Inspection on 03/02/06 for Meresbeck Care Home

This inspection was carried out on 3rd February 2006.

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

Meresbeck Care Home 16/06/09

Meresbeck Care Home 09/08/07

Meresbeck Care Home 24/10/06

Meresbeck Care Home 16/08/05

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 Mr Patrick Rooney Unannounced Inspection 10:00 3 February 2006 rd 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 Meresbeck Care Home DS0000063658.V275037.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. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meresbeck Care Home Address 125 North Road Carnforth Lancashire LA5 9LU 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) 01524 734176 SKR Limited Mrs Emma Stephenson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 20 service users in the category OP (older persons 65 and over) 16th August 2005 Date of last inspection 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 of shops and local amenities. There are two lounges and two dining rooms for residents to choose from. Resident’s private accommodation 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 welcome at the home. Activities are arranged both inside and outside the home for residents who wish to take part. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a four-hour period from 10:00 am. Care records were consulted and all residents living at the home were spoken to. He discussed their care with them and visiting relatives. Comments received from residents and relatives were positive and were complementary about the care they receive. Comments seen during the inspection are as follows: “Staff are caring and friendly”, “I am happy here the care is very good.” “Staff are always pleasant and friendly”, The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. Five residents completed questionnaires following the inspection all were positive and felt their privacy and dignity is respected. One relative completed a questionnaire, which was positive about care provided by the home. 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 DS0000063658.V275037.R01.S.doc Version 5.1 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 DS0000063658.V275037.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 Meresbeck Care Home DS0000063658.V275037.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): All key Standards in this section were met in the previous inspection. EVIDENCE: Meresbeck Care Home DS0000063658.V275037.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): 9 There are policies and procedures in place to safeguard dispensing of medication, however these need to be consistently applied, and require reviewing. EVIDENCE: Policies and procedures for dispensing of medication were seen; only staff trained to carry out this task are able to do so. The list of staff that can give out medication was not up to date. Medication for one resident who had received medication was not recorded. When a resident spent a few days out of the home medication, which was removed from the NOMAD box, was not recorded appropriately. Medication received had not been signed in along with the numbers of tablets received. It was therefore difficult to carry out a correct audit of how much medication should be in the system. Meresbeck Care Home DS0000063658.V275037.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 Those residents able to manage their own finances are encouraged to continue doing so. Appropriate records are maintained of the home’s involvement in holding monies for residents. The rooms of service users are comfortable furnished and are personalised. Access to personal records and information is enabled in accordance with the Data Protection Act 1998. The home provides residents with a good varied diet with choices available. EVIDENCE: There is information in the home about independent advocacy services should any resident require independent help and support. The home does not deal with any resident’s finances. On admission the assessment identifies residents wishes in this area. Mainly families or solicitors manage resident’s finances. The home has system in place to look after resident personal allowances; records fore this were seen and were properly completed. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 11 Residents or their families sign the care record to indicate their involvement in drawing up care plans and access to their records. Menus were looked at and showed that there is always a variety of food on offer with choices always available. Special diets are catered for. The inspector observed a meal being taken, this was of good quality and residents were served with items of food they had requested. Residents spoken to say the food is very good and they are able to make individual requests. Residents said they received good food and that they are asked what they want to eat. Menus are drawn up following consultation with residents. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 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 the following standard(s): All key Standards in this section were met in the previous inspection. EVIDENCE: Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 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 the following standard(s): All key Standards in this section were met in the previous inspection. EVIDENCE: Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 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): 29 The homes recruitment policy has been tightened up since the last inspection. EVIDENCE: Records showed that all new staff complete an application form and two references are sent for to previous employers. All staff receive clearances by the Criminal Records Bureau prior to taking up post. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 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): 33 and 35 There are good quality assurance systems in place and resident’s views are sought regarding the running of the home. Residents are able to decide on how their affairs are managed. EVIDENCE: The home has been awarded Investors in People and ISO 9000; both of these involve an annual assessment of the operation of the home. There is also an annual survey completed by residents and their families. Comments from these include “I would like to thank you for the good care my relative receives”. “I like it here the staff are very good and look after us well”. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 16 On assessment the resident is asked how they wish their affairs to be managed. Currently the home only takes care of some resident’s personal allowances. Records for these were seen and are well maintained. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 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 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 OP9 Good Practice Recommendations The manager should ensure all medication records are completed properly and review the medication procedures. Meresbeck Care Home DS0000063658.V275037.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 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 DS0000063658.V275037.R01.S.doc Version 5.1 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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