Inspection on 13/02/06 for Meadowbank Care

This inspection was carried out on 13th February 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

Meadowbank Care 12/01/07

Meadowbank Care 08/07/05

Meadowbank Care 04/03/05

Meadowbank Care 15/09/04

Meadowbank Care 22/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Meadowbank Care 44 Braywick Road Maidenhead Berkshire SL6 1DA Lead Inspector Katy Brown Unannounced Inspection 13th February 2006 11:00 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 Meadowbank Care DS0000011310.V279741.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. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadowbank Care Address 44 Braywick Road Maidenhead Berkshire SL6 1DA 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) 01628 781186 Meadowbank Care Home Limited Mrs Caroline Li Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th July 2005 Brief Description of the Service: Meadowbank cares for 15 older people. It is set in a residential area close to the train station, local amenities and the town centre. The home is on two floors and there is a passenger lift in place. There are a variety of aids and adaptations around the building to allow residents to move about more independently and there is a spacious garden that the residents can, and do use. The home has fifteen single bedrooms. There are five bedrooms that have shower and toilet en-suite facilities. There are three toilets and one bathroom on the ground floor and two toilets and bathrooms on the first floor. Meadowbank Care DS0000011310.V279741.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 over one day. There have been no additional visits made to the home since the last inspection. A tour of the premises took place and staff records, residents’ care records and some of the homes records were inspected. Six of the fifteen residents, two relatives, two visiting health professionals, four members of staff and the proprietors were spoken to during the visit. What the service does well: What has improved since the last inspection? There has been some decoration at the home and the meals are now provided in a room that is more spacious. Staff have received refresher training to meet the changing needs of the residents. The proprietors have developed monitoring forms to enable them to ensure that the staff are providing the care that they should and that all required records are up to date. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 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. Meadowbank Care DS0000011310.V279741.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 Meadowbank Care DS0000011310.V279741.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): 2 & 3. All residents that are admitted to the home receive an assessment of care needs prior to their admission and are provided with a copy of the terms and conditions. EVIDENCE: Some residents’ that were spoken to said that a representative from the home had visited them to discuss their needs prior to their admission. They had been given a copy of the service users guide, which informed them of the services provided and information about the terms and conditions of the home. Individual records are kept for each resident and an inspection of the records for the newest admissions to the home, confirmed that they had completed care needs assessments in place. Meadowbank Care DS0000011310.V279741.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, 8 & 10. The residents are treated with respect and their healthcare needs are adequately met. All residents have plans of care and risk assessments are completed to minimise risks. EVIDENCE: Individual plans of care are available for all the residents. The plans of care that were sampled were detailed and contained information about the Residents’ healthcare needs, dietary requirements, personal care needs, likes and dislikes and hobbies and interests. It was noted however; that one resident who now requires two carers to assist with transfers did not have a completed risk assessment in place to reflect this change. The residents’ say that they are aware of what is in their plans of care and do attend care reviews. Discussion with relatives, the residents’ and the health professionals indicated that the healthcare needs of the residents were being met and clear plans and guidance are available. The healthcare professionals said that the home is well run and that the staff genuinely care for the residents. They also said that the staff have a good relationship with them and communication is effective. The residents say that the staff always arrange G.P home visits when they are Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 10 feeling unwell and listen to their concerns about their health. During their visit the health professionals removed a hoist from the premises to protect a resident who was at risk from harm or injury. A senior member of staff had expressed her concern about the use of this equipment and advised the staff team that it should not be used; the visit had been arranged to resolve the situation. The residents say that they are happy at the home and that staff treat them extremely well. They also say that their personal care is managed sensitively and that staff are never rude or disrespectful towards them. Meadowbank Care DS0000011310.V279741.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. The residents receive a service that meets their social and cultural needs and they are able to exercise choice and control over their lives. Relationships with family and friends are maintained and encouraged. EVIDENCE: Staff complete an evaluation of activities that have been completed by the residents to identify their interests and preferences. Activities include both internal and external opportunities and the residents say that they are able to select what activities they take part in. Some residents say that on occasion they do get bored, while others said that they were satisfied with what was provided. A mobile library is now available and residents said that they were finding this enjoyable. One resident spoke about receiving holy communion in her room and also said that the vicar visits the home and provides a church service for those that wish to attend. The residents say that they are able to receive visitors when they choose and that they are always made to feel welcome. Staff support residents’ to maintain contact with friends and family and they are able to have telephones installed in their rooms or use the telephone that is in the home. Visits by Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 12 friends and relatives are encouraged at the home and relatives that were spoken to confirmed that they are always made to feel welcome. The residents have photographs and keepsakes in their rooms to maintain a family orientated environment. The residents say that they attend regular meetings at the home and that their views and opinions are listened to. Information about advocates is available for them if they choose. Meadowbank Care DS0000011310.V279741.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): 16 & 18. Residents and relatives are confident that their complaints will be taken seriously and investigated properly. The policies, procedures and care practices at the home protect the residents from abuse. EVIDENCE: Residents and relatives that were spoken to said that although they had not made a complaint, they would do so if the need arose. They said that they would be comfortable complaining to either staff or the manager, as they believed that their complaint would be taken seriously. All residents have a copy of the complaints procedure and the staff keep a detailed record of complaints that are made. The complaint record indicated that residents’ complaints are taken seriously and acted on. The CSCI has not received any complaints in respect of this service New staff that were spoken to confirmed that they had received satisfactory pre-employment checks prior to working at the home and the residents say that they feel safe and protected. The home has a policy for abuse and has adopted the Berkshire Inter-Agency procedures. All staff receive training in abuse and systems are in place to ensure that appropriate records are kept for allegations or incidents of abuse. Not all staff that were spoken to were aware of the social services role and responsibilities regarding abuse investigations and did not have access to the vulnerable Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 14 adults co-ordinators contact details, to report any concerns that they might have. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 15 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 & 26. Residents live in a clean and safe environment. EVIDENCE: The residents say that they are happy with the environment that they live in and that it is well decorated and maintained. Some parts of the home have been re-decorated and the meals are now provided in a room that is more spacious. Residents say that they enjoy the garden during the warmer months. The general appearance of the home is satisfactory and presents as warm and homely. The premises are clean and relatives and health professions were complimentary about the pleasant odour that prevails throughout the home. There are policies and procedures available for infection control and staff receive training in health and safety. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 16 Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 17 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. There are sufficient numbers of staff that are suitably trained to care for the residents. EVIDENCE: The residents say that there are sufficient numbers of staff that work at the home and they are not kept waiting for lengthy periods of time when they require support. The staff rota indicates that that there are three members of staff during the morning, afternoons and evenings and waking staff at night. The home is not dependent on agency staff. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 18 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): 33 & 35. The home is run based on the views and opinions of the residents. The residents’ finances are not managed by the home and staff do not have any financial responsibilities for them. EVIDENCE: The residents attend regular meetings and are provided with opportunities to express their views and opinions. The manager provides the residents with questionnaires and a recent survey indicated that the residents were satisfied with the service that is provided. The manager does not take responsibility for any of the service users finances. Relatives and solicitors are responsible for their finances and the home does not keep personal money for the residents. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 19 Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 20 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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X 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 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 13 (4) (c) Requirement The registered person must ensure that risk assessments are completed when a change in need identifies a risk to the residents. Timescale for action 13/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP18 Good Practice Recommendations The registered person should ensure that staff are provided with the contact details for the vulnerable adults co-ordinator to enable them to report their concerns. Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Meadowbank Care DS0000011310.V279741.R01.S.doc Version 5.1 Page 23 - 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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