Inspection on 20/04/05 for Maplin House

This inspection was carried out on 20th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Maplin House 16/07/09

Maplin House 14/05/08

Maplin House 05/12/07

Maplin House 30/07/07

Maplin House 21/06/06

Maplin House 09/06/05

Maplin House 10/02/05

Maplin House 29/09/04

Similar services:

Coopers Mill Ltd

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Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Maplin House 117/119 Church Road Shoeburyness Essex SS3 9EY Lead Inspector Pat Stanton Announced 20 April 2005 th 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 and Care Homes for Adults 18 – 65*. 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. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Maplin House Address 117/119 Church Road Shoeburyness Essex SS3 9EY 01702 297494 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) Mr Mohammud Yousouf Meeajun VACANT Care home only 16 Category(ies) of Learning Disability over 65 years of age (LD(E)) registration, with number of places Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Personal care to be provided to up to 16 older people. 2. Personal care to be provided to up to 16 people who have a learning disability. 3. The maximum number to be cared for shall not exceed 16. Date of last inspection 10/2/05 Brief Description of the Service: Maplin House is a large detached house set in a sought after residential area in Shoeburyness/Thorpe Bay. Maplin provides accommodation for up to sixteen older people with some degree of learning disabilities. At the time of inspection the home remains on the market for sale. Accommodation is provided on two floors within single and double bedrooms. There is a kitchen and bedroom on the third floor for staff use. The home has adequate communal areas on both floors but has limited outdoor space. The home is in close proximity to the beach, shops, parks and local bus routes. The home no longer provides transport facilities to take residents out. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on two half days on 20th and 25th April 2005, in response to the home not having a registered manager and following a phone call received at the CSCI from an anonymous caller regarding staff working in the home. The inspector returned to complete the inspection on 25th April 2005 to examine staff files not available on 20th April 2005. Five residents, two staff members, the deputy manager and registered provider were all spoken to at inspection. Feedback regarding the inspection was given during check to the deputy manager and the registered provider by telephone on the day of inspection. What the service does well: What has improved since the last inspection? The home has new carpets, which have made the home more welcoming, bright and free from offensive odours and installed wheelchair ramps for easy access Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 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. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4,6. The acting manager has knowledge to make assessments regarding suitability of new residents. The homes statement of purpose and service users guide had not been updated to reflect changes in the homes staffing and management. The home does not offer intermediate care. EVIDENCE: At inspection the home accommodated 13 residents. No residents have been admitted to the home in the past six months. The home does not have a permanent manager but the deputy manager has a good knowledge of residents needs. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are 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 Residents are looked after well in respect of their personal care, but not all their health care needs are met. Service users appeared happy living in the home. Care plans are not reviewed monthly to ensure residents changing needs are met. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Care and communication between staff and residents appeared very positive at inspection. The district nurse visited to administer insulin to one resident and a general practitioner visited to review one resident’s medication. Records confirmed residents’ statements, that they had not seen a dentist, optician or audiologist for a long time. One resident had dentures that were too large for her mouth due to her weight loss. These may obstruct the resident’s airway. The acting manager was informed and was seen to arrange appointments for the residents concerned. All residents spoken to stated although they missed the registered manager the “staff are very nice and the deputy manager is very good.” The homes hoist needs to be serviced as two residents in the home are unable to walk unaided to the toilet and bathroom. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14, While some residents attend a day centre several times a week other residents were unhappy with the homes lack of transport to take them out. EVIDENCE: Although residents appeared happy living in the home, several residents expressed their unhappiness at not being able to go out or attend their Wednesday evening club due to lack of homes transport or alternative arrangements. The home has two mini buses to transport residents, but the deputy manager informed the inspector one bus was unable to drive in reverse and the other was not working. On the day of inspection the deputy manager had taken two service users out in her own car to a McDonald’s. One resident was very happy about her trip and the deputy manager stated the resident does not become depressed if taken out regularly. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 12 Staff and residents were observed to laugh, joke and enjoy playing a game together at inspection. Staff appeared to take time out during inspection to talk to residents. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 not adequate to protect residents and not all staff had appropriate recruitment checks or protection of vulnerable adults training to ensure residents are protected from harm. EVIDENCE: The home has not received any complaints since the last inspection, but the CSCI had taken an anonymous call before the inspection notifying the CSCI that staff working in the home did not have adequate experience or qualifications to care for residents. During inspection this was investigated and details are included in the report under staffing. At inspection one staff member was not conversant with the signs of abuse and procedures for reporting abuse and had not completed adult abuse training. Induction training files were not signed or dated. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,22,26. The home appeared comfortable clean and free from offensive odours. Some parts of the home need redecoration and treatment for dampness. The home needs assisted bathing facilities for disabled residents. EVIDENCE: The home does not have an assisted bath for disabled residents use. The registered provider had replaced the home’s carpets to eliminate offensive odours in the home and fitted wheelchair ramps to allow easy access, but the home had not had any major decoration work completed for a few years and is in need of refurbishment. One bedroom had been decorated since the last inspection but the dampness had not been treated. The homes hoist had not been serviced at inspection. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30, Staff recruitments checks were inadequate and place residents at risk. Staff and management are not consistently trained or supported. Staff morale appeared low due to the insecure future of the home. The staff rota was not completed as per regulations. EVIDENCE: Staff files were not available on 20th April 2005 but were available on the 25th April 2005 for inspection. Sampled files examined omitted appropriate CRB checks, references, identification and appropriate immigration papers. One reference examined appeared to have been written by the carer applying for the position. Both the deputy manager and the inspector examined handwriting of carer in care plans and on the reference, which were identical. These documents were signed in a different name. No checks had been made by the previous registered manager to check the authenticity of the reference. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 16 Another file had one reference completed by a carer’s partner. One file examined appeared to be a false copy of a home office document giving residency in the United Kingdom. One carer spoken to on the 20th April stated she has worked in the home for two years and not had a CRB check or undertaken protection of vulnerable adults training (POVA). This was confirmed in staff files and when questioned was not conversant with signs of abuse and procedures for reporting abuse. Staff files contained declaration that staff read and sign policies and procedures in the home but these were not dated. The seriousness of these issues was discussed to ensure staffs without checks were supervised at all times. An immediate action notice was left at the home and the registered provider telephoned at inspection. The registered provider agreed to ensure all staff checks were completed within 28 days. Failure to comply may result in enforcement action being taken by the CSCI. Staffing levels matched the staff rota, however care staff employed in the home carry out cleaning duties in the morning along side caring and this may take care away from residents. The deputy manager has started staff meetings to obtain the views and opinions of staff working in the home. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,38. Recruitment procedures must be improved. The home and the acting manager’s position needs formalising to stabilise the homes position. The home must appoint a registered manager who has appropriate experience and NVQ level 4 in care management/equivalent to run and manage the home effectively. EVIDENCE: There is currently no manager registered for the home and the deputy manager was acting up as manager. An application has not been received by the CSCI. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 18 Residents made positive comments regarding the deputy manager and communication between the deputy manager and residents was positive and mutually respectful. The deputy manager did not have proper access to staff files or residents’ personal monies as the previous registered manager continues to be appointee to residents’ money. A new appointee needs to be found to ensure residents have access to personal monies at all times. The deputy manager was given access to staff files by the 25th April 2005 for inspection. No evidence at inspection was seen that staff receive supervision or training in specialist conditions. The registered manager must ensure all staff employed in the home have adequate CRB checks and work supervised at all times until checks are completed. Staff not given permission to live and work in the United Kingdom should not be employed by the home. The registered provider does not carry out monthly visits on the home. Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 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 2 x 3 3 4 2 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x 2 2 x x x 3 Score Standard No 7 8 9 10 11 Score 2 2 x 3 2 Standard No 27 28 29 30 2 2 1 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 2 x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 2 33 2 34 x 35 x 36 2 37 x 38 2 Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 20 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 OP1 Regulation 4&5 Requirement The home must update the homes statement of purpose and service users guide in line with changes to staffing and management. Staff employed in the home must undertake training in Alzheimers, Parkinsons, and Epilepsy. Assisted personal care equipment should be provided for disabled residents including an ssisted bath, shower and hoist. The home must be treated for dampness. The registered provider must ensure that at all times suitable, qualified and expereinced staff work in the home in sufficient numbers to meet the needs of residents. The registered provider must ensure all staff receive training appropriate to the work they perform. This refers to care planning, adult abuse, health and safety training and induction I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Timescale for action 1/6/05 2. OP4 18(1)a c 3. OP21 23 4. OP26 23 5. OP27 18 Previous Timescale not met 1/4/05. Previous Timescale 10/2/05 not met1/4/05 Previous Timescale not met.1/4/05 1/5/05 6. OP30 18 1/6/05 Maplin House Version 1.30 Page 21 training. 7. OP28 19 The registered person must ensure robust recritment checks are completed for all staff working in the home including appropriate all documents as detailed in paragraph 1 - 7 in schedule 2.Staff must not be allowed to work unsupervisied in the home until all these checks have been received. The registered person must ensure all parts of the home are kept reasonably decorated and equipment provided in the home is maintained in good working order. This referes to the homes hoist. The registered person must ensure all care plans are reviewed each month to ensure the changing needs of residents are met. The registered person must produce a quality assurance and monitoring system to ensure the service is improving. A report must be sent to the CSCI. The registered person must ensure regualtion 26 visits are completetd monthy to the home and the CSCI is sent a cpy of the reports. The home must recriut a suitable registered manager with appropriate manergerial expereince with qualifications in NVQ level 4 in care management. The registered person must ensure all staff working in the home receive appropriate supervision and induction training. All residents must have access to health professionals on a regular basis. This refers to dentist, I56 S15450 MaplinHouse 222913 200405 Stage 4.doc 1.5.05 8. 38 19 23 1/6/05 9. OP7 24 1/6/05 10. OP33 24 Previous Timescale not met. 1/4/05 Previous Timescale not met.1/4/05 . 1/6/05 11. OP33 26 12. OP31 8 13. OP36 18 PreviousTi mescale not met. 1/4/05. 1/6/05 14. OP7 12 Maplin House Version 1.30 Page 22 opticians and audiologists. 15. 16. OP31 OP19 7 22 The registered provider shall not carry on a care home unless fit to do so. The registered person must demonstrate the premesis and fascilities assessed by the qualified specialist with regard to adaptions in the home for disabled residents bathing. All staff files must be avialable in the home at all times for inspection. 1/6/05 PreviousTi mescale 10/2/05 not met 1/6/05 1/5/05 17. OP27 17 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. 5. Refer to Standard OP10 OP13 OP31 OP27 OP38 Good Practice Recommendations The home should provide an asssited bath and shower for for disabled residents. The home should provide transport for service users who wish to go out. The home should purchase a working printer for the home office. The home should employ a cleaner for the home to free up care workers to spend more time with residents. The registered provider should not admit new service users to the home until the homes future is secure and the home has recruited a manager with expereince to run the home with NVQ level 4 in care management or equivalent. The homes deputy/actig manager should have NVQ level 4 in Care Management. The home should submit to the CSCI a planned maintenance and renewal programme for future fabric and decoration of the premesis. 6. 7. OP38 OP24 Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Kingswood House, Baxter Avenue, Southend on Sea, Essex. SS 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 Maplin House I56 S15450 MaplinHouse 222913 200405 Stage 4.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!