Inspection on 16/12/05 for Memory House Care Centre

This inspection was carried out on 16th December 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Memory House Care Centre 24/06/09

Memory House Care Centre 29/04/08

Memory House Care Centre 30/04/07

Memory House Care Centre 08/08/06

Memory House Care Centre 11/07/05

Memory House Care Centre 09/03/05

Memory House Care Centre 05/08/04

Memory House Care Centre 22/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Memory House Care Centre 6-9 Marine Parade Leigh On Sea Essex SS9 2NA Lead Inspector Carolyn Delaney Unannounced Inspection 14:00p 16th December 2005 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 Memory House Care Centre DS0000015512.V253835.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. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Memory House Care Centre Address 6-9 Marine Parade Leigh On Sea Essex SS9 2NA 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) 01702 478245 01702 711168 Ashbourne (Eton) Limited Manager post vacant Care Home 45 Category(ies) of Dementia - over 65 years of age (45), Old age, registration, with number not falling within any other category (45) of places Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Personal care to be provided for older people aged over 65 years. Personal care to be provided to no more than forty-five service users who have dementia and are over the age of 65 years. The number of persons for whom personal care is to be provided shall not exceed forty-five. Date of last inspection Brief Description of the Service: Memory House provides care and accommodation for 45 older people in an older style property situated in a quiet residential area of Leigh on Sea, overlooking the Thames Estuary. The home provides 33 single bedrooms and six shared rooms on two floors. Each bedroom has ensuite facilities. Service users living at the home have access to two dining areas, three lounge areas and a dedicated smoking room. Memory House is situated close to bus routes, local shops and amenities and a mainline station. Parking is available at the rear of the property off Hadleigh Road. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection carried out between 14.00 and 17.00 on 16th December 2005. Records including assessments, care plans, daily care notes and risk assessment documents in respect of three people living at the home were examined. Two residents and four relatives were spoken with during the inspection. Three members of staff including the manager were spoken with and records in respect of the recruitment, training and supervision of staff were sampled. A number of records including policies and procedures in respect of the day-today management of the home were examined. Key standards as identified in the intended outcomes sections of this report are inspected at least once every twelve months. Where key standards have not been inspected on this occasion they will have been inspected at the previous inspection. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. What the service does well: What has improved since the last inspection? New so as to minimise the risks of cross infection and improve the services provided to the people who live at the home. Staff working at the home no longer work excessive hours without a suitable off duty days and they were aware of how to act so as to protect people who live at the home from harm or abuse. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 6 Records kept at the home in respect of monies held on behalf of the people who live there have been updated and are kept up to date and accurate so as to minimise the risks of mishandling of residents monies. Laundry facilities have been installed with appropriate hand washing facilities 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. Memory House Care Centre DS0000015512.V253835.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 Memory House Care Centre DS0000015512.V253835.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): 3&5 Records do not consistently evidence that a detailed pre- admission assessment is carried out before prospective residents are offered a place at the home, however detailed assessments of each residents needs are carried out when people move into the home. Prospective residents and / or their relatives are invited to visit the home so as to make an informed decision as to whether they feel it will meet the individual’s needs. EVIDENCE: Records made when preadmission assessments are carried out are not always signed and dated so as to evidence that they were carried out prior to the person being offered a place at the home. It was positive to note that when people move into the home that an assessment of care and general needs is carried out promptly and key areas are identified so as to plan effective care. Where possible residents views and understanding of their needs is recorded within the assessment document. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 9 Prospective residents and or their families are encouraged to visit to assess its suitability before making a decision about whether to accept a place at the home. Memory House does not provide intermediate or rehabilitative care. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 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 the following standard(s): 7, 8 & 10 Staff working at Memory House keep up to date and detailed records in respect of the care and general needs of the people who live at the home. The system for assessing, recording and managing actual and potential risks to the people who live at the home is not sufficient and does not provide an effective working tool for staff to best meet residents needs. Staff working at the home treat residents with respect and provide care for them, which promotes independence and privacy. EVIDENCE: Care plans examined on the day of this inspection were clearly written and kept up to date in accordance with changes to each persons medical and general condition. The documentation available to staff for assessing risks to the people living at the home of sustaining injuries from falls, use of bedrails, and risks of developing pressure sores is not sufficient as it does not provide a detailed criteria or assessment tool for clearly identifying, or guidance for managing risks. Therefore information recorded by staff in respect of identifying and Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 11 managing risks to people living at the home is not recorded in a consistent or effective manner. Residents and their relatives who were spoken with during this inspection said that staff were kind and caring and treated people with respect. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 & 15 It was not evident that the home provides meaningful and stimulating activities for the people who live there. Staff support residents to maintain contact with their families and friends. The home provides a variety of food for residents living at the home. However residents are not always provide with suitable table facilities for taking meals and refreshments. EVIDENCE: The Home employs an activities coordinator for twenty-one hours per week who provides a variety of activities such as games quizzes and exercises to music for those residents who are capable of and wish to participate. Care staff also assist and escort residents who wish to go out to local shops etc. Outside entertainers come to the home periodically and provide shows etc. Since the last inspection the activities coordinator had developed a two weekly ongoing activities plan. It was not clear who was responsible for providing planned activities when the activities coordinator was not on duty. The acting manager said that care staff provided activities for residents, however this was not always recorded. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 13 Staff were seen to interact well with residents but there was little observed in the way of meaningful or stimulating activities provided on the afternoon of the inspection. Visitors to the home are made to feel welcome and residents can receive friends and family at any time that they choose. A menu for each day is displayed in the lounge area. The serving of the evening meal was observed. Residents were offered soup, Cheese on toast or a selection of sandwiches and a dessert course. Residents said that the food was good. It was noted that when the afternoon tea was served that not all residents had suitable tables to place their drinks on and this was discussed with the homes acting manager who undertook to address this. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 Records maintained in respect of complaints received and investigated by the home were not consistently maintained. Staff working at the home are aware of the homes policies and procedures for ensuring that people living at the home are protected from abuse or harm. EVIDENCE: The home has detailed policy and procedure for dealing with complaints made in respect of the care and services provided. There had been a number of complaints received since the last inspection. The most common complaint was about the laundry services provided by the home and more recently the cleanliness of the home. The acting manager said that there had been a shortage of domestic staff and that other staff had been assisting to ensure that residents clothing was laundered. In general records in respect of complaints received and investigated were well maintained it was not always clear from the records what the outcomes of the investigations were and whether the complainants were satisfied with the outcomes. Training records were not assessed during this inspection, however those staff who were spoken with could demonstrate that they were aware of the homes policy and procedure in respect of the protection of the people who live at the home from abuse or harm. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Appropriate measures had not been taken so as to ensure that the home was so far as practicable maintained free from unpleasant odours. EVIDENCE: The issues identified at the previous inspection in respect of the supply of hot water and heating had been resolved shortly after the inspection. A new laundry area with hand washing facilities had been recently installed. The laundry room was not completed in terms of decoration and covering of exposed pipe work etc so as to ensure a safe working environment for staff. There were some unpleasant odours detected in one corridor and the lounge area. The acting manager said that this was due to soiled laundry, which had been stored temporarily in a disused bathroom in the corridor. The issues identified in respect of this standard were discussed with the homes acting manager who undertook to address them. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 16 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 & 29 Care staff are employed in sufficient numbers according to previous agreed staffing notices, however domestic staffing arrangements need to be reviewed, so as to ensure that the needs of the people living at the home are fully met. Recruitment practices are not consistently robust so as to protect the interests and welfare of the people who live at the home. EVIDENCE: The duty rota was clear in respect of the times that staff commences and finish shift and who is to take responsibility for each shift. Staff also have allocated tasks and duties so as to make the best use of staffing resources. It was also positive to note that staff did not wok excessive hours and that they had appropriate off duty time. In general staff were recruited according to robust policy and procedure. However some staff had been employed at the home prior to receipt of satisfactory references and checks in respect of individuals identity and previous work history were not carried out consistently for all newly recruited staff. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 17 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, 35 & 38 Memory House is generally managed in a manner, which promotes the welfare and safety of the people who live, work and visit the home. The laundry area requires completion so as to provide a suitable and safe place for staff to carry out their duties. EVIDENCE: The acting manager had been sent an application from so as to apply to be registered as manager of the home. The acting manager has managed the day-to-day running of the home for a period of approximately one year and has continued to work towards maintaining and improving the quality of the services provided by the home. The issues identified at the last inspection regarding the records maintained when resident’s monies were held on their behalf had been resolved by the acting manager and records were accurate, up to date and audited on a regular basis. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 18 The issues as identified under standard 26 in respect of the laundry were discussed with the homes acting manager who undertook to address these. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 19 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP8 Regulation 12 & 13(4)(C) Requirement The registered persons must ensure that there is an effective system in place for assessing and managing risks to residents living at the home. Timescale for action 30/03/06 2 OP12 16(2)(n) 3 OP15 16(1) & 16(2)(n) 4 OP16 22 This with particular reference to the documents available for assessing risks and planning effective management to minimise the impact of these risks to residents. The registered persons must 30/03/06 ensure so far as it is practicable that a suitable range of stimulating and meaningful activities are provided for residents living at the home. The registered persons must 30/03/06 ensure that suitable facilities are made available so that residents can take meals and refreshments in a comfortable manner, which meets their needs and wishes. The registered persons must 28/02/06 ensure that all records maintained in respect of complaints received include details of the outcomes and DS0000015512.V253835.R01.S.doc Version 5.1 Page 21 Memory House Care Centre 5 OP26 16(2)(k) 6 OP27 18(1) 7 OP29 19 response to complainant. The registered persons must ensure that so far as it is practicable that the home is maintained free from unpleasant odours. The registered persons must ensure that sufficient domestic and cleaning staff are employed so as to meet the needs of the people living at the home. The registered persons must ensure that staff are recruited to work in the home according to a robust and consistent procedure so as to protect the people who live there. This is a repeat requirement from the previous inspection. The registered persons must ensure that the home is maintained in a manner which promotes the safety of persons working there. This with particular reference to the issues identified in respect of the laundry area. 28/02/06 28/02/06 28/02/06 8 OP38 23 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3 Good Practice Recommendations All documents in respect of assessing prospective residents care and general needs prior to their being offered place at the home should be dated and signed. Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Memory House Care Centre DS0000015512.V253835.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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