Inspection on 24/01/06 for Marbury House

This inspection was carried out on 24th January 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

Marbury House 12/06/07

Marbury House 13/09/05

Marbury House 09/11/04

Marbury House 09/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Marbury House Marbury Road Heaton Chapel Stockport Cheshire SK4 5NU Lead Inspector Kath Oldham Announced Inspection 24th January 2006 08:00 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 Marbury House DS0000008565.V266157.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. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Marbury House Address Marbury Road Heaton Chapel Stockport Cheshire SK4 5NU 0161-432 2825 0161 947 9687 marburyhouseoroughcare.co.uk 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) Borough Care Limited Mrs. Yvonne Nixon Care Home 40 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (40) of places Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 40 OP and up to 4 DE(E). Date of last inspection 13th September 2005 Brief Description of the Service: Marbury House is owned and operated by Borough Care Limited. The home is purpose built and situated in a housing estate in the Heaton Chapel area of Stockport. Marbury House is registered for up to 40 service users. An extension to the care home has meant that all bedrooms are single, some with en-suite toilets. Yvonne Nixon is the manager of the care home and has previous experience in care. She was the deputy at another of the companys homes prior to her appointment as Manager of Marbury House. The care home is registered to provide accommodation and care to service users within the category of old age and four service users who have dementia. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of Marbury House was announced and conducted over seven and a half hours. Three service user files and records and reports concerning the running of the home were examined. Members of staff were spoken with and general observations made of the routines in the home and the interaction between service users, staff and other visitors to the home. Three service user, three relative and four general practitioner comment cards were returned to the Commission for Social Care Inspection (CSCI). The comments made about the home were very complimentary and positive. All comment cards indicated that service users liked living at the home and they felt well cared for, that staff treated them well and that their privacy was respected. Comment cards also indicated service users knew who to talk to if they had a problem. The home is warm with a friendly atmosphere. Positive and caring relationships between staff and service users were evident and the ethos of the home has fostered positive and caring relationships between service users. Service users and their representatives were keen to communicate their contentment with the care and support provided by the staff in respect of health and social care. What the service does well: The home’s manager has a number of years’ experience and holds a NVQ level 4 and the registered manager’s award. Staff turnover is low and they are supported through the supervision process. Staff training is given a high profile, with over 97 having achieved NVQ level 2. Service users said that “staff are wonderful” and “the food is always good here”. They also discussed activities the home provides and gave examples of trips out. Some service users said they preferred not to be involved with social activities and spend more time in their room for peace and quiet, and felt free to make choices in their daily lives. Service users appeared to be well cared for and were supported by a trained and competent staff group. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 6 There have been no complaints at the home since the last inspection and one service user told the inspector that they had no need to complain. Marbury House presented as well maintained, clean, tidy and odour free throughout. 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. Marbury House DS0000008565.V266157.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 Marbury House DS0000008565.V266157.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): These standards were not assessed at this inspection. Readers are referred to the last inspection undertaken in September 2005 when these standards were reported on. EVIDENCE: Marbury House DS0000008565.V266157.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): 7, 8, 9, 10 & 11 Systems are in place to ensure, as far as possible, service users maintain good health. EVIDENCE: Examination of a sample of service users’ care files identified that all had a care plan in place. The detail within the care plans was much improved than that seen at previous inspections. The detail was more individualised to the service user. Service users’ care plans were stored in their bedrooms. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. A service user said they had no concerns regarding their health and if there were any worries, the home would not hesitate to contact health care personnel. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 10 A report is made by staff during the day and at night on the care and support interventions provided. On occasions, the daily reports contained minimal information and recorded that service users were “fine”, “assisted with all care” and “slept well”. These kinds of entries give little indication what care was provided and make judgements about how service users are feeling. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staff’s approach towards service users was observed to be respectful, sensitive and caring. The inspector saw that the service users’ rights to privacy were being respected, as bedroom doors were shut and staff knocked before entering. Staff confirmed that there was verbal handover at each shift change. Discussion with the manager and staff indicated that these mechanisms meant that staff were aware of the changing needs of service users. Marbury House uses a pre-dispensed monitored dosage system to administer service users’ medication. Examination of the medication administration records found their appropriate completion. All prescribed creams are recorded when applied by care staff. Controlled drugs records were completed in line with regulations. Photographs of service users are in the records, which assist in the identification of service users. Signatures and initials of staff who have the responsibility of administering medication were included in the record. Staff discussed a offering additional acknowledged the service users were recent death in the home and how this was managed, support to the service user and their family. They also affect this may have on other service users and how the encouraged to discuss their feelings. Marbury House DS0000008565.V266157.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): 12, 13, 14 & 15 A range of activities was provided and service users were able to exercise choice and control over their daily lives. EVIDENCE: Service users said they got up and went to bed when they wanted and they spent their day doing what they chose. Service users commented on the organised activity over Christmas with parties and entertainment arranged and they had had a happy time. Service users also commented on the time taken by staff to dress the lounges and the beautiful Christmas tree. Service users spoken with said they had their own routine and had friends at the home who they spent time with, either in conversation or in companionship. A record is maintained of the activities arranged and at the inspection transport was being arranged for a group of service users to attend Vernon Park, some service users had been to the Hat Museum in Stockport the week before the inspection. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 12 Residents’ meetings were held and service users were able to contribute to the decision making in the home. Service users confirmed that visitors were made welcome at the home and service users kept in touch with family and friends. Service users were very positive about the food provided in the home, saying that it was of good quality. Service users also acknowledged that requests for particular meals were always agreed and they also confirmed that meals, snacks and drinks provided by the home were plentiful and varied. The meals served on the day of the inspection were hot and attractively presented. A service user said “they had enough to eat and if you don’t fancy something, staff will make you something different”. Staff were observed providing assistance to specific service users at mealtimes in a manner that was respectful to the individuals’ abilities. Service users said they were aware of the meals from the menu and staff also asked them what they would like for the meal. The hairdressers were at the home and service users were observed going to the hairdresser for their appointment. Service users said they liked how the hairdresser did their hair and commented on their enjoyment of visiting the hairdresser without having to go outside into the cold. Marbury House DS0000008565.V266157.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 Service users are confident that complaints are dealt with appropriately. Staff had undertaken appropriate training in adult protection. EVIDENCE: A complaints procedure is in place, detailing what actions the home will take to respond to any comments, complaints or queries. A complaints book details the complaint, the investigation and the action taken. Service users appeared confident that if they had any problems they would be dealt with and a remedy found. All staff were reported to have received training in what constitutes abuse and the action to be taken if abuse is ever alleged. Staff were confident in their description in what constitutes abuse and were clear of the action they would take if this was reported to them. Marbury House DS0000008565.V266157.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): These standards were not assessed at this inspection. Readers are referred to the last inspection, undertaken in September 2005, when these standards were reported on. EVIDENCE: Marbury House DS0000008565.V266157.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, 29 & 30 Staff recruitment procedures and training were robust and provided protection for service users. Suitable staffing levels were maintained in the home. EVIDENCE: There were sufficient numbers of staff on duty to meet the needs of service users. Staff said there were enough staff on duty to look after service users and that the numbers have been increased recently to provide an additional staff member in the morning. A staff duty roster indicates the names of staff on duty, their role and the hours worked. Service users said staff were good workers and they knew them well, they added that this gives them a good level of care and staff’s manner was sensitive to their needs. One service user said they could ask staff “to do anything for them and they would”. Staff receive ongoing training in moving and handling, food hygiene and mental health awareness, other practice topics are also arranged. A record is maintained of all training undertaken by staff. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 16 Four staff are studying to obtain NVQ level 2 which will mean, when successful, that the majority of staff have received this training. A couple of staff are interested in continuing their training to NVQ level 3 which is to be looked into by the home. Senior staff at the home have assessor training which enables them to assist staff to obtain NVQ qualifications and to ensure that the standards of care to service users are maintained. Staff appeared confident in their abilities and were knowledgeable regarding service users’ health and social care needs. Examination of recently appointed staff files found the required documents were in place which provides some safeguards to service users and staff. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 17 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): 33, 36 & 38 Practices and routines within the home ensure the health and safety of service users are promoted and protected. EVIDENCE: The records and areas of the home seen on the day of the inspection were satisfactory, with no obvious signs of any health and safety hazards. Staff receive regular supervision to support them in their work and records of such meetings were made available. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 18 The home recorded information in respect of falls and accidents by service users. The registered provider’s representative visits the home on a monthly basis, assessing the satisfaction of service users and staff. A report of this visit is forwarded to the Commission. Observations during the inspection verified that service users and staff are safeguarded in relation to moving and handling practice. First-aid, infection control and COHSH training is provided and health and safety signs and posters were strategically placed throughout the home. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X 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 X X 3 X X 3 X 3 Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 20 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. There were no requirements arising from this inspection. 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 OP7 Good Practice Recommendations The registered person should further develop the staff team to assist in their completion of the daily reports, ensuring the detail is a record of the care provided and is not making staff judgements. Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Marbury House DS0000008565.V266157.R01.S.doc Version 5.1 Page 22 - 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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