Inspection on 16/01/06 for Meadow Bank Care Home

This inspection was carried out on 16th January 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

Meadow Bank Care Home 27/01/09

Meadow Bank Care Home 01/02/07

Meadow Bank Care Home 12/10/05

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Prince Bishop Court

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 16th January 2006 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.V267804.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.V267804.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.V267804.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 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.V267804.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 16th January 2006 over a period of 4 hours. During the inspection time was spent talking to service users, staff and management. A number of records were looked at and the grounds and building itself were inspected. Discussions with service users 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 suggested that the communication between the manager and themselves was good and that the staff are “always caring, patient and willing to listen”. One service user commented that he was looking forward to an arranged night out and said of the menus, “the food is lovely here, always cooked fresh”. The home was undergoing a programme of redecoration and service users commented on the improvement to the home that this had made. There were some areas that needed attention especially in a bathroom and the manager was asked to seek advice from the Fire Authority to ensure the fire arrangements in place at the home were satisfactory. The manager of the home had recently been appointed and was working well to provide a comfortable and safe environment in which service users could voice their opinions and exercise control over their own lives. What the service does well: The home provides a friendly atmosphere with supportive staff that have a good understanding of service users needs. Training is continual and included specialised courses in Learning Disability for clients who have special needs. It was noteworthy that the handyman was also included in the training programme. The manager had also planned ahead for the summer when outdoor activities could be further explored. Meadow Bank Care Home DS0000062793.V267804.R01.S.doc Version 5.0 Page 6 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. Meadow Bank Care Home DS0000062793.V267804.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.V267804.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): 4 and 5 The home ensures it can meet service users assessed needs and offers the opportunity of trial visits. EVIDENCE: In discussion, service users spoke highly of the service provided in meeting their assessed needs. Evidence was seen in service users care plans of good access to health care including opticians, dieticians and chiropody. One service user said he was looking forward to getting new dentures and that the staff had arranged a visit to Newcastle for a fitting. The home invited service users to come for a trial visit if required, before making the decision to live there permanently. Meadow Bank Care Home DS0000062793.V267804.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): 9 and 10 A satisfactory process to enable individual service users to be responsible for their medication is available, and care is provided in a dignified and respectful manner. EVIDENCE: Currently, there are no service users self-medicating. The manager was able to outline the procedure that would be followed if a service user asked to be responsible for his or her own medication. The process included a risk assessment and confirmation from the service users doctor, and if agreeable a lockable container would be provided. There was general agreement between service users spoken to, that staff at the home treated them with dignity and respect. One service user said staff provided personal care in a dignified manner and maintained good communication when carrying out these tasks. Meadow Bank Care Home DS0000062793.V267804.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): 14 and 15 The home encourages service users to retain control over their lives and food served meets with their requirements. EVIDENCE: Service users spoken to said they could make choices in their lives including when to get up and go to bed and added that there were always plenty of things to do if they wished. Service users talked of a forthcoming visit to a themed event. One service user had been active in an association and was enabled by staff to attend a presentation event. Service users said they had been encouraged to bring their own possessions to the home including furniture, and to personalise their rooms to their own tastes. Observation of the menus prepared at the home found them to be of variety and offering alternatives suggested by service users during regular menu meetings. In discussion, service users commented that “ the food is good” and “you are always asked what you would like”. The home had recently completed the Focus on Food programme and had sought advice from a dietician. Specially prepared food was available for service users who may have difficulty in swallowing. Meadow Bank Care Home DS0000062793.V267804.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): 17 The home promotes and protects the legal rights of service users. EVIDENCE: In discussion, the manager said that service users families were encouraged to conduct their relative’s legal affairs if necessary, and an advocate and social workers would also be made available. Service users were encouraged to participate in voting in local and general elections or by using the postal voting system if required. Meadow Bank Care Home DS0000062793.V267804.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): 20 The home provides a comfortable and well-maintained environment although some improvements can be made. EVIDENCE: The home had recently begun a programme of redecoration that was currently still being carried out. Furnishings were comfortable and homely and service users made use of the smoking area between the lounge and dining room. The kitchen area needed some updating as the kitchen cupboards and workbenches were showing signs of wear. It was also noted that some chopping boards were scored, and should be replaced and stored correctly. It was observed that a bathroom was in need of some attention as there was a strong odour present. Meadow Bank Care Home DS0000062793.V267804.R01.S.doc Version 5.0 Page 13 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 and 28 Staffing and training are arranged to suit service users needs and safety. EVIDENCE: Staffing levels at the home remain constant and are complemented by long serving staff members. Currently the home employs 15 care staff with additional catering staff in support. Recently the night staffing arrangement was changed to have two waking night duty staff. This was done to meet the identified needs of one of the service users. The majority of staff members have achieved NVQ 2 in care and three staff members are progressing towards NVQ3 in care. The manager said all staff members had completed the Protection of Vulnerable Adults (POVA) course and were currently studying for the Learning Disability Awareness Foundation (LDAF) course. It was noted that training was extended to the home’s handyman who had also completed POVA, LDAF and Moving and Handling courses. Meadow Bank Care Home DS0000062793.V267804.R01.S.doc Version 5.0 Page 14 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): 33, 35 and 38 The home is run in the best interests of service users and financial affairs are safeguarded. Further advice should be sought to ensure the safety of service users in the event of fire EVIDENCE: In discussion, a service user commented that life at the home was more relaxed than it used to be and that he felt he could make choices about how he wished to live and receive care. The service user said that if he had any issues about how the home was run, he would speak up during a residents meeting or speak to the manager directly. Regular monthly visits to the home by a senior manager were conducted, and records of their findings were made available to the Commission for Social Care inspection. The manager said the home looked after some of the service users financial arrangements but encouraged their families to be responsible for most Meadow Bank Care Home DS0000062793.V267804.R01.S.doc Version 5.0 Page 15 financial and legal affairs if possible. Records of service users financial transactions were accurately recorded. An independent advocate was available and currently one service user had used this service. Home maintenance records were seen to be up to date and records of fire drills and safety checks were in place. However, it was advised that the manager should consult with the Fire Authority to ensure that the arrangements for evacuation of the building in the event of a fire are satisfactory. Meadow Bank Care Home DS0000062793.V267804.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 X X X 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X 2 X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Meadow Bank Care Home DS0000062793.V267804.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP38 Regulation 23 Requirement The registered provider must consult with the Fire Authority to ensure the arrangements in place are satisfactory. Timescale for action 28/02/06 2 OP20 23 The registered provider must 28/02/06 ensure the bathroom is free from odour. 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 OP20 Good Practice Recommendations The manager should make arrangements for the repair of kitchen cupboards and workbenches and the replacement of chopping boards that are scored. Meadow Bank Care Home DS0000062793.V267804.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.V267804.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. 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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