Inspection on 25/10/06 for Meadow`s Court

This inspection was carried out on 25th October 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`s Court 15/05/07

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 Ruth Wood Unannounced Inspection 25th October 2006 09:20 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.V316799.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.V316799.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 maureen@hicare.co.uk 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) HiCare Limited 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) Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No persons under 55 years of age, falling within categories MD, DE or PD may be admitted to the home. To admit the named person who falls within category SI as identified in variation application number 0000041017. No service user within the category PD or PD/E may be admitted to room 9. 6th December 2006 Date of last inspection Brief Description of the Service: Meadows Court Residential Home is registered to provide care for up to 66 older people. The home is situated in a quiet residential area of old Aylestone village. It is a short walk away from a main road with bus routes available. 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. Current fees at the home are £395 per week. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a weekday between 9:20 am and 5:20 pm. All communal areas were seen and some bedrooms. The inspector spoke with six residents about what it was like to live at the home and how staff supported them. The care files for some of these residents (and others) were examined and the information in them was discussed with managers and staff. Various other records were examined including those relating to staff training and recruitment, fire safety, maintenance and residents’ finances. The inspector observed how medication was given out, how lunch was served and how staff and residents interacted with each other. A keep fit session took place in the afternoon and the inspector joined this and noted how much participants enjoyed it. Several relatives visited during the day and the inspector had the opportunity to speak with three of them about their impressions of the home and the communication between staff and themselves. What the service does well: What has improved since the last inspection? The one recommendation made at the previous inspection that the outcome of balance checks on records relating to residents’ finances is noted has been met. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Meadow`s Court DS0000064391.V316799.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.V316799.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): 3 Quality in this outcome area is good. Assessment practices are effective ensuring that residents’ needs are identified before they move into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files for two new residents contained assessments of need completed by the placing social worker and an assessment completed by the home’s manager. When the placement would be reviewed and by who was also recorded. Discussion with one relative and with one resident suggested that they had received sufficient information about the home before moving in. One relative said that they appreciated being able to visit the home at anytime rather than having to make an appointment. Meadow’s Court does not provide intermediate care therefore Standard 6 has not been assessed. Meadow`s Court DS0000064391.V316799.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 Residents are treated with respect and their health and medication needs are well met. Some improvement is needed in one aspect of recording to ensure risks and the appropriate responses to them are accurately recorded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five residents’ files were examined and the information discussed with the manager, staff members and one of the residents. Three residents who had lived at the home for some time had care plans that included biographical information and details of social interests as well as information about health and personal care needs. These care plans also showed evidence of regular review. Care plans contained risk assessments; for two residents challenging behaviour was identified but its specific nature was not. A recommendation was made that risk assessments should contain sufficient detail to enable anyone reading them to be aware of the precise nature of the risk. As part of improvements to communication in the home all staff have recently received training in writing records; daily records examined were sufficiently detailed and written in appropriate language. Two staff members commented positively on the training saying that it had improved their understanding and practice in this area. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 10 All residents have access to dental, optical and chiropody services. Staff have received training in foot and nail care. The District Nurse visits twice per week and assists in monitoring any residents who may be at risk of developing pressure sores. The blood sugar levels of residents with diabetes are tested regularly in line with their individual treatment regimes. The registered manager states that the home has developed a good relationship with the Bennion Centre (local mental health unit) and is able to call on them for advice and support as required. The lunchtime medication round was observed. Those responsible for administration have received appropriate training. Medication records appeared accurate and all medication (including controlled) was stored appropriately. The senior staff member ensured that medication had been taken before she completed the record and asked residents if they wanted ‘as required’ pain relief before administering it. During the medication round the medication trolley was at times left unlocked, and out of sight of all staff members (as they were engaged giving out medication or serving food). The registered and area manager agreed to rectify this situation. Staff interaction with residents was observed both directly and indirectly throughout the inspection. At all times staff spoke to residents in a kind and respectful manner, allowing them time to reply and repeating their question if it was not initially understood. Meadow`s Court DS0000064391.V316799.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. Residents are able to make choices and are supported in maintaining contact with family, friends and the wider community. They have access to a variety of activities and enjoy good food in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents indicated that they could choose when they got up and went to bed, where they had their meals and whether to participate in activities. Residents can continue their religious observance both inside the home (a Roman Catholic communion service was held on the day of the inspection) and by attending local places of worship. Residents are kept informed of regular and special activities by the newsletter, posters and being reminded by staff. The inspector joined in a keep fit class held every Wednesday by a qualified instructor from a local gym. Twelve residents and two relatives attended this, the majority saying that they attended every week and that they really enjoyed it. During the class ‘old time music’ was playing and residents enjoyed singing along to the familiar tunes. The class lasted for 1 hour and retained the interest of all who attended, including those with dementia. Other regular activities are craftwork on Tuesdays and bingo on Fridays. A number of day trips and outings are Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 12 also arranged including regular visits to local pubs for meals. A tea dance to celebrate Halloween was arranged for next week. Visiting relatives said that they could “pop in at any time” and could stay for meals if they wished. The monthly newsletter keeps them informed about what is going on in the home. Some residents visit local shops and other facilities independently and staff support others to do this. Residents were very positive about the food describing it as very good and saying that there was plenty of choice. Residents are offered a choice of two main courses and two puddings at lunchtime and a choice of two or three options for tea. Residents were particularly complimentary about breakfast with three people commenting on how much they enjoyed this. A full cooked breakfast is available along with a choice of cereals, toast and fruit Meadow`s Court DS0000064391.V316799.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): 16,17 Quality in this outcome area is good. Residents’ concerns are listened to and policies and practice protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and relatives indicated that they were aware of the home’s complaints procedure. Most people said that they would tell the manager if they weren’t happy. Residents can also raise concerns at the monthly residents’ committee meeting or pass the information to the chairperson of the committee. Records are kept of all complaints and concerns raised, and details of these are also forwarded to the Commission where appropriate. All staff receive in-house training in dealing with behaviour that may challenge and in recognising signs of abuse. Training materials were seen and three staff confirmed that they had received training in these areas. In an extended discussion one staff member demonstrated a good understanding of what was meant by whistle blowing and their own responsibilities under this policy. The registered and area manager demonstrated understanding of local and national policies on protecting vulnerable adults. Criminal records bureau checks are obtained for all staff before they commence employment and their names are checked against the vulnerable adults register. Meadow`s Court DS0000064391.V316799.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. Residents live in a clean and comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the building was held; all communal areas were seen along with approximately ten bedrooms. All areas were clean and tidy and appropriately furnished. Bedrooms were personalised with residents’ own possessions and several people commented that they liked their rooms. There is plenty of outdoor seating and patio areas are attractive and welcoming. The gardens are accessible to all residents and also contain an aviary. Any maintenance issues are dealt with by the maintenance person who also tests the temperature of water at individual outlets on a monthly basis. Records indicated that staff had received training in infection control and domestic staff undertake National Vocational Qualifications in housekeeping. Meadow`s Court DS0000064391.V316799.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. Residents are supported by sufficient numbers of well trained staff who have undergone robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are sufficient care and ancillary staff on duty to meet the needs of residents during the day and night. 50 of care staff have achieved their National Vocational Qualification (NVQ) at level 2, some are undertaking this and some are working towards level 3. The registered manager is a qualified NVQ assessor. Kitchen and domestic staff also undertake NVQ training in their area of work. Staff have access to in-house and external training in a wide range of practice areas. All receive a twelve week structured induction and were positive about this and felt that they were well prepared to undertake their role. Training recently undertaken includes dementia care, catheter care training, infection control and moving and handling. Three staff records were examined. All contained a completed application form, evidence of identity and two written references. Evidence was available that Criminal Records Bureau and Protection of Vulnerable Adults checks had been completed, before staff started work. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 16 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 Residents live in a well run home where their financial interests and health & safety are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has completed an NVQ at level 2 in care and level 4 in management and continues to maintain and update her knowledge by regular training. There are effective systems in place to assure and promote quality within the home. These include an annual written questionnaire sent to residents and relatives that can be completed anonymously. There is also an active residents’ committee, which meets every month and raises any concerns or suggestions for improvements. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 17 Clear records are kept of all transactions relating to monies held on behalf of residents and balances are regularly checked and recorded. Three records and the monies held were checked at random and found to be accurate. All staff recently received an update in their moving and handling training; several transfers were observed and appear to have been conducted appropriately. Fire records were examined and showed evidence of regular testing of the equipment and that the system and fire extinguishers had been regularly serviced. The fire risk assessment was updated in June and fire practices are held at three monthly intervals. Records and discussion indicated that care staff have received training in first aid and infection control and kitchen staff in food hygiene. Service contracts are in place for lifts and hoists, electrical equipment and the gas central heating system. All radiators in the home have now been covered and water temperatures are checked monthly. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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.V316799.R01.S.doc Version 5.2 Page 19 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 OP7 Good Practice Recommendations Risk assessments should contain sufficient detail to enable anyone reading them to be aware of the precise nature of the risk and the recommended response. Meadow`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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`s Court DS0000064391.V316799.R01.S.doc Version 5.2 Page 21 - 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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