Inspection on 20/07/05 for Medlock Court

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Medlock Court 25/09/07

Medlock Court 13/09/06

Medlock Court 06/12/05

Medlock Court 16/02/05

Medlock Court 08/07/04

Medlock Court 25/03/04

Medlock Court 10/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Medlock Court Medlock Way Lees Oldham OL4 3LD Lead Inspector Carol Makin Unannounced 20th July 2005 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 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. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Medlock Court Address Medlock Way Lees Oldham OL4 3LD 0161 911 5081 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Oldham MBC Social Services Mrs Maureen Schofield CRH Care Home 33 Category(ies) of DE(E) Dementia over 65 - 10 registration, with number OP Old Age - 24 of places PD(E) Physical Disability over 65 - 15 Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to include up to 24 OP, up to 15 PD(E) and up to 10 DE(E). 2 A manager, working a minimum of 30 hours per week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered, or has an application for registration pending, with the Commission for Social Care. The ratio of care staff to service users must be determined according to the assessed needs of service users and staffing levels must be regularly reviewed to reflect service users` changing needs. 3 Date of last inspection 25th March 2004 Brief Description of the Service: Medlock Court is a purpose built Local Authority home which is situated near to the centre of Lees. It is convenient for local shops and public transport. The home provides care for up to 33 people with age related problems. Accommodation is provided on in three wings, each having its own dining / lounge and kitchen area. One of the wings is specifically for residents who need intermediate care. Bedrooms are all single, although 5 have doors to adjoining rooms which may convert into doubles for people wishing to share. There are large secure gardens for residents use. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 20th July 2005. Action had been taken in relation to most of the requirements, which were made as a result of previous inspections. Some had been fully addressed, but others required further improvement to achieve full compliance with the National Minimum Standards and the Regulations. The inspector spoke with some of the residents, and members of the management team, carried out a partial inspection of the premises, and examined records. Verbal feedback of the findings of the inspection was given to the assistant managers who were in charge of the home at the time of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Up to date, pre admission assessments of care needs must be obtained prior to prospective residents being admitted to the home, so that managers can ensure that the needs can be met by the home. Residents care needs must be accurately assessed and recorded in their care plans. Further training was needed in some areas. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 6 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. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 standard(s) 3,4,5 and 6 Residents’ care needs were not always fully assessed before moving into the home for short term care. Residents admitted for intermediate care are helped to maximise their independence and return home. EVIDENCE: The home is no longer accepting people for long term care. All new admissions are either for intermediate care, or short term/respite care. Pre-admission assessments of care needs for applicants for short term care, were not routinely done by the home. Managers were said to occasionally visit prospective residents with a social worker, prior to admission, if there were any initial concerns about whether the home could meet the needs. Other than this, a judgement about whether the home could meet the person’s needs was based on the information provided in social workers’ assessments. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 9 However, the assistant managers who were on duty at the time of the inspection, said that social workers usually carried out a care needs assessment at the time when they booked the place with the home, which could be up to 4 months before the date of admission. Social workers had said that they did not have the time to update assessments just prior to admission, and would this only if they had been informed that any of the needs had changed. A resident whose file was inspected, had a social work assessment, which had been done several months prior to admission, which showed no history of falls. The resident fell on the morning after admission, and then told staff that she had suffered a fall whilst at home and still had pain in her knee from it. It is essential that staff in the home have sufficient up to date information about prospective residents to assess whether the needs can be met in the home, and ensure that measures can be put in place to meet the needs. There are, however also issues about the information in the home’s assessment and care plans, which are completed after admission, and are detailed in standard 7. The assistant managers said that they did not usually meet prospective residents before admission. Special facilities are provided for those service users who are admitted for intermediate care which include: Dedicated areas for equipment and therapies, e.g., adapted kitchens. Mobility aids. Professional input, e.g., Physiotherapy, Occupational Therapy, District Nurses. The residents on the intermediate wing who spoke with the inspector were very satisfied with the service provided. They felt that they had improved, and the dates for returning home had been arranged. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 and10 Care plans did not always accurately reflect residents care needs. Medication was dealt with appropriately. Residents’ rights to privacy and dignity were respected by staff in the home. EVIDENCE: A file for a permanent resident contained a care needs assessment and a care plan, which covered all the areas of need listed in standard 3. The plan had been reviewed monthly as required, to ensure that the information was up to date for the guidance of staff providing the care. Risk assessments had not however been reviewed each month with the care plans. The file for a resident recently admitted for shot term care, contained an assessment of care needs which had been completed in the home on the day of admission, but the format was based on physical needs only, and did not include the primary need for care. The format for the care plan provided by the home, contained more categories of need than the assessment, but the carer who completed the plan had failed to identify a particular care need. The plan had also not been signed or dated by the carer. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 11 These issues were fed back to an assistant manager, who subsequently discussed them with the carer concerned, and training needs were identified. Medicine records which were checked, were found to be in order, and a requirement, which was made following the last inspection had been addressed. Information provided for inspection showed that 3 assistant managers and 17 carers had received training in the administration of medication. Residents said that staff treated them with respect, and their rights to privacy and dignity were maintained within the home, e.g. assisting with/ providing personal care, privacy of residents’ own rooms. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Residents were able to maintain contact with relatives and friends. Activities provided residents with enjoyment and stimulation. Residents enjoyed the food provided at the home. EVIDENCE: Residents felt that the routines of daily living within the home were flexible, and enabled them to make choices. They were able to get up and go to bed and spend time in their rooms when they wished, and choose from various activities, which were available to them. Residents who spoke with the inspector confirmed that visiting was able to take place at any reasonable time, and said that visitors were made welcome by the staff. Links were maintained with the local community. An example of this was that people from the local church, and tenants from nearby sheltered housing, had been invited to a ‘summer party’ which was being held in the home on 13th August. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 13 Residents were responsible for their own medication and handled their own financial affairs if they were capable of doing so. Dining accommodation was provided on each wing. The furniture was of a good standard, and the dining areas were nicely decorated. There was general satisfaction with the food at the home, with 2 choices available at each meal time, and the cook would make an alternative for residents who didn’t want the meals on the menu. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Staff had received training to protect residents from abuse. EVIDENCE: The assistant manager said that training about abuse of vulnerable adults had been provided for managers, carers, domestic, and office staff. One newly appointed member of domestic staff was awaiting training, which was to be provided as soon as possible. Relevant policies and procedures had been provided by Oldham Social Services Department, for staff guidance. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,23,24,25 and 26 The home was clean, and the owners were maintaining the premises, and providing equipment and pleasant accommodation, for the people who live there. Some paved areas of the garden were not safe for residents. EVIDENCE: Since the last inspection failed double glazed units had been replaced, storage space had been provided, and toilets had been removed from sluice areas, which addressed previous requirements made by the Commission. A programme of improvements to the accommodation was continuing, with the kitchen areas on each wing having been totally refurbished to a very good standard. New chairs and commodes had been provided in the bedrooms on the intermediate (red) wing, some other bedrooms had been redecorated, and re-carpeted and some had been equipped with T.V./ DVD player, and new soft furnishings. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 16 Special ‘high profile’ beds with adjustable mattresses had been provided for some residents, and aids to independence were in place in bathrooms and toilets. Two toilets had been removed to provide storage space and re-site sluices, but sufficient separate toilets remained as well as toilets in bathrooms. Additional rails had also been installed in some toilets to assist wheelchair users. New carpets had been fitted on the corridors in green wing and brown wing, and large screen televisions, with DVD facilities, had been provided in the lounges on these wings. The corridors on brown wing had also been redecorated and similar redecoration was also planned for green wing. Residents were satisfied with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. The garden areas were fairly well maintained although in some areas bushes and shrubs were becoming overgrown and trailing across the paths where residents may wish to walk. The managers were concerned that uneven paving in the garden areas outside red wing and green wing posed a risk to residents who may trip over them, and they thought that a tarmac surface would be safer, as this had been provided outside brown wing, and it was more suitable for residents. The managers also felt that a fruit tree, which was in the centre of the paved area outside red wing, was also a problem and needed to be removed, because the ground became very slippery when the fruit fell from the tree. A requirement made previously by the Commission for individual controls to be provided on radiators in service users’ bedrooms, had not been addressed but the assistant manager said that the registered manager had made a referral to Social Service Department’s building services for the work to be done. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 30 Overall, the training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: Information which was provided for inspection showed that 14 of the 25 care staff (i.e.56 ), had achieved an NVQ level 2 qualification or higher. A programme of a range of training was in operation for staff, but some individual training needs were identified during the course of the inspection, as noted in standards 3 & 7. Staff who are responsible for assessing residents’ needs, and drawing up care plans, need to be appropriately trained. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,37 and 38 Record keeping could be improved to safeguard resident’s rights, and more opportunities were needed for residents to comment on the running of the home. Residents’ financial interests were safeguarded. EVIDENCE: The assistant manager said that they were considering ways of improving the system for obtaining residents views on the service, to enable residents to give their views anonymously. Records of money held in safekeeping for residents were selected at random for inspection, and were found to be in order. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 19 Fire drills and fire procedures training had been carried out as required. Tests and checks in relation to fire precautions had not been carried out at the prescribed intervals, specifically: Checks of the emergency lighting need to be carried out and recorded each month. Fire extinguishers need to be checked by a nominated person in the home once per month to ensure that access to them is not obstructed and they are readily available for use. Means of escape must be checked and recorded each week. Some records were up to date and had been correctly completed. Those where improvements were needed, have been noted previously when reporting on compliance with standards 3,7,38. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 2 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 3 3 3 3 2 3 STAFFING Standard No Score 27 x 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 2 x 3 x 2 2 Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? yes,requirements 5 & 6. 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 3, 4, 37 Regulation 14,15 Requirement The registerd person must ensure that prospective the care needs of residents are fully assessed, and that the information is up to date, prior to admisssion to the home. The registerd person must ensure that care plans accurately reflect residents care needs, that risk assessments are reviewed each month with the care plans. The registerd person must ensure that staff who are responsible for drawing up residents care plans are appropriately trained. The registered person must ensure that residents have safe access to the gardens. The registered person must ensure there is a system of quality assurance and quality monitoring in place, in accordance with the standard and the regulations. The registered person must ensure that tests and checks in relation to fire precautions are carried out at the prescribed intervals. Timescale for action immediate 2. 7,37 13,15 immediate 3. 3,7,30 18 immediate 4. 5. 20 33 13 10,12,24 1/10/05 1/12/05 6. 38 23 (4) immediate Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 22 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 25 Good Practice Recommendations The registered person should ensure that individual controls are provided on radiators in service users’ bedrooms. Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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 Medlock Court F54 F04 s35503 Medlock Court un v240159 200705 Stage 4.doc Version 1.40 Page 24 - 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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