Inspection on 25/07/06 for Mayflower Court

This inspection was carried out on 25th July 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

Mayflower Court 28/11/05

Mayflower Court 07/09/05

Mayflower Court 21/09/04

Mayflower Court 17/06/04

Mayflower Court 03/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Mayflower Court 8 Waterford Road Birkenhead Wirral CH43 6UT Lead Inspector Les Hill Key Unannounced Inspection 25th July 2006 09:30 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 Mayflower Court DS0000040989.V296730.R02.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. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mayflower Court Address 8 Waterford Road Birkenhead Wirral CH43 6UT 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) 0151 652 8810 Mayflower Care Homes Ltd Monica Mary Wilson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: Mayflower Court Residential Care Home is an Edwardian house located in the Oxton area of Wirral. The home is registered to provide personal care for twenty residents. Accommodation is provided on three floors with stair and lift access. The home is in a quiet part of Birkenhead close to all amenities including local rail and bus routes. There are two communal lounges and a dining room, furnishings and decoration give a homely appearance. Most of the residents have their own bedrooms; those who share bedrooms have consented to do so. The home has a well cared for garden with seating for residents. All residents are registered with their own GP; specialist health care professionals visit residents in the home when necessary. At the time of this inspection fees for the home were identified as being between £380 and £400. Residents pay separately for newspapers, toiletries, Hairdressing and chiropody. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Mayflower Court was undertaken on Tuesday 25th July 2006 over a period of three hours. It involved meeting with the manager, the examination of some records, a tour of the building and discussion with five residents. The home’s manager had completed and returned a questionnaire to provide information about relevant matters, before the inspection took place The inspection was carried out as part of the Commission’s responsibility to visit and report on each registered care home at least annually. What the service does well: What has improved since the last inspection? What they could do better: Only one recommendation has been made in this report to ensure the manager routinely checks the temperature of hot water delivered to resident’s rooms. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 6 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. Mayflower Court DS0000040989.V296730.R02.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 Mayflower Court DS0000040989.V296730.R02.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, 2, 3, 4, 5 and 6 Service users and their relatives have the information they need to make an informed choice about the suitability of the home. EVIDENCE: The home’s statement of purpose and its service user guide contain all of the matters identified in Schedule 1 and Standard 1.2 of the National Minimum Standards, Care Homes for Older People. Residents are issued with a contract setting out the terms and conditions of their stay. Four care files were examined during the inspection. Each of them contained an assessment of need undertaken by the home’s manager to ensure they would be appropriately placed in Mayflower Court. Two of the care files were for residents who had been admitted four days prior to the inspection in an emergency situation. Assessments for the residents admitted in an emergency situation contained enough information to confirm their placement. Assessments for the longer-term residents were thorough and gave a good understanding of their needs. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 9 Prospective residents and their relatives are invited to visit the home and to spend some time there before taking a decision to move in. They are also offered a one months trial period before they make the decision to stay. The home has been providing care and support to older people for some time and is linked to a sister home nearby. The home is not contracted to provide intermediate care. Mayflower Court DS0000040989.V296730.R02.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, 10 and 11 Care plans identify the ways in which staff should support each resident. The health care needs of residents are given appropriate priority. Medicines are being managed safely. EVIDENCE: An individual plan of care was evidenced on each of the care files seen. Care plans for the longer-term residents were detailed and gave guidance for staff on the ways in which care should be delivered. There was also evidence to confirm that they were being reviewed monthly. Care plans for the emergency admissions were in the early stages of development, but daily records were monitoring the levels of support provided and the manager told the inspector that all of this information would be used to develop more formalised, care plans. The home has good links with GP’s and with the district nursing service when necessary. A local dentist supports residents through domiciliary visits and an optician attends to eye care. A private chiropodist visits the home to provide foot care, for which a small charge is made. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 11 Care files contained information about visits to and by health care professionals and the home supports residents at hospital appointments when necessary. Continence assessments are undertaken if it is appropriate to do so but the home often has to wait some time for the first delivery of continence management equipment. At the time of this inspection none of the residents had a pressure sore. An examination of the homes management of medicines confirmed that the procedures, at the time of this inspection, are safe. However, staff have introduced two systems for managing the sequence of taking tablets from the “blister” packs provided. One system was simple to understand but the other took some time to work out. Staff clearly understand the arrangements and there is no suggestion that the system is unsafe. However it would be good practice to adopt one system for the use of “blister” pack medicines and to ensure that all staff in the home follow the same procedure. One of the residents is able to administer their own medicines. The home had a signed consent form from the resident and appropriate safeguards are in place to support these arrangements. However, the home’s manager is advised to undertake a risk assessment to ensure that the arrangements remain safe both for the individual resident and others living in Mayflower Court. Service users who spoke with the inspector said that staff in the home are kind and that they carry out their work in a courteous and respectful way. One of the residents recognised that the job they do is not an easy one and commented that they work really hard. Care files contained information to assist staff when dealing with the death of a resident. The resident’s wishes and the wishes of their families were formally noted. Mayflower Court DS0000040989.V296730.R02.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 Service users are helped to exercise choice and control over their lives. EVIDENCE: Assessment documents in the home contained information about the current and past lifestyle, hobbies and interests of residents. An activities organiser is employed to work in the home each weekday afternoon and she undertakes group, as well as individual, activities. A programme of events was displayed in the home and this showed that care staff would arrange activities at weekends. Some of the residents told the inspector that they choose to spend much of their time in their own rooms and that their choices are respected by staff. Local clergy visit the home on a regular basis to support the spiritual needs of residents. Visitors are welcomed at the home at any time but are respectfully asked not to visit at mealtimes if possible. Residents that are able to go out from the home accompanied by relatives and friends, or alone, are encouraged and supported to do so. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 13 Service users told the inspector that they are generally happy living in the home. Admission to residential or nursing home care wouldn’t necessarily be their preferred choice, but they recognised they required some support and were pleased with the ways in which the home met their needs. The home has a four-week menu in place that is made up of foods most commonly appreciated by residents. Both the home’s manager and the cook told the inspector that an alternative meal is provided when residents do not wish to take the main meal that is prepared. Two of the residents told the inspector they were unaware that they could ask for a different meal and so the manager was asked to ensure that all residents are made aware that a choice is available. Special diets can be catered for although, at the time of this inspection, none were required. Mayflower Court DS0000040989.V296730.R02.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, 17 and 18 Satisfactory procedures are in place to deal with complaints, to protect the legal rights of residents and to ensure they are protected from abuse. EVIDENCE: The home has a complaints policy and procedures in place that refer to the option of any unresolved issues being referred to the Commission for Social Care Inspection (CSCI). No formal, detailed complaints have been received by the home or by CSCI at the time of this inspection. All of the residents are listed on the Electoral Register and are eligible to vote in local and national elections. The home has up to date information on the protection of vulnerable adults. The manager with two of the staff attended a training event organised by Wirral Borough Council that presented adult protection issues in a clear and helpful way. The manager is keen to support all of her staff attending future training events of this kind. Training in adult protection matters is covered in NVQ courses and the home regularly reminds staff of its own “whistle blowing” policy and the importance of reporting any concerns as soon as possible. Mayflower Court DS0000040989.V296730.R02.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, 20, 21, 22, 23, 24, 25 and 26 Residents live in a safe and well-maintained environment. EVIDENCE: Mayflower Court is an Edwardian house that has been adapted to provide care and support to 20 older people. Accommodation is provided on three floors with stair and passenger lift access. The home has 14 single and 3 double bedrooms, 2 lounges and a dining room. Outside gardens are well tended and offer a pleasant outlook from resident’s lounges and bedrooms. Standards of decoration throughout the home are good and there is evidence of an ongoing maintenance and re-decoration programme. The two lounges are pleasant rooms that have retained some original features, including fireplaces, and have been furnished in a domestic style. The dining room is separate from, though next door to, the lounges and has again been maintained with original features. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 16 Residents bedrooms are well decorated and fitted out with a wardrobe, chest of drawers, bedside cabinet and chairs. The standard of decoration and furnishings in the bedrooms seen was good. The three, shared double bedrooms are large and have a movable screen to afford privacy when personal care is being provided. All of the bedrooms have a wash hand-basin. Residents had personalised their own room with treasured items they had brought with them. WC’s and bathrooms are located throughout the home. The home has a specially adapted bath and a shower to support individual needs and preferences. The manager was advised that block soap in communal WC’s should be replaced with hand-wash to avoid the potential for cross infections. The home’s kitchen is fitted with domestic style equipment, though the manager and the cook said that they are able to manage the preparation of meals. Flooring by the kitchen door has been replaced in response to the previous CSCI inspection report. Residents told the inspector that they are generally pleased with the environment. Ventilation in one room with roof window lights was being addressed. The home’s laundry is located in adjacent outhouses. A new washing machine has been ordered. Paintwork is flaking from the walls but the manager told the inspector that this is the next task on the list for remedial attention. On the day of this inspection the home was clean and well cared for and there were no offensive odours present. Mayflower Court DS0000040989.V296730.R02.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 Residents are protected by the home’s recruitment, selection and staff training arrangements. EVIDENCE: Sample staffing rotas were provided prior to the inspection. The home is maintaining previously agreed staffing levels of two care staff plus ancillary workers during the day time hours and one waking and one sleeping member of staff at night. The manager’s hours are logged separately. 11 of the homes 16 care staff have an award at NVQ level 2 or above and others are working towards an achievement of NVQ qualifications. Some staff have been supported to earn an award at NVQ level 3. The inspector examined the files for three care staff. Each of them contained an application form and two references and there was evidence that POVA and CRB checks had been carried out. The files for more recent appointees contained evidence of identity documents. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 18 Ongoing training is supported and the manager maintains a record of what training has been provided, what needs to be updated and what is needed. Basic training is provided in food hygiene, manual handling, fire safety and first aid with updates as necessary. Additional training has been provided in medicines management and dealing with dementia. The manager is keen for all staff to attend the adult protection course recently presented by Wirral Borough Council. Mayflower Court DS0000040989.V296730.R02.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, 32, 33, 34, 35, 36, 37 and 38 The home is run in the best interests of residents. EVIDENCE: The home’s manager has considerable experience in running care homes for older people and has the Registered Managers Award. During the course of the inspection staff were observed to get on with their work without constant reference to, or direction from, the manager. Residents appeared comfortable with the manager and were complimentary about the ways in which staff carried out their work. The atmosphere appeared calm and supportive. Staff were observed to speak quietly with residents and to offer support rather than to expect cooperation. Financial accounts for the home were not seen but the Commission is not aware of any financial matters that would affect the ongoing running of Mayflower Court. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 20 The home does not manage any money on behalf of service users. The inspector was informed that Power of Attorney arrangements are in place for the majority of residents and that the neither the homeowner nor the staff are involved. Records in the home confirmed that annual staff appraisals are undertaken and that individual, one-to-one supervision is carried out on six occasions each year. Records seen during the inspection were generally of a good standard. The manager is aware of the need to maintain comprehensive records to support individual residents and the care practices in the home. Health and safety procedures are in place. The fire alarm system is checked weekly and the emergency lighting is tested monthly. Records confirmed that contractors routinely check the fire prevention and fire fighting equipment. The gas systems were checked in June 2006 but the home has not yet received the new certificate. The manager said she would follow this through. The electric wiring safety certificate was issued in January 2004 but there was no date to identify when it should be re-checked. Again the manager said she would follow this through. The temperature of hot water delivered to resident’s bedrooms and bathrooms is thermostatically controlled. Hand testing during the inspection identified that the water to be quite hot. The manager arranged for a plumber to visit to carry out a check on the thermostat. Mayflower Court DS0000040989.V296730.R02.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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 22 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 OP38 Good Practice Recommendations The home’s manager should arrange for regular checks to be made of the temperature of hot water delivered to resident’s rooms and for a record of the checks to be kept in the home. Mayflower Court DS0000040989.V296730.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Liverpool Local Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Mayflower Court DS0000040989.V296730.R02.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. 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