Inspection on 11/05/06 for Mauricare Residential Home

This inspection was carried out on 11th May 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

Mauricare Residential Home 24/05/07

Mauricare Residential Home 30/08/05

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

CARE HOMES FOR OLDER PEOPLE Mauricare Residential Home 22-24 Fosse Road Central Leicester Leicestershire LE3 5PR Lead Inspector Keith Williamson Unannounced Inspection 11th May 2006 09:00 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 Mauricare Residential Home DS0000064312.V293474.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. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mauricare Residential Home Address 22-24 Fosse Road Central Leicester Leicestershire LE3 5PR 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) 0116 251 3785 0116 251 3785 manager@mauricare.com Mauricare Ltd Miss Marie Raffard Care Home 17 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (4), Dementia (1), Dementia - over of places 65 years of age (17), Mental Disorder, excluding learning disability or dementia - over 65 years of age (17), Old age, not falling within any other category (17), Sensory Impairment over 65 years of age (3) Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within category A may be admitted into the home where there are 4 persons of category A already accommodated within the home. No one falling within category SI may be admitted into the home where there are 3 persons of category SI already accommodated within the home. The home can admit 1 Service User in category DE, with no overall increase to the overall service user numbers. The home can admit 1 service user in category MD (E) with no overall increase to the overall service user numbers. 30th August 2005 Date of last inspection Brief Description of the Service: Mauricare (formerly known as Arundel Residential Home) is situated on Fosse Road Central in the City of Leicester. This moderately sized home has space for 17 Older residents. The home specialises in providing care for residents with Dementia and Mental Health needs. The home is a converted property, and accommodation is on 3 floors, and these are accessed via a passenger lift. The bedroom accommodation is spread throughout the three floors of the building; there is a mixture of double and single accommodation, some with en-suite facilities. The home is well situated for travel into town by bus, and is reasonably placed for the local amenities, which offers a mix of shops, restaurants and cafes. There are also parks and open space nearby. The current level of fees are between £270 and £370 per week. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This inspection took place over one weekday, commencing at 9.00am took 6 and one half hours to complete, and was assisted by the manager. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff and residents and their relatives. Six of the residents were seen during the inspection however few were able to give the inspector their impressions of the home, one relative was also seen during the inspection and passed comment on the home. What the service does well: What has improved since the last inspection? All outstanding requirements form the last inspection have been completed. Improvements are apparent in medication administration and recording. The fire risk assessment is in place and has been updated. The Fire Officer and Environmental Health Officer have made visits to the home, all outstanding issues have been dealt with appropriately. A number of carpets to corridors, and public areas have been replaced resulting in a more pleasant environment for residents. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 6 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. Mauricare Residential Home DS0000064312.V293474.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 Mauricare Residential Home DS0000064312.V293474.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, 2, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is followed consistently for all planned admissions. EVIDENCE: Pre - admission assessments, contracts and copies of the Service User Guide were evident on residents files viewed in the home, and are used consistently in the admission process. Information regarding the service and facilities, which the home provides is kept on site, this details the initial assessment and referral process and includes environmental information. The Service User Guide refers to the complaints procedure, of which copies can be found in the entrance foyer of the home. The information provided by the home does not include views or comments of residents who already reside within the home. The home does not provide services for residents requiring intermediate care. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 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, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are looked after well in relation to health and care needs. EVIDENCE: The care plans and records of two residents were viewed. Care plans contained information as to how the care needs of the residents were to be met, but include little social care information. Currently care plans are not negotiated with, or signed by residents in the home, in view of the nature of the residents in the home, relatives or residents’ representatives could be involved in this process. Risk assessments are in place which detail as to how care is to be delivered, which promotes the health and welfare of both resident and care staff. Health care is monitored well, with outcomes being recorded in residents’ records by staff on an individual basis. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 10 The medication and medication records of some service users were viewed; all were found to be in good order. Risk assessments for the administration of “as required” medication, have yet to be put in place. The supplying Pharmacist had recently visited to view medication processes and had found no areas of concern. Throughout the inspection process staff were observed speaking with service users in a sensitive manner, with consideration being given to the promotion of their privacy and dignity. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents experience a homely lifestyle, however limited social care information does potentially affect the quality of life. EVIDENCE: Residents are offered a limited range of social and recreational activities these are currently not planned in advance and relies on staffs’ availability and personal knowledge of residents’ current abilities. There is a lack of detailed social care information in the care plans, to enable care staff to provide a suitable and varied social care programme. One resident commented “they usually play games in an afternoon” indicating that recreational activities were part of the normal day. Staff assist residents to maintain links with relatives and the local community, visiting times to the home are open. The main meal was observed, with one main choice on offer, residents have an alternative choice, though this is restricted to the abilities of the cook for the day, as there is no permanent cook currently in post. A special diet is produced for a resident who has differing cultural needs. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 12 One resident commented the food being “very good, much better that at home”. Mauricare Residential Home DS0000064312.V293474.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): 16 &18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has robust arrangements in place to ensure concerns are responded to in an efficient and effective manner to protect people who use the service. EVIDENCE: The information and records on complaints are in place and mentioned in the literature forwarded to prospective residents and their families. The adult protection policy and procedure are in place, the registered person has introduced the revised version of the multi-agency protection procedures; staff have been furnished with further written information by the manager. Through speaking with staff it was apparent that they have good knowledge of how to deal with complaints and concerns, adult abuse and the whistle blowing procedures. There has been one concern recorded by the manager since the last inspection, this was acted on and reported appropriately at the time. Mauricare Residential Home DS0000064312.V293474.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, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and clean standard of accommodation is provided for service users. EVIDENCE: A number of carpets to the foyer and corridors throughout the home have recently been replaced and this has made a considerable difference to the environment of the home. Three bedrooms were viewed by the Inspector and found to be in good decorative order, and were furnished to meet the needs of the individual and reflected their individual style, including provision of furniture and personal items provided by the service user themselves. One recent admission to the home has personalised the bedroom with their own furniture, evidence was seen regarding negotiation to the colour of paint used to re-decorate the room prior to the admission date. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 15 Equipment is available to assist service users and staff in the delivery of personal care, which includes assisted baths and moving and handling equipment. Staff have had information on infection control, and showed a good knowledge of Control of Substances Hazardous to Health (COSHH) informing the inspector of the locked facilities provided to keep dangerous chemicals from residents. Laundry facilities are provided, which includes a sluicing facility. Mauricare Residential Home DS0000064312.V293474.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): 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: Two members of care staff support residents at all times during the day, and there is always a member of the management team on duty. One member of care staff supports residents during the night, with another member of the staff team being on call. Staff interviewed felt that staffing numbers were not always sufficient and this could impact on effective care. All care staff “multi task” and are expected to provide catering and cleaning tasks as well as caring throughout their working day, the Inspector observed there was little opportunity for care staff to interact with service users except during the delivery of care. The Inspector viewed a selection of staff recruitment records, all necessary employment checks, which included written references and a Criminal Record Bureau check. Staff spoken with confirmed they received an annual development review, the frequency of supervisions was variable, with an Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 17 annual appraisal being apparent, and this is used for planning outstanding staff training. Mauricare employs six permanent care staff, of which three have completed a National Vocational Qualification in Care at level 2 or above, which represents 50 of the care staff team. Training records were viewed which highlighted a variety of topics, relating to the health and safety of service users and staff, training records were up to date. The next planned staff training is planned around Dementia Care. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 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 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The overall records in the home are maintained to a satisfactory level, are accurate and some are reviewed and updated regularly. EVIDENCE: The Registered Manager has attained the level 4 National Vocational Qualification and Registered Managers Award. Quality assurance needs further development, to formalise the process of gaining service user, relative and friend views. Through this the home will be able to review its practices, to ensure its ability to continue to improve both the care and quality of life for its service users. Although service user meetings take place they are infrequent, and are not attended by all service Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 19 users. Quality assurance processes will be followed up at the next inspection, when it is expected that significant improvements will have been made to enable service users and their representatives to comment as the services offered by the home. The Inspector viewed the financial records of two service users; these records were poorly maintained and presented difficulty in tracking, though balances were accurate, some work on these records is required to make ease of Health and safety records were viewed, evidence of regular checks was seen, any concerns are brought to the attention of the owner, though no records are currently kept of any work being completed. Fire records are up to date, with evidence of regular fire drills and tests. A fire risk assessment was also in place, which is reviewed annually. The accident and incident book was viewed; service user records supported the entries within the accident book. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 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 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The registered provider should ensure that a written plan (care plan) is completed in respect of all residents needs including those of social care and diversity. Mauricare Residential Home DS0000064312.V293474.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Mauricare Residential Home DS0000064312.V293474.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. 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