Inspection on 10/08/05 for Menorah House

This inspection was carried out on 10th 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

Menorah House 07/06/07

Menorah House 21/03/06

Menorah House 15/03/05

Menorah House 14/05/04

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Larchfield Manor

Hawkhills

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Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Menorah House 331-337 Anlaby Road Kingston upon Hull East Yorkshire HU3 2SA Lead Inspector Simon Morley Unannounced 10 August 2005 @ 10:00 am th 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. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Menorah House Address 331-337 Anlaby Road Kingston upon Hull East Yorkshire HU3 2SA 01482 328227 01482 211349 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) Hull Jewish Community Care Care Home 25 Category(ies) of OP Old Age (25) registration, with number DE(E) Dementia (25) of places Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15th March 2005 Brief Description of the Service: Menorah House is owned by Hull Jewish Community Care a registered charity. The home is registered to provide accommodation and personal care for up to 25 service users of either gender, over the age of 65, some of whom may have dementia. The home is situated off Anlaby Road about a mile form the city centre. There is an attractive garden and a car park to the rear of the house and residents may access bus routes immediately outside the home into the city centre or to the outskirts of the city. Residents’ private accommodation consists of very spacious, 21 single and two double rooms, all with ensuite facilities and a sitting area. There are two passenger lifts to the first floor and an additional chairlift to support service users up a short flight of stairs leading off the first floor where the layout of the home is split level. Communal areas consist of two lounges and a large dining room. There is also a function room, where special events are held for the residents in the home and sometimes the local community. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for 6 hours and no additional visits have been made to the home since it’s last inspection at the beginning of March 2005. The inspector looked at records about the care of residents; spoke to 5 residents 4 care staff and the manager. There has been a change of manager since the last inspection. The current manager has applied to us for registration. What the service does well: What has improved since the last inspection? The new manager has improved the quality of training for new staff that have not worked in a care setting before. She has also recruited more staff to work during the night to improve the quality of care for residents. There was also more laundry staff to improve this service for the residents. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 6 The outside of the building had been maintained as part of the home’s regular maintenance, there were new net curtains in the windows and new garden furniture for residents to sit out in the garden. 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. Menorah House 20050810 Menorah House J54 UI v228547 s855 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 Menorah House 20050810 Menorah House J54 UI v228547 s855 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. The admissions process ensures that residents’ needs were assessed before moving into the home, so that they can be assured they will be well looked after. EVIDENCE: Residents spoken to were happy that their care needs were being met. Staff spoken to were aware of individual resident’s needs and what they needed to do for them. Individual care records are kept for each resident. An inspection of the records for three residents recently admitted showed that they all had had their care needs assessed prior to moving into the home. The manager had devised a new assessment form covering all the areas that need to be assessed to meet this standard. It was recommended she develop this further for it to become more effective. An individual plan of care is then written for residents based on their assessment. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 9 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, 9, and 10. There were arrangements in place to ensure that residents’ health and personal care needs were met, these could be made better by improving the quality of care plans. Residents were well treated with respect and dignity. EVIDENCE: Residents spoken to were happy with their care and how staff looked after them. They said that they were helped to have regular health checks and any necessary health care. They said that they were happy with how the home took care of their medication. Residents also said that staff were polite, friendly and treated them with respect and dignity. This was seen to be the case by the inspector. Of the three sets of records examined all had a plan of care describing what staff do for each resident. These were reviewed regularly. It was not clear from these records what staff need to do to meet all the health, personal and social care needs of each resident. The manager was asked to review the records to develop clearer and more detailed care plans for each resident. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 10 The home had good medication procedures, which were also examined. These ensured that residents received their medication safely and on time. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 11 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 and 13. The arrangements for helping residents remain part of the community and providing them with the opportunities to continue their lifestyle were good. EVIDENCE: The home is part of the local Jewish community and many of the residents have friends and relatives that visit them often. Committee members from the charity help organise social events and a weekly tea and coffee morning. Staff also organise activities for the residents and sometimes take them out shopping. Residents who wish to are supported to celebrate religious festivals, which is an important part of their lives. Residents spoken to were happy with the range of activities the home arranged. They also liked to spend time reading and watching television. Some preferring the privacy of their own rooms. One resident spoke about how important her space, privacy was, and how well the staff respected that. There is a private rear garden and the home had recently bought some new outdoor furniture for the residents to enjoy the nice weather. Menorah House 20050810 Menorah House J54 UI v228547 s855 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 and 18. The arrangements for dealing with complaints and keeping residents free from harm were good and ensured residents felt listened to and safe. EVIDENCE: Residents spoken to said they had no complaints as they were more than happy with their care. They knew how to complain though if they were not happy with anything. There had been one formal complaint since the last inspection. This had been handled sensitively and with tact by the management of the home who also made sure that the safety and dignity of residents was maintained. The manager and staff spoken with were aware of what was poor and abusive practice. All were adamant that they would report any thing of this type to help keep residents safe. Menorah House 20050810 Menorah House J54 UI v228547 s855 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) 23, 24 and 26. Residents live in spacious and comfortable accommodation that is kept clean and tidy. EVIDENCE: Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 14 All the resident’s private accommodation was very spacious providing much more than the minimum standard. All the rooms had plenty of seating space for visitors and some had separate living areas from the bedroom. All rooms had en-suite facilities – w.c. sink and shower. All residents could have a fridge in their rooms, had somewhere to lock valuables and could have a key to their rooms. The size of the rooms also meant that residents can bring in some items of furniture from home. Residents wishing to share were able to have two rooms one to be used as their bedroom and the other as a sitting room. The home was seen to be very clean and tidy and there were no malodours. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 15 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, 29 and 30. The home was well staffed with competent and trained carers. The arrangements for recruiting new staff make sure that only suitable staff are employed to work there. EVIDENCE: The number of care hours staff work on the rota met the recommended guidance. At the time of inspection the home was not full and may need higher staffing levels when more residents are admitted. However, the manager has already recruited more care staff, to provide extra hours at night, this will improve the care for residents during the night. And also ensure the home continues to meet the recommended guidance for staffing levels. The manager reported that at least two staff had been recruited to work in the home since the last inspection. The required recruitment checks were obtained for these staff members to make sure residents are safe from people who should not be working there. The manager and staff both spoke about the amount of training they do. It was clear from talking to them that they were competent to do their jobs. The majority if staff have obtained the required qualification and some are taking more. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 16 Records of staff training were kept up to date and showed that staff take a wide range of training courses to be better at their work. Since the last inspection the manager has improved the quality of induction training for new staff. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 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 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) None of the outcomes were assessed on this inspection. EVIDENCE: Menorah House 20050810 Menorah House J54 UI v228547 s855 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 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x 4 4 x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Menorah House 20050810 Menorah House J54 UI v228547 s855 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 7 Regulation 15 Requirement The care plan records must be reviewed and developed to improve the quality of care plans so that they are clearer and more detailed in relation to the actions to be taken by staff to meet a residents needs. Timescale for action 30 November 2005. 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 3 Good Practice Recommendations The manager should review and develop the new assessment form (for assessing residents care needs) together with the other assessmnet forms in use to give a detailed and clearer assessment of some ones needs. Menorah House 20050810 Menorah House J54 UI v228547 s855 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Menorah House 20050810 Menorah House J54 UI v228547 s855 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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