Inspection on 05/08/05 for Maryland

This inspection was carried out on 5th August 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

Maryland 05/03/09

Maryland 13/12/06

Maryland 25/11/05

Maryland 13/01/05

Maryland 02/09/04

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

CARE HOMES FOR OLDER PEOPLE Maryland 29 Townsend Drive St Albans Hertfordshire AL3 5RF Lead Inspector Marian Byrne Unannounced 5 August 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. 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. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Maryland Address 29 Townsend Drive, St Albans, Hertfordshire, AL3 5RF 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) 01727 853601 01727 848385 Union of Sisters of Mercy Marcia Tonkin CRH Care Home, PC Care home only 32 Category(ies) of DE(E) Dementia - over 65 (8), OP Old Age registration, with number (32), PD(E) Physical dis - over 65 (32). of places Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13/01/05 Brief Description of the Service: Maryland Residential Home is set in its own attractive and well maintained grounds in a quiet residential area of St Albans, to the north of the city and close to the City Hospital. Accommodation is offered on three floors served by a passenger lift and four stair-lifts. All thirty-two bedrooms, of which many are of a sufficient size that they are set out as bed/sitting rooms, are for single occupancy. There are spacious communal areas comprising two dining rooms, lounges on each floor, a library, a hair dressing salon and various small sitting areas. The home has a ground floor, eight bedded self-contained unit complete with a new conservatory and an enclosed garden. Residents have access to the convent’s chapel Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive inspection. The inspection was carried out by one inspector on the morning and afternoon of the 5th August 2005. The service users were nicely presented and appropriately dressed. There were seven service users in the Dementia Unit supported by three members of staff. Elsewhere, in the home service users were being entertained by an outside entertainer, they appeared to be enjoying themselves. Service users and staff were spoken with. The Registered Manager was on annual leave. Details of standards not inspected at this inspection are available in the inspection report dated 2nd September 2004. What the service does well: What has improved since the last inspection? What they could do better: Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 6 The Registered Manager must ensure that staff reference supplied by an agency for permanent staff are authenticated. Staff should undertake specialist training in dementia to ensure that the service users suffering from dementia get care suited to their needs. Despite the best efforts of staff there remains a lingering odour in the dementia lounge. The home may now have to consider replacing the present floor covering if the odour cannot be eliminated in any other way. 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. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 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 Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 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) These standards were not inspected. EVIDENCE: While these standards were not inspected it should be noted that one service user at the time of the inspection was spending days at the home to ascertain if the home was suited to her needs. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 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 standard(s) 7,8,10. Service users’ personal and social care needs are set out in care plans. Service users health care needs are met. Service users where observed were treated with respect and dignity. EVIDENCE: Care plans where inspected contained good detail of the service users’ needs. All care plans are kept together in a folder. Easier access would be facilitated if each service users’ care plan was separate. It is clear that the home treats every service user as individuals and this is evident in their care plans and the life history files. Service users were of good appearance and appropriately dressed. Where inspected care plans and risk assessments appear to reflect the needs of the service users. It was clear staff knew the service users and were aware of their needs. Where observed staff displayed compassion and kindness to service user and risk assessments were in good order. On the day of the inspection there were no service users who self medicate. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 10 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 where possible live as full and independent a life as possible with good contact with family and friends. The food served was of good quality. EVIDENCE: On the day of the inspection, a good number of the service users were in the sitting room being entertained by an outside entertainer ‘Sylvia’. Sylvia plays the electric organ. She is a frequent visitor to the home. Service users and visitors spoken with were happy with the quality of care provided to them and their relatives. There was no limitation on visiting the home at reasonable times. Lunch was sampled by the inspector, who found it to be very tasty and of good appearance and colour. There was a very good supply of fresh fruit and vegetables and good quality dry stores. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 11 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) These standards were not inspected. EVIDENCE: Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 12 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) 19,20,21,24,25,26. On the day of the inspection in the main the home was clean, safe and odour free. The lounge in the dementia unit had an odour that could be associated with incontinence. Rooms suit the needs of service users. There are sufficient bathing and toileting facilities. EVIDENCE: The home was clean and fresh with the exception of the Dementia Unit where despite the best efforts of the home there was an odour that could be associated with incontinence. The home informed the inspector that they would consider an alternative floor covering. The decoration in the home is domestic in style and all bedrooms have been personalised to reflect the taste of the service users. The home has sufficient toilets and bathrooms to meet the needs of the service users. There are plans to build a conservatory at the back of the home, this will involve re-arranging slightly the lay out of the ground floor i.e. the library and the office to facilitate the new extention. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 13 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) 29 In the main the home is protecting its service users through its recruitment policies. The home could be putting service users at risk through the practice of not verifying references obtained on its behalf. EVIDENCE: In the main the recruitment practices at Maryland protect service users from abuse. The Registered Manager uses a recruitment agency to recruit staff from India the manager must evidence that the references have been verified. An immediate requirement was left for this. Other staff files inspected were in order. Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 14 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) These standards were not inspected. EVIDENCE: Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 15 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 2 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 16 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 26 Regulation 23(2)(d) Requirement The Registered manager must ensure that the dementia unit within the home is free from odours that could be associated with incontinence. The Registered Manager must ensure that all reference supplied to the home have been authenticated. Timescale for action Henceforth and ongong. 18/08/05 2. 29 19(4)(c ) 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 Good Practice Recommendations Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House, 1 Broadwater Road, Welwyn Garden City Hertfordshire, AL7 3BQ 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 Maryland I52 S19461 Maryland V237802 050805 Stage 4.doc Version 1.40 Page 18 - 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. 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