Inspection on 17/07/07 for Meadow Park

This inspection was carried out on 17th July 2007.

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 22/05/06

Meadow Park 23/01/06

Meadow Park 13/07/05

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 Inspection 17th July 2007 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 Meadow Park DS0000055016.V343474.R01.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. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow Park Address Choppington Road Bedlington Northumberland NE22 6LA 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) 01670 829 800 01670 829 006 meadowpark@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Limited Mrs Kathleen Kilpatrick Care Home 61 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (29) of places Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named resident is under 65 years of age. Should this person leave the home the original registration condition will prevail. 22nd May 2006 Date of last inspection 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 resident’s 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 DS0000055016.V343474.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary: How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 17.7.07 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: Service users, where able, described good relationships with the staff and said they were all polite and always helpful. Staff were friendly and relaxed and showed a good understanding of the service users needs. Arrangements for service users to maintain contact with their family and friends are good. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 6 Visitors confirmed that they are always made welcome and kept informed and involved. One visitor said, “I am extremely happy with the care provided, this is an excellent service, and my relative has settled in very well”. A variety of social activities were available providing service users with varied and interesting days. The service users also have access to the community disability garden that is located near to the home. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of those spoken to were pleased with the quality and choice available. Hygiene practices were good protecting the health of service users and staff. The home is well staffed with a skilled, consistent and trained staff team giving security to service users. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect service users. The staff had a good understanding of service users individual needs. More than eighty percent of staff is qualified to National Vocational Qualification in Care level 2 (NVQ) or above providing service users with a trained, skilled staff team. The service users were very complimentary about the staff. One said, “This is lovely place, the staff are very kind and helpful”. Another said, “There is always something to do, I am never idol for long”. One other said, “I have made lots of friends here, the staff treat us like royalty, whatever you ask for, you can have”. What has improved since the last inspection? Refurbishment has continued throughout the home, and a capital grant application has been approved, this will finance the total refurbishment of the first floor living spaces. New care plan formats have been introduced, and these address the holistic needs of the service users. The service users on the Moore unit have recently acquired a pet rabbit, and they are all involved in taking care of her. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 7 In conjunction with Mind Active, a residents committee has been established, and relatives are also involved. The group decide on the type of activities they want, outings, and group involvement in the local community. 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. The summary of this inspection report can be made available in other formats on request. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 8 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 Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with enough information about the service to enable them to make a choice about where they want to live. All service users are appropriately assessed prior to admission into the home. All are provided with a written contract explaining their terms and conditions with the home. Intermediate care is not provided. 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. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 10 The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Three service users’ files were checked and each included a full needs assessment. They contained a range of appropriate information, and the homes pre admission assessment details were also included. The three 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. The service users feedback cards all showed their needs were met and they were happy with the care offered to them. The staff interviewed, confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear enough to ensure that staff has the information they need to meet the assessed needs of the service users. Service users are supported to make decisions about their lives, and take risks to promote their independence. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. These have been agreed and signed by service users and their representatives. There are advocacy arrangements, as well as family input, to represent service users. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 12 Each service user has an allocated key worker. Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis. The new care plan formats are good, it was observed that the monthly evaluations were being recorded in the wrong section; the manager immediately took appropriate measures to rectify this oversight. There are good systems in place to ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Staff who have completed relevant training administers medication. A sample of medication records was examined. These include service users photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. Three service users said, “Medication is supplied correctly and at the right times”. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. Staff encourages and support service users to promote their independence. Any rights that are restricted are linked to risk assessments. Service users’ feedback cards all showed that they are able to make decisions for themselves, and that they are generally happy with the care that they receive. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The meals in the home are good, offering both choice and variety. The service users have opportunities for personal development and leisure activities. They are supported to maintain very good links with the community and their relatives and friends. EVIDENCE: Each service user has practical life skills assessment carried out. All service users participate in this process. Service users are supported to live a normal life in the community. They are supported and encouraged to be in control of their own lives, to enjoy their own interests and hobbies. Mind Active provides a very valuable service, they visit the home several times each week, and they arrange a wide range of social activities both inside and Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 14 outside the home. The have also formed a residents committee, and invited relatives to join in. The home also employs an activities co-ordinator, and she is supported by staff to arrange activities and outings. The home is heavily involved in the Memory Lane project, currently the staff with the help of service users and their representatives, are designing memory life boxes for each service user. On completion these will be displayed outside of their bedroom doors. As part of the project, one bedroom on the Moore Unit has had the external walls transformed to resemble a house, with brickwork, window, and front door with a letterbox. In addition to this, in the corridor, they are in the process of creating and oldfashioned shop front, and although not completed, it is already looking very authentic. The unit also has a very realistic reminiscence lounge that the service users enjoy. The service users on this unit, take a great deal of interest in the new pet rabbit, and some are helping to look after her. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. Some service users are involved in light housekeeping tasks. The Home’s menus are based on the known likes and dislikes of the service users. At least three hot meals are provided each day, the menus have recently been revised and the service users were involved in this process. Service users interviewed, said that the meals were generally very good. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaints system and service user’s views are listened to and acted upon. Procedures are in place to protect service users from harm, and these are followed. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Service users said that they had been given copies of the procedure and that staff listened to their complaints and dealt with them fairly. The home keeps a record of complaints. Since the last inspection visit, there have been a number of complaints, the majority were investigated and resolved by the registered manager. The Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 16 Regional Manager investigated two other more serious complaints, and as a result of these investigations, improvements have been made within the home. The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. The home also has a copy of the Department of Health’s document, “NO SECRETS”. Safeguarding Adult training is ongoing for all staff. Service users can deposit cash for safe keeping in the home’s safe and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Regular checks of balances and cash are carried out. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 22 24 25 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for those living there. The standard and decoration within the home is generally good. Some areas still need to be improved. Communal areas and bedrooms are large, and meet the service users needs. All areas within the home are well maintained, clean, tidy and free from offensive odours. EVIDENCE: The home was clean, well decorated and well maintained. The home is in a residential location. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 18 The grounds were tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms, or make use of the visitors lounge. There are a number of smoke-free sitting rooms and there is a designated smoking lounge for service users on the first floor. Furnishings and fittings were domestic in design and in good condition. The first floor communal living spaces will be refurbished this year. Lighting was bright and domestic in design. Doors have privacy locks. Room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms have opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. All bedrooms have en-suite facilities. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The laundry facilities are well organised and extremely clean and tidy. The inspector observed a drawer of full of communal stockings and tights. They were informed that this must cease immediately; there is little dignity or respect in this practice. The manager and the laundry assistant disposed of all stock immediately, and reassured the inspector that this practice will not happen again. The washing machine has the specified programme to meet disinfection standards. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff offering consistency of care within the home. There are robust procedures in place for the recruitment and selection of new staff, which helps to protect service users. The staff receives supervision and this provides them with a good understanding of the service users support needs. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas showed the required numbers of staff were on duty: In addition to the manager, there are 6 care staff and 2 senior staff between 8am and 9pm, with 5 between 9pm and 8am. All the staff were over 18 years of age and those left in charge were at least 21. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 20 Several staff were interveiwed during the course of the inspection, all were extremely friendly and helpful, they were knowlegeable about procdeures and had a very good awareness of the service users needs. Training needs of staff are identified in supervision and appraisal sessions. The training programme meets The National Training Organisation requirements for the first six months. Staff said they receive three days paid training. The service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The systems for service users’ consultation are good, and service user’s views are both sought and acted upon. The health and safety of the service users is promoted. The service is aware of equality and diversity and its implications. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has many years experience in senior management, she has the skills and knowledge necessary to manage the service well, she also has the registered managers award. Staff interviewed were clear about their responsibilities, they spoke positively about the manager saying she had an open door policy, and was always willing to listen to new ideas and suggestions. The home continues to operate a good quality assurance system based on the views of service users, relatives and professionals. Information is collated and outcomes recorded in the homes annual development plan. Barchester Health Care, have arranged for all senior staff within the company to attend Equality and Diversity training, and this will also be cascaded to all staff in the near future. Service users are told when inspections take place and they are shown inspection reports. Copies are available for relatives and others to see. There is a health and safety policy and range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control. Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. Accident reporting was suitably recorded and analysis of accidents is carried out. Water storage tanks, gas and electrics are checked annually. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 23 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 24 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 OP26 Good Practice Recommendations To avoid the risk of cross infection and to maintain service users dignity and respect, the practice of sharing stockings and tights must not recommence. Meadow Park DS0000055016.V343474.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000055016.V343474.R01.S.doc Version 5.2 Page 26 - 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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