Inspection on 28/02/06 for Maidment Court

This inspection was carried out on 28th 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

Maidment Court 26/01/09

Maidment Court 24/06/08

Maidment Court 14/07/06

Maidment Court 06/05/05

Maidment Court 06/10/04

Maidment Court 07/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Maidment Court 47 Parkstone Road Poole Dorset BH15 2NX Lead Inspector Trevor Julian Unannounced Inspection 28th February 2006 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 Maidment Court DS0000004051.V285270.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. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Maidment Court Address 47 Parkstone Road Poole Dorset BH15 2NX 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) 01202 674423 01202 676410 HOME.POO@MHA.ORG.UK Methodist Homes for the Aged Mrs Jacqueline Nelson Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The twin suite, bedrooms 45 (a) and (b), is only to be let to a couple who have clearly expressed a desire to occupy such a room. 6th May 2005 Date of last inspection Brief Description of the Service: Maidment Court is registered with the Commission for Social Care Inspection as a care home for a maximum of 46 older people. The premises are purpose built and include a passenger lift to all levels. All service users rooms are single occupancy and have en suite facilities. The main communal space is provided on the ground floor, additional lounges, utility rooms and kitchen facilities are provided on the other floors. There are 10 single rooms on the ground floor; 13 singles on the first floor; 13 singles on the second floor; 8 single rooms and one suite of rooms suitable for a couple. There are a total of 5 assisted bathrooms, one conventional bathroom and a shower room. The home offers one room for respite care. The premises are located overlooking Poole Park and are within a short walk from the town centre. Mrs Nelson manages the home on behalf of Methodist Homes for the Aged (MHA). The home caters for a wide range of care needs but the majority of the service users require minimal support with daily living, some people do have early signs of dementia but the staff are able to meet these needs. As people develop heavier physical care needs these are managed by the home with input from the community nursing team and GPs. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 28th February 2006 between 10:00 and 13:30. The total time taken for the preparation, site visit and report writing was 12 hours. This was the second of two statutory visits due during the inspection year. The purpose of the visit was to review the key standards not covered during the previous inspection. Before the visit comment cards were returned to the commission giving the views of residents, families, GP’s care managers and community nurses, all showed high levels of satisfaction one resident said the home provided a “safe haven”, another said she “… wouldn’t want to live anywhere else” and several commented on the kindness of the staff. During the visit, information was gathered through discussion with the residents, visitors and staff, inspection of the premises and examination of records. For the purposes of this report the terms resident and service user are interchangeable. What the service does well: The home continues to provide good levels of care to the residents. Residents and visitors were unanimous in their praise for the efforts made by the staff and management, this resulted in a comfortable and relaxed atmosphere in the home. People said they were treated respectfully. All rooms were for single occupancy and have appropriate locks allowing privacy. The home did not manage the finances for any of the residents although most deposited personal allowances with the home to cover sundry items not covered in the contract e.g. hairdressing and chiropody. Residents commented that the food was of a good quality and variety. They added that a selection of fresh fruit was always available. At lunchtime, the meal served was well presented and appetising, residents were able to serve vegetables for themselves although help was on hand from the staff. The home had an accessible complaints procedure, residents and visitors said they felt comfortable in raising concerns with the staff or management. All staff were trained in responding to allegations of abuse. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 6 The home was well maintained and the temperature was at a comfortable level. The residents said the home had been kept warm throughout the winter months. 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. Maidment Court DS0000004051.V285270.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 Maidment Court DS0000004051.V285270.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): 4 The home provides potential residents with information about the home however, this did not include confirmation that they could meet the assessed needs. EVIDENCE: The home advised potential residents about fees and trial periods. However, there was no confirmation that, having completed a pre – admission assessment, the assessed needs could be met. Maidment Court DS0000004051.V285270.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): 9, 10. Medication was not fully assessed during this inspection. The residents were treated with dignity to ensure that their rights were respected. EVIDENCE: Medication records showed that new items were added to the record sheet, these amendments were checked by a second person to reduce the chance of transcription errors. The records also showed any known allergies which might cause a reaction by the resident. During the visit there was good interaction between the residents and the staff. The exchanges were relaxed and conducted in a friendly manner. All the residents and visitors said they held the staff in high esteem and that they were very kind and caring. One visitor said he would be visiting the home at the weekend as there was a birthday party being held to mark his mother’s centenary. Others confirmed that the staff knocked their bedroom doors Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 10 before entering. Some people had their own door keys for their privacy although they knew staff could override the lock in the case of an emergency. Maidment Court DS0000004051.V285270.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): 14, 15 Residents were encouraged to exercise as much choice as their circumstances allow, to help them feel valued. Meals were provided in suitable surroundings, the menu offered good levels of choice and the food was appetising to encourage a healthy nutritional intake. EVIDENCE: The home did not manage finances for any of the residents although, many did deposit personal allowances with the home for additional expenditure e.g. chiropody and hairdressing. None of the residents were using independent advocacy services but this had been arranged as needed in the past. The organisation did not offer financial advice to the residents or their representatives but they did have identify consultants who were approved to offer financial advice. Many of the residents were aware that the home was obliged to maintain care records but none had asked to see them. The bedrooms seen during the visit had each been personalised by the occupant and several said they had been invited to bring in personal items to help them to feel at home. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 12 Meals were served in the dining room and in a room off the main lounge. Several residents were congregating in the quiet dining room before lunch, they said they were routinely moved around from the main dining room but most enjoyed atmosphere of the smaller room. The food was described as very good and varied there was always at least a choice of two main courses. They helped themselves to fresh vegetables from a “silver” service. During residents’ meetings, they were able to make suggestions for items to be included on the menu. Several said there was always a selection of fresh fruit provided. Maidment Court DS0000004051.V285270.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 The complaints procedure allowed residents and visitors to raise concerns without the fear of recrimination. Staff training and supervision helped to ensure that staff were aware of their responsibilities regarding adult protection. EVIDENCE: The home has a detailed complaints procedure which is accessible to the staff. Information about raising complaints is included in the service users’ guide and posted in the main hallway for visitors. Residents said they were able to discuss concerns with the staff either privately or during residents meetings. None had needed to formalise their concerns. Staff receive training in adult protection during their induction period and the topic was included within supervision meetings. Maidment Court DS0000004051.V285270.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 Maidment Court provides the residents with a safe and comfortable environment. EVIDENCE: The home is well maintained and any defects repaired promptly. The grounds provide seating and walking areas. Many of the rooms have views across to Poole Park, which is across the road from the home. Residents said the home was kept at a comfortable temperature throughout the winter. Many said they enjoyed the gardens in the warmer weather and one said she managed to cross the road into the park. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 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): 27,28,30 Staffing levels were appropriate for the current needs of residents. Training and induction programmes provide the staff with appropriate skills and expertise. EVIDENCE: The staffing rosters showed the actual and planned staffing of the home. There were 2 senior staff and 5 carers on duty for the morning, reducing to 2 seniors and 4 carers during the afternoon. There were also domestic and cleaning staff on the premises. The home had not used agency care staff for some time. There were a total of 31 care staff 14 had completed NVQ level 2, 3 or 4 with another 4 part way through. The staff had training in food hygiene, first aid, manual handling, health and safety, adult protection. The residents were full of praise about the staff working in the home, they said they were kind and caring, several people said the staff were very patient. During the visit staff were seen chatting with the residents in the lounge this helped to create a calm and friendly atmosphere. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 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): 31, 33, 36. An experienced and qualified manager runs the home and is able to put the residents at the forefront of the management approach of the home. Systems are in place to enable the home to be run in the best interests of residents. Staff are provided with appropriate support for working in the home, and they are appropriately supervised. EVIDENCE: The registered manager had gained experience in care home management over a number of years and has the required qualifications. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 17 The organisation had a quality assurance system which included audits carried out by independent people. The organisation also carries out monthly visits to the home to monitor standards in the home. The results of the audit are used to develop the annual development plan. A recent audit focussed on food and resulted in a new menu. Residents said they were able to use residents’ meetings and questionnaires to give their views on how the home was run. Since the last inspection there was evidence that staff supervision had been taking place and they were on target to complete 6 supervision meetings for each of the care staff during the year. Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 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 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X x Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP4 Good Practice Recommendations The registered person should demonstrate the homes capacity to meet the assessed needs of the service user and confirm in writing the homes suitability for the purpose of meeting their (the service users) needs in respect of health and welfare (including specialist needs). Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Maidment Court DS0000004051.V285270.R01.S.doc Version 5.1 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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