Inspection on 16/08/05 for Meresbeck Care Home

This inspection was carried out on 16th 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

Meresbeck Care Home 16/06/09

Meresbeck Care Home 09/08/07

Meresbeck Care Home 24/10/06

Meresbeck Care Home 03/02/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Meresbeck Care Home 125 North Road Carnforth Lancashire LA5 9LU Lead Inspector Patrick Rooney Unannounced 16 August 2005 10:00am 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. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meresbeck Care Home Address 125 North Road Carnforth Lancashire LA5 9LU 01524 734176 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) SKR Limited Mrs Emma Stephenson CRH Care Home 20 Category(ies) of OP Old Age 20 registration, with number of places Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2. The service is registered to accommodate a maximum of 20 service users in the category OP (older persons 65 and over) Date of last inspection 10 January 2005 Brief Description of the Service: Meresbeck is registered with The Commission For Social Care to provide personal care for up to twenty residents of either sex aged 65 years and above. The home is situated close to the centre of Carnforth and is within easy reach ofshops and local amenities. There are two lounges and two dining rooms for residents to choose from. Residents private accomodation is provided in twelve single rooms, four of which have ensuite facilities, and four double rooms two of which have ensuite facilities. Residents are encouraged to retain their links in the community and every effort is made to ensure, hobbies and interests are pursued. Relatives. friends and visitors are made wellcome at the home. Activities are arranged both inside and outside the home for residents who wish to take part. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over a period of four hours. The information contained in the report has been gathered by discussion with the deputy manager, discussion with staff and discussion with residents and visitors. Questionnaires were distributed and completed by most residents. Completed questionnaires were also received from four relatives. Positive feedback was received from all discussions and questionnaires. Residents told the inspector that they are well cared for and that staff are caring and approachable and meet their needs. The inspector carried out a tour of the home and examined records, policies and procedures. The care records of four residents were examined and the care they receive was measured against these records. What the service does well: Meresbeck has been a care home for many years and has a good stable staff group, which provides continuity and stability for residents. The inspector found during the visit that staff demonstrated a good awareness of the needs of the residents and he observed good interaction between residents, management and staff. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 6 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. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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 Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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) 1 and 3 The admission and assessment procedure is clear and ensures the care needs of residents are met. There is a service users guide and information to enable residents and their families to make an informed decision regarding accepting a place in the home. EVIDENCE: The home has good admission procedures to ensure resident’s needs are assessed and planned for. There are individual records kept for each resident. The inspector looked at the admission and care records for four residents. They or their representatives had been given the opportunity to look around the home and were given a service users guide. Each had received a contract and were given a settling in period prior to making a final decision about accepting a permanent place. All had been given a pre admission assessment. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 9 The inspector spoke to all the residents living at the home who confirmed this to be the case. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 10 Residents have a care plan in which their health and personal needs are closely monitored. The home provides good personal services for residents and has a good relationship with residents, relatives and all support services. Staff provide the right levels of care, which takes into consideration respect, privacy and dignity. EVIDENCE: The inspector looked at care plans for four residents and then spoke to those residents. They all expressed satisfaction with the care they receive saying that all their care needs are met. One resident said, “I am very well cared for here, I like it”. Another said, “Its very nice here, they look after us very well”. Another said “Staff are very kind and I feel I can ask for anything, they support us well”. Ten questionnaires received from residents following the inspection said that they felt they are well cared for. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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 Social activities are provided which are varied according to the needs of individual residents. There have not been many trips out lately. The homes routines are flexible and welcoming to all individuals. Friends and relatives are made welcome when they visit the home. EVIDENCE: The inspector saw a varied programme of activities for residents, which includes entertainment sessions, library books, talking books, bingo, music and papers. Residents told the inspector that there are always activities available to them if they wish to take part. Feedback from a relative questionnaire wondered why there have been no regular trips out lately. The inspector was told that a trip out had been planned fro the near future. The atmosphere in the home was observed to be relaxed, residents told the inspector they are able to rise and retire when they wish and that mealtimes are flexible according to their needs and wishes. Meals may be taken privately if residents wish. Residents told the inspector that staff are very kind and caring and relatives said that the home is relaxed and has a pleasant atmosphere. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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 There is a complaints procedure, relatives and residents are confident that their concerns are listened to, taken seriously and acted upon. There is a vulnerable adults procedure that ensures people living at the home are protected from abuse. EVIDENCE: There is a complaints procedure available to residents and there families, this is available in the service users guide and is on the homes notice board. Residents told the inspector they are aware of the complaints procedure and said that any concerns they have are dealt with promptly. The homes manager is always available in the home, residents said she is very approachable and helpful. Records within the home showed that the owners are in regular contact and deal with matters that arise. All complaints are recorded including outcomes. The inspector looked at the complaints book. There have been no complaints made to the Commission regarding this service since the last inspection in January. The inspector saw the homes vulnerable adults procedures including the whistle blowing policy. These are in line with the Department Of Health, ‘No Secrets’ paper. Staff spoken to were aware of the whistle blowing policy and said they would approach the manager if they had any concerns. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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) 19,24 and 25 The home offers a good standard of décor and furnishings, which provide residents with a homely comfortable environment. EVIDENCE: The inspector toured the home and viewed the rooms of residents, he observed them to be comfortably furnished and contained items residents were able to bring with them when they were admitted to the home. Public areas of the home were seen to be comfortably furnished and decorated. All residents spoken to said they were happy with accommodation provided by the home. There is an on going programme in place for refurbishment and decoration. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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) 27,28,29 and 30 The number of staff on duty is sufficient to meet the needs of residents. Staff are given the opportunity to do the NVQ 2 qualification in care. The procedures for the recruitment of staff include an application form and Criminal Records Bureau checks, however reference procedures need to be tightened up. EVIDENCE: The inspector spoke to the deputy manager and interviewed staff. Rotas and staff records were examined. It was noted that there is a stable staff group who have the experience and skills to provide care needed for residents living in the home. Staff records were looked at, one recently appointed member of staff did no have any formal reference, only two references which were provided by the staff member from persons she knew. It is considered good practice to obtain references from the previous employer and for the home to contact the referees by post and by phone. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 15 Records show that the home places great importance on staff training more than half the staff employed in the home are qualified to at least NVQ 2 in care. Questionnaires received from residents and relatives confirmed that staff provide the right level of support to residents. Rotas showed that there are sufficient numbers of staff on duty to meet the needs of residents. Residents said that staff are very friendly and approachable, and said all staff are very good and helpful. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 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) 38 There are good systems in place to ensure the health safety and welfare of residents and staff. EVIDENCE: The inspector looked at health and safety policies and procedures and was satisfied that there are good systems in place to promote the health and safety of residents and staff. Training records showed that staff receive training in moving and handling, health and safety, food hygiene, first aid and infection control. Electrical items are tested and there is a current electrical safety certificate in place. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 17 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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x 3 3 x STAFFING Standard No Score 27 3 28 3 29 2 30 4 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 3 Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 18 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 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 29 Good Practice Recommendations Referees for new staff should be included on the aplication form and written to by the manager. To Whom it may concern refferences provided by the applicant should not be accepted. Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Meresbeck Care Home F57 F09 S63658 Meresbeck Care Home V242587 160805 Stage 4.doc Version 1.40 Page 20 - 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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