Inspection on 03/05/05 for Merry Hall Nursing & Residential Care Home

This inspection was carried out on 3rd May 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

Merry Hall Nursing & Residential... 15/12/06

Merry Hall Nursing & Residential... 17/10/05

Merry Hall Nursing & Residential... 25/11/04

Merry Hall Nursing & Residential... 27/04/04

Merry Hall Nursing & Residential... 09/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Merry Hall Nursing and Residential Care Home 30 Kiln Road Fareham Hampshire PO16 7UB Lead Inspector Sue Maynard Unannounced 03 May 2005, 09:45 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. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Merry Hall Nursing and Residential Care Home Address 30 Kiln Road Fareham Hampshire PO16 7UB 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) 01329 230024 01329 825562 merry.hall@virgin.net Buckland Care Limited Mrs Barbara Joan Hare Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability over 65 years of age of places (27), Terminally ill over 65 years of age (27) Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of 6 beds may be used at any one time for service users who are acommodated for personal care only. Date of last inspection 25/11/2004 Brief Description of the Service: Merry Hall is situated in a quiet residential area, close to local amenities, being only a short distance from the centre of Fareham. An Edwardian house, Merry Hall has been carefully restored and retains much of its original period character. The Home is registered as a care home with nursing for twenty seven service users over the age of 65; in the categories of old age, physical disability and terminally ill. A condition of registration is that no more than six beds may be use at any one time for service users who are only in need of personal care Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two statutory unannounced inspections for the year 2005/2006. One inspector carried out the inspection over five hours. A full tour of the building took place and the inspector was able to speak with residents, visitors to the home and staff members. All those spoken to confirmed that they considered the home to be well managed and homely. Staff confirmed that they are well supported by the manager and their colleagues to undertake the care of the residents. They also confirmed that they undertook training appropriate to their job description. Information from all those spoken to by the inspector and records that were inspected formed the basis for this report. What the service does well: What has improved since the last inspection? Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 6 Since the last inspection many areas of the home have been redecorated and re-carpeted. The staff training programme is very comprehensive and relevant to care provided for the residents. Staff are very positive and state that they enjoy their work. 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. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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 Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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 is not applicable to this service. Standard 6 A statement of purpose and service users guide are available to provide the information that enables prospective residents and their families to make an informed choice about the suitability of the home. EVIDENCE: The registered manager makes available to all prospective residents and their families, an up to date statement of purpose setting out the aims, objectives, philosophy of care, services and facilities and terms and conditions of the home; and provides a service users’ guide to the home for current and prospective residents. These documents are reviewed annually and the information is updated to reflect the any changes in the home, for example, changes to staffing and management within the home, any changes made within the building. A copy of these documents was seen to be available in the reception area of the home. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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) 9 and 10 Adherence to the homes policies, procedures and staff training for the administration of medications ensures that service users are not placed at risk. The manager and senior staff members of the home monitor standards in the home to ensure that the privacy and dignity of the residents is upheld at all times. EVIDENCE: Medication records seen by the inspector were found to accurate and up to date. The home is well supported by the supplying pharmacy and trained staff has recently undertaken a training update with regard to new medications available and changes in medication administration. Guidelines for the administration of medications by the Nursing and Midwifery Council and the Royal Pharmaceutical Society are available for reference by the staff. A trained member of staff spoken to by the inspector confirmed that they were aware of the medication policies for the home. Medication stocks were at a minimum level, awaiting new supplies to be delivered. One member of the trained staff has responsibility for the ordering and monitoring of the medications for the residents. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 10 The inspector observed staff knocking on the door and waiting before entering a resident’s bedroom. Residents confirmed that the staff are respectful towards them at all times and that they are offered choices with regard to how they live their daily lives. Staff members spoken to by the inspector confirmed that the respect and dignity of the residents forms part of their induction training and that the manager for the home constantly monitors the work practices of the all the staff. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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) 12,13,14 and 15 The management of social activities meets the expectations and interests of residents. The welcoming philosophy of the home enables residents to maintain contact with family and friends. Meals provided in the home are varied and nutritious. Catering staff ensure that high quality food is available and is well presented. EVIDENCE: The home employs an activities co-ordinator who takes responsibility for arranging a monthly programme of activities. The inspector was supplied with a copy of the current programme. The activities were varied and included, Reminiscence, making cakes and a coffee morning. A visit to Exbury gardens was also planned to take place this month. Residents spoken to by the inspector stated that they were always offered the option to of taking part in any of the planned activities and that staff respected their right to decline. They also commented that the programme of activities was varied so there was usually something that they would enjoy. Visitors are able to visit the home at any time; there are no restrictions on times of visiting. The inspector was able to speak with two visitors who stated Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 12 that they were always made to feel welcome when visiting at whatever time they arrived at the home. The inspector spoke to one resident who explained that her family visit very regularly and take her out for meals and to go shopping. On the day of the inspection the residents made very positive comments about the food that is served. They confirmed that the menu is varied and there is always a choice of meals available and that their individual choices are catered for. The inspector who saw a variety of meals served for the mid-day meal could confirm this. All the residents are given a choice of where they take their meals. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 13 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 handling of complaints ensures residents are confident that their concerns are listened to and acted upon promptly. Staff awareness of the procedure for the protection of vulnerable adults ensures that any suspicion of or allegation of abuse is dealt with appropriately. EVIDENCE: The home has a robust complaints procedure. Records showed that a complaint recently received by the home had been appropriately investigated and responded to by the manager within the guidelines and timescale stated in the complaints procedure. A satisfactory outcome appears to have been achieved. Residents spoken to by the inspector confirmed that they were aware of the complaints procedure for the home and that if they had had cause to bring any issues to the attention of the manager, this had been dealt with promptly and satisfactorily. The home has a procedure for all staff to follow when responding to an allegation of abuse and staff was able to confirm that they were all aware of this. The manager ensures that regular awareness and training is given to all staff in the home and further training has been arranged within the coming weeks. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 14 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 and 26 An on-going programme of redecoration and refurbishment ensures that the residents in the home are living in safe, clean, comfortable and well maintained surroundings. EVIDENCE: Since the last inspection many areas within the home have been redecorated and new carpets laid. The manager explained that other areas in the home are to have new carpets and be redecorated within the next months. Resident’s bedrooms are redecorated as they become vacant and residents who have lived in the home for some time are offered the opportunity to move into a vacant room on a temporary basis whilst their room is redecorated. The home employs a maintenance man who ensures that the decorative standards of the home are maintained. The home employs domestic staff that ensures that all areas of the home are kept clean and tidy. The inspector toured all parts of the building and noted that these standards had been maintained, including the laundry and kitchen areas. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 15 The maintaining of the standards of the home extends to the grounds of the home, which were noted to have areas that available to the residents in warmer weather. Colourful displays of flowers in the garden were commented on by the residents and visitors to the home. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 16 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 and 30 Staff are employed in such numbers with a suitable skill mix to ensure that the needs of the residents are met. EVIDENCE: Staff rotas showed that the manager for the home ensures that the correct number of trained and care staff are on duty over a twenty-four hour period. In the event of staff sickness or annual leave arrangements are made that any shortfalls in numbers are adequately covered. Residents confirmed that they thought there were sufficient numbers of staff to provide for their needs and that the staff responded promptly when the nurse call system was activated. Residents also stated that staff was always polite and caring. The manager reported that staff undertakes regular training for fire safety, manual handling and the reporting of abuse. Care staff are undertaking NVQ level 2 training in health care and the cook is undertaking NVQ 2 in catering and hospitality. Nurses from overseas are employed at the home and are undertaking adaptation training in order to become registered as first level nurses with the Nursing and Midwifery Council. Tutors from a local university school of nursing supervise this training programme. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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) 38 The health, safety and welfare of both residents and staff are promoted and protected by ensuring that safety systems are well maintained and staff are trained to use safety equipment. EVIDENCE: All fire doors have fire safety guard closure mechanisms in place which allow the doors to remain open, if requested by the residents, but will close automatically in the event of a fire. Fire safety records seen by the inspector showed that staff receives regular fire safety training and that the fire safety equipment is regularly checked and maintained. Staff confirmed that they do undertake fire safety training and that they also receive training for safe moving and handling, infection control and food hygiene. Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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 3 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 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 3 Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 19 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 Good Practice Recommendations Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terace Southampton SO15 1GW 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 Merry Hall Nursing and Residential Care Home H54 S57235 Merry Hall V221809 030505 Stage 4.doc Version 1.30 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!