Inspection on 24/07/06 for Masson House

This inspection was carried out on 24th July 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

Masson House 11/03/09

Masson House 05/01/06

Masson House 02/03/05

Masson House 02/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Masson House 86 Derby Rd Matlock Bath Matlock Derbyshire DE4 3PY Lead Inspector Marie Bonynge Unannounced Inspection 24th July 2006 10:00 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 Masson House DS0000020052.V305587.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 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. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Masson House Address 86 Derby Rd Matlock Bath Matlock Derbyshire DE4 3PY (01629) 55740 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) Mr Brian Richard Boam Mrs Hazel Teresa Boam Mrs Hazel Teresa Boam Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Masson House is a listed building and is approximately 250 years old. The care home is situated opposite Masson Mill on the outskirts of Matlock Bath. Set within woodland grounds, only the frontage of the building is accessed by residents and visitors. The care home provides residential care for up to 17 older people with a wide range of personal care needs. Accommodation is provided on three floors, with access to all floors by shaft lift or staircase. Three of the bedrooms are suitable for shared occupancy and three of the bedrooms are equipped with en-suite facilities. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over one day in July 2006 over a period of 5 hours. During this time the Inspector spoke to 3 residents, 1 member of staff and the Registered Manager (who is also one of the providers). 3 completed resident comment cards were received. Their comments are included in the main body of the report. 14 residents were accommodated on this visit who had low to high dependency needs. Inspection methods used included a tour of the building, tracking the care of 3 residents where their care plans and associated records were examined. Training records, staff files, certificates of maintenance and medication systems were also sampled. Some of the residents in this home were unable to contribute directly to the inspection process due to communication difficulties, however they were directly observed during the visit to see how well their needs were being met by staff. The main focus of this visit was on previous requirements and recommendations from the last inspection and on the key inspection standards. The previous inspection took place on 5th January 2006. Four requirements were made that have now been met and one recommendation was made that has also been met. The fees for this home range from £300 to £330. What the service does well: Masson House provides a comfortable and homely environment for residents that is clean and generally well maintained. Residents spoke highly of the care provided and commented that staff were ‘caring’ and ‘helpful’. 3 completed resident comment cards and discussions with 3 residents indicated that the residents feel they are well cared for and that their privacy and dignity is maintained. There is a strong commitment to staff training that takes into account the varied and changing needs of those residents accommodated. The food is of a good standard with residents individual needs being catered for. Activities and routines of daily living are arranged around residents and generally meet with their expectations. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 6 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. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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 Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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): 2 and 3, standard 6 was not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Assessment information was obtained that assisted in the home being able to meet the identified needs of residents. EVIDENCE: The care plans of three residents were examined as part of the case tracking process. These contained a pre admission assessment form that covered health, social and personal care needs and included background information. Relevant assessments had also been obtained from health and social services. Contracts were in the process of being updated and guidance had been sought from the Office of Fair Trading regarding best practice so that residents were fully aware of the homes charges. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care planning and risk assessment procedures assist in the promotion of the safety and welfare of residents. Systems are in place that contribute to the promotion and maintenance of residents’ health and ensures access to health care services. EVIDENCE: Three completed resident comment cards were received. These indicated that all 3 residents liked living in the home and felt well cared for. Comments included ‘ very satisfactory’, and ‘the owners and staff do everything to keep residents happy’. All 3 residents commented that they felt their privacy was respected. These views were also supported from discussions with 3 residents on this visit. The care records of three residents were examined. Continuity of care came from verbal hand over sessions on each shift and by using the care plans and Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 10 daily records. Discussions with residents and direct observations of care supported the view that residents’ needs were well met. The overall standard of care was said to be good and residents individual needs and preferences were documented. Each resident had a plan of care and a key worker system had been introduced in the last 6 months with a senior carer having been identified as being responsible for the care planning of a number of residents. Although care plans were in place, the standard of these was variable and the frequency that they had been updated and reviewed was haphazard. The Registered Manager was aware of these shortfalls and had an action plan formulated to address the gaps. Risk assessments for the prevention of falls, nutrition, skin integrity and moving and handling had been developed although they had not been regularly and consistently reviewed. Daily records were generally detailed and gave a good overall picture of the care of the person so as to assist in tracking and monitoring the care of residents. Residents had access to professions allied to medicine such as the optician, chiropodist and dental services. Medication systems were generally in good order. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Activities and recreational pursuits are provided that are varied and generally meet with the individual expectations and preferences of residents. The meals are good and provide a varied and appealing diet. EVIDENCE: Completed resident comment cards indicated that all 3 residents felt the home provided suitable activities. Discussions with 3 residents on this visit supported this view with residents saying that they enjoyed playing dominoes, bingo and had music and movement sessions in the home. 2 members of staff and a volunteer were observed playing scrabble with residents and a number of residents were either reading or sitting outside enjoying the fine weather. All of the residents spoken to said that the standard of food provided was good and they always enjoyed what was provided. Other activities provided by the home included crafts and pottery, quizzes and reminiscence sessions. Residents were also supported if they wanted to go into town or visit places of interest. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 12 Visitors were made welcome in the home and visiting times were not restrictive. Daily routines were flexible and residents said that they were encouraged to maintain choice over their daily lives. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Policies and procedures were in place that assisted in ensuring that the welfare of residents was safeguarded. Residents feel that their concerns are taken seriously and are acted upon EVIDENCE: No complaints have been received by the CSCI and no complaints had been received by the home. A complaints procedure was in place that met with the guidelines of a response being made within 28 days and the procedure had been updated in the service user guide and statement of purpose. Discussions with residents confirmed that they felt confident that any concerns would be listened to and appropriate action would be taken. 3 residents responded in comment cards that they knew who to speak to if they were unhappy with their care. A whilstleblowing policy was in place to inform staff how they should report any alleged bad practice. Many of the staff had attended Derbyshire’s protection of vulnerable adults training and the remainder of the staff group were booked for a 1 day course in the near future. Derbyshire’s local policy and procedure was in the home. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 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): 19, 20, 21, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is generally well decorated, comfortable and well maintained. The completion of the improvement works will enhance the daily lives of residents. EVIDENCE: Residents said that they liked the home and were pleased with the standard of their individual accommodation. Residents were encouraged and supported to bring in many of their personal possessions including photographs and small items of furniture. Comments included ‘my bedroom has recently been decorated, it is lovely’ and that the home was ‘ very clean and comfortable’. A programme of redecoration and refurbishment has been commenced that will significantly improve the standard of accommodation provided. This includes the provision of en suite facilities in many bedrooms and the replacement of Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 15 carpets, curtains and bedding. Some of the bedrooms have been completed and residents are pleased with the work that has been done. There are also plans to refit the kitchen. These works are expected to improve the comfort and well being of residents. The home was generally clean and free from offensive odours. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The homes recruitment practices generally assisted in the safeguarding of residents, however these need to be thoroughly implemented to ensure that residents are fully protected. The home is committed to training that supports staff in the work they do. EVIDENCE: Two weeks staffing rotas were provided that indicated that the home was staffed in accordance with recommended guidance to meet with the assessed needs of residents. There were 3 care staff on duty on this visit including 2 senior carers, a cook and housekeeper. 14 residents were accommodated with dependency needs that varied from low to high. All of the residents spoken with said that staffing levels were generally satisfactory and there was always a member of staff available if they needed help with anything. Staff were said to be polite, helpful and caring with nothing being too much trouble. Staff were observed to be respectful and friendly in their interactions with residents and they also spent time with those residents who could not participate in conversation. Recruitment procedures were in place and were generally being followed with the exception of having obtained a completed CRB check for 1 member of staff. This had been sent off but not completed. All of the other recruitment checks had been done such as obtaining 2 written references, an application Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 17 form and employment history. The member of staff was being supervised whilst they were working and had commenced induction training. The Manager was aware of the need to obtain the CRB check as a matter of urgency and would follow this matter up. There is a strong commitment to training in the home with over 50 of staff having achieved NVQ level 2 qualifications. The programme of training also includes challenging behaviour, dementia care, optical awareness and adult abuse awareness. This enables staff to fulfil the aims of the home and meet with the changing needs of residents. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 18 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): 31, 33, 35, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run in the best interests of residents with a strong and approachable management. These assist in ensuring the health, safety and welfare of residents and staff. EVIDENCE: The Registered Manager (also one of the providers) is a qualified nurse and has many years of experience of the care of older people and as a manager. She has commenced a course for the registered managers award and expects to complete this in 2007. A system of quality assurance is in place with residents’ questionnaires and feedback being sought on a regular basis both formally and informally. The Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 19 home intends to further extend this quality assurance process via the care reviews. Residents and staff meetings are held monthly and a newsletter is produced to inform residents and staff of feedback and the outcomes of consultation. Staff are supervised by way of formal and recorded supervision and appraisal. This helps to monitor the work of staff and to identify any training or development needs that they may have. Staff had completed training in safe working practices covering moving and handling, first aid and fire safety. Maintenance certificates indicated that the safety and welfare of residents was being promoted. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 20 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 21 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. No. 1. Standard OP7 Regulation 15 2 (b) Requirement Timescale for action 01/10/06 2. OP29 3. OP37 Care plans and risk assessments must be reviewed and updated regularly and thoroughly in accordance with recommended guidance and changing needs. 19 sch 2 A CRB check and proof of identity must be obtained for staff prior to the commencement of their employment. 17 2 sch 4 Records required by regulation for the protection of residents must maintained, up to date and accurate. 01/10/06 01/10/06 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 OP38 Good Practice Recommendations A copy of the gas safety certificate should be sent to the CSCI. Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Masson House DS0000020052.V305587.R01.S.doc Version 5.2 Page 23 - 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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