Inspection on 25/08/06 for Mayfield Residential Home

This inspection was carried out on 25th August 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

Mayfield Residential Home 09/02/06

Mayfield Residential Home 26/09/05

Mayfield Residential Home 09/02/05

Mayfield Residential Home 06/10/04

Mayfield Residential Home 11/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Mayfield Residential Home Fleet Street Holbeach Spalding Lincolnshire PE12 7AG Lead Inspector Mr Toby Payne Key Unannounced Inspection 25th August 2006 08:30 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 Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mayfield Residential Home Address Fleet Street Holbeach Spalding Lincolnshire PE12 7AG 01406 426063 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) Mayfield Residential Care Ltd Mrs Susan Stuffins Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: Mayfield Care Home is a converted house with a purpose built extension set in its own grounds within walking distance of the centre of the town of Holbeach. All accommodation is on the ground floor. The home is registered to provide personal care for up to 10 people who are over the age of 65 years. On the day of the inspection there were 7 residents. The registered provider visits the home weekly and works closely with the registered manager. The majority of rooms are single with one double bedroom. There are 4 bedrooms with en-suite facilities. There is car parking to the front of the home and there are gardens to the front and rear of the home. The home is also on a bus route. The fees at the inspection on the 25/8/2006 ranged from £325 to £400 per week. Extras are for hairdressing which range from £8 to £25, chiropody £10, toiletries, personal newspapers and magazines Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and started at 8.30 am. It was undertaken using a review of all the information available to the inspector about Mayfield Care Home. It took place over 4 hours. The inspector spoke to 6 residents, one member of staff and the manager. The main method was called “case tracking”. This involved selecting one resident and tracking the care they received through the checking of records, discussion with them, the care staff and observation of how staff responded to their needs and that of the other residents. What the service does well: What has improved since the last inspection? The owner and manager have addressed the 2 requirements from the previous inspection. As a result of an inspection by South Holland District Council the home was awarded a 2 tulips (good) food safety award in recognition of its catering service. To enable fire doors to be left open, special equipment has been provided which will close the doors in case an emergency. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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 Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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 and 6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents received information to enable them to make a choice as to whether or not they wish to come to this home. Mayfield Care Home met the needs of residents coming into the home. EVIDENCE: There was a detailed statement of purpose and service user’s guide and a copy of the service user’s guide was given to each person when being admitted to the home. There was a clear admissions procedure, which identified the needs of residents coming into the home. Each resident received a comprehensive assessment by the manager. Individual records were kept for each resident and inspection of records for one of the most recent admissions showed that the person had received an Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 9 assessment and written confirmation that the home was able to meet their needs. The home did not provide intermediate care. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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 and 10 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Resident’s care, health and welfare needs were met by staff who knew the resident’s needs. Where required residents can receive attention from their GP and Community Nurse. Medication is safely and correctly administered. EVIDENCE: All residents had detailed and up to date brief care plans describing their needs. Records included risk assessments, moving and handling assessment as well as social needs. There was evidence to show that wherever possible residents had been involved in their care. Their signatures showed this. There was evidence to show that the care plans had also been reviewed. Where required, the Community Nurse provides any nursing care. Where required, residents are referred to GPs, Community Nurse, Tissue Viability Nurse, Dentist, Chiropodist and Optician. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 11 The home received regular visits by Boots who provide the medicine administration system. The last visit was on the 13/6/2006. There were no concerns. Boots also ensured that the staff received training in order to ensure that safe administration of medication took place. Staff were then assessed by the manager in order to ensure they were safe in carrying out these tasks. The home had a written policy concerning privacy and dignity and this was also addressed during the induction programme. Residents spoke of how staff respected their privacy and dignity. Staff were seen to knock on doors before entering. Staff were also seen to laugh and joke with the residents and there was a very relaxed atmosphere in the home. Locks were provided to bedrooms and bathrooms/toilets. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. A selection of activities were available in the home. People were offered a choice of well-balanced and wholesome meals and commented positively about the catering in the home. EVIDENCE: On admission to the home, details were obtained of the resident’s likes and dislikes and dietary needs. Care staff prepared the meals and all had received food hygiene training. Staff were to receive refresher training in the future The home had no written activities programme. On admission to the home details were obtained of resident’s likes and dislikes. Activities included knitting, crocheting, library and newspapers. In addition, there was also a video and games library. Details were also available of local clubs and there were occasional social outings. Local clergy also visited. There was also the garden and terrace available. Residents were seen to be reading in their bedrooms, watching television in the lounge or sitting outside. Residents were encouraged to bring into the home small items of furniture and personal possessions. There was evidence of their independence by people Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 13 continuing their interests, hobbies and going out of the home. Choice was also evident in their care plans. Breakfast could be taken in the resident’s bedrooms or dining room. Lunch could be taken in the dining room. There was a set menu but an alternative could be made available at request. Snacks and beverages were available throughout the day. The menu was recently reviewed following discussions with the residents. The menu was displayed on the wall and residents were eating at tables attractively laid with table cloths in the dining area off from the lounge on the ground floor. They were all complimentary about the catering service. The last inspection by the environmental health officer was on the 29/6/2006. As a result of this the home was awarded 2 tulips (good) food safety award in recognition of its catering service. Residents commented, “I am very satisfied and can do what I like to do” “I can get up or go to bed whenever I like” and “the food is plain but enjoyable”. . Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents knew that any concerns they had were taken seriously and acted upon. Residents were protected from abuse. EVIDENCE: Each resident was given a complaints procedure when they were admitted to the home. No complaints have been received by the home and the CSCI since the last inspection. None of the residents had any complaints about the home and felt they could discuss any concerns they had with the staff and manager. Staff also knew what to do if a resident wanted to make a complaint Staff were recruited correctly and knew what abuse was and what to do if abuse was suspected. One resident commented, “When I say everything is fine, then there is nothing more to say”. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. People lived in well decorated, comfortable, safe and clean accommodation. EVIDENCE: Residents lived in clean and comfortable accommodation and bedrooms were individual. Since the last inspection the manager had arranged for an accessible mobile hoist to be made available in the home in case it is required. It had been serviced and staff were to receive moving and handling training in the future. There was one dining room, which, lead to a large lounge. Both these rooms overlooked the front garden. The lounge had comfortable chairs, television, pictures and ornaments. The menu was displayed in the dining room. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 16 The home was clean and odour free throughout. Residents were satisfied with the cleanliness of the home and how well their clothes were laundered. Comments from residents were “It is lovely here”, “my clothes are well looked after” and “the home is always clean and tidy”. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There was a trained, knowledgeable, stable and competent staff team. The numbers of staff were sufficient to meet the needs of the residents. Staff were correctly recruited. The home had a very high level of trained staff. EVIDENCE: Staff in the home were required to undertake catering, domestic and laundry duties as well as caring for service users. The home provided a gardener and the owner worked in the home. The staffing rota showed for 7 residents there were 08.00 to 16.00 hours – 2 care assistants 16.00 to 21.00 hours – 1 care assistant 21.00 to 08.00 hours 1 sleep in care assistant. The home provided night sleep in cover. The manager monitored this and ensured where required, that they were on wakeful duty. None of the residents or staff expressed any concerns about the level of care or delay in staff responding to their needs. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 18 Each member of staff received a copy of codes of practice to enable them to be aware of their responsibilities in providing care. All staff received a detailed induction programme, which also included adult protection. Residents comments were, “whenever I need something the staff are only too pleased to help”, “I find the staff very friendly” and “the staff are very good, polite and friendly” Staff commented, “I like working here”, “I have time to care” and “Sue Stuffins is a great manager” The home had a written recruitment and equal opportunities policy. All training provided was recorded. The home had exceeded the 50 of care staff who have been required to achieve a qualification in care (National Vocational Qualifications) since the 31/12/2005. Five staff had achieved level 2 and one level 3. From December 2006 a further 2 staff will start NVQ level 2 and one NVQ level 3. Out of 8 staff 85 have obtained NVQ. Future training will cover abuse prevention, first aid, food and hygiene (14/9/2006) and moving and handling. There was an established team and residents were very complimentary about the staff and their approach. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home was well lead by a competent manager and staff were supported in their work. EVIDENCE: The manager was registered with the Commission. She had extensive experience in caring and supporting elderly people. She had been the registered manager of the home since July 2002. She had also obtained a management qualification and was studying for a care qualification. All care staff received formal supervision to support them in their roles. Each person received an appropriate, structured and documented induction programme. At the time of the inspection no monies were being handled by the home for any resident. The monies were being handled by their family, themselves or accountants. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 20 Records were also kept securely. The home had a health and safety policy. A suitable mobile hoist had been provided and staff were to receive training in the future in order to ensure residents were safe. Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 21 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 X 3 X x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Mayfield Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Home DS0000043941.V308710.R01.S.doc Version 5.2 Page 24 - 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!