Inspection on 01/02/06 for Maun View

This inspection was carried out on 1st February 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

Maun View 18/12/08

Maun View 02/11/06

Maun View 03/08/05

Maun View 07/03/05

Maun View 20/05/04

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

CARE HOMES FOR OLDER PEOPLE Maun View 261 Chesterfield Road South Mansfield Nottingham NG19 7EL Lead Inspector Richard Ramsden Unannounced Inspection 1st February 2006 10:15 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 Maun View DS0000036331.V281555.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. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Maun View Address 261 Chesterfield Road South Mansfield Nottingham NG19 7EL 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) 01623 423125 01623 412731 Nottinghamshire County Council Mrs Janet Marshall Care Home 60 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (60), Physical disability (15) Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Out of the total number of beds (60), there will be 15 beds for DE 55 and over and/or DE(E) Out of the total number of beds (60), 15 may be used for PD 55 and over A maximum of 5 PD 55 years and over to be accommodated outside of the intermidate care unit Service users shall be within category OP (60) Date of last inspection 3rd August 2005 Brief Description of the Service: Maun View is a Nottinghamshire County Council Social Services run home, situated a short bus ride away from the centre of Mansfield. The Home is purpose built to provide personal care for sixty older people, with up to fifteen service users who have a diagnosed dementia. Maun View offers forty-four long-stay placements, seven short-term placements, and has the facilities for nine intermediate (rehabilitation) placements. The ten intermediate beds are joint-funded by Mansfield Health Authority and Nottinghamshire County Council. Accommodation for service users is on two floors, with single bedrooms located in four separate units. Each bedroom has an en-suite toilet and shower. There is lift and stair access to accommodation on the first floor. Maun View is constructed around a courtyard, with an attractive and secure garden for service users to enjoy. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced inspection over one day it took approximately 5 1/2 hours. It included the inspection of care and other records, a discussion with four residents, two visitors to the home and three members of staff, as well as two team leaders. A partial tour of the building was also completed. What the service does well: The residents spoken with during this inspection stated that they are very satisfied with the services provided by the home. They confirmed that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. One person described the staff as “brilliant” she said that although the staff are always busy they can always find time have a laugh and a joke. The observed interaction between residents and staff was of a very good standard. The visitors spoken with during this inspection also stated that they are happy with the services provided for their mother. They said that the regime within the home is very flexible and that often their mother stays in bed until 11 a.m. They confirmed that they are always kept informed about any changes to their mothers health or social care. The home is purpose-built and has been maintained to a good standard. Residents said that they find the home to be beautifully decorated and comfortably furnished. Everyone spoken with stated that they are happy with their bedrooms and confirmed that they were encouraged to personalise them with small items of furniture, photographs and ornaments. The home appeared generally well managed and people are encouraged to voice their opinions about their way in which the home is run. Staff state that they receive regular supervision and training. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 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. Maun View DS0000036331.V281555.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 Maun View DS0000036331.V281555.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): 1,3. The literature supplied prospective residents and their representatives, does not contain sufficient information to enable them to make an informed choice as to whether the home will meet their assessed needs. However staff do ensure that they can meet prospective residents needs by obtaining a full written assessment prior to their admission to the home. EVIDENCE: The service user guide must contain more detailed information, including a description of the accommodation provided, staff qualifications and experience and the resident’s views of the home. This additional information will help people to decide whether the home will be able to meet their individual needs. The current Registration Certificate must be displayed prominently within the home. This document gives details of the registered manager and the number of people who can be accommodated within the home. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 9 Three residents records were assessed as part of this inspection. Extended Social Work Assessments had been obtained for each resident prior to their admission to the home. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 10 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. Not all of the care plans provide sufficient information to ensure that staff are always aware of what support and assistance each resident requires. Resident’s health care needs are being met. The homes medication systems are generally well managed and help to ensure that resident’s health and safety is protected. Residents are treated with respect and their right to privacy are upheld. EVIDENCE: Three residents care plans were assessed as part of this inspection. All of the care plans had been signed by the individual residents or their representatives and had been reviewed at least once each month. (This is good practice). However one of the care plans did not contain sufficient detailed information to ensure that staff are always aware of what support and assistance that resident requires. It was also noted that the daytime assessment stated that a member of staff must always accompany the resident while walking with her frame as she had become very unsteady. The night care plan stated that the resident was independently mobile with her walking frame. The mobility risk Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 11 assessment had not been updated to reflect the additional risks due to the residents increased frailty. The records show that resident’s health care needs are being appropriately met. The residents and the relatives spoken with during the inspection stated that staff makes appropriate referrals where medical intervention is required. Both of the relatives confirmed that they are always informed when their mother is unwell or there are any changes to the way in which her care needs are being met. The homes medication systems are generally well maintained, medication is stored safely and all staff that administers medication received appropriate training. The records of receipt and disposal of medication are well maintained but staff must ensure that the pharmacist signs the disposal records, to confirm receipt of the medication. Three of the residents spoken with during the inspection said that staff are always friendly and respectful and that they ensure that their privacy and dignity is maintained at all times. The relatives who were spoken with during the inspection also confirmed this. The observed interaction between staff and residents was of a very good standard. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 12 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): 13. Residents are encouraged domain contact with family and friends. EVIDENCE: The information provided prospective residents and their families informs them about the homes policy on maintaining relatives and friends involvement with the residents. All of the residents spoken with confirmed that they can have visitors at any time and that their visitors are always made very welcome. The relatives stated that staff are always friendly and that they are usually offered refreshments. One person said that they believe that people can have a meal with their relatives in the home, although they have never chosen to do this. Relatives meetings are arranged by staff to ensure that they can voice their opinion about the way in which the home is run. (This is good practice). Maun View DS0000036331.V281555.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): X None of these standards were assessed as part of this inspection. EVIDENCE: Maun View DS0000036331.V281555.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): 19,24,26. The purpose built accommodation is maintained to a good standard. At the time of inspection the home was clean & there were no offensive odours. The laundry room door must be kept locked when there is no staff in situ to protect the health and safety of vulnerable residents. EVIDENCE: A partial tour of the premises was completed as part of this inspection. The purpose-built accommodation is spacious, well decorated, comfortably furnished and maintained to a good standard. The residents spoken with all said that they are very satisfied with their bedrooms, they confirmed that there were encouraged to bring photographs ornaments and small items of furniture to personalise their individual rooms. The laundry was well equipped with a suitable for covering. At the time of inspection there were no staff in the laundry, yet the door had been left Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 15 unlocked and cleaning products had been left on the floor. This presented a health and safety risk to residents. The senior staff was informed that the door must be locked when there are no staff in situ and that cleaning products must be stored safely. Maun View DS0000036331.V281555.R01.S.doc Version 5.1 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): 29. Residents are supported and protected by the homes recruitment policies and practices. EVIDENCE: The records of two recently recruited members of staff were checked as part of this inspection. The records contain all the required information except written references. Copies of the appropriate references were faxed through to the home during the inspection. Maun View DS0000036331.V281555.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): 35,38. Residents financial interests are safeguarded. The aspects of health and safety assessed during this inspection showed that residents and staff health and safety is generally being promoted and protected. However failure to lock the Laundry room door & to store cleaning products safely, does adversely affect this.(See standard 26). EVIDENCE: The financial records of three residents were assessed as part of this inspection all of the records had been well maintained. The inspector was informed that residents are asked when there are admitted to the home how they wish their finances to be managed. This issue is also discussed as part of the review process. (This is good practice). Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 18 Appropriate records and receipts are kept of possessions handed over for safekeeping. The homes Fire records showed that appropriate tests and drills are being completed on a regular basis. The Team Leader stated that all staff receives training in how to assist people with their mobility safely, as part of their induction course. People are not allowed to assist residents with their mobility until they have completed this training. The Registered Manager, the team leaders and all senior care staff have up-todate first aid qualifications. (The training records were checked at random and found to be satisfactory). There is always a qualified first aider on duty. The homes accident records have generally been well maintained. However the Team Leader was advised to remind staff that all areas of the accident reports must be completed each time an accident occurs. A Legionella risk assessment has been completed. As previously stated the laundry door should be kept locked when there are no staff in situ & washing powder & fabric conditioner must be stored safely. Maun View DS0000036331.V281555.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 2 X 3 X X X 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 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Maun View DS0000036331.V281555.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. No. 1. Standard OP1 Regulation 4 Requirement It is required that the written information provided to prospective residents includes the following information. A. The qualifications of the homes Manager & staff. B. More details about the accommodation available. C. The views of the residents. It is required that the homes Registration Certificate is prominently displayed in the home. It is required that all residents care plans contain sufficient information to ensure that staff are always aware what support & assistance each resident requires. It is required that risk assessments are always reviewed & updated to reflect the residents changing abilities. It is required the person accepting responsibility for the disposal of medication always signs the homes records to confirm receipt. It is required that the laundry DS0000036331.V281555.R01.S.doc Timescale for action 06/03/06 2. OP1 C.Std Act 2000 15 01/02/06 3. OP7 01/02/06 4. OP7 15 01/02/06 5. OP9 13 01/02/06 6. OP38 13 01/02/06 Page 21 Maun View Version 5.1 7. OP38 13 room door is kept locked when there are no staff in situ. It is required that hazardous substances are stored securely at all times. 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. X Refer to Standard X Good Practice Recommendations None Maun View DS0000036331.V281555.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Maun View DS0000036331.V281555.R01.S.doc Version 5.1 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!