Inspection on 22/09/05 for Matthias House

This inspection was carried out on 22nd September 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

Matthias House 23/05/07

Matthias House 08/01/06

Matthias House 24/11/04

Matthias House 24/06/04

Matthias House 24/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Matthias House 107 Dudley Road Tipton West Midlands DY4 8DJ Lead Inspector Mike Kirton Unannounced 22 September 2005 nd 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. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Matthias Huse Address 107 Dudley Road, Tipton, West Midlands, DY4 8DJ 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) 0121 522 2049 0121 557 0528 Dr George Osho-Williams, Mr Julian Elwell Beverley Louise Elwell Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd November 2004 Brief Description of the Service: Matthias House is a private residential home registered to provide 24-hour care for 33 people over the age of 65. The home was originally a vicarage and has recently been extended. It is situated on the Dudley Road in Tipton, next to the church. The home is accessible by public transport and there are a number of local shops and other amenities within walking distance. Accommodation is provided over 2 floors, accessible via the main staircase or passenger lift with the 3rd floor used as offices and staff room. There are 4 double bedrooms (2 with en-suit toilets) and 25 single bedrooms (17 with ensuit toilets). There are a 4 lounge areas, 1 of which adjoins the dining room; this can be partitioned off. There are car-parking facilities at the front of the building and a separate car park approximately 100 yards to the side of the property (right side facing the home). The entrance to the property is ramped to enable wheelchair users to easily access the home. To the rear of the property there is a well-maintained garden with seating areas, trees, shrubs and flower borders. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours and included meetings in private with 9 residents and open discussions in the 4 lounge areas. Feedback was also received from 6 visitors. Informal interviews were held with the manager and 4 staff members. Individual care plans for 3 residents and the medication records were examined. What the service does well: 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. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 6 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 Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 7 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) 1,2,3,4,&5 The manager has ensured that all perspective residents have every opportunity to visit the home, and have sufficient information to make an informed choice, before moving in on a trial basis. Assessments carried out are very good and a place is only offered if their needs can be met. EVIDENCE: Intermediate care (standard 6) is not provided. The individual care records were examined for 3 residents who had recently moved into the home, and 2 were spoken with in private. On the day of the inspection a trail visit was also being made. The homes statement of purpose along with a copy of the most recent inspection report is kept on the information table (by the main lounge) and was found to contain all the required information under this standard. Copies of the service users guide are available in every bedroom and were clear and easy to understand. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 8 All service users have either a contract or statement of terms and conditions depending on whether they are private or funded through social services. They contain all the information required by these standards. All 3 files examined contained a basic information sheet, assessment carried out by the home and detailed information from social services. Following the assessment written confirmation that their needs can be met is sent and a visit for the day is arranged. This is followed by a 4-week trail period and a review before a permanent place is agreed. Visitors to the home were very pleased with what they had seen during their time there. Comments received from residents included ‘It’s wonderful’, ‘The food is very good’, ‘Beautiful’, ‘Couldn’t be better’, ‘Staff are very good’, and ‘it’s more like a hotel’. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 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) 7,8,9,&10 The home have very good care plans which show what staff need to do to meet the residents needs. Health care needs are closely monitored and medication is administered safely. EVIDENCE: The care plans for 3 residents were examined. These had all been implemented on the day when they moved in and accurately reflected their assessed needs. They were easy to follow and contained specific actions required by staff. A personal history is compiled during their stay to provide more information on their background. Health care needs had been identified and were monitored using a checklist, which showed when the next appointment was due. An opticians and chiropodist visit the home to ensure that the required checks are made alternatively individual appointments can be made at the local health centre. A hospital information sheet is also kept in case an admission is made to provide essential information. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 10 Assessments are carried out to ensure that residents who require assistance with moving and handling do so safely. A risk assessment is also carried out when a difficulty with eating or drinking is identified or when pressure areas are likely to develop. In addition to the accident book the manager also maintains a record of all falls that occur in the home. The home must implement a standard risk assessment for nutrition, pressure care, and falls to further demonstrate that all possible steps are being taken. The home has policies and procedures to ensure the safe ordering, storage and administration of medication. All prescriptions are ordered from the GP and copies faxed to the pharmacist. When these are delivered they are checked against the prescription and the dose and frequency entered into the record sheet. No errors were found and all medication was found to be in good order. Photographs of all service users are on the file along with copies of the staff’s initials. All those responsible for administration have received training, which is registered with Wolverhampton College and have been instructed by District Nurses on how to monitor blood sugar levels. A record is maintained on resident’s files to say they agree with these procedures. All service users are treated with dignity and respect. Personal care tasks and medical treatments are carried out in private with appropriate screening available in shared rooms. All rooms have locks fitted with override devices, which can be used in an emergency. Service users are called by their proffered names, wear only their own clothes and receive mail unopened. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,&15 The home provides an excellent variety of activities and takes appropriate steps to ensure that residents are involved in decisions that affect them and the running of the home. There is also an excellent choice of meals and drinks available with fresh fruit and drinks provided at all times around the home. EVIDENCE: Residents have the opportunity to plan their own daily routines in relation to getting up, mealtimes, going out and going to sleep. A personal profile is developed to provide information on the persons background, like and dislikes, and family and friends. Meeting are also regularly held in the dining room to receive feedback and provide information. Activity programmes are displayed and events are regularly organised. The home employs a dedicated activities organiser who works every weekday from 2:00 till 4:00 PM. Currently they are organising a play, which will be put on at Christmas. Relatives and friends are able to visit at any reasonable time or with prior arrangement. The home has a policy asking for visitors to be seen in the privacy of there own room or the quiet lounge. Links are maintained with the community including the involvement of religious leaders. The ring and ride service can also be used to attend outside activities Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 12 Residents are able to handle their own finances or receive assistance from their family or representative. The home will hold small amounts for safekeeping. Contact details for an advocate are displayed. Personal possessions can be brought into the home and rooms can be furnished to individual requirements. Care plans can be accessed upon request. Meals can either be served in the dining room or their own bedroom. There are 4 meals provided each day with at least 2 choices at dinner, a cooked breakfast, tea and supper. There are always fruit and soft drinks available in the lounges while hot drinks can be requested at any time. Individual tastes are catered for including any special dietary requirements. These are recorded in the care plan. A menu is provided on each table to allow choices to be made. The standard, quantity, and variety of food provided were praised. There are the facilities for residents to pay for their own phone to be fitted into their room. Magazines and papers can also be ordered at an extra cost. Several residents commented that they liked attending the activities organised and had been out to dinner at the local pub. They also enjoyed the puzzles and games available. Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 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 standard(s) Standards were not fully assessed on this occasion. EVIDENCE: Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 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 standard(s) Standards were not fully assessed on this occasion. EVIDENCE: Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 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 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) Standards were not fully assessed on this occasion. EVIDENCE: Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 16 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) Standards were not fully assessed on this occasion. EVIDENCE: Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 17 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 3 3 4 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 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 Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 18 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. 2. Standard 38 38 Regulation 12,13 12,13 Requirement The home must update the admissions policy in line with current practices. A standard risk assessment tool must be introduced for the prevention of falls, pressure sores and weight loss/gain or dehydartion. Towell dispencers must be fiited in the communial bathrooms. Timescale for action 01/11/05 01/10/05 3. 38 12,13 01/11/05 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 Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Mucklow Office Park Mucklow Hill Halesowen B62 8DA 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 Matthias House E55 S4778 Unannounced Matthias House V248387 220905 Stage 4.doc Version 1.40 Page 20 - 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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