Inspection on 15/05/07 for Meadow`s Court

This inspection was carried out on 15th May 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`s Court 25/10/06

Meadow`s Court 06/12/05

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Meadow`s Court Old Church Street Aylestone Leicester Leicestershire LE2 8ND Lead Inspector Martin Hefferman Key Unannounced Inspection 15 May 2007 09:00 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`s Court DS0000064391.V339533.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`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow`s Court Address Old Church Street Aylestone Leicester Leicestershire LE2 8ND 0116 2248888 0116 2248888 meadows@hicare.co.uk www.hicare.co.uk HiCare Limited 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) Mrs Honor Dalzell Ms Maureen Cullen Care Home 66 Category(ies) of Dementia (66), Dementia - over 65 years of age registration, with number (66), Mental disorder, excluding learning of places disability or dementia (66), Mental Disorder, excluding learning disability or dementia - over 65 years of age (66), Old age, not falling within any other category (66), Physical disability (65), Physical disability over 65 years of age (65), Sensory impairment (2), Sensory Impairment over 65 years of age (2) Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Meadow’s Court is registered to provide personal care for male and female residents in the following categories: Old age not falling within any other category (OP) 66, Sensory Impairment over 65 years of age (SI(E)) 2, Sensory Impairment (SI) 2, Dementia over 65 years of age (DE(E)), Dementia (DE) 66, Mental disorder excluding learning disability or dementia over 65 years of age (MD(E)) 66, Mental disorder excluding learning disability or dementia (MD) 66, Physical disability over 65 years of age (PD(E)) 65, Physical disability (PD) 65 No persons falling within the category SI(E) or SI can be accommodated at Meadow’s Court when 2 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category DE between 40 and 54 years of age may be admitted when 11 people within this category and age group already reside at the home. No person falling within the category MD between 40 and 54 years of age may be admitted when 11 people within this category and age group already reside at the home. No person falling within the category PD between 40 and 54 years of age may be admitted when 11 people within this category and age group already reside at the home. No persons under 40 years of age, falling within categories SI, MD, DE or PD may be admitted to the home. No service user within the category PD or PD(E) may be admitted to room 9. 25th October 2006 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Meadows Court Residential Home is registered to provide care for up to 66 people with a range of needs. The home is situated in a quiet residential area of old Aylestone village. It is a short walk away from a main road and bus routes in and out of the city centre. Residents’ rooms are situated on both the ground and first floors. A choice of lounges and dining rooms is available. All areas of the home are accessible. There is a pleasant landscaped garden to the rear of the building with aviary, pond and seating. At the time of the inspection, fees ranged from £410 to £450 per week. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to Meadow’s Court took place on 15th May 2007, lasting approximately seven and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who live at the home and tracking the care they receive through review of their records, discussion with them & staff and observation of care practices. The records relating to a third person who had recently left the home were also inspected. Five residents were spoken to during the course of the visit. The inspection also took account of all information received since the date of the last visit. No comment cards had been received at the time of writing this report. What the service does well: 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 Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment practices are effective ensuring that residents’ needs are identified before they move into the home. EVIDENCE: Copies of the home’s Statement of Purpose and the last inspection report are displayed in the hallway. Information about Meadow’s Court is also available in residents’ rooms. The area manager stated that they were in the process of updating the Statement of Purpose to reflect recent changes to the registration of the home. She agreed to forward a copy to the Commission as soon as it was completed. Copies of assessments completed by social workers were available for the people who were chosen for the purposes of case tracking. The home had also completed its own assessments of their needs before they moved in. Meadow’s Court does not provide intermediate care. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. 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. Staff members have access to the information they require to ensure residents’ health & personal care needs are met. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. Records indicate that they have been kept under review. Risk assessments have also been completed. The assessments that were inspected contained sufficient detail to enable anyone reading them to be aware of the precise nature of the risk (a recommendation from the last inspection). Individual plans contain details of any health care needs that have been identified and of any action that is felt to be necessary as a result. Records are kept of all appointments with health care professionals. They indicate that district nurses have been involved in the care of residents who are at risk of developing pressure sores. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 10 None of the people who were chosen for the purposes of case tracking were able to manage their medication. Records have been kept of all medicines received into the home, administered to residents and returned for disposal. An error in one of the administration records that were inspected was brought to the attention of a senior member of staff. Residents stated that they are treated with respect. They reported that staff members generally knock & wait for a response before entering their rooms. The registered manager stated that she would speak to a staff member who failed to do this at the time of the visit. It was noted that staff members use residents’ preferred form of address, which is recorded in their individual plans. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Arrangements for daily life & social activities are well managed and meet residents’ expectations. EVIDENCE: Residents stated that they enjoy the social activities that are provided. A number of people talked favourably about a recent May Day celebration. Plans for future events included a tea dance, a barge trip and a garden party. Several people stated that they enjoy weekly keep fit sessions and bingo. The home has an active residents’ committee, which met on the day of the visit. Residents were offered the opportunity to suggest any activities that they would like to undertake. The area manager informed those attending the meeting about the acquisition of an additional vehicle, which would be available if they wished to go out. Residents stated that family and friends are welcome to visit at any time. A number of people received visitors during the course of the inspection. Some residents visit shops and other local facilities independently whilst staff members support others to do so. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 12 Residents stated that they are able to determine their own daily routine, deciding, for example, when to get up & to go to bed, whether or not to participate in activities and where to have their meals. They reported that they generally enjoy the meals that are provided and that they are always offered a choice. One person stated that the choice available for breakfast was particularly good. Records indicate that residents receive a varied diet. The registered manager stated that she would speak to a member of staff who offered a resident her soup in a bowl when she requires a mug. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. 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. Arrangements for dealing with complaints and for responding to allegations of abuse help protect residents’ rights. EVIDENCE: Residents stated that they would discuss any concerns with staff members or managers. They were offered an opportunity to raise any concerns during the course of a residents’ meeting, which took place on the day of the visit. The area manager took appropriate action following the meeting to address the issues that had been raised. The complaints procedure is set out in the home’s Statement of Purpose. The area manager agreed to amend the procedure to reflect revised guidance from the Commission regarding the handling of complaints. The home has received one complaint since the date of the last inspection. The area manager was in the process of addressing the concerns at the time of the visit. The home has a copy of the local multi-agency policy and procedures for the protection of vulnerable adults. Staff members have received training on safeguarding adults. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in clean and comfortable surroundings. EVIDENCE: Residents stated that they like their rooms and reported that they had been able to bring a number of their own possessions with them. The parts of the home that were inspected were decorated and furnished to a satisfactory standard. They were clean and free from offensive odours. Residents have access to attractive grounds, which contain raised beds, outdoor seating and an aviary. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. 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. Arrangements for recruiting and training staff are well managed ensuring residents are protected. EVIDENCE: Residents stated that there are generally enough members of staff on duty to meet their needs. The area manager agreed to talk to residents after a couple of people questioned whether there were sufficient staff at mealtimes. She stated that staff members have to assist residents in different areas of the home and so not all are present in the dining room. Staffing levels appeared to be sufficient at lunchtime on the day of the visit. Staff records indicate that appropriate pre-employment checks have taken place. New members of staff complete an induction-training programme, which is based upon the standards set by Skills for Care. The registered manager stated that nine members of care staff have obtained National Vocational Qualification level 2 and that seven were in the process of completing the award at the time of the visit. In addition, two members of staff were in the process of completing NVQ level 3. Records indicate that staff members have received training on issues relevant to their work. Recent training includes pressure area care, Alzheimer’s Disease & dementia, abuse and food hygiene. The area manager stated that they were Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 16 in the process of identifying an accredited trainer to provide moving & handling training for new staff and that in the interim the registered manager was training staff as a part of their induction. Progress regarding this issue will be checked at the next inspection. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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. 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. Residents live in a well run home. EVIDENCE: The registered manager has completed an NVQ level 2 in care and level 4 in management. She continues to maintain & update her knowledge through regular training. Comment cards are sent to residents, their representatives and staff members twice a year. The results of the surveys are published as part of a newsletter produced by the company. Regular residents’ meetings provide an opportunity for residents to raise any concerns and to be involved in discussions regarding any future developments within the home. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 18 The home maintains records of any money it handles on behalf of residents. Two members of staff had signed each entry in the records that were inspected. The monies held on behalf of two residents were checked at random and found to be accurate. Staff members have received training on a number of safe working practices. Records indicate that fire tests & drills have taken place at the required frequency. Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 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 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/a 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. Refer to Standard Good Practice Recommendations Meadow`s Court DS0000064391.V339533.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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