors felt there could be more stimulation and residents varied in their comments, some indicated that they did not want anything else to do, whilst one said it was a bit boring. Visitors confirmed that they were welcome in the home at any time and were always made to feel welcome. One visitor confirmed that she was able to go to the kitchen to make a drink if she wished. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 standard(s) 16,18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: Residents, visitors 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 forms of abuse and of reporting abuse. There have been no POVA issues within the last year. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 standard(s) 19,21,25 Continued improvements to the home are necessary to provide a safe environment for the residents. EVIDENCE: The registered provider is in the process of making improvements to the home. New windows are being installed to the top floor of the building and magnetic door closures are being fitted to comply with fire regulations. The manager confirmed that the programme to replace hospital beds with domestic beds is ongoing. One bathroom is in the process of being redecorated and two bedroom carpets have been renewed. Residents and visitors said they thought the home was safe and homely. The home has a vacancy for a handyman, and until this post is filled the home shares a handyman with a sister home. A bathroom that has been refurbished is still waiting to be completed. Laundry is still stored inappropriately in there, and clothes are left to dry in the other bathroom. Kitchen cupboards have been damaged and need replacing. Loose wires and a plug socket were dangling from a door frame in a resident’s bedroom. Staff must also be supplied with lockable facilities to store their personal belongings. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 14 Radiator covers prevent residents from adjusting the thermostats on the radiators in their bedrooms. Some areas of the home are also due for redecoration and all these areas must be addressed to ensure the continued safety and comfort of the residents and staff. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 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) 27,29 Staff are employed in sufficient numbers to meet the residents’ needs. The home operates a thorough recruitment process, ensuring the safety of the residents. EVIDENCE: The manager confirmed that the home is fully staffed apart from the vacancy for a handyman. There is mix of staff and some staff have been at the home for many years. Staff do not work long shifts or do excessive hours and agency staff are used. The home has three volunteers from the Salvation Army who come in to the home on a regular basis. Staff morale appeared high and they spoke of a good team spirit. Communication is good with staff meeting in the dining area during the morning to have a handover from the manager and voicing any concerns. Two recruitment files were examined and these had all the relevant information as required in Schedule 2 to protect residents. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 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 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) 31,32 The home is run by a suitably experienced manager. There was clear leadership in the home, with the manager being available and responsive to concerns. EVIDENCE: The manager has been in post for many years. She is currently completing her NVQ level 4 in Care and Management. There was also evidence that she attends additional training to update her knowledge and skills. Residents, visitors and staff all made positive comments about the management of the home, and is freely available to give support to staff. Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x 2 x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x x x Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 18 YES 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 8 Regulation 12(1)(a) Requirement Residents weight to be monitored as part of their care plan This is a repeat requirement To continue to develop the occupation of residents time including involvment with the local community Staff must respect the privacy and dignity of residents by knocking before entering their rooms. The proprietor must ensure that the home is properly maintained at at all times. This is a repeat requirement Decoration to bathroom to be finished to a good decorative state and bathrooms not to be used for storage or a drying facility This is a repeat requirement Radiators in bedrooms must be able to be controlled by residents Timescale for action 1/11/05 2. 12 16(2)(m) 1/11/05 3. 10 12(4)(a) 1/10/05 4. 19 23(2)(b) 1/12/05 5. 21 23(2)(a) (d) 1/11/05 6. 25 23(2)(p) 1/12/05 Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 19 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. Refer to Standard 7 19 28 Good Practice Recommendations Daily records should be developed to include information on how a resident has spent their time. A programme of routine maintenance and renewal of fabric and decoration should be produced and implemented and records kept 50 of care staff should have NVQ 2 in Care or equivalent by 2005 Magnolia House I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 I56 I06 S15448 Magnolia House V240752 260705 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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