CARE HOMES FOR OLDER PEOPLE
Menorah House 331-337 Anlaby Road Hull East Yorkshire HU3 2SA Lead Inspector
Simon Morley Unannounced Inspection 21st March 2006 09:30 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 Menorah House DS0000000855.V263663.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. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Menorah House Address 331-337 Anlaby Road Hull East Yorkshire HU3 2SA 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) 01482 328227 01482 211349 Hull Jewish Community Care Mrs Beryl Harbord Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: Hull Jewish Community Care a registered charity own Menorah House. 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 DS0000000855.V263663.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a surprise inspection that lasted for six hours. The inspector talked to six residents, three staff and the manager about the home. The inspector had a look around the home to check the quality of the accommodation, looked at some care records and other documentation in relation to running a home. What the service does well: What has improved since the last inspection?
The quality of assessment of peoples’ needs before they move in has improved. This helps to ensure no one moves into the move that cannot be looked after well. Electronic security gates have been added to the rear garden to make the home more secure.
Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 6 A new modern passenger lift has been installed to replace what was a very old passenger lift. 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 DS0000000855.V263663.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 Menorah House DS0000000855.V263663.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): 2 and 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 very knowledgeable about 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 two residents recently admitted showed that they had had their care needs assessed prior to moving into the home. The detail of information about people’s assessed needs had improved since the last inspection. Terms and conditions of peoples stay at Menorah, for example: what they are entitled to for the fees that are paid, are agreed on admission. Copies of these were available for inspection.
Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 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 the following standard(s): 7 and 8 Care of residents was good but the individual plans that describe what the care should be, need to improve. EVIDENCE: Residents said they were happy with their care and staff spoken to had a good knowledge of their care needs. All the information gathered from the assessment of people’s needs including risk assessments must be developed into clear care plans. These were not in place. These plans must set out in detail the action to be taken by staff to ensure that all aspects of the health, personal and social care needs of each resident are met. Residents said they got good support with their healthcare. This was reflected in care records and discussion with staff. Where necessary support is obtained from community health professionals. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 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 the following standard(s): 14 and 15 There was a good quality of daily life for residents in the home. EVIDENCE: Residents also said that they felt able to make their own choices about how they spend their time. Residents at the home tend to prefer their privacy and independence. The majority like to spend time in their rooms, staff respect this but they do encourage residents to join in social activities. Residents can have keys to their rooms, get their own post and can have daily newspapers. Staff knock on bedroom doors before they enter and call residents by their preferred name. Residents said they were well fed and liked the food served in the home. Their dietary needs were recorded on admission and any special diets are catered for. The home predominantly caters for people of the Jewish faith and all food prepared is kosher. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 11 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): 18 There were good arrangements for protecting residents from abuse. EVIDENCE: The home has procedures for protecting residents from abuse. The manager and staff have been trained in this area and know what action to take should there be any suspicions or allegations of abuse. It was recommended that management decisions about employing staff with convictions are full, detailed (including any risks to residents) and accurate with regard to the reasons for their employment in the home. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 12 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): 19 and 26 Menorah House is well kept, clean, comfortable, homely and smells fresh. EVIDENCE: The home is well decorated, furniture is comfortable and homely. The home is clean and smells fresh; there are no malodours. There were good procedures for managing clinical waste to help promote a healthy environment. Residents were pleased with the home and it’s surroundings. There is a very pleasant garden and courtyard area at the back of the home. This has been made more secure with the addition of electric gates at the rear entrance. A new, modern passenger lift has been installed to replace one that was very old. The home is well maintained and maintenance certificates were available. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 13 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): 28 There are good arrangements to make sure residents are in safe hands at all times. EVIDENCE: Over 50 of care staff have achieved the NVQ level 2 care qualification. This meets the target set in the minimum standard. Staff also undertake a range of basic and specialist training to be good carers and look after residents well. This was confirmed by talking to staff and was detailed in staff training records. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 14 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, 33, 35 and 38 There were good management arrangements to ensure the home is well run for the benefit of residents. EVIDENCE: The manager is competent and experienced to run the home in a way that ensures a good quality of care. She undertakes regular training to keep her skills up to date and is working towards the required qualifications. Staff and residents were complementary about her ability to run the home well. Residents, relatives and other visitors are all asked their views about the home in an effort to make improvements. The owners also visit the home monthly. These visits include talking to residents and staff to help ensure the home keeps good standards of care. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 15 The manager keeps small amounts of personal allowance for some residents. But does encourage them to look after their own money. Detailed records are kept of all money handled on behalf of residents. These were accurate and up to date. The home was well maintained and maintenance certificates were available for inspection. It was recommended that old unused hoists are stored securely so they are not used by mistake as they have not been regularly serviced. Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 16 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 17 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 OP7 Regulation 15 Requirement Care plans must set out in detail the action to be taken by staff to in relation to all aspects of the health, personal and social care needs of each resident. (Target date of 30/11/05 not met). Timescale for action 30/06/06 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 OP18 Good Practice Recommendations Management decisions about employing staff with convictions should be full, detailed (including any risks to residents) and accurate with regard to the reasons for their employment in the home. Old unused hoists should be stored securely so they are not used by mistake as they have not been regularly serviced. 2 OP38 Menorah House DS0000000855.V263663.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, 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
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