Inspection on 15/06/05 for Mayfield House

This inspection was carried out on 15th June 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mayfield House 19/07/07

Mayfield House 16/10/06

Mayfield House 10/10/05

Mayfield House 30/11/04

Mayfield House 28/04/04

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

CARE HOME ADULTS 18-65 Mayfield House 41 London Road Liphook Hampshire GU30 7AP Lead Inspector Liz Palmer Unnannounced 15.06.05 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Mayfield House Address 41 London Road Liphook Hampshire GU30 7AP 01428 724982 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) Mr Raj Jingree Mrs Gayawotee Rayola Jingree Care Home 12 Category(ies) of Learning Disability - LD - 12 registration, with number Learning Disability, Over 65 - LD(E) - 2 of places Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the LD category referred to above are only to admitted between 35 and 65 years. 2. The category LD(E) is restricted to one service user with the date of birth 07/11/1930. Date of last inspection 30.11.04 Brief Description of the Service: Mayfield House is a care home providing personal care and accommodation for up to 12 service users in the category of Learning Disability and is owned by Mr & Mrs Jingree; the registered manager is Mrs Jingree. The home is situated within close proximity of the town of Liphook that has a range of leisure and recreational facilities. Mayfield House has a communal lounge and communal dinning room and a large garden to the rear with seating. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection for the year 2005/2006 and was unannounced. It was completed in 4.5 hours. During the inspection two clients and two staff were interviewed. Two outstanding requirements were met and four new ones were made. What the service does well: What has improved since the last inspection? What they could do better: Improvements to the arrangements for privacy in the back garden and the upstairs bedrooms which are now overlooked by a house belonging to Mr Jingaree’s family are needed. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 6 Better records of activities should be kept to evidence what is offered to clients. A risk assessment for a service user who is self-administering an inhaler must be drawn up. 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. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 Arrangements for assessing the individual needs of prospective clients enables them and the home to make a decision about whether their needs can be met by the home. EVIDENCE: A new client had moved into the home the day before the inspection. A care manager’s assessment was available and included the relevant details required by the home. The new client had visited the home three times prior to her admission, each time for a meal and to spend time with the other clients. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 The arrangements for care planning ensure that clients’ needs are met and reassessed regularly. Details of individual goals and aspirations would enhance these plans. EVIDENCE: Four care plans were looked at and were seen to be detailed in terms of the care required by clients and their social interests. Care plans are reviewed at least six monthly, some more frequently. Risk assessments were seen to be in place and these are also reviewed regularly. Independence is encouraged, for example, some clients access the local shops on their own. Weekly client meetings enable people to have their say in the running of the home. They are involved in shopping, food preparation and other household tasks. Clients spoken to said things like ‘the staff look after us’ and ‘they make us feel safe’. Clients would benefit from their goals and aspirations and how they will be reached being recorded. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 17. Some clients benefit from day service based activities. Others would benefit from structured activities and greater opportunities to access the local community. Arrangements for meal times promote a healthy diet with individual needs and tastes catered for. EVIDENCE: There was evidence that clients individual hobbies and interests are supported in the home, for example, puzzles, arts and crafts and board games. Some clients also have a regular timetable of activities that they access through their day service, for example, college, bowling and swimming. There was no evidence of structured activities for those clients who do not attend day services. Some clients are able to access the local pubs and shops independently but for those who cannot, there was again no evidence to show that they are regularly having the opportunity to go out. Healthy diets are promoted and written into individual care plans as necessary. One client has diet controlled diabetes which was seen to be detailed in their care plan. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 11 The home offers a four week menu which appeared to offer variety and fresh wholesome food. The menu states an alternative to each meal. Staff stated that clients are involved in drawing up the menu and are asked before each meal what they would prefer. Clients spoken to said the food was good. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Detailed care plans promote dignity and choice in personal care. Measures to limit the new property overlooking client bedrooms would improve their privacy. EVIDENCE: Personal support required is written into individual care plans in a step by step process if necessary. It was noted that a new property at the back of the home now overlooks some of the bedrooms at the back. This may lead to a lack of privacy for clients whilst in their rooms, therefore a requirement for the home to make measures to limit this has been made. All medical and health needs are recorded, for example, visits to GPs, outcomes of specialist appointments and dates for optician and dental appointments. Medication reviews are held at least six monthly with the GP. Medication stocks were checked and matched the records held. It was noted that one medicine was being administered as requiried but the prescription did not state this. The manager agreed to discuss this with the GP and in the mean time only administer as instructed on the prescription. A requirement has been made. It was also noted that no risk assessment was in place for a client who selfadministers an inhaler. It was agreed with the manager that this would be done. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 13 Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed on this occasion. EVIDENCE: Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. Arrangements for cleaning and maintaining the home fosters a homely and hygienic environment. EVIDENCE: The home was clean, bright and homely on the day of inspection. There is a continuing redecoration programme which ensures the standard is maintained. Four bedrooms have been redecorated since he last inspection. The requirement made at the last inspection for refurbishment of the laundry room has now been met. Staff are trained in infection control and aprons and gloves are worn. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Arrangements for staff training enables staff to meet the needs of clients. EVIDENCE: A training programme was seen to include, for example, Medication, Infection Control, Abuse Awareness, Food Hygiene, Manual Handling, Epilepsy, First Aid, Health and Safety and National Vocational Qualifications (NVQ). One member of staff said they had completed NVQ level 2 and were going on to do level 3. They also said they had enjoyed level 2, learnt a lot and gained confidence. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The homes policies and procedures promote to health, safety and welfare of clients. EVIDENCE: Staff are training in moving and handling and fire safety. Fire safety equipment is situated around the home and fire safety instructions for clients are held on their files and reviewed regularly. Two clients spoken to knew what to do in the event that a fire alarm should go off. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 2 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mayfield House Score 2 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x 3 x x H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 19 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. Standard YA12 Regulation 16(2) (m) Requirement The registered person mut make arrangements for all service users to engage in local, social and community activities. The registered person must make arrangements to ensure that the privacy and dignity of clients is maintained. Medicines must only be administered according to the doctors prescription. Timescale for action 15/09/05 2. YA18 12(4) (a) 15/08/05 3. YA20 13(2) 23/06/05 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. 2. Refer to Standard YA6 YA20 Good Practice Recommendations The goals and aspirations of clients should be included in their care plans. A risk assessment for a client to self-administer an inhaler should be drawn up. Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Mayfield House H54 S11905 Mayfield V232390 15.06.05.doc Version 1.30 Page 21 - 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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