Inspection on 06/11/07 for Meadowyrthe

This inspection was carried out on 6th November 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

Meadowyrthe 26/02/08

Meadowyrthe 30/10/06

Meadowyrthe 20/12/05

Meadowyrthe 05/07/05

Meadowyrthe 15/12/04

Meadowyrthe 05/07/04

Meadowyrthe 04/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Meadowyrthe Comberford Road Tamworth Staffordshire B79 8PD Lead Inspector Pam Grace Key Unannounced Inspection 6th November 2007 13:00 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 Meadowyrthe DS0000034341.V349973.R01.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. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowyrthe Address Comberford Road Tamworth Staffordshire B79 8PD 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) 01827 66606 01827 56923 Staffordshire County Council, Social Care and Health Directorate Mrs Ann Marie Cooper Care Home 44 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (44), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (20), Old age, not falling within any other category (10), Physical disability over 65 years of age (30) Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 Dementia (DE) - Minimum age 50 years on admission Date of last inspection 30th October 2006 Brief Description of the Service: Meadowrythe House is a Local Authority home that can accommodate a total of 50 older people. The home is located on the outskirts of Tamworth, close to amenities, and is served by public transport. Accommodation is provided on two floors served with a shaft lift and comprises a total of 50 single bedrooms, twelve of which have an en-suite facility. Adequate communal spaces are provided, with separate lounge areas. The home is pleasantly situated with extensive grounds and adequate car parking, external roadways and pathways are provided. A large patio area is well used by the residents. The home is registered for people in the following care categories; dementia, mental illness, old age, and physical disability. The home manager, assisted by a deputy, care shift leaders, and teams of care assistants provide care. Health service professionals such as district nurse, community psychiatric nurse, and physiotherapist are accessed when required and local GPs and a pharmacist service the home. Special arrangements are in place with the NHS psychiatric services IRIS team (in reach intensive support team), who will respond to meet specific needs of mentally ill service users. Activities, hobbies and entertainment take place, which are organised by a designated staff member. Families and friends are encouraged to take part where applicable, and transport is provided when required. Current fees are £452.00 weekly. These are subject to annual review. Charges are made for hairdressing, newspapers and personal items. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 6 hours. The Registered Care Manager assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, the completed and returned “Have Your Say” survey documents sent to residents, and the Annual Quality Assurance Assessment that had been completed by the provider. At the time of this report there had been 8 “Have Your Say” feedback documents received by the Commission for Social Care Inspection (CSCI) which were sent to residents at the home. The majority of these documents had been completed by the key worker for each resident. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, residents and visiting relatives. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the care manager outlining the overall findings of the inspection. Residents and relatives spoken with during the inspection visit were very positive about the care that they and or their relatives were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. There had been no complaints received by CSCI, since the previous inspection. Verbal feedback and comments received during the inspection visit were generally positive, and included, that “staff care always come when they’re called”, and “ My mother is extremely well cared for”. “The staff here are very approachable, and always helpful”. There were no requirements, and 1 recommendation made as a result of this unannounced inspection. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Staff responsible for organising and or undertaking activities, should look at options for activities for people who have dementia. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 7 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. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 8 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 Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 9 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): 1,2,3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people who use this service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: A random sample of four individual pre-admission assessments and 4 care plans were examined. These formed part of the case tracking process and identified that pre admission assessments are carried out on all individual residents before they are offered a placement at the home. The Statement of Purpose and Service User Guide were available for the inspector to view. These provided appropriate and clear information about the home, and are available to the Commission for Social Care Inspection (CSCI), Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 10 social workers, prospective residents and their families. A sample pack/folder was shown to the inspector. The previous inspection report is also available to read at the home. The Annual Quality Assurance Assessment document completed by the care manager confirmed that all residents have a copy of their Terms and Conditions of service. The care manager and relatives spoken with confirmed that prospective residents and their families are welcome to come and visit the home and have a look around before admission. Relatives also said that the home provides a very “homely atmosphere”, and that “the home has a really good reputation”. The care manager confirmed that Intermediate Care is not provided at this home. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 11 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 health and personal care that people receive is based on their individual need. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: A random sampling of 4 care plans was undertaken. In line with case tracking, residents and staff were spoken with. Appropriate and up to date risk assessments were evident in care plans seen. Visits by health professionals were well documented. Care plans seen had been signed, and contained a record of the arrangements made in the event of a terminally ill resident. Although this is sometimes difficult to do, especially when the resident has just moved into the home. The GP continues to visit the home by request. Requests for a resident to see the GP would be documented. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 12 Service users are protected by the home’s policies and procedures for dealing with medicines. Medication is appropriately stored, administered and recorded. Feedback received by the Commission for Social Care Inspection (CSCI) at the time of this report via “Have Your Say” survey documents, confirmed a generally positive response in relation to the care provided to residents. Verbal feedback received from residents, and their relatives, during the inspection visit was also very positive. Staff were observed knocking on resident’s bedroom doors prior to entering, and were observed chatting to residents and addressing residents in a respectful and friendly manner. Relatives spoken with confirmed that residents’ dignity and privacy are upheld. Residents who could not communicate appeared well cared for, and happy in their surroundings Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 13 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. People who use this service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: The home provides a set programme of social activities for residents. Bingo was in progress during the afternoon of the inspection visit. Activities are mainly undertaken in the afternoon. Staff and residents confirmed that trips out to the community had been organised during the finer weather, and transport provided. Some staff spoken with discussed the difficulties in engaging residents who have dementia in regard to activities. The home has a part time activities organiser. Plans for Christmas activities were under way. Following discussion with staff, the inspector recommends that staff look at options for activities for people who have dementia. Residents and visiting relatives spoken with confirmed that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. The inspector noted that visitors freely entered and left Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 14 the building during the inspection visit. Visitors were able to see a relative in private if they needed to. The care manager confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. Residents were able to bring in small items of furniture and bedrooms seen were personalised with residents’ possessions. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures, and hot food had been appropriately documented and recorded. The quality and variety of food served at the home is of a good standard, and the 4 weekly rotational menus reflected the wishes of service users, as well as the changes in season. Home baked cakes were in the oven during the inspection visit. Plans were under way for Christmas cakes to be cooked. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. Residents are able to have their say at regular meetings. The minutes of residents meetings were seen. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 15 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. People who use this service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: There was a clear and accessible complaints and protection of vulnerable adults procedure in place at the home. There had been no complaints received by the Commission for Social Care Inspection since the previous inspection. The care manager confirmed that she takes all concerns and complaints seriously and addresses them according to the procedure. The home also has a “grumbles” book. Residents and relatives spoken with said that they were more than happy with the service they received. They also confirmed that they would know whom to approach should they have any concerns or complaints. The home’s complaints procedure is written in a leaflet about complaints, which is readily accessible in the hallway of the home. Staff spoken with confirmed that they were aware of the need to monitor the safety of residents and to protect them from any form of abuse. Staff spoken with, staff records, and the care manager confirmed that all appropriate security checks had taken place prior to their employment at the Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 16 home. Including POVA/CRB Police checks, provision of 2 references and completion of an application form. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 17 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): 19,22,23,24,25 and 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The inspector toured the building, spoke with residents, and with visiting relatives. The home was found to be clean and well presented. This included all bathrooms, the laundry, the kitchen, and the toilets. Adequate hand washing facilities were available throughout the home. The laundry and sluicing facilities were seen to be compliant. Bedrooms seen were personalised, well decorated, and had been adapted to suit the needs of the service users. Bumpers for bedrails were all present, and wheelchairs seen all had appropriate footplates, which were being used by staff when moving and transferring residents. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 18 Various aids and adaptations were in place including assisted baths, mobile hoists and other equipment used for moving and handling of service users. There was a nurse call bell in operation, which was seen and heard to be working at the time of the inspection. The records evidenced that the premises were being maintained well. The slabs on the rear patio had been lifted and levelled to remove the tripping hazard, as agreed during the previous inspection. The heating radiators highlighted at the previous inspection had been guarded, to ensure low surface temperatures, for the safety of residents. The Annual Quality Assurance Assessment (AQAA) document completed by the care manager, confirmed that the home had undergone a refurbishment and upgrading programme, which has provided an extra lounge and kitchen area, and potential day care facilities. The beds in some areas were out of use. Due to the “Changing Lives” programme, there had been restrictions placed on the admissions of permanent residents to the home. The inspector was able to view those areas during a tour of the building, and asked to be kept informed of any future plans for the use of those areas. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 19 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. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staff rotas were examined, and 4 members of staff were interviewed. Rotas showed that existing staffing levels had been maintained. Discussions with staff were positive, and showed a clear determination that they belong to a committed team. Staff spoken with confirmed that they had received training in Dementia, health and safety, Prevention of Cross Infection, food hygiene, Fire, Moving and Handling. Staff spoken with, records seen, and the care manager confirmed that all appropriate security checks had taken place prior to their employment at the home. Including POVA/CRB Police checks, provision of 2 references, the completion of an application form, and appropriate proof of identification. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 20 Staff spoken with confirmed that they had been receiving regular supervision as per the National Minimum Standard. The AQAA document confirmed that out of 30 care staff, 15 had already achieved their NVQ level 2 or above, and a further 3 staff are currently undertaking the award. This meets the National Minimum Standard for a minimum of 50 of care staff. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 21 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): 31,32,33,36,37 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: At the time of this report the inspector had received 8 ‘Have your say’ survey documents, which the CSCI send out to residents. These had generally been positive, and had been completed by key workers on behalf of residents. However, there were also lots of positive verbal comments made by residents, and their relatives during the inspection visit. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 22 The home’s Statement of Purpose and Service User Guide was available for the inspector to view. Care Plans were signed, and arrangements made in the event of terminal illness are also recorded. Health and safety issues were inspected, and found to be in good order, for example wheelchairs, bed bumpers etc. Staff spoken with, records seen, and the care manager confirmed that all appropriate security checks had taken place prior to their employment at the home. Including POVA/CRB Police checks, provision of 2 references, the completion of an application form, and proof of identification. Staff spoken with and records seen confirmed that care staff had been receiving regular supervision as per the National Minimum Standard. The inspector recommends that staff responsible for organising and undertaking activities, should look at other options for activities in regard to residents who have dementia. The care manager is well qualified and experienced to oversee the running of the home. Staff, residents and visiting relatives spoken to were complimentary about the care manager and staff team, and confirmed that the care manager was approachable and supportive. The care manager confirmed in the Annual Quality Assurance Assessment (AQAA) document that records relating to the testing of equipment were up to date and well documented. There had been no complaints received by CSCI since the previous inspection. Residents and their relatives are aware of how to make a complaint if they wish to. The care manager, staff, and residents spoken with confirmed that resident and staff meetings are being held. The AQAA document completed by the care manager confirmed that the home had undergone a refurbishment and upgrading programme, which has provided an extra lounge and kitchen area, and potential day care facilities. The beds in some areas were out of use. Due to the “Changing Lives” programme, there had been restrictions placed on the admissions of permanent residents to the home. The inspector confirmed this during a tour Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 23 of the building, and asked to be kept informed of any future plans for the use of those areas. There is a quality assurance system in place at the home. This is co-ordinated and managed by the Provider. Residents, relatives and/or their representatives are invited to express their views at least twice yearly in a written format. This information is then collated and acted upon. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 24 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 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X X 3 3 3 Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP12 Good Practice Recommendations Staff responsible for organising and or undertaking activities, should look at options for activities for people who have dementia. Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Meadowyrthe DS0000034341.V349973.R01.S.doc Version 5.2 Page 27 - 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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