Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Meadow View Nursing Home Church Lane Calow Chesterfield Derbyshire S44 5AG The quality rating for this care home is: The rating was made on: zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Denise Clark Date: 1 0 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Meadow View Nursing Home Church Lane Calow Chesterfield Derbyshire S44 5AG 01246270235 F/P01246270235 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Enable Care & Home Support Limited care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 24 Over 65 0 Conditions of registration: Date of last inspection Brief description of the care home Meadow View is situated in the village of Calow, approximately three miles to the north east of Chesterfield within a residential area close to local amenities and public transport. The home provides nursing and personal care for up to twenty-four adults with moderate to severe learning disabilities, some also having significant physical disabilities. The home comprises of four bungalows, each accommodating six residents. The bungalows are linked, although each has its own separate kitchen, lounge, dining, bathing and toilet facilities, together with their own garden areas, which have seating provided. Single bedroom accommodation is provided throughout, with six bedrooms per bungalow, each having a washbasin provided. There is level wheelchair access throughout with landscaped grounds and separate car parking areas. There is a choice of transport vehicles for people accommodated, including wheelchair accessible Care Homes for Older People Page 2 of 9 vehicles. Twenty-four hour care and support is provided from a team of nursing and care staff and one housekeeper who are all led by a registered manager. External management support is also provided from the registered provider. The range of fees charged by the home at the time of the inspection visit was confirmed by the provider as £466.04-£504.04 per week. Fees are dependent on individually assessed needs and any funding via local authority and primary care trust, including for the purposes of the free nursing care element of the fee. There are additional charges for personal toiletries and hairdressing. The cost of transport is charged separately and the majority of people receive a paid mobility allowance via their funding authority. Care Homes for Older People Page 3 of 9 What we found:
We found that medicines are managed well, and records showed that people received their medicines as prescribed by their doctor. Details of medicines prescribed were written on each persons medication administration chart (MAR) by a nurse working at the home and the entries were checked by a second nurse; both nurses signed the record. Full instructions for the administration of when required medicines were included. We noted that there were no gaps in the records of administration, and where a variable dose was prescribed, the dose actually given was recorded.The application of creams was also recorded. There was a list of specimen signatures of all nurses who give people their medicines. The current edition of the British National Formulary (BNF) was available for staff to look up information on medicines. Medicines were securely stored in locked cupboards, medicine refrigerators or medicine trolleys inside locked rooms.The homes records showed that the fridges were operating within the correct temperature range. We were shown kits for deactivating unwanted controlled drugs, and told that waste medicines were collected by a licensed waste carrier. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 11 18(1)( c)(i) Staff must have the knowledge and skills to provide positive communication, interaction and stimulation with people living at the home to ensure that residents receive positive support and have the opportunities to develop socially and emotionally. 12/11/2008 2 14 16(2)(m) Everyone living at the home 12/10/2008 must have equal opportunity to community links, social inclusion and leisure activities appropriate to their individual needs and wishes both inside and outside the home, so that people receive adequate stimulation. 3 17 17(2)Schedul There must be a record of 12/09/2008 e4 food provided for people and of any special diets prepared for individuals in sufficient detail to determine whether the diet is satisfactory in relation to nutrition. 12(4)(a) Care and support must be 12/10/2008 provided with dignity and privacy at all times including providing personal care support behind closed doors and away from communal
Page 5 of 9 4 18 Care Homes for Older People areas, and interactions between staff and residents must be positive to ensure that people are treated as individuals at all time and their privacy and dignity is respected. 5 19 13(1) (b) Prescriptions and treatments 12/09/2008 advised by a GP must be picked up and started quickly, and a record made of monitoring of particular health care issues so that peoples healthcare needs are always met. People living at the home must be supported and facilitated to attend all healthcare appointments to ensure that peoples physical health needs are met at all times. 12/09/2008 6 19 13(1)(b) 7 23 18(1)(c)(i) Staff must receive training 26/11/2008 appropriate to the work they are to perform. This includes training in dealing with peoples? challenging behaviours and violence and aggression so that staff have the right skills and knowledge to provide safe care and support. (A Similar requirement was made at the last inspection visit. The timescale given of 31/01/08 was not met. A further final timescale has been given) 8 33 18(1)(a) At all times there must be staff working in such numbers and appropriately deployed to meet the needs of everyone living at the 26/11/2008 Care Homes for Older People Page 6 of 9 home. This must take into account work that take staff away from direct care of people, appointments, time transporting to day care, outings, as well as dependency levels of individuals. This is to ensure that people living at the home have their needs met at all times. (A similar requirement was made at the last inspection visit). 9 34 17(3)(b) The staff files must be 12/10/2008 available for inspection at all times to ensure that CSCI can undertake their Regulation duties. All staff must receive 12/12/2008 mandatory training, including refresher training for fire safety, moving and handling, first aid, food hygiene and infection control so that staff have the knowledge and skills to perform their work safely. 10 35 18(1)(c)(i) 11 37 17(2)Schedul There must be a record of all 12/09/2008 e4 visitors to the home. This record should include their name, date and time of visit so that people living at the home can be protected and to meet fire safety rules. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 9 The GP should be asked to review the list of homely remedies available to people in the home, and update the list if necessary. A stock record should be kept for homely remedies. The medicine policy should be reviewed to check that it describes current practice in the home. The policy should be dated, and a date set for the next review 2 9 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
