Inspection on 23/01/06 for Meadow Park

This inspection was carried out on 23rd 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 Park 17/07/07

Meadow Park 22/05/06

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 23rd January 2006 09:30 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 DS0000055016.V268400.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. DS0000055016.V268400.R01.S.doc Version 5.0 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 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 DS0000055016.V268400.R01.S.doc Version 5.0 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. 13th July 2005 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. DS0000055016.V268400.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. The inspection lasted three hours. Time was spent with the homes registered manager and talking to service users and one member of staff. Three service users care records were examined together with other records relating to the running of the home including, the homes policies and procedures. What the service does well: What has improved since the last inspection? The home has introduced very good social and recreational assessments of service users individual needs. The homes increased staffing levels contribute to safeguarding the service users welfare and wellbeing. A refurbishment programme has commenced and those areas completed have been carried out to a very high standard. DS0000055016.V268400.R01.S.doc Version 5.0 Page 6 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. DS0000055016.V268400.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 DS0000055016.V268400.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): 24 All service users are provided with a written contract/statement of terms and conditions. Service users are provided with adequate information about the home prior to admission. Staff have a range of skills, experience and knowledge needed to meet the assessed needs of the service users. 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. Three service users’ files were checked and on each was a copy of a full needs assessment. 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. DS0000055016.V268400.R01.S.doc Version 5.0 Page 9 The service users interviewed said their needs were met and they were happy with the care offered to them. Staff interviewed had had a range of relevant training and experience, over 60 of the staff has an NVQ level 2/3 qualifications. DS0000055016.V268400.R01.S.doc Version 5.0 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 the following standard(s): 7 10 11 The service users care plans are maintained to a good standard, individual’s needs are evaluated each month. The service users confirmed that they are treated with respect. The home has detailed procedures in place for death, dying and palliative care. It is recommended that staff receive additional training for illness, dying and palliative care. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. DS0000055016.V268400.R01.S.doc Version 5.0 Page 11 New holistic care plan formats are about to be introduced. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ all indicated that they are able to make decisions for themselves and felt that staff respected their rights as individuals. DS0000055016.V268400.R01.S.doc Version 5.0 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 the following standard(s): 13 14 All service users are supported to maintain contact with their family and friends. The service users interviewed said that they were supported to make decisions for themselves and exercise choice. EVIDENCE: Each service user has life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. The service users continue to have access to a range of community-based services and activities. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. The inspector observed staff interacting in a sensitive and respectful manner with service users. DS0000055016.V268400.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 The home operates very robust procedures for the protection of service users. POVA training is on going for all staff employed. Service users are confident that their concerns are listened to and acted upon. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It does contain details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. Three 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. The home does keep a record of complaints. Since the last inspection visit there have been four complaints received, all were appropriately investigated and resolved to the satisfaction of the complainants. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users, there was evidence of personal spending and receipts are kept. DS0000055016.V268400.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection; all standards were met at the previous inspection visit. EVIDENCE: Significant refurbishment has recently commenced and those areas already completed have been carried out to a very high standard. DS0000055016.V268400.R01.S.doc Version 5.0 Page 15 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 28 30 Appropriate staffing levels are in place to meet the assessed needs of the service users. There is a good staff training and development programme in place, which meets the NTO training targets. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Staffing levels were found to be appropriate, the required numbers of staff were on duty: Moore unit 3 staff between 8am and 9pm. Residential units: 5 staff between 8am and 6pm, 4 staff until 9pm. Between 9pm and 8am, 5 night staff. Staff and service users spoken to said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions. The training records examined demonstrate that the company are very committed to staff training and development. In addition to NVQ and statutory training, all staff is provided with a wide DS0000055016.V268400.R01.S.doc Version 5.0 Page 16 range of other training courses such as; Parkinson’s awareness, nutritional needs, Dementia care, infection control etc. The induction-training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. It was confirmed that staff receive three days paid training. DS0000055016.V268400.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 37 The manager has completed the registered managers award. Detailed records are maintained of the service users personal allowance records. The manager is aware that the staff supervision sessions have fallen behind the required time-scales, she will endeavour to rectify within the next few weeks. Service users records are secure and comply with the Data Protection Act. EVIDENCE: The registered manager has many years experience in senior management, in the last year all of the staff team have attended several courses to keep themselves up to date. DS0000055016.V268400.R01.S.doc Version 5.0 Page 18 Staff interviewed were clear about the their responsibilities. Service interviewed spoke positively about the manager saying she had encouraged them to contribute to the development of the service. Service users are informed when inspections take place and have access to inspection reports. Copies are available for relatives/others to see The organisation has developed a range of new policies and procedures which have been linked to the National Minimum Standards. All records are secure and maintained in accordance with the Data Protection Act. The records inspected were found to be appropriately completed, these included the homes quality assurance systems, waterlow assessments,risk assessments, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable. DS0000055016.V268400.R01.S.doc Version 5.0 Page 19 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 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 2 3 X DS0000055016.V268400.R01.S.doc Version 5.0 Page 20 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 Op 36 Regulation 18 (2) Requirement Provide staff with regular supervision sessions within the required time-scales. Timescale for action 01/02/06 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 Op 11 Good Practice Recommendations Provide staff with illness, dying/palliative care training. DS0000055016.V268400.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office 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 DS0000055016.V268400.R01.S.doc Version 5.0 Page 22 - 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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