Inspection on 23/05/07 for Mappleton House

This inspection was carried out on 23rd May 2007.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mappleton House 10/06/09

Mappleton House 21/01/09

Mappleton House 17/01/07

Mappleton House 11/08/06

Mappleton House 23/08/05

Mappleton House 21/02/05

Mappleton House 05/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Mappleton House Mappleton House 9B Chestnut Grove Mapperley Park Nottingham NG3 5AD Lead Inspector Rehana Rashid Unannounced Inspection 23rd May 2007 09:40 Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 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 Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 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 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. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mappleton House Address Mappleton House 9B Chestnut Grove Mapperley Park Nottingham NG3 5AD 0115 962 3714 0115 962 3714 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) Ms Lynda Eileen Callan Ms Lynda Eileen Callan Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mappleton House Care Homes Limited is registered to provide accommodation and personal care for persons of both sexes whose primary care needs fall within the following category :Learning Disability (LD) 9 Date of last inspection Brief Description of the Service: Mappleton House Care Homes is a care home providing long-term personal care and accommodation for 9 younger adults who have a learning disability. The home is located in a residential area near Nottingham city centre close to shops, pubs, the post office and other amenities. Mappleton House Care Homes comprises of two houses and a bungalow each with three single ensuite bedrooms. All three houses have been registered as one service since January 2007. Each building has a separate enclosed garden. There is limited car parking available on the drive and further unrestricted parking is available on the road. Information about the service is provided in the statement of purpose. Inspection reports by the Commission for Social Care Inspection are available at Mappleton House. The deputy manager stated on 23 May 2007 that the fees for the service range from £900 - £3,200 per week depending on dependency needs. There are additional charges for hairdressing, chiropody and toiletries. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was conducted on 23 May 2007. The inspection took approximately seven hours. The main method of inspection was case tracking, which involved selecting two residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The communal areas, shower room, bathrooms, kitchen, and garden area were viewed during this site visit. Documentation including health and safety records were also examined. Two members of staff were spoken with. As the residents have profound communication needs the inspector briefly observed the residents interacting with staff. As some of the residents become anxious around unfamiliar people around them, mealtime was not observed. During the inspection some residents were out to day care and some were at home. Two relatives were spoken with via the telephone to ascertain their views on the service provided. Prior to the inspection a pre-inspection questionnaire was sent out to Mappleton House Care Homes, which asked questions around the service including staffing levels and number of service users. The Commission for Social Care Inspection did not receive the pre-inspection questionnaire. Surveys were sent out to service users and their relative’s representatives and advocates to gain their views about the service received. These were also not received by the Commission for Social Care Inspection. The deputy manager supplied much of the information provided for the inspection. On the day of the inspection there were eight residents in residence. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Following this inspection two requirements have been set. The registered person must keep accurate records all medicines received, administered and leaving the home or disposed of to ensure that there is no mishandling and that medication is received by residents as prescribed. All staff must receive mandatory training. This will ensure residents health and safety are protected and promoted. Please contact the provider for advice of actions taken in response to this Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents needs are assessed before they move to the home, ensuring that the identified needs can be met. EVIDENCE: Two residents care files were viewed at this inspection. The most recently admitted residents file contained, a detailed pre admissions assessment covering the residents personal, social and health care needs. Before the resident moved to the home, the deputy manager attended meeting s with health care professionals, ensuring that the move to the home would cause minimal disruption to the resident. Care files contained comprehensive assessments for health and social care professionals. There was evidence on the care files that the residents family have been also involved in the assessment process. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. 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. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are reflected in individual care plans and risk assessments. They are enabled to make choices regarding their daily lives. EVIDENCE: Care records were viewed for two residents, these contained detailed information about the needs of the residents and how their needs should be met. Care plans and risk assessments are regularly reviewed. Risk assessments have also been put in place, where a risk has been identified. Whilst speaking with members of staff including the deputy manager they demonstrated a very good understanding of resident’s needs and behaviour. This was particular useful, as the inspector was told about residents behaviour towards unfamiliar people and how to respond. Residents are encouraged to make own choices were possible including what to wear. The inspector observed interaction between staff and residents, they were seen to offer choice as to what social activity they wanted to do. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities and are part of the local community. Residents have appropriate personal and family relationships and their rights are recognised. A healthy diet is offered that is varied. EVIDENCE: On the day of the inspection four residents were out to day care and four residents were at the home. Routines at the home are individualised, staff were observed supporting individual residents. Residents who do not attend day care are supported to participate in activities within the home. One residents care plan showed that they are taken for walks within the local area. Whilst showing the inspector around the Deputy manager did not go into resident’s rooms where consent had not been given by residents. Interaction between staff and residents was positive, staff involved residents in discussions speaking to them in a caring manner. Residents are supported by staff to use local facilities. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 12 The menu is planned weekly. Food storage and preparation areas were clean and well organised. Staff knew about the likes and dislikes of the residents and these were documented in care plans. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer. Resident’s physical and emotional needs are met. Medication management needs to be improved ensuring residents are protected fully. EVIDENCE: Each of the two files that were seen identified individual preferences. These detail how to provide personal support taking into account resident’s individual needs. Resident’s physical and emotional needs are being met, by the care provided. Information seen on two of the files inspected had detailed recordings of support and input from health care specialists such as consultant psychiatrist, GP, Community nurses and Occupational Therapist. The deputy manager commented that the residents receive good support from health care professionals. Medication is stored in a locked cupboard. A resident had medication that was prescribed from hospital, however the records were not clear as to the amounts that came into the home and what had been administered. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 14 Staff spoken with stated that medication is only administrated by staff that have received training. The deputy manager showed confirmation that further medication training has been arranged for all staff during June 2007. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are policies and procedures for dealing with complaints and adult protection issues safeguarding the residents. EVIDENCE: The Complaints Procedure is displayed in a Signs and Symbols format in the care home. The deputy manager and the complaints records in the home confirm that there have been no complaints made since the last key inspection. Two relatives spoken with stated that they have had no reason to make a complaint and are aware of the complaints procedure. One relative stated if they needed to make a complaint they would do this without hesitation. Since the last key inspection there have been no Safeguarding Adults investigations or allegations of abuse. Staff spoken with demonstrated an understanding of their responsibilities to alert the manager of any allegations of abuse. A copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults (NCPVA) local procedure for dealing with allegations and suspicion of abuse is kept in the office. Records for two resident’s finances were viewed, they were found to be generally satisfactory. Resident’s monies are held individually and records are kept of transactions made. Improvements are needed in recording ensuring that all transactions are clearly recorded. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and comfortable environment, which is clean. EVIDENCE: Mappleton House Care Homes comprises of two houses and a bungalow. Each building has a separate enclosed garden. There is limited car parking available on the drive and further unrestricted parking is available on the road. Mappleton House Care homes provide its residents with a homely environment. The two houses are not suitable for people with mobility problems as there is no lift to the first floor. One of the houses had a strong odour by the front entrance. The deputy manager called the plumber, who arrived during the inspection and sorted the problem. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 17 Communal areas including the kitchen, lounge and dinning room were well maintained and pleasantly decorated. The bathroom and shower room were clean and free from odour. The window blind from one resident’s room had been removed, the deputy manager stated that the resident had done this. The registered person should provide facilities in resident’s bedrooms suitable to the needs of the individual. Both houses and the bungalow have separate laundry facilities. These are appropriate for the needs of the current residents. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes recruitment practice and needs are met by trained staff team in sufficient numbers to meet the individual needs. EVIDENCE: The staffing rota was viewed, which showed that adequate staffing levels are provided. Staff spoken with said that there are sufficient staff on duty to meet the needs of the residents. Staff spoken with demonstrated a good understanding of the needs of the residents. They also stated that the team work well together. One relative spoken with stated, “the staff have taken time to speak to the then to get to know the resident further.” Another relative expressed that staff are able to meet their relative’s needs. The recruitment of staff is appropriately managed pre-employment checks have been carried out including Criminal Records Bureau disclosure checks. Staff files viewed contained proof of identification and satisfactory references. One staff member spoken with stated, “training provided is very good and enables me to support the residents.” She also stated that if there are residents with specific needs the manager makes sure you receive the Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 19 appropriate training before the resident is admitted to the home. Training certificates viewed on one staff members file showed that they had received training in infection control and moving and handling. The most recently member of staff who has commenced employment has not received training in all mandatory areas. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home. The health, safety and welfare of residents protected. EVIDENCE: Mappleton House Care Homes is run with a strong commitment from staff and the management team. The registered manager is well qualified and experienced. Records were up to date and reflected the aims and function of the home. Staff spoken with stated that the home was run professionally and that management support was always available. The quality assurance system was viewed. Questionnaires are sent out to relatives, representatives and professionals. A selection of questionnaires were seen comments included “ I am very pleased with my relatives care at mappleton house, “ I am notified of meetings regarding my relative in good time so that I am able to attend.” Comments from professionals included “I Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 21 am happy with the standard of care provided” and “staff place the clients at the centre of all they do.” A sample of health and safety documents were viewed including Portable appliance testing, gas servicing certificate and fire testing checks these have taken place at the required intervals. The fire safety Officer carried out an inspection February 2007 and reported that the premises were found to be satisfactory from a fire safety point of view. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 23 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 YA20 Regulation 13.2 Requirement The registered person must keep accurate records all medicines received, administered and leaving the home or disposed of to ensure that there is no mishandling and that medication is received by residents as prescribed. The registered person must ensure that all staff have received mandatory training. This will ensure residents and staff health and safety are protected and promoted. Timescale for action 30/06/07 2. YA35 18 30/08/07 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. Refer to Standard YA22 YA23 Good Practice Recommendations The registered person should ensure that the complaints procedure includes times scales by which complaints will be responded by. The registered person should ensure that the role social services have in coordinating all adult protection DS0000055194.V340901.R01.S.doc Version 5.2 Page 24 Mappleton House 3. 4. YA23 YA26 investigations must be clearly described in the whistle blowing policy. The registered person should ensure that resident’s personal financial records clearly document all transactions made. The registered person should provide in rooms occupied by resident’s facilities such as curtains suitable to the needs of the individual, ensuring that their privacy and dignity is maintained. Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Mappleton House DS0000055194.V340901.R01.S.doc Version 5.2 Page 26 - 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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