Inspection on 31/05/07 for Mellor House

This inspection was carried out on 31st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mellor House 26/09/06

Mellor House 25/05/06

Mellor House 14/12/05

Mellor House 03/05/05

Mellor House 19/10/04

Mellor House 04/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Mellor House 80 Station Road Westcliff On Sea Essex SS0 7RQ Lead Inspector Sarah Hannington Unannounced Inspection 31st May 2007 10:00 Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 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 Mellor House DS0000015510.V340884.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 Adults 18-65. 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. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mellor House Address 80 Station Road Westcliff On Sea Essex SS0 7RQ 01702 437350 01702 346042 h3m043walton@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Manager post vacant Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2006 Brief Description of the Service: Mellor House is a purpose-built home providing 24-hour residential care for up to eight adults with profound complex physical and learning disabilities. The home is situated within a residential area of Westcliff on Sea and is close to the towns of Southend and Leigh on Sea with views of the sea. There are good public transport links to the area and a railway station is within close walking distance to the home. Springboard Housing Association owns the home, and MENCAP provide the care. The monthly fees, range from £1031. 39 to £1082.71 per week. There are eight spacious single bedrooms with hand washing facilities all located on the ground floor. Assisted bathrooms are located within easy location to the bedrooms. There is a large lounge and dining room available. The kitchen is large and wheelchair accessible. A number of areas within the home have been refurbished and this includes the lounge, hallway and kitchen. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site key inspection was unannounced. The inspection took place over 5 hours. As part of this process two relatives, three staff and one service user were spoken with. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mellor House demonstrated that it has good policy and procedures, which meets the needs of individuals prior to admission. EVIDENCE: Policies and procedures are in place regarding pre admission activity such as a prospective resident visiting the home and assessments to be carried out prior to them moving in. There are no vacancies at present as all residents have been in place for a number of years. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good care plan and risk assessments in place for all residents. EVIDENCE: All clients have had reviews completed. It was good to see that advocates, professionals and families had been involved. Alongside the reviews all individualised equipment has been or is due to be re-assessed by occupational health. The home faces a difficult task of identifying resident’s choices, wishes and goals due to their disability and difficulty in making their needs understood, this is a constant challenge to the service. However the home is creative in its approaches and explores ways of involving individuals by means of photographs, smells to help associate different choices, videoing reactions to choice given, advocates work closely with the client group, involvement of families and representatives. The home is proactive in trying to establish ways in which the individuals of the home can be involved as much as possible. The home is encouraging the staffing group to learn weekly makaton signs to enable them to develop different means of communication. Additionally all this good work is recorded in a suitable format that explores activities tried, why Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 9 that activity was tried –for what purpose, looks at who was involved, and if it didn’t work –why? Care plans have been based on person centred planning and as much as possible being written and recorded from the services users needs, likes and dislikes. Through discussion with the manager and through looking at individuals risk assessments it is apparent that the home has a good risk assessments procedure in place which explores why some risk taking is a positive thing, as well as being balanced enough to prevent high risk situations developing. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of activities and leisure pursuits within the community EVIDENCE: All of the residents have a mix of traditional and community based day services, activities and leisure pursuits organised through the week. Relatives spoken with felt that residents on the whole get out within the community more than previously. Within individual’s files is a section called new experiences and activities where new ideas and choices that are recorded. At weekends residents are encouraged to have visitors or to go visiting relatives and friends. Alongside this residents are encouraged to access the local community carrying out various pursuits. All residents are encouraged, however limited their skills may be, to partake in daily running of Mellor house, such as care of their own bedrooms and general tasks around the home. Observation during the inspection showed that staff encouraged the resident home for the day to chose and help prepare their lunch. Menu’s on the whole are to a good standard and reflect client choice. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users personal and healthcare support is well managed. Paperwork within the home is being maintained to an appropriate standard. Good medication systems are in place. EVIDENCE: The home has a personal care planning system, the information provided is inclusive of service users individualised preferences and needs. All residents, relatives and representatives have been able to take part. One of the residents night care plan looked at included practical information to staff such as ‘ I can tell you what I want by pushing or pointing’ and personal preferences ‘I like my PJ’s to match’. Other care plans contained physiotherapy and exercise programmes, amongst many other things important to the individual. The Care plans are reviewed and updated and lots of photos and communication aids used for the individual residents. No resident administers or takes care of any medications. The home has a MDS (monitored dosage system) system. MAR sheets were free from omissions. However the home needs to refer to the ‘Royal Pharmaceutical Guidelines’, whilst organising and keeping Homely medicines and creams according to legislation. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Working closely with families and residents has been improved upon and is to a good standard. Staff are able to protect residents from abuse. EVIDENCE: No complaints or POVA (protection of vulnerable adults) issues have been received by the home or CSCI since the last inspection. Staff spoken with are aware and have had or are down for POVA training. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users bedrooms provided a good amount of space and individuals had specialised equipment if needed. The home is clean with no apparent odours and is to a good standard. EVIDENCE: A new domestic member of staff has been employed since the last inspection. All residents’ bedrooms and communal areas are maintained to a good standard the home is clean, odour free and comfortable. The kitchen has recently been refurbished and since the last inspection a new fridge freezer has been obtained. New dinning room table and chairs are in place. A small activity area is provided, including a large swing and a trampoline has been acquired. Additionally the home is obtaining a water feature. The home has engaged the services of occupational health to review all specialist equipment. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35 Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Staff are supported through the management structure. Training opportunities and recruitment procedures are good. EVIDENCE: Core training is regular and workshop training from Mencap managers is on going including subjects such as recording, dealing with behaviours. Pova training for all staff is complete. Staff on duty gave positive comments about training, supervision, staff meetings and general support. The rota clearly identified that there are enough staff on duty. Induction of all new staff still needs to be fully implemented for all staff this is specially related to a new domestic member of staff recently employed. Policies and procedures around recruitment are good. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has made effective changes and has generally improved on written records. EVIDENCE: On the last inspection and today relatives have expressed that they think highly of the present manager and feel she has had a positive impact on the staffing group and the general quality of care for the residents. Quality Assurance has been carried out withal interested parties, professionals, advocates and families. The result of these surveys proved overall satisfaction and praise in the service being provided. However their needs to be further development in the way in which ‘rubber’ gloves are stored, (not in personal rooms unlocked) and cleaning cupboard storerooms are kept locked (not with keys left in them). These issues need to reflect general health and safety legislation and specifically related to the COSHH (chemicals or substances hazardous to health) guidelines. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 17 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 YA20 Regulation Reg 13 (2) Requirement The registered manager must ensure that all medicines including homely remedies are stored according to the ‘Royal pharmaceutical guidelines’. The registered manager must ensure that all health and safety equipment is stored according to Health and Safety legislation. Timescale for action 31/07/07 2 YA42 Reg 13 (4) (a)(c ) 31/07/07 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 YA32 Good Practice Recommendations The home to develop the induction process for all new staff employed. Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Mellor House DS0000015510.V340884.R01.S.doc Version 5.2 Page 19 - 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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