Inspection on 05/08/05 for Mendip House

This inspection was carried out on 5th August 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 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

Mendip House 10/05/07

Mendip House 13/01/06

Mendip House 16/03/05

Mendip House 04/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

The Gardens Care Home

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

CARE HOMES FOR OLDER PEOPLE Mendip House West Lane Chester le Street Co Durham DH2 3AS Lead Inspector Stepehn Ellis Unannounced 5 August 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. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mendip House Address Mendip House, West Lane, Chester le Street, Co Durham, DH2 3AS 01913882514 01913882514 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) Durham County Council Mrs Vivien Mary Shingleton Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (8) of places Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The lifestyle and needs of the PD person to be accommodated in the OP unit must be compatible with the lifestyles and needs of the other service users in the OP unit, plus the home`s statement of purpose. Date of last inspection 16 March 2005 Brief Description of the Service: Mendip House is a long established care home for older people, provided by Durham County Council’s Social and Health Care Services. It provides 28 care beds, all in single rooms. The two- storey building has generous communal space (lounges and dining room) and is generally well equipped for the assessed needs of its service users. Externally, there is a garden and car parking spaces.In 2004, the care home developed an intermediate care unit for 8 people with physical disabilities over the age of 55 years. Its purpose is the rehabilitation of service users who are admitted for short stays so that an intensive rehabilitation programme can be applied. The remaining 20 beds are for either permanent or respite care. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. It included a tour of the building, examination of a number of records, plus comments received from 13 residents and 3 staff. 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. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 6 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 Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 7 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 and 6 Thorough assessments of need are carried out prior to admission to ensure that the service will be suitable for the people admitted. Very good arrangements are in place for intermediate care, enabling service users to maximise their independence and return home wherever possible. EVIDENCE: Service users said that their needs had been assessed prior to their admission. Service users on the Intermediate Care Unit spoke very highly of the care and assistance they received from staff of all disciplines working on the Unit (e.g. care staff, community nursing staff, physiotherapists, occupational therapists and medical staff). Service users’ plans of care showed detailed assessments of need had been carried out and that their admissions were appropriate. Plans of care also showed that service users were helped to maximise their independence and return home in the majority of cases (75 of cases). Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 8 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, 8 and 10 There are good arrangements for service users’ health, social and personal care needs. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Service users spoke very highly of the arrangements for their health, social and personal care needs. One service user said: “I count myself so lucky to be here; we’re treated very well”; another resident said: “Heartfelt thanks for the encouragement and care I’ve received; it deserves a five star rating”. Another resident said: “It’s been wonderful, very good; can’t fault anything”. Service users were very satisfied that their health care needs were being fully addressed. One man had recently returned from hospital and he was very complimentary about the health care service he had received (although he wished he had not had to go into hospital). Service users also said that their social and personal care needs were well understood and respected. People were treated as individuals, with courtesy and consideration. Their privacy was acknowledged and upheld by staff. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 9 A good rapport was evident between service users and staff with staff demonstrating care, consideration, sensitivity and respect. Care plans were comprehensive and detailed, being very useful documents for planning and reviewing service users’ care needs and progress. They were up to date and emphasised the positive capabilities of service users, whilst also identifying those areas where assistance was required. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Very good arrangements are in place for service users’ daily life and social activities, including catering standards. EVIDENCE: Service users were extremely complimentary about the high standards of service experienced concerning daily life and social activities. As one service user said: “This is the best home I’ve been to; the food is excellent and you can talk to the staff”. Another said: “The food is wonderful”. Service users are regularly consulted about matters affecting the life of the home, both formally and informally, individually and in small groups. For example, residents meetings are held every two months and annual satisfaction surveys are carried out. A Newsletter is produced every 6-8 weeks. Residents’ comments are invited and kept in a book. Service users confirmed that they are encouraged to exercise choice in their daily lives. For example, service users are being invited to choose new curtains for their bedrooms from many different pattern designs and colours. They also choose how they spend their time, including the times of getting up and going to bed. There is a good choice of social and recreational activities from a varied programme of events, including individual and group activities, in and out of Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 11 the home. For example, on Saturday nights there is often a special supper put on with music and singing. Service users were particularly complimentary in their comments about the home’s catering, describing it either as very good or excellent. A varied and appetising menu is provided, reflecting service user choice. An attractive, easy to read menu is displayed in a clear plastic holder on each table and on a large board near the entrance to the dining room. An attractive dining room is provided. Tables are supplied with linen tablecloths and napkins. Meals and beverages are served using utensils, crockery and cutlery of good quality. New meals are offered from time to time so that residents can try different menus and exercise choice. The home tries hard to provide meals that residents will enjoy. The lifestyles enjoyed within the home accord with service users’ expectations and aspirations, offering opportunities for fulfilment. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users are confident that any complaint would be taken seriously and acted upon appropriately by management and staff. EVIDENCE: Service users expressed great confidence in the management and staff about the making and handling of complaints. Service users said that they could confide in staff about any matters of concern. They described the staff members as being approachable, supportive and helpful. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Service users live in a safe, well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: A tour of the building revealed the premises to be well maintained, clean and pleasant. There is a full time handyman who monitors safety standards and ensures that repairs, redecoration and servicing are carried out at appropriate intervals. Records are kept of tests and servicing. Residents were positive and complimentary in their comments about the premises, describing them as pleasant, comfortable and suitable for their needs. They felt the home was well equipped. Residents personalise their rooms and are invited to bring in personal items of furniture, ornaments and photographs/pictures as they wish. Paper towels and liquid soap are supplied in wall-mounted dispensers in communal toilets and bathrooms. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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) 27, 28 and 30 Service users’ needs are met by the numbers and skills mix of staff. Residents are in safe hands at all times and staff members are trained and competent to do their jobs. EVIDENCE: Service users said that they found staff to be friendly, supportive and helpful. They did not have to wait long if they needed personal assistance with anything. They described the staff as being capable and skilful. Such comments were supported by the staffing levels and staff training arrangements in the home. Typically during the day (07.00-22.00) there are 2 members of care staff on duty on the Intermediate Care Unit (8 beds) and 2 care staff plus a residential supervisor on the Older Persons’ Unit (20 beds). At night there are 2 care staff on duty across the home. The registered manager is full-time and her hours are not included in the number of care hours supplied. There is a part-time administrator, plus catering and domestic staff in sufficient numbers for the needs of the home. There is a full-time Handyman. Staff comments confirmed the suitability of staffing levels, deployment and training. A full staff-training programme has been operating. It has included this year: Health and Safety, Infection Control, Safe Handling of Medicines, Promoting Continence, Pressure Area Care and Food Hygiene. Positive Dementia training is planned for later this year. Thirteen members of care staff out of 17 have achieved NVQ level 2 or above, which is commendable. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 15 On the Intermediate Care Unit, there is a multi-disciplinary staff team involved, including care staff, community nursing staff, physiotherapists, occupational therapists, social workers and medical staff. They are reported to work and communicate well together to achieve the aims and objectives set out for the Unit. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 The home is run in the best interests of service users. EVIDENCE: Service users said that they were consulted about all key issues affecting the life of the home. They described very good communication with management and staff. They clearly enjoyed living in the home and felt it was being run in their best interests. Management and staff are working towards the aims and objectives of the home and doing this consistently. For example, 43 people had been admitted to the Intermediate Care Unit from December 2004 (when it opened) to June 2005. Of these admissions, 75 went home. The average length of stay on the Unit was 22.5 days, well within the 6 weeks maximum target. The ages of people admitted varied between 71 and 94 years. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 17 Service users on both Units were very positive and complimentary in their comments about this home and how it was run. They experienced good outcomes and expressed much confidence in the home’s management. The home’s manager is a well-qualified and experienced social care professional, working towards her NVQ level 4 in management and care. Reports of monthly, quality assurance visits, carried out by the provider’s agent under Regulation 26 (Care Homes Regulations 2001) need to be sent to the Commission for Social Care Inspection. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? 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 33 Regulation 26 Requirement Reports of monthly quality assurance visits carried out by the Responsible Individuals agent are required to be sent to the Commission for Social Care Inspection. Timescale for action 30/09/05 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 31 Good Practice Recommendations It is expected that the registered manager will complete the NVQ level 4 in management and care in either 2005 or 2006. Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Mendip House B54 S31195 Mendip House V232424 030805 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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