Inspection on 09/05/07 for Meadow View Care Centre

This inspection was carried out on 9th 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 View Care Centre 29/06/09

Meadow View Care Centre 12/01/09

Meadow View Care Centre 13/09/06

Meadow View Care Centre 20/01/06

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 9th 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 View Care Centre DS0000063769.V336245.R02.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 View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 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 4109908 mveuropeancare@aol.com www.europeancare.co.uk European Care (England) Ltd David Bell 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.V336245.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th September 2006 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. The home has level access to the rear and there are local shops, a public house and a bus route a short walk from the home. The weekly fees are £370:00 to £413:00 per week depending upon care needs. Additional charges are made for chiropody, hairdressing, personal items such as toiletries and newspapers. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took 10hrs 30mins to complete over a one day visit to the home and was carried out as part of the annual inspection programme and followed a random inspection that was carried out on the 21 February 2007 that was carried out to see the progress and improvements made to the service. The Registered Manager and Area Manager were present throughout the visit and some time was spent with them looking at systems they have in the home such as staffing levels, staff training, administration of medication, all communal areas of the home and care planning. Time was also spent talking with service users and their visitors to get their views about the home. How care staff help and support service users was observed throughout the visit and a lunchtime meal was taken with the service users. Information about the quality of life and care received by service users was collected using a system called ‘case tracking’. This involves following the care and experience of a group of service users by looking at care plans, talking with people, sampling records such as assessment records, complaint records, medication taken by service users and their records. Issues that we asked the home to put right in previous inspection reports were discussed with the Manager and Area Manager and discussions took place with other staff members who were on duty at various times throughout the visit. The judgements made are based on the evidence made available during the visit to the home and from details obtained from the home before the visit was made. This gave up to date information about the home to include within the report. During the visit comments from service users and their families gave some insight on what it is like to live in the home and included: ‘I am quite happy here, it’s a good job there are such places’ ‘We are all looked after very well’ ‘They are lovely girls, they are like my family here’ What the service does well: The staff team are friendly and welcoming and provide a good level of care and support to the people who live in Meadow View. Service users and their families felt the changes taking place were good. The activity worker now offers varied activities that service users can take part in if they choose to do so. Good assessments are used when visiting people who are thinking of coming to live in the home and this makes sure that the home can meet the personal needs of people when they move into the home. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 6 The meals are nutritious and well presented and the mealtime is a social occasion with service users and staff chatting over the meal. The home have good complaint systems in place that tell service users and their families what they need to do should they be unhappy or have a concern about the home or the service they provide. 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. The summary of this inspection report can be made available in other formats on request. Meadow View Care Centre DS0000063769.V336245.R02.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 View Care Centre DS0000063769.V336245.R02.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessments are included within the plans of care and this helps to form the basis of the service users individual care plan. This should ensure that before admission, the home is able to know if they can meet all of the care needs. The home does not provide intermediate care EVIDENCE: The home has recently reviewed and updated the Statement of Purpose, which explains to people what the home is able to provide. The home accepts referrals from Care Managers and from family members and whenever a referral is made to the home, the Manager and a Team Leader/care assistant complete an initial contact form and will then visit the prospective service user to assess that the home can meet their needs. At this Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 9 visit the service user or representative will be given a copy of the home’s brochure, the service user guide and the statement of purpose so that they have the information they need before deciding to move into the home. The home has its own assessment documentation that is completed to ensure the home can meet all of the care needs and this is completed during the visit. Following this visit, the home will then ask the service user if they would like to spend the day with them or visit to have a meal there. Following this area of assessment, a formal letter is then sent to the service user to offer a place in the home or to explain to them the reasons why the home cannot offer a place at that time. A date is then arranged for admission that is suitable to all. All care plans that were looked at had completed needs assessment records within the care plans. Before the service user can be admitted into the home, the home Manager insists that the Care Manager must supply the home with a care plan to ensure the home care plan can be implemented based on this information. Families are invited to be present during the assessment with the service users permission. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The content and format of the new care plans has improved and this gives staff guidance regarding care practice to ensure consistency of care and meeting the needs of service users. The medication system is well managed and service users have regular access to healthcare professionals and this contributes to service users safety, health and general well being. EVIDENCE: The individual plans of care have recently been reviewed and the format changed to ensure that staff can understand them and be guided by them in their day to day practice, the care plans are person centred and provide the information staff need to ensure they can meet the care needs of service users. Each care plan contains the needs of the service user, the outcome and the actions of staff to ensure the care need is met. They are clearly outlined and Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 11 they are monitored daily and evaluated every month. Although there are tools to help and guide staff, the monitoring sheets are held within a separate file and therefore they do not provide continuous and easy access to records. Service users have access to all NHS facilities and services to ensure their healthcare needs are met. There are regular visits from local GP’s and other health care professionals including the District Nursing Service, chiropodists, opticians and dentists and these appointments are written within the care plans. Service users requiring hospital out patient appointments are escorted to these by a staff member or a family member if this is their preference. The home has a medication policy and procedure that is used by staff when dealing with medication. A monitored dosage medication system is used and an audit of the medications and controlled drugs held in the home showed no discrepancies. However, the medicine administration records showed that on some occasion’s staff signatures are not always in place when they have administered medication. The storage of medication has been moved to another area of the home and a fridge has been installed to hold medicines, which must be stored below a certain temperature. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to lead lifestyles based on their preferences, choices and abilities with the help and support from staff. This can help to contribute to varied and fulfilling days. EVIDENCE: The activity co-ordinator’s hours have recently been increased to 40 hrs per week and a craft instructor also visits the home twice a week. New activities have been introduced for the people who have dementia and to enable more one to one activities to be implemented for everyone. Each service user has an activities sheet located within the plan of care and this record details activities that have been offered, activities that service users have been involved in and also details if a service user has declined to take part in an activity. Within each plan of care, a lifestyle pen picture has been developed with the help of service users and their families so that suitable and meaningful activities can be organised. Life history books have also been implemented that are completed with the service user and key worker. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 13 An activities board has been put up onto the wall located between the lounge and the dining room so that service users know what activities have been planned for the week ahead. On the day of the visit, the doors leading from one of the lounges were left open so that service users could wander freely around the well-maintained gardens. The garden furniture has been replaced and this was in use by service users and their families during the visit, a mini bus has also been acquired so that a number of outings can now be arranged. Service users commented on the lovely weather and stated ‘I like to sit and walk in the beautiful gardens’ another said they would enjoy a trip to Blackpool. Visitors are welcomed into the home at any time and one visitor spoken with stated: ‘I visit the home almost everyday, and the changes that are taking place are really good and making a difference to the home and to the people who live there’. A meal was taken with the service users. It was relaxed and unhurried and service users who needed support and assistance were given this in a dignified and respectful manner. Tables were set with tablecloths, placemats, serviettes and condiments. Table menus have been introduced and they were written in a picture format that are suitable and can be understood by service users. The lunch consisted of gammon ham, roast potatoes, peas and gravy and an alternative meal was offered of sweet and sour pork with vegetable rice. However, there was no alternative sweet, only fruit and ice cream was served and no hot drinks were offered with the meal only cold drinks. One service user stated: ‘I enjoy my meals but I don’t like big portions’ ‘The food is very good’ Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home has an appropriate complaints procedure, which is made known to service users and families, this ensures that complaints are handled effectively. The home has good adult protection procedures that will help to protect service users should an abuse situation arise or be suspected. EVIDENCE: The complaints procedure is made available to all service users and their visitors that explain to them how to make a complaint and who to. Service users are given a service users guide prior to admission that also contains information about what they can do if they have any concerns about the service. In discussion with some staff members it was obvious that they know how to deal with a complaint and talking with service users and visitors confirmed this. Comments they made: ‘If I am unhappy about something I tell one of the staff’ ‘The staff are good they will look for my Relatives clothing if it does not come back from the laundry’ ‘I have had to see one of the Team Leaders occasionally and they always sort it out’ Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 15 The home have received three complaints since the last inspection and each one was recorded in the complaints book and acted upon effectively within the procedure timescales. The POVA (Protection of Vulnerable Adults) procedures are in the home and accessible to the staff and all of the staff has received protection of vulnerable adults training from the Local Authority. In the last twelve months there has been one POVA investigation in the home, this has now been dealt with satisfactorily. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of furnishings, fittings and decoration throughout the home present a comfortable and homely place for service users to live in and this offers service users a homely and safe place to live. The home have good procedures in place regarding infection control that helps to keep service users healthy and safe. EVIDENCE: Since the last visit to the home, two fulltime decorators have been working at the home and a full refurbishment programme has been carried out to improve the home environment over a period of twelve weeks. All hallways and passageways have been redecorated and new flooring laid and automatic air fresheners have been installed at certain points in the passageways. To Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 17 alleviate storage problems, old storage cupboards have been removed and new ones fitted and curtains have been replaced throughout the home. A Horcher rise and fall bath has been installed to help service users who have a disability to bathe safely and a new sluice with macerator was being installed on the day of the visit. Areas recently redecorated include the service users smoking room, dining room and large lounge. The surrounding areas of the home have also been upgraded. Shrubs and trees have been cut back to allow more light into the dining room, bushes have been pruned and unwanted furniture and other items have been removed and the area landscaped. Staff in the home have received infection control training and have been supplied with small plastic bottles of antibacterial washes. These bottles are now also available in all bathrooms and toilets throughout the home. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels that help to meet the needs of the service users and they are protected and safe by a good recruitment policy and procedure. The staff receive good levels of training that provides staff with the knowledge and skills to do the job. EVIDENCE: On the day of the visit there were sufficient numbers of staff on duty and duty rotas reflected constant staffing levels. At the time of the visit, there were six care assistants on duty covering the hours between 7am and 10pm. The activity co-ordinator was also on duty from 9am until 4pm. The home has a policy and procedure on staff recruitment that is used when recruiting prospective staff. The Manager was able to explain in detail the process that is used from sending out an application form to the letter that tells prospective staff if they have been successful in gaining employment. Staff do not commence employment until a criminal records bureau check has been completed. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 19 The staff training matrix showed that a large input of training has been put into place since the last inspection and staff commented on the amount of training they have received. One member of staff stated, ‘we have received lots of training which is really helping me to do my job’. However, some mandatory training was identified as needing refreshing and brought up to date, this was discussed with the Manager at the time of the visit. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The day to day organisation and running of the home has improved but the Manager must be able to sustain the changes that have been made. The improvements have made the home is has improved the service provided for the people living in the home. Service user’s personal accounts are managed to ensure their best interests are protected. Risks to the health and safety of service users, visitors and staff are minimised to a good level. EVIDENCE: Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 21 The registered Manager has been given a lot of help and support by a number of people from European Care to implement the changes that have taken place in the home over the last twelve weeks. Various records and care plans have been reviewed and updated and the home has had a complete refurbishment to many parts of the building. As the Registered Manager, he must now ensure that he can sustain the improvements that have been made and continue to provide a good quality service. A record is maintained for each person’s financial transactions. Entries are clear with signatures available. The paper records can be cross-referenced to the computer held records that are managed satisfactorily by the homes finance administrator. The registered manager carries out regular audits. Observation showed that staff followed safe working practices at all times and records evidenced that Staff have received training but mandatory training needs to be commenced for some staff in fire safety, moving and handling and food hygiene. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 22 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 Requirement Staff must sign medication records whenever they administer medication Service users must be offered choice in both drinks and food at mealtimes Dates must be identified for staff mandatory annual training The quality of the service provided must be sustained by the Registered Manager Staff must receive training on first aid, moving and handling and other mandatory training Timescale for action 01/08/07 2 OP14 12 01/08/07 3 4 OP30 OP31 18 12 01/08/07 01/10/07 5 OP38 18 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 24 No. Refer to Standard Good Practice Recommendations Meadow View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 View Care Centre DS0000063769.V336245.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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