Inspection on 13/07/05 for Meadow Park

This inspection was carried out on 13th July 2005.

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 Park 17/07/07

Meadow Park 22/05/06

Meadow Park 23/01/06

Meadow Park 31/01/05

Meadow Park 14/04/03

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Meadow Park Choppington Road Bedlington Northumberland NE22 6LA Lead Inspector Jim Lamb Unannounced 13 July 2005 09:30 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 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 Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Meadow Park Address Choppington Road Bedlington Northumberland NE22 6LA 01670 829800 01670 829006 meadowpark@barchester.com Barchester Healthcare Homes Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Kathleen Kilpatrick CRH 61 Category(ies) of DE(E) Dementia -over 65 (32) registration, with number OP Old age (29) of places Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 31.1.05. Brief Description of the Service: Meadow Park is a purpose build home situated on the edge of Bedlington Town Centre. The home provides single accommodation with en-suite facilities for 61 older people. The accommodation is over two floors with separate units on both floors. The home is built to a good standard and the residents benefit from wide corridors, several lounges and a hairdressing facility. There is a large car park at the front of the home and well tended gardens. A range of shops, community facilities and transportation links are located nearby. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection visit. The inspection took place over 5 hours. Time was spent talking to the unit manager and the homes administrator, examining records, policies and procedures. Considerable time was spent talking to the service users and the care staff. A tour of the home was conducted. What the service does well: What has improved since the last inspection? What they could do better: Social care plans need to be devised to ensure that each individual’s recreational and social needs are fully addressed. All service users risk assessments should be agreed and signed by each individual or their representatives. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 6 The homes staffing levels must be reviewed immediately. The ratios of care staff to service users must be based on the assessed needs of the service users, and a system operated for calculating staff numbers should be in line with the Department of Health guidance. On 15.7.05. The Regional Manager confirmed that appropriate staffing levels were in place. 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 Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 5 The homes Statement of Purpose and service users guide provide potential service users with details of the services the home is providing. Detailed written contract / statement of terms and conditions are provided for all service users. Service users needs are assessed prior to admission. Service users and their relatives are invited to visit the home prior to admission. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Two service users interviewed confirmed they had been given copies of the guide. These are available in large print. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 9 The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Four service users interviewed confirmed they had a copy of their individual contract. Three service users’ files were checked and on each were a copy of a full needs assessment. These were carried out by the referring social worker and for those self-funding by the registered manager. They did contain a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. Nine service users interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All service users are invited to visit the home prior to admission to meet other service users and staff. Overnight stays can also be arranged. Unplanned admissions are avoided where possible. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 Arrangements are in place to ensure that the health and personal needs of the service users are identified and met. Social needs are not fully identified; these need to be addressed to provide daily variation and interest for the service users. There is a consistent care planning system in place to provide staff with the information they need to meet the needs of the service users. The medication system is well-managed promoting good health. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. It is recommended that risk assessments are agreed and signed by service users or their representatives. Each service user has an allocated key worker. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 11 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Social care plans need to be implemented, these should clearly state each individual’s social interests and hobbies and how these will be met. Self-advocacy is promoted, service users can access a range of external agencies that promote independence, and any rights that are restricted are linked to risk assessments. Service users’ all indicated that they are able to make decisions for themselves. Medication systems are well managed and there is appropriate storage. One service users self medicates and has a lockable cabinet to store these items. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 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 standard(s) 12, 15 Links with the local community are good and support service users recreational interests and needs. Social care plans are required in order to ensure that service users specific social interests are fully met. Dietary needs of service users are well catered for with a balanced and varied selection of food available. EVIDENCE: There was evidence that each service user has the opportunity to participate in community-based activities, including visits to local shops, pubs and a local luncheon club. The service users social and recreational needs are required to be documented within each individual’s care records. All service users are supported to maintain very close links with their families. The service users confirmed that they are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 13 The inspector observed staff interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. The catering staff were aware of the individual dietary needs of the service users. The service users said that the food was very good. Nutritional assessments have recently been introduced and service users weights are monitored. A range of special diets can be catered for. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. The staff had good knowledge and understanding of adult protection issues, which protects service users from abuse. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Since the last inspection visit, the home had received 4 complaints, 3 had been appropriately resolved and 1 is currently under investigation. Four service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. One of the service users spoken to who had made a complaint in the past said these had been dealt with fairly. The home does keep a record of complaints. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 15 The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Staff confirmed that they had received Adult Protection Training. The Home maintains detailed financial records on behalf of the service users. There was evidence of personal spending and receipts are kept. The cash balance held for two service users was checked, both were found to be correct. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The standard of the environment within the home is good providing service users with an attractive and homely place to live. The communal and personal space suite the needs of the service users. The home is clean, hygienic and comfortable. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. Nine service users interviewed did say it was homely and comfortable. The grounds were tidy, safe, attractive and accessible. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 17 Service users said that they could see visitors in private in their own rooms. The dining areas are large enough to cater for all service users. There are several smoke-free sitting rooms. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors were labelled and had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. All bedrooms are single and have en-suite facilities. Service users’ bedrooms checked all had opening windows with restrictors fitted. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators were low surface temperature and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The kitchen was clean and well-organised, stock levels were good and appropriate checks are maintained. The laundry facilities appeared to be well organised, washing machines have the specified programme to meet disinfection standards. During the tour of the home, chemicals were found to be stored in a bathroom on the ground floor; these were removed immediately to a safe area. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 The deployment and numbers of staff available is not sufficient to meet the needs of the service users. The procedures for the recruitment of staff are robust and provide safeguards to offer protection to the service users. EVIDENCE: Staff levels on the day of the inspection did not meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were not on duty. The rotas revealed staff shortages were common practice particulary during the night ; 5 night staff are required, for several months there has been 4. The Moore unit is registered for 22 MPE, currently there are 3 staff between 8am and 6pm, from 6pm to 10pm there are 2 staff on duty, 3 are required. Because of the high dependency levels of the service users it may be necessary to increase the number of staff from 3 to 4 during peak times of the day. The Residential Staffing Forum Grid should be implemented to identify the correct number of staff required. On completion a copy must be forwarded to the CSCI. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 19 No Bank staff are currently available, hence existing staff are having to cover sickness and annual leave. Some staff have been working 14 hour shifts and their days off, they informed the inspector that although this was voluntary they felt obliged to do so. The inspector spoke with the Regional Director regarding staffing levels in the home, he was unaware of the current situation and has agreed to discuss these issues with the Registered Manager on her return to work and address staffing levels within 7 days. Written confirmation will be forwarded to the Lead Inspector. On the 15.7.05. the Regiional Director informed the inspector that the required staffing levels were now in place. A follow up inspection will take place to ensure that appropriate staffing levels are being maintained. All the staff were over 18 years of age and those left in charge were at least 21. The home has a thorough recruitment process which includes obtaining two written references, obtaining full employment histories and checking gaps in these, a criminal records check, medical checks, obtaining proof of ID and of any qualifications. Staff confirmed these processes occurred and that they received statements of terms and conditions. Staff interviewed confirmed they receive three days paid training. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Service users financial interests are well managed. The health and welfare of the service users is protected. EVIDENCE: 35, 38 Staff interviewed were clear about the their responsibilities and were able to describe how they promoted the health and welfare of the service users. Service users are informed when inspections take place and Copies are on display for relatives/others to see The Company has developed a range of new policies and procedures which have been linked to the National Minimum Standards. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 21 The records inspected were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 1 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x 3 3 x x 3 Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement Timescale for action 1.9.05. 2. 3. 7 27 15 18 Service users social and recreational needs are required to be implemented within each individuals care records. Risk assessments should be 1.9.05. agreed and signed by service users or their representatives. The home must ensure that 20.7.05. staffing levels are adequate at all times of the day to meet the assessed needs of the service users. 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 Good Practice Recommendations No recommendations were identified. Meadow Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Park B53-B03 S55016 Meadow Park V233132 130705 Stage 4.doc Version 1.30 Page 25 - 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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