Inspection on 08/12/05 for Merafield View Nursing Home

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Merafield View Nursing Home 22/01/07

Similar services:

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Queensmount

Poldhu

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Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Merafield View Nursing Home Underlane Plympton Plymouth Devon PL7 1ZB Lead Inspector Mandy Norton Unannounced Inspection 8th December 2005 10:00 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 Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Merafield View Nursing Home Address Underlane Plympton Plymouth Devon PL7 1ZB 01752 348070 01752 346414 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) Stagecare Limited Mrs Sally Philipson Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (6), Physical disability over 65 years of age (40) of places Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Old age, Not falling within any other category (6) Physical disability over 65 years of age (40) Date of last inspection 19/04/05 Brief Description of the Service: Merafield View is a purpose built Home situated in Plympton St Mary, on the outskirts of Plymouth Devon, with level access to local shops. The Home is registered to care for a maximum of 40 service users of either gender over the age of 65 years of age with physical disability/frailty or illness requiring nursing and/or personal care. The Home is arranged on 3 floors. Most accommodation is on the lower ground or first floors and the main communal areas are at ground floor level – all floors can be accessed by a passenger lift. There is a lounge and dining room and a sun lounge on the lower ground floor. The home is owned and administered by Stagecare Ltd. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2 hours and 45 minutes and was conducted with the manager. The focus of the inspection was to assess the core standards not assessed at the last inspection in April and to assess the impact that the recent change of ownership has had on the home. Service Users were observed generally throughout the inspection but not spoken to directly as they were engaged in activities, seeing visitors or resting. Evidence for the report was collected from a tour of the home, discussion with the manager and the regulation 26 (monthly visit by the provider) report provided to the CSCI from November 2005. What the service does well: What has improved since the last inspection? What they could do better: Although some hold open devices have been fitted in the home one is still needed on the laundry door. The manager is aware of this and will order one. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 6 The treatment room door was found to be open during the inspection and should be locked at all times. 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. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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 Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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): 1 Information and opportunities to visit the home are given to people to help them to decide if they want to live at Merafield. EVIDENCE: The manager said that the Statement of Purpose is still not accurate as it has not been updated since Stagecare Ltd took over ownership of the home in September 2005. She said that prospective clients come to look around the home when possible to help them make a decision about whether they want to move in or not and this had happened within the last few days. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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): 10 Interactions between staff and residents promotes and protects patients privacy and dignity. EVIDENCE: A tour of the home confirmed that staff treat the clients with respect talking to them in an appropriate manner, knocking on doors before entering and ensuring their privacy when giving care. There is a public telephone in the home for anybody to use and clients can have a private phone fitted in their room if they wish (at their own expense). Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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): None of these standards were assessed during this inspection. EVIDENCE: Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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): None of these standards were assessed during this inspection. EVIDENCE: Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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, 23, 25 and 26. The standard of the environment within the home is good providing clients with attractive and homely place to live. The overall quality of the furniture and fittings is good providing a safe environment. The home is clean and hygienic. EVIDENCE: The home changed ownership in September 2005 and since then the providers have bought many new adjustable beds and 2 profiling beds that help with the care of higher dependency clients. New lifting and handling equipment has been provided and specialist pressure relieving equipment is now provided by the company, following a risk assessment. During the recent change of ownership the local fire service and environmental health department confirmed the home complies with their requirements. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 13 During a tour of the home clients rooms seen were comfortable, clean and contained many of their own possessions. Redecoration of the home and some of the rooms is also underway. There are bathrooms and toilets throughout the home designed to meet the needs of the client group and some rooms benefit from en–suite facilities. Domestic staff were seen cleaning the home during the inspection and all areas were clean and tidy. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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 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 Clients needs are met by a satisfactory mix of nurses, carers and ancillary staff who are trained and competent to do their job. EVIDENCE: The manager is a first level nurse (RGN) who is supported by a number of trained nurses and care staff. Many of the care staff are qualified to NVQ level 2 or 3 and there is ongoing training for staff that includes statutory training and training in subjects relevant to their specialist area. A number of staff were attending a lifting and handling update in the home during the inspection. The care staff are supported by domestic, catering, administrative and maintenance staff. The home uses very little agency staff and has no trainees under 18. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 15 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): 38 The systems in place in the home generally promote and protect the health and safety and welfare of the clients and staff. EVIDENCE: Following the last inspection a requirement was made that a qualified first aider was on duty at all times in line with the regulation. The manager said that all the trained nurses have attended a first aid course in order to comply with the requirement. Certificates were examined during the inspection as evidence of this. Some hold open devices have been fitted to fire doors that are regularly kept open. One still has to be fitted to the door to the laundry. The door to the treatment room was found to be open and not locked. Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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 2 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X 3 X 3 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 X X X X X X X 2 Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 OP1 Good Practice Recommendations The Statement of Purpose should be updated to include any changes that have taken place in the ownership, evironment and staffing since it was originally written. A further hold open device should be fitted to the laundry door. The treatment room door should be locked at all times especially considering its position near to the main entrance. 2 OP38 Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Merafield View Nursing Home DS0000065522.V263379.R01.S.doc Version 5.0 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. 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