Inspection on 20/01/06 for Meadow View Care Centre

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Meadow View Care Centre 29/06/09

Meadow View Care Centre 12/01/09

Meadow View Care Centre 09/05/07

Meadow View Care Centre 13/09/06

Meadow View Care Centre 27/07/05

Similar services:

Ashlea Mews Residential Home

Harwood House

South Chowdene Care Home

Farmborough Court

St Albans Place (14)

Bisley Drive (18)

Carrdale

Ransdale House

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

CARE HOMES FOR OLDER PEOPLE Meadow View Care Centre Kibblesworth Gateshead Tyne and Wear NE11 0YJ Lead Inspector Mrs Eileen Hulse Unannounced Inspection 20th January 2006 9:15 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 View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadow View Care Centre Address Kibblesworth Gateshead Tyne and Wear NE11 0YJ 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) 0191 4103488 0191 4923273 European Care (England) Ltd Care Home 22 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Sensory Impairment over 65 years of age (3) Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2005 Brief Description of the Service: Meadow View is a large, grand older building, which has been converted for use as a care home with an extension to the rear. It is sited in the pretty rural village of Kibblesworth. It provides 21 places for older people who require assistance with personal care needs. It does not provide nursing care. At this time most of the people who live there have dementia care needs. All the bedrooms are single and well decorated and 6 of the bedrooms have en-suite facilities. The home also provides a good choice of sitting areas for the people who live there, and it enjoys extensive mature gardens and an indoor patio area with fishpond. There are local shops, public house and a bus route a short walk from the home. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 20th January 2006 by one inspector (Eileen Hulse), it was un-announced and was carried out as part of the annual inspection programme. It took 9hrs 15mins to complete that included 1hr 30mins to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by service users who live in the home. Time was spent chatting to service users, talking to relatives and with the acting Manager and staff who were on duty to gain their views on the service provided at Meadowview. Many service users have dementia and in some cases were not able to verbally express how they felt about the service. Some records were inspected that included a sample of care plans and needs assessments, health care arrangements, social activities, risk assessments, staff qualifications and service users finance arrangements. A tour was made of the premises and a lunchtime meal was taken with the service users. What the service does well: Service users and relatives spoken with throughout the inspection were very positive about the home and the staff team. Comments they made included: • • • • • ‘The staff are marvellous and really care about the people living here’ ‘I love living here’ ‘There cannot be another place like here it’s lovely’ ‘The staff are all very good’ ‘The staff are really nice and so helpful when I visit’ The staff comments included: • ‘I have worked here a year and its really good’ • ‘We get good training, I have done safer handling of medicines, moving and handling and first aid’ • ‘The new management is fine’ The home is well decorated and pleasantly furnished and staff have created a friendly, homely atmosphere and a good rapport was observed between service users and staff. The quality of the meals is good with a good wholesome balanced diet offered to service users. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 6 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 contacting your local CSCI office. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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): 3 and 6 Pre admission assessments for service users are now completed by the home Manager prior to returning back to the home following a hospital stay. This procedure ensures that any changes in the care needs are identified and can be met by the home. However, the new record does not have sufficient information. The home does not provide intermediate care. EVIDENCE: The acting home Manager has implemented a new pre admission assessment sheet that is completed prior to the service user returning back to the home following a hospital stay. The record lists a number of headings such as communication, behaviour, eating and drinking, activities and sleeping. However, the only information that can be added to the sheet is the review date that the assessment took place, it does not allow for the actual needs of the service user to be recorded, the level of care the person will require on returning back to the home or what staff support will be required. Therefore, there is insufficient information to judge if the care needs can be met by the home. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8 Every service user has an individual plan of care but they are not fully completed and therefore, do not ensure the care needs of service users are identified and met at all times. Healthcare arrangements are in place that ensures the needs of service users are met effectively. EVIDENCE: A sample of care plans were examined and varying levels of information are included within them particularly in areas regarding personal care needs. Some of the information is out of date and they do not always include the likes/dislikes and evaluations and do not give descriptive detail to guide the practice of staff. Some of the entries made on the monitoring sheets is very repetitive and therefore, does not help to give a good overall evaluation. Not all of the care needs are identified, more detail needs to be included to ensure the care needs are met at all times and that the care is consistent. Service users have the choice of GP and records evidenced some people have the same GP they had prior to admission. District nurses currently visit the Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 10 home and both private and health service chiropodist’s visit on a regular basis. Either a family member or a care assistant depending on the service user’s choice escorts them to attend hospital appointments. Other areas of the health service are used, as they are needed. The healthcare arrangements were confirmed in discussions with relatives visiting the home and comments they made included: • • • ‘The home are great with my relative, if I cannot take her to the hospital they tell me not to worry’ ‘I am always informed about my relatives health even if its just to say they are not themselves today’ ‘The girls see to everything including the optician and dentist’ Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The home does not have an activities co-ordinator trained in organising activities specifically for people with dementia. The activities that are organised by the staff in the home are repetitive, lack variation and therefore do not address the social needs of elderly people. The home does have links with the community, Kibblesworth is a very close-knit community and neighbours continually pop into the home to visit. Many service users know the village well and seemed to enjoy the visits. Although the lunchtime meal was pleasant, there were concerns regarding the mealtime arrangements, as they do not promote the choice or dignity of the service users. EVIDENCE: On the day of the inspection there were very few activities taking place and service users preferred to either doze in armchairs or wander aimlessly around the building. The home does not record the activities that take place so, it is not known which service users take part on a regular basis or which service users refuse or how the activity has been enjoyed. The activities were discussed with the acting Manager who has identified the need for a full activity programme and has recently increased the staffing hours to accommodate this. The home now has access to a bus that is owned by the company so it should increase outings for service users. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 12 The inspector shared a lunchtime meal with service users. The tables were set with placemats, tablecloths and condiments, however, no serviettes were available and service users continually used the tablecloths to wipe their hands and faces on. It was a two-course meal but the choice of meal was not evident. The dining room has a wallboard but this was blank and there were no menus on the tables. The meal was two courses with a choice of fish and chips with peas or a salad with treacle pudding and custard or yogurt to follow. The meal was hot, tasty and well cooked with good-sized portions, however, no choice was given to the amount or type of food presented on the plates. Service users chatted with each other throughout the meal and were given sufficient time to sit and enjoy their meal without being hurried. Both service users and visitors made comments about the food and comments they made included: • • • • • ‘The meals are grand, I’m getting fat’ ‘We get lovely meals in here’ ‘When I visit around mealtimes the meals always look lovely’ ‘If my relative does not like something they can always get something else’ ‘I think sometimes the meals are too big’ Service users who required help to eat their meals were given help from the staff in a dignified and respectful manner with staff sitting next to them. However, in a corner of the dining room, there were packets of aprons spread across a coffee table, which should be stored away. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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): 17 Service users rights are protected and when complex needs prevent service users from exercising these rights then systems are in place to safeguard them. EVIDENCE: Many service users in the home due to complex needs cannot make decisions on their daily lives. However the acting Manager has put systems in place to protect people and to ensure they have their rights protected. Part of the new pre admission process, is to identify a relative or advocate who will act on behalf of the service user and who will be involved with the admission process throughout and will contribute to the care plan process. Questionnaires are sent to the relative or advocate and following the replies, a two monthly meeting has been set up for the main carers. The Manager has also made himself available to relatives and staff one night a week working late to ensure lines of communication are open at all times. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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): 19 and 26 The home is clean, well decorated and generally well maintained so it is a comfortable home for service users to live in. EVIDENCE: All areas of the home used by service users are decorated to a good standard and are provided with good quality furnishings and carpets. An on-going redecoration programme ensures that the home maintains this standard. The home is warm and cheerful and offers pleasant accommodation for the people who live here. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 Staffing levels have been improved and this ensures that service users needs can be met effectively. EVIDENCE: Staffing levels were found to be adequate on the day of the inspection. A new staffing rota is now in place that ensures there is at least three care staff on duty at anytime throughout the day. At some periods throughout the day, there are five staff on duty. The home has two waking night staff on duty every night and a management on call arrangement is in place, which appears to work well. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35, 36 and 38 The acting Manager has made an application to the Commission for Social Care Inspection to become the Registered Manager of the service. This will ensure the home has leadership and a Manager who is able to run the home effectively. The home does not have a quality assurance system in operation and therefore it cannot currently measure the success of the service provided. An audit was carried out of money that is held for safekeeping for service users, it was correct and records were well maintained. There is currently no provision for the staff team to have regular, individual supervision. The health, safety and welfare of service users and staff is practiced and observation showed there was no compromise to health and safety practice. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 17 EVIDENCE: The acting Manager has been at Meadowview for two months and prior to working in this home has been employed as a Manager in several other homes. He has worked in a care setting for 24 years and has gained experience of working with both children and older people during this time. He is a qualified social worker and has a diploma in business management and holds a training certificate. He is aware of the need to complete the Registered Managers Award in the near future. The home uses a variety of tools to assess the service that is provided. They have an in house maintenance schedule, regular staff meetings take place and the care plans are audited. The use of a quality assurance system was discussed with the acting Manager at the time of the inspection and advice was given on how to implement a monitoring system. The acting Manager has not yet implemented a formal supervision system for the staff team. However, annual appraisals are currently being completed for all members of staff. The homes accident book is completed fully and is compliant with the Data Protection Act. The home also has produced a weekly accident analysis that documents the number of accidents that happen and any that are reported to RIDDOR and details the outcomes. The completed document gives trends so that accidents can be minimised following a risk assessment. The fire log book is well maintained and all entries are up to date, the fire alarms are tested weekly and the last test was carried out on the 20 January 2006, the fire fighting equipment was last tested on the 19 Dec 2005 and the emergency lighting 20 January 2006. Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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 2 X x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 2 3 2 X 3 Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? yes 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 OP3 Regulation 14 Requirement All service users must have detailed assessments prior to returning to the home (Previous timescale of 27 July 2005 not met) The individual care plans must be completed in sufficient detail to guide the practice of staff (Previous timescale of 01 Nov 2005 not met) Detailed records must be maintained regarding activities held within the home and must employ an activities co-ordinator (Previous timescale of 01 Nov 2005 not met) Service users must be given choice regarding their meals (Previous timescale of 27 July 2005 not met) The dining arrangements must be reviewed regarding table settings etc (Previous timescale of 01 Nov 2005 not met) Timescale for action 01/04/06 2 OP7 15 01/04/06 3 OP12 16 01/03/06 4 OP14 12 01/03/06 5 OP15 12 01/03/06 Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 20 6 OP28 OP31 18 9 50 of care staff must hold a qualification The Manager must be registered with the Commission for Social Care Inspection The home must put a quality assurance system in place Accounting and financial records to ensure the viability of the service must be made available for inspection as stated in The Care Homes Regulations 2001 The staff must receive regular individual supervision 01/04/06 7 OP33 8 OP34 9 25 24 01/03/06 01/03/06 01/04/06 OP36 10 18 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadow View Care Centre DS0000063769.V273765.R01.S.doc Version 5.1 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. 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