Inspection on 18/12/08 for Maun View

This inspection was carried out on 18th December 2008.

CSCI found this care home to be providing an Good service.

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 02/11/06

Maun View 01/02/06

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 20/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Maun View 261 Chesterfield Road South Mansfield Nottingham NG19 7EL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mary OLoughlin     Date: 1 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Maun View 261 Chesterfield Road South Mansfield Nottingham NG19 7EL 01623423125 01623412731 janet.edwards1@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Nottinghamshire County Council Name of registered manager (if applicable) Mrs Janet Edwards Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: A maximum of 5 PD 55 years and over to be accommodated outside of the intermidate care unit Out of the total number of beds (60), 15 may be used for PD 55 and over Out of the total number of beds (60), there will be 15 beds for DE 55 and over and/or DE(E) Service users shall be within category OP (60) Date of last inspection Brief description of the care home 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 Care Homes for Older People Page 4 of 27 care home 60 Over 65 15 60 0 15 0 15 Brief description of the care home diagnosed dementia. Maun View offers long-stay placements, short-term placements, and has the facilities for intermediate (rehabilitation) placements. The 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. There is a day centre within the same building, this has not been included in this inspection. The monthly accommodation charges for those residents who are self funding would be £1,508 per calendar month. A copy of the most recent inspection report is available in the home. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called case tracking which involved selecting three people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Care Homes for Older People Page 6 of 27 Members of staff were spoken with as part of this visit. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken which included a sample of bedrooms, to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. A range of additional information was used to determine the outcome of this visit, including information provided by the registered provider within an Annual Quality Assurance Assessment (AQAA). The last key inspection of the home was on 2nd November 2006. We also completed an annual service review on 18th February 2008. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Significant time and effort is taken by staff to ensure that people are properly assessed and their care planned for before they agree admission. People admitted for intermediate care are accommodated in a separate unit and are helped to maximise their independence through suitable rehabilitation. Evidence: Information we received within the AQAA told us that the manager has continued to improve the information available about the home and its services to make sure people have enough information to make an informed choice about coming to stay. We asked 6 people who live at the home if they had received a contract before coming to stay and all 6 confirmed they had. Care Homes for Older People Page 10 of 27 Evidence: The home is divided into four separate units where newly admitted people are placed according to their assessed needs. This ensures that there is suitable support and equipment available to meet peoples needs. At the inspection we looked at the way people were admitted to the home and found that staff spend time ensuring they have enough information about people to enable them to prepare a care plan that has been agreed with the prospective person. This makes sure staff can prepare for meeting the persons needs and support them in the way they have agreed. Each person is given a key worker who helps them to settle into the home and get to know their way around. Staff training records showed that there is a high importance placed on making sure staff are suitably trained and supervised in their role to support people safely. 3 Relatives told us that that people receive the care they had expected and agreed to. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to suitable health services and receive their medicines and personal care in a person centred way. Evidence: Each person has a care plan in place that describes the personal and healthcare support they need in a person centred way. Records show that staff communicate health problems effectively by referring people to their Doctor or District Nurse if necessary. People have some risks to their health assessed regularly such as pressure sore risk. Staff use this information to make sure they are providing appropriate support to reduce any risks to peoples health. We saw that people are provided with suitable equipment to manage any risk of them developing pressure sores. Care Homes for Older People Page 12 of 27 Evidence: We spoke to the key workers of the 3 people that we case tracked and it was clear that staff knew the person well and knew how to support them. All 3 care plans were regularly reviewed but it was not always clear that information from external specialists involved had been used to inform changes to the care plans. A person with nutritional problems had a dietitian assessment which advised food fortification and weekly weight recording, but the summary of review and the care plan did not reflect this guidance, however the key worker was fully aware of the persons individual dietary needs. There have been 4 reported injuries as a result of people falling in the last 12months. When we looked at the care plans we did not see suitable review of peoples falls risk assessments or any intervention from the community falls team specialists and staff training files did not show that they had received any training in this subject, key workers spoken with were aware of the particular risks to the person we case tracked and delivered care that reduced their risk of falling. We asked 6 people who live at the home about the care and support they receive and all of them said they received proper care and medical attention when they need it. Our last inspection made a requirement for people to have a suitable risk assessment if they were self medicating, we found that this is now in place and ensures that people are safely assessed before administering their own medicines. The medicines held at the home are suitably stored and recorded. Each person has a medication administration record that is suitably completed by staff when medicine is administered. Not all hand written medicine was signed and witnessed which would be good practice to reduce any risk of error. Controlled medicines are suitably stored but some liquid medicines are not dated on opening so would not provide a suitable audit trail to prevent any misuse. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with suitable activities and a varied diet according to their preferences and needs. Evidence: The information we received in the homes AQAA tells us that the staff see the provision of activities as important for people at the home. They have shown that they are considering the different needs of people at the home and provide a varied range of activities to suit each person. We saw records that show people living at the home are asked about their interests and preferences with activities recorded in their care plan and staff review this with them regularly. People told us they were happy with the activities offered and say that it meets their expectations. We talked to staff who were key workers of those case tracked and they demonstrated that they knew how each person needed support with their meals and diets. The way Care Homes for Older People Page 14 of 27 Evidence: in which they supported peoples nutrition was as the persons care plan described. People living at the home tell us they are happy with the meals provided and have lots of choices available. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an open culture in the home that allows people to express their views in an understanding environment and people are taken seriously and protected by staff who consider their protection and safety as a priority. Evidence: The AQAA document explains how the service has a clear procedure for dealing with complaints or concerns and we saw how this is clearly displayed within the home and made available to each person at the point of admission. The home has not received any formal complaints or safeguarding alerts in the last 12 months, they do have regular meetings with people living there to help them voice their opinions on the service and explain what to do if they are not satisfied. People using the service and their relatives tell us that they feel listened to and taken seriously by staff at the home. Staff training records reflect that training for staff is regularly organised to make sure they are aware of and work to the local safeguarding adults procedures. Staff are also trained to deal with any physical and verbal aggression in a safe way to protect people from harm. Care Homes for Older People Page 16 of 27 Evidence: Staff have also received training in The Mental Capacity Act to provide them with a proper framework of how to reach decisions that are in peoples best interests and to ensure they consider the persons capacity to make their own decisions. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a very pleasant and safe place to live and the facilities are suitable to support peoples needs. Evidence: We looked at the facilities available for people that we case tracked and found that each one had their own room that was lockable. Each person expressed satisfaction with their room and how it was maintained. The home takes peoples safety seriously and ensures that they have suitable safeguards in place for the control of hot water and hot surfaces. We saw that people are provided with the aids and equipment that they needed to support them safely and have access to assisted bathing and lifting equipment. The service also recognises the importance of good infection control practices, we saw how they have audited the home and are using the findings to improve the controls they have in place. Staff records show that they have received Infection control training to make sure they are aware of and work to safe procedures that protect people from any risk to their Care Homes for Older People Page 18 of 27 Evidence: health and safety. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for safely by a trained and supervised staff team. Evidence: We examined staff files and found that the service recognises the importance of a safe recruitment practice, ensuring that all suitable checks are made before people start work to ensure that they are safe to work with vulnerable people. Each care worker is provided with a comprehensive induction into their job role to ensure that they are not left in situations that they cannot manage at the start of their employment. The induction leads to them enrolling on a National Vocational training course in social care, giving them a sound knowledge of how to care for people in the home. The manager ensures that training is planned and that staff receive suitable updates in mandatory areas such as moving and handling and fire safety. The home is well maintained and care records are suitably completed showing that there is sufficient time and resources to manage the service. People living at the home tell us that their needs are met in a timely way and care is Care Homes for Older People Page 20 of 27 Evidence: delivered according to their preferences showing that people are in safe hands and cared for properly. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed safely. Evidence: The registered manager demonstrates through the completion of the AQAA and the records we saw at the service that she is continually trying to improve the service to make sure people have positive outcomes when they are cared for at the home. The systems in place to assess the quality of the service are through consultation with people using the service and external stakeholders such as Doctors and visiting health professionals to ensure the service is offering quality and up to date care. Manager and team leaders are all trained in First Aid to make sure there is always someone on duty that can safely manage any accidents. Records of fire safety checks show that the manager ensures strict adherence to Care Homes for Older People Page 22 of 27 Evidence: monitoring and maintaining the fire systems in place. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 8 14 You must assess each 27/02/2009 persons nutritional needs on a periodic basis and record this in their care plan. To make sure any changes in weight or factors that may present a risk are identified and dealt with to manage the persons health safely. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 8 Make sure each person is assessed regularly for any risk of them falling and access advice from the Falls team on training for staff and measures to reduce injury from falls. Make sure that care plans are updated to include advice from external specialists involved which will make sure that care is delivered accordingly. Stop writing the precriptions in the controlled drug register to make sure staff follow the actual medicine record sheet and not what may be out of date and is unsigned within the register. Make sure that liquid medicines are dated when opened to provide an audit trail. Page 25 of 27 2 8 3 9 4 9 Care Homes for Older People 5 9 Make sure hand written medicines are signed and witnessed to reduce errors. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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