Inspection on 10/05/05 for Maple Court Nursing Home

This inspection was carried out on 10th May 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 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

Maple Court Nursing Home 31/01/08

Maple Court Nursing Home 26/07/06

Maple Court Nursing Home 01/12/05

Maple Court Nursing Home 05/10/04

Maple Court Nursing Home 13/05/04

Maple Court Nursing Home 22/01/04

Maple Court Nursing Home 15/09/03

Maple Court Nursing Home 19/06/02

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

CARE HOMES FOR OLDER PEOPLE Maple Court Nursing Home Rotherwood Drive Rowley Park Stafford ST17 9AF Lead Inspector Sue Mullin Additional Inspector Mrs L Gammon Announced 10 May 2005 10:30 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. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Maple Court Nursing Home Address Rotherwood Drive Rowley Park Stafford Stffordshire ST17 9AF 01785 245556 01785 244506 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) Southern Cross Healthcare Services Limited Mrs Karen Michelle Hilditch Care Home 81 Category(ies) of 21 PD(E) registration, with number 35 PD of places 25 DE Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 35 PD over 60 years - 3 of whom may be 55 years on admission 25 DE over 60 years Date of last inspection 05 October 2005 Brief Description of the Service: Maple Court is a care home providing personal care including nursing care for up to 81 elderly service users. This includes care for up to 25 service users with Dementia and other related mental health needs. The home is owned by Southern Cross Healthcare Services Limited. The home is located in a quiet residential area on the outskirts of the town of Stafford in the South Staffordshire district. There are no amenities within the immediate vicinity but Stafford town centre is approximately a ten-minute walk away where there is a choice of shops, public houses, banks and churches. The home was purpose built several years ago and consists of two floors served by a passenger lift. The service users are accommodated on both floors within three separate units. The ground floor accommodates service users with nursing needs and the second floor is divided into two units caring for service users requiring personal care and mental healthcare needs. There are ample car-parking facilities at the entrance car park and around the side of the home. Gardens are located around the home including a forest walk. The accommodation provides for 81 single bedrooms, all of which have en-suite facilities. There is ample provision of communal and seating areas throughout the home. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory announced visit was made by two inspectors over a period of one day. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 13 hrs. The proposed registered care manager (RGN) Mrs Heather Sault was in charge of the home accompanied by Ms Maggie Bustard, Regional manager. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with residents and relatives, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing, quality assurance and health & safety. Since the last inspection on 5th and 6th October 2004; there has been an application for the approval by the commission of a new proposed care manager. This is currently being processed. It was evident that aspects of care had been addressed well, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. The home was fit for purpose, well maintained, and provided a safe environment for the residents and staff. A homely atmosphere had been created, and the premised were very clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities including catering and laundry were adequately provided. Health and safety aspects had been given a high priority and no shortfalls were noted. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good. Staff training had been given a high priority, with induction training being followed by NVQ training, and staff had received supervision. The home appeared to be managed well by a qualified and competent proposed care manager. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 6 What the service does well: 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. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 is not applicable to this home An initial assessment was carried out for prospective service users and confirmation that their needs would be met was given to them in writing. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. EVIDENCE: Documentation evidenced that initial assessments were carried out prior to admission and discussions with service users confirmed that they had been given the opportunity to visit the home before choosing to stay. Service users were clear that they knew that there needs would be met by the home before they went to live there. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents and relatives asked confirmed that they had been fully involved and in agreement with the assessments. The records seen and a discussion with the staff and relatives evidenced that nursing and care staff, had the necessary Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 9 experience and qualifications to meet the assessed needs of the current service users. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 9,10,11 The assessed health and personal care needs of service users were well documented and good standards of care were being provided. Service users were treated with dignity and respect, and staff observed and supported their need for privacy when required. EVIDENCE: The care plans were well written and reflected the current needs of the service users. The documentation seen and a discussion with both service users and staff confirmed that health and personal care needs were being well met. Records also evidenced visits to the home by health professionals when required, and of hospital appointments made and attended by service users with support from staff. Service users also had access to their own GP (where possible). Observation of staff and their interaction with the service users confirmed that there was a respectful regard for service users. Service users stated that the staff were very friendly and supportive and treated them with dignity and respected their need for privacy when required. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 11 Care plan records evidenced the wishes of service users regarding death and dying and where there was no specific choice made, the record showed that the individual service user did not have a preference Eight service users and two relatives spoken to all commented positively about the care being provided. The service user plans and associated documentation was well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A local GP practice and a local pharmacist service the home, and there is a good working relationship with them. Records of their visits were seen. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only trained nurses administered medicines and that no resident was ‘self medicating’. During the inspection it was observed that privacy and dignity were being afforded to residents during there interaction with staff. Staff were seen knocking on doors before entering. Residents told the inspector that they were treated with respect, and that the staff were very good. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Service users were satisfied with their lifestyle in the home which matched their expectations and preferences. The catering service within the home was professionally managed and delivered a range of balanced and nutritious meals. EVIDENCE: Service user’s interests, religion and likes and dislikes were recorded in the care plans. The home had a designated activities co-ordinator who provided a range of activities for the service users. Details of the activities available were set out on notice boards in order that service users could choose to participate if they so wished. Contact with families and friend was actively encouraged and all involved were supported to make informed decisions about their daily life patterns within the home. All service users spoken to by the inspector said that they were very satisfied with the meals and choices available. The cook explained that fresh, good quality food from well-established suppliers was delivered on a weekly basis. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 13 There was evidence of well-stocked cupboards, fridges and freezers. Temperatures of freezers, fridges and food probes were examined and found to be up-to-date and within required ranges. The menus and other catering records were examined and confirmed that there was a wide range of choice for the service users. The cook and the catering staff were well informed about the dietary requirements of the service users and worked as a team to meet their needs. The dining room was very clean with immaculate tablecloths and cloth napkins on each of the tables. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 A comprehensive complaints procedure is on display in the homes reception area. Complaints or grumbles are listened to and resolved. The home policies, procedures and staff training, are aimed at protecting residents from all aspects of abuse. EVIDENCE: An examination of the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with in the correct manner. Since the last inspection no complaints had been made to the commission. Several of the comments cards were completed with complimentary comments made from appreciative residents and relatives. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21,24,26, The communal areas and lavatory/washing facilities within the home were satisfactory for the number of service users. The home was very clean and bedrooms were homely and personalised. EVIDENCE: There were adequate lavatories and washing facilities in the home for the service users. The laundry was well organised and sited appropriately to maintain high standards of hygiene. All clothing was washed at appropriate temperatures to control the risk of infection. The bedrooms were clean and homely with satisfactory fittings and furnishings. Service users had many of their own possessions in their rooms and comments from service users were very positive about their home. ‘I have only been here for a few months and was a bit wary about it at first, but I really like it here and have settled in well’, ‘I have no complaints at all, if I did have, I would soon tell them! But they would sort it out for me’. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 16 There were sufficient communal areas such as dining rooms and lounges within the home. However, in the residential unit, the staff desk was situated directly outside one of the lounges. It was observed that the telephone on the desk was particularly busy on the day of the inspection and the constant ringing caused an intrusion for those service users wishing to watch television or listen to music. It also caused problems by staff having to discuss individual service users over the phone in earshot of other service users and relatives. An alternative position for the staff desk should be found to maintain confidentiality and provide a relaxing environment for the service users in the lounge area. This was discussed at length during feedback and the staff in the home were keen to resolve this situation. A recommendation has been made to this effect. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 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) 27,28,29,30 The assessed needs of service users had been met by an adequate number of suitably trained staff. Recruitment procedures had been correctly addressed which had contributed to the protection of service users. Staff training had been given a high priority. EVIDENCE: This care home with nursing was previously registered under South Staffs Health Authority and the levels and skill mix of care staff required at 31st March 2002 are maintained. The proposed care manager is fully supernumerary and the EMI Unit manager has some hours a week supernumerary. Additionally there are three qualified nurses on duty during the early shift and two during the afternoon and night. Additionally there are on the ground floor nursing unit: • • • Early shift (8.00 – 2.00) there are 4 care staff Late shift (2.00 – 8.00) there are 4 care staff Night shift (8.00 – 8.00) there are 2 care staff Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 18 On the EMI Unit there are • Early shift there are 4 care staff • Late shift there are 3 care staff • Night shift there is 1 care staff On the residential unit there are on the • Early shift 3 care staff • Late shift 3 care staff • Night shift 2 care staff This level of care staff was found to be in line with minimum requirements on the day of the inspection. There are adequate ancillary staff provided to both floors of the home and sufficient laundry staff. Maintenance/gardening hours are adequate and the home have a full time administrator. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 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) 31,32,33,35,36,38 The home appeared to be well managed and quality assurance was in place. Financial aspects were correctly addressed and recorded with safeguards to residents. Health and safety issues had been given a high priority and managed well. Quality assurance was in place in the home and service user views were listened to and taken into account. EVIDENCE: From observations made and discussions with service users and management and staff, it was clear that the home was being run in the interests of the service users. Quality assurance, including feedback from service users was recorded. Staff supervision is ongoing. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 20 From observations made, discussion with service users, and discussions with the manager and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. A discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances were preferred. Inventories of valuables and belongings brought into the home are now in place. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date. The manager and staff spoken to confirmed that health and safety issues are given a high priority. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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 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 4 9 2 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION x x 3 x 3 3 x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 4 3 x 3 3 x 3 Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 22 no 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 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 OP20 Good Practice Recommendations To relocate the staff desk on the residential unit to minimise noise from the telephone interupting residents peace and quiet and for confidentiality. Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Maple Court Nursing Home CS0000022352.V202563.R01.doc Version 1.30 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. 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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