Inspection on 02/03/06 for Meadowbrook Manor

This inspection was carried out on 2nd March 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

Meadowbrook Manor 14/02/07

Meadowbrook Manor 07/09/05

Meadowbrook Manor 02/12/04

Meadowbrook Manor 12/05/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Meadowbrook Manor 147/149 Wakefield Road Garforth Leeds West Yorkshire LS25 1NE Lead Inspector Mary Bentley Unannounced Inspection 2nd March 2006 11:30 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 Meadowbrook Manor DS0000001481.V284506.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. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadowbrook Manor Address 147/149 Wakefield Road Garforth Leeds West Yorkshire LS25 1NE 0113 232 0054 F-P 0113 2320054 meadowbrookmanor@aol.com 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) Mrs Beverley McHale Mrs Beverley McHale Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: Meadowbrook Manor is a purpose built home set in a half acre of landscaped gardens, which are accessible to wheelchair users. The home is just outside the village of Garforth with a parade of shops and a pub within a short walking distance. The home offers care to a total of 23 older people, male and female with low to medium dependency needs. The home does not provide nursing care. The home has three floors; there are 19 single and 2 double rooms with en-suite facilities provided in 19 rooms. The home has a large dining room and three lounge/day areas. There is a ramp at the front door for wheelchair access and inside a passenger lift provides access to all floors. Car parking is provided at the front of the home. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. This inspection was unannounced and was carried out by one inspector, it lasted approximately five hours. The last inspection was also unannounced and took place in September 2005. In November 2005 an additional visit was made to the home. The purpose of that visit was to follow up concerns about staffing levels identified during the September inspection. The outcome of November visit was that the concerns about staffing levels had been dealt with. A copy of the additional visit report can be requested from the CSCI Rodley office in Leeds. The people who live in the home prefer the term resident; therefore this will be the term used throughout this report. The methods used during the inspection included looking at records, talking to residents, staff and management and observing care staff carrying out their work. Comment cards for residents and visitors were left at the home. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection. Comments received in this way are shared with the provider without revealing the identity of those completing them. None had been returned to the CSCI at the time of writing this report. What the service does well: The home is clean and provides a pleasant setting for residents. It has a relaxed and friendly atmosphere. Residents are treated with respect; their rights to privacy and dignity are promoted. Residents and/or their relatives are encouraged to take part in planning and reviewing care. It was clear that residents and their relatives hold staff and management in high regard. Residents knew who to speak to if they had any concerns and they were confident that their concerns would be taken seriously and acted upon. Residents said the food was good and their preferences were catered for. Residents who are nutritionally at risk are identified and special diets are provided for them. The home has a good training programme, which supports staff in understanding and meeting residents’ needs. The home has achieved the Investors in People Award in recognition of the ongoing commitment to staff development. Meadowbrook Manor DS0000001481.V284506.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. Meadowbrook Manor DS0000001481.V284506.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 Meadowbrook Manor DS0000001481.V284506.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): These standards were not inspected, for details please see the report dated 7 September 2005. EVIDENCE: Meadowbrook Manor DS0000001481.V284506.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 9 Residents’ care needs are met and the care records support this. Residents are protected by the homes systems for managing medicines. EVIDENCE: The care plans set out how the personal, social and health care needs of residents will be met. The care plans were reviewed regularly and updated to reflect changes in residents’ circumstances. The plans showed that residents and/or their representatives are involved in planning and reviewing care. The home is well supported by community health care staff such as the District Nurses and the Community Psychiatric Nurses. The home has appropriate systems in place to make sure that medicines are managed safely. One resident was dealing with some of their own medication; this had been discussed and agreed with the resident and their family. Staff are trained and assessed before they are allowed to help residents with their medicines. Most staff have now been enrolled with Park Lane College for further training on the safe management of medicines. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 10 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 & 15 Residents are given opportunities to take part in a variety of social activities. Less able residents are given the support and encouragement they need to help them occupy their time meaningfully. The food is wholesome and appealing and residents said they enjoyed it. EVIDENCE: A new activities programme has been put in place. The baking sessions have proved to be very popular and are now offered twice a week. One resident said how much they had enjoyed making and eating the scones last week, particularly as the cook had provided jam and cream to go with them. Karaoke is another new addition to the programme. Residents are asked about their meal choices one day in advance. Usually the home offers one main course at lunchtime, but alternatives are available on request. The cooks have a good knowledge of residents’ food likes and dislikes and take account of these when planning the daily meals. The main meal is served at lunchtime, a lighter evening meal is served at about 5.00pm and supper is served at about 7.30pm. The cooks bake every day. Drinks and snacks are available at any time. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 11 Residents who have been identified as being at risk nutritionally have special diets. These residents are given extra snacks between meals and have extra calories added to their meals. The home has taken advice from district nursing staff and where possible from dieticians about the how the meet the needs of these particular residents. Residents said they enjoyed the food, some said it was too good and as a result they were gaining weight. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 12 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 and 18 Concerns and complaints are taken seriously and dealt with appropriately. Residents in the home are protected from abuse. EVIDENCE: The home has had some complaints about the laundry and these have been dealt with. The manager tries to deal with issues as they arise so that they do not escalate into bigger complaints. Residents were confident that they could talk to the manager about any concerns they had and that they would be taken seriously. All the staff have read the Adult Protection policies and procedures. The procedure is prominently displayed in the office for staff to refer to. The home provides training on adult abuse and protection by using a video and questionnaire. Staff know how to report any concerns about abuse and are aware that there are agencies outside of the home that they can contact if necessary. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 13 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): 22 and 26 The home is clean and free of unpleasant odours. Residents are provided with specialist equipment as needed. EVIDENCE: The home was clean and there were no unpleasant odours. The manager said call bell leads are now available in all areas used by residents. The home has appropriate systems in place to reduce the risk of cross infection. Waste is disposed of properly. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 14 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, 28, 29 & 30 There are enough staff to meet residents’ needs. Staff are well trained and competent to carry out their duties. EVIDENCE: There are three care staff on duty between 8.00am and 8.00pm and on most weekends there are three members of staff until 10.00pm. Overnight there are two members of staff on duty. The home employs separate catering and domestic staff who work seven days a week, usually in the morning. The manager generally works Monday to Friday and is on call if she is needed. An administrative assistant works one day a week. The duty rosters are being revised so that they will show more clearly the grades of staff on duty and will reflect the manager’s hours. The home has not employed any new staff since the last inspection. Discussion with the manager confirmed that she is aware of the checks that must be carried out and that these are completed before new staff start work. The home has 55 of the care staff team qualified to NVQ (National Vocational Qualification) level 2 or above and three more staff are doing NVQ training. All new staff receive induction training that meets national guidelines. The home has a good training programme and there are records of all training done by staff. Training needs are identified through supervision and appraisal. The Community Psychiatric Nurse has provided training on caring for people with dementia and challenging behaviour. Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 15 Meadowbrook Manor DS0000001481.V284506.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, 32, 33, 35, 36, 37 and 38 The home is well managed. The manager provides good leadership to the staff and ensures the residents are protected and cared for in a correct manner. Residents’ financial interests are safeguarded. EVIDENCE: The registered manager is a joint owner of the home, her background is in nursing and she has many years experience in the care of older people. She is currently working towards achieving the Registered Managers Award, however this has taken longer than planned because of difficulties with the training provider. The manager consults regularly with residents and their relatives; this is done in formal care reviews and informally as part of the day-to-day running of the home. Residents said they would not hesitate to talk to her if they had any concerns and staff said they felt supported by management. Staff receive Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 17 regular supervision. The home issues questionnaires to residents and/or their representatives. Any issues that arise are dealt with; the results of these surveys now need to be made available to residents, their representatives and other people with an interest in the home. The home does not hold any money on behalf of residents and does not become involved in the management of residents personal money. Any additional items that residents need are provided by the home and added to the monthly invoice. A fire drill is done every month and it is recorded. Moving and handling training is done as part of induction training and updated by the use of video training and questionnaires. Staff said they had been trained on how to use the hoist. Some staff are due to have their First Aid training updated; this is being dealt with. All the required records were available and were in good order. No concerns with health and safety were identified during the inspection. Meadowbrook Manor DS0000001481.V284506.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X 3 X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 3 3 3 Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 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. 1 Standard OP33 Regulation 24 Requirement A report of the findings of the quality assurance survey must be made available to service users, their representatives and other stakeholders. Timescale for action 28/07/06 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 Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Meadowbrook Manor DS0000001481.V284506.R01.S.doc Version 5.1 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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