Inspection on 06/02/06 for Mayott House

This inspection was carried out on 6th February 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

Mayott House 18/09/07

Mayott House 03/11/06

Mayott House 05/10/05

Mayott House 24/02/05

Mayott House 09/08/04

Mayott House 16/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Mayott House Ock Street Abingdon Oxfordshire OX14 5DH Lead Inspector Jane Handscombe Unannounced Inspection 6th February 2006 10:00 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 Mayott House DS0000013160.V282241.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. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mayott House Address Ock Street Abingdon Oxfordshire OX14 5DH 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) 01235 521959 01235 536515 The Orders Of St John Care Trust Ms Jayne Trinder Care Home 43 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Dementia - over 65 years of of places age (17), Learning disability over 65 years of age (3), Old age, not falling within any other category (43), Physical disability over 65 years of age (20) Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 43. 5th October 2005 Date of last inspection Brief Description of the Service: Mayott House is a home for older people based near the centre of Abingdon. The home can accommodate a maximum of 43 individuals. The home provides 24-hour support for all the service users accommodated at the home. The home does not provide nursing care. The Home is now owned and managed by The Orders of St John Care Trust (OSJCT), which is a charitable organisation that also runs homes in Wiltshire, Lincolnshire and Gloucestershire. The home was purchased from Oxfordshire County Council in 2002, and there have been significant changes to the structure and organisation of the home since the transfer. The Home has not been identified as a priority for redevelopment by OSJCT, although the organisation has undertaken a programme of refurbishment, and has made a commitment to maintain the fabric of the home to a good standard. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on the 6th February 2006. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views upon the care and the services they receive at the home, the staff members and the manager, viewing care plans and assessments, whilst observing the general day to day operation of the home. At the time of inspection the service users were busy going about their daily activities and there was a calm relaxed atmosphere. The inspector was warmly welcomed, by both the staff and service users, on arrival. Much of the inspection focused upon life from the service users point of view. Overall, the general picture of the home gained by the inspectors was of a well organised and caring home with a dedicated team of staff who offer a client focused approach to the care provided. Comments received from residents and relatives during the day included: ‘I find everything is very good’ ‘the food is excellent good food, perfect’ ‘I would like to see more activities’ ‘I’ve got a nice bedroom’ Comments from staff included: ‘she’s wonderful, the best manager we’ve ever had’ ‘She’s very understanding’ The inspector would like to thank the residents, their families and staff members for their assistance during this inspection. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? 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. Mayott House DS0000013160.V282241.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 Mayott House DS0000013160.V282241.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): 3 The system of assessing prospective service users was detailed and comprehensive. EVIDENCE: The manager of the home undertakes an assessment with all prospective service users to ensure that the home is able to meet these assessed needs. The assessment is undertaken in collaboration with the individual and/or their representative. The manager has been assisted by care leaders as a training exercise to train them up to be competent in undertaking any assessments in her absence. Wherever possible, prospective residents, family and friends are given the opportunity to visit the home and join fellow residents, in order to gain a ‘feel’ of the home and meet staff before making a decision as to whether the home is suitable. Mayott House DS0000013160.V282241.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 and 10 All residents have an individual plan of care, setting out their personal and social care needs. There is a safe system of medicine administration within the home that is supported by policies, procedures and training. Residents are treated with respect and experience a sense of privacy at all times. EVIDENCE: During the inspection, staff were observed to demonstrate particular sensitivity upon entering bedrooms, bathrooms and WCs. They addressed residents in an appropriate manner. A sample of residents files were viewed and found to be comprehensive and detailed giving a good picture of the assessed needs and how these needs are to be addressed. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 10 Reviews of care are undertaken on a monthly basis although there were two incidences in which the evidence for reviewing care plans and risk assessments was recorded inappropriately and implied that these had not been undertaken for some 5 months. A further case highlighted that a resident had been admitted to hospital, although dates and signature were not present in the appropriate section of the care plan. This was dealt with appropriately and rectified during the inspection. Mayott House DS0000013160.V282241.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 and 14 The home is committed to maximising the residents capacity to exercise personal autonomy and choice in much of their lives although, at present, does not include choice and variety in their daily activities. Daily activities are very limited and provided by care staff in a spontaneous manner, offering very little stimulation and as such very little choice in following their recreational needs and interests. EVIDENCE: There are few routines at Mayott House and these are centred around meals and mealtimes. Wherever possible the service users are enabled to follow their social, cultural, religious and recreational interest and needs. Residents spoken to during the inspection informed the inspector that the provision of recreational activities was lacking. One resident informed the inspector ‘there are not many activities’, another stated ‘I would like to see more activities’ whilst a further resident said ‘I get a bit bored at times’. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 12 In discussion with the manager, it became apparent that the home is in the process of advertising for an activities co-ordinator, which will allow for a range of activities and provide the stimulation that appears to be lacking at present. There were notices placed upon the notice board within the home informing residents of a planned trip to Yarnton nurseries and Bingo on Thursday afternoons. It is recommended that recruitment for an activities co-ordinator should be of high priority in order to allow the residents some choice in following their recreational interest and needs and to provide stimulation as opposed to the monotony as was voiced and observed during the inspection. Mayott House DS0000013160.V282241.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): The inspector did not make a judgement on the outcomes in this section as all the standards were assessed during the last inspection in October 2005. EVIDENCE: Mayott House DS0000013160.V282241.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): 21 and 26 There are clearly marked, accessible toilets and bathing facilities for residents close to the lounge and dining areas, and toilets are within close proximity to their private accommodation. The home presents as clean, hygienic and free from any offensive odours throughout EVIDENCE: The home generally presents as clean and tidy with a homely atmosphere. Fruit bowls containing fresh fruit were placed around the home for residents to enjoy. There are sufficient bathrooms and WC’s easily accessible to residents however it was recommended that a tablets of soap found in a couple of bathrooms be removed in order to prevent the possibility of cross infection and paper towels be supplied in the dispensers at all times. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 15 When touring the building, it was noted that the worktops in the kitchenette areas were grubby looking and badly stained; the manager informed the inspector that the worktops were to be refurbished throughout the home and was allowed for in the 2006 budget. Mayott House DS0000013160.V282241.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): 28, 29 and 30 The home has a thorough recruitment process to ensure that residents are in safe hands, which are generally adhered to. EVIDENCE: Recruitment systems were seen to be in place and were of good quality. A sample of 4 staff files was viewed and generally all relevant documentation was present, however there was one file, which only contained one references and not two as is required for which a requirement has been made. All relevant CRB (criminal records bureau) checks are undertaken before a member of staff is offered employment. Personnel files were seen to be appropriately stored. The manager reported that each employee had received a copy of the General Social Care Council Code of Practice and staff members spoken to during the inspection verified this. All new members of staff undergo induction training, upon appointment to their posts, and are offered ongoing training and encouraged to undertake the National Vocational Qualification (NVQ) in care, which equips them to meet the assessed needs of the residents within the home and allow for personal development. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 17 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): 35 Systems are in place within the home, and adhered to, in order to safeguard the resident’s financial interests. EVIDENCE: The day-to-day administration of managing finances is carried out by the home’s administrator. The inspector met with the administrator and discussed the management of the residents’ finances. The systems and records were examined and found to be in good order and provided a clear audit trail to safeguard the residents’ financial interest. The home has a policy of not acting as appointee for any resident. There are secure facilities provided for the safekeeping of money and valuables. Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 18 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 X X 3 X X X 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 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X X 3 STAFFING Standard No Score 27 X 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 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 OP7 Regulation 24(1)a Requirement The home must ensure that when reviewing car plans and risk assessments all relevant details be logged appropriately. The manager must follow up on a further reference for the identified member of staff and confirm to CSCI by 11/2/06 The manager must ensure that staff do not commence duties until 2 satisfactory references have been received. Timescale for action 28/02/06 2 OP29 19 schedule 2 19 Schedule 2 06/02/06 3 OP29 06/02/06 Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 20 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 OP12 Good Practice Recommendations It is strongly recommended that every effort should be sought to provide daily activities to provide stimulation and meet the residents recreational interests and needs. It is good practice recommendation to ensure hand towels and liquid soap are available to residents in all communal bathing and toileting facilities. It is recommended that worktops in the kitchenette areas be refurbished. 2. OP21 3. OP26 Mayott House DS0000013160.V282241.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. 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