Inspection on 12/10/05 for Meadow Bank Care Home

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Meadow Bank Care Home 27/01/09

Meadow Bank Care Home 01/02/07

Meadow Bank Care Home 16/01/06

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22 Sandown Road

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Park View (15)

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

CARE HOMES FOR OLDER PEOPLE Meadow Bank Care Home Meadow Bank Care Home 1 Bowes Terrace Dipton Stanley Co Durham DH9 9HP Lead Inspector Stephen Willcock Unannounced Inspection 12th October 2005 11.00 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 Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 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. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Meadow Bank Care Home Address Meadow Bank Care Home 1 Bowes Terrace Dipton Stanley Co Durham DH9 9HP 01207 570508 01207 503587 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) Lifestyles - Care & Support Ltd Karen Jacques Care Home 14 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (12), Physical of places disability (1) Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Meadowbank Care Home is registered with the Commission for Social Care Inspection as a care home providing personal care and accommodation for up to 14 older people. There are currently variations to the registration in place to allow the admission of two named people with a learning disability and one named person with a physical disability. Meadowbank is situated in the village of Dipton, near Stanley and is owned and operated by Lifestyles Care and Support Limited who took over the running of the home in 2005. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 12th October 2005 over a period of 6 hours. During the inspection time was spent talking to service users, staff and management of the home. A number of records were looked at and the grounds and building itself were inspected. Discussions with service users and found a high degree of satisfaction with the care provided and the rapport that had developed between themselves and the staff. Comments made by service users were positive and indicated that their independence was encouraged. One service user said he often came to the home for a short break and said he, “liked it very much”. Another service user commented, “Since I have been here everyone has been good to me”. There was an atmosphere of change at the home as it had recently been taken over by a new owner and therefore new ways of working were being introduced. The management of the home can now look forward to receiving support and guidance from an experienced and larger organisation. What the service does well: What has improved since the last inspection? Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 6 Since the last inspection the manager has made good effort to meet the requirements and recommendations made at the last inspection. This included the movement of the laundry area to a more convenient location and the redecoration of the whole house. 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. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 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 Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 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, and 6 The home provides information to service users and carries out assessment to ensure that the home will meet the service users needs. EVIDENCE: The manager of the home produced a statement of purpose and a Service Users Guide that contained information to assist prospective service users decide whether to live at the home or not. The manager said that service user contracts were currently being rewritten as the home had recently changed ownership and the new contracts would reflect this change. Assessment documents completed prior to the service user being admitted to the home were seen and included the managers and social workers assessments. The manager said that daily assessments were also carried out and the placement was reviewed after a six-week trial. The home did not provide intermediate care. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 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 and 11 The home strives to meet the personal and social care needs of service users, and regular assessment of health is carried out. EVIDENCE: Individual service users care plans were looked at and found to contain relevant details and information to assist staff to provide the correct level of care. There was evidence of regular review of the care plans including risk assessments. Service users files contained details of regular contact with healthcare professionals including local doctors, opticians and chiropodists. In discussion, the manager said that arrangements to be carried out in the event of death were recorded and that relatives had been involved in the process that was carried out sensitively with dignity and respect. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 10 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 13 The home provides a range of opportunities for service users to enjoy their preferred social activities and welcomes visitors. EVIDENCE: The manager was able to give details of various social activities enjoyed by service users at the home and was in the process of preparing a Halloween party. Visits to the local Cricket club were often and since the change of ownership of the home, service users were given the opportunity of visiting other homes within the Lifestyles group. The manager said that the service users particularly enjoyed the regular visits of local schoolchildren who gave singing performances. In discussion, one service user said, “I like the trips out” and “I take part in activities, darts, skittles, when I want to”. The manager said that visitors to the home were welcomed at any time as long as the service user wanted it and that there were no restrictions. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 11 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 The home operates a complaints policy that is accessible to service users and has implemented procedures to protect service users from abuse. EVIDENCE: A complaints policy and procedure was in operation at the home and details of how to complain were contained within the Service User Guide and displayed on the notice board. In addition, an informal complaints book was also available. In discussion, service users said they felt confident that any complaint they had would be dealt with properly and that they knew how to complain. Staff at the home had completed training in Abuse Awareness and the Protection of Vulnerable Adults. However it was advised that the Adult Abuse policy needed further development to link it with the Abuse strategy ‘No Secrets’. It was also noted that the manager had implemented a robust procedure when dealing with service users finances. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 12 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, 25 and 26 The home provides a safe and secure environment that is currently being improved. EVIDENCE: At the time of the inspection the home was in the process of being redecorated throughout. The manager said that service users had made chosen the décor although one service user did not want his room to be redecorated. New carpets were also to be fitted as part of the decorating programme. One service user raised a concern about access to the home as he was a wheelchair user and although a ramp was in place outside the front door, he said that it was sometimes difficult to get over the doorframe going from the home. This was raised with the manager for consideration, although another service user had concerns that an internal ramp would cause other problems. Although the home was being decorated, there was little disruption to the service users and safety was being maintained. It was noted that mops and buckets that were stored together were not clearly identified for the area of Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 13 use and it was advised that they should be clearly labelled. It was also noted that fresh vegetables were being stored in the open, outside. It was advised that a more suitable method of storage be found to avoid spoilage. The home was clean, tidy and free from odour although service users were permitted to smoke in the entrance corridor, as there was no other area that was available as a smoking room. Service users were happy with this and were seen to be enjoying each other’s company and chatting. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 14 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): 29 and 30 The home has robust recruitment practices and encourages the development of staff competencies through training. EVIDENCE: The recruitment and selection of staff to the home was carried out in accordance with the organisations recruitment policies. Staff files were seen to contain relevant details and appropriate records. The manager was able to explain the process and demonstrated good knowledge of the Criminal Records Bureau and protection of vulnerable adult (POVA) checks. A staff training plan was in operation and training sessions in fire safety had recently been carried out. Further training in Moving and Handling, Learning Disability Awareness and Abuse Awareness were planned. The manager said that staff had also taken part in the Focus on Food programme with a local hospital dietician and the knowledge gained had been implemented when producing menus. Study leading to NVQ2 and 3 was ongoing and a number of staff had already achieved the qualification. The manager said that one staff member had also considered continuing to NVQ4. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 15 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 The home is managed in a competent and friendly manner. EVIDENCE: The manager is currently studying for NVQ4 in care and is to proceed to do the Registered Managers Award. In addition, the manager is engaged in a management course and already holds NVQ3 in care. In discussion the manager said that since taking up the post she has made improvements to the systems in place at the home and was working to meet the requirements and recommendations made at the last inspection. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 16 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X X Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5 Requirement The registered person must provide each service user with a statement of terms and conditions or contract. The registered person must amend the Adult Abuse policy to link with the Protection of Vulnerable Adults protocol ‘No Secrets’. Timescale for action 31/12/05 2 OP18 13 31/12/05 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 OP25 OP25 Good Practice Recommendations The manager should make arrangements for mops and buckets to be clearly identified for their area of use to avoid cross contamination. The manager should make arrangement for better storage of vegetables. Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Meadow Bank Care Home DS0000062793.V255815.R01.S.doc Version 5.0 Page 19 - 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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