Inspection on 06/06/05 for Merry Hill House

This inspection was carried out on 6th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Merry Hill House 11/06/07

Merry Hill House 15/02/07

Merry Hill House 08/06/06

Merry Hill House 15/09/05

Merry Hill House 19/10/04

Merry Hill House 10/06/04

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Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Merry Hill House Langley Road Merry Hill Wolverhampton WV4 4YT Lead Inspector Ian Harris Announced 6 June 2005 09.00 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. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Merry Hill House Address Langley Road, Merry Hill, Wolverhampton, WV4 4YT 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) 01902 553397 01902 553397 Wolverhampton City Council Mr John Lem Older People 35 Category(ies) of Old Age (35) registration, with number of places Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) 50 years and above. Date of last inspection 19/10/2004 Brief Description of the Service: Merry Hill House opened in 1983; it is one of four residential homes for the elderly managed directly by Wolverhampton City Council Social Services. Merry Hill House is a purpose, single-storey establishment, the home can accommodate up to 35 Older people over 65 years of age in single bedrooms all of which are on the ground floor. The building is divided into five separate units There is a combined sitting/dining room with a small kitchenette facility in each unit. A central area, houses an office, kitchen and staff facilities. A conservatory has been added to the rear of the building. The Home has equipment such as wheelchairs, hoists to assist service users in all aspects of daily living. The home is located off a main road on the southwest side of the city in close proximity to shops, a public house and the bus route into the City. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 4 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest co-operation was given to the inspection officer by the Care Manager staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 6 of the 19 care staff were on duty, and 10 of the 35 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. Twenty- one residents comment cards and ten relatives comment cards were returned and all with favourable comments regarding the home. There were no adverse comments. What the service does well: The Merry Hill House continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. The residents key-worker system is working well and ensures that residents’ wishes are being met. Observations during the inspection saw very attentive staff providing for the individual needs of the residents. A number of residents confirmed that the Staff are very good and caring. The home provides very good information about the services they provide and further general information about the city and surrounding area and countryside. The home has a good staff- training programme, which all staff are involved in, this ensures that they are improving their knowledge and skills. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 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. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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 Hill House E56 000036001 Merry Hill House v225681 AI 060605 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) 3 and 6 Appropriate assessments of need are in place and are carried out. The home does not provide intermediate care EVIDENCE: There is evidence on the files that all the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents, who are self funding are assessed by the Care Manager, using the homes assessment forms. All the residents are permanent. The home does not provide intermediate care. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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) 7,8 and 9 Each resident has a comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and Paramedical services which ensures that residents’ health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure residents’ medication needs are met. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 10 local practitioners. The records indicate that residents’ medical needs are being met. Medication is administered by means of a Boot’s monitored dosage system. The system appears to be working very well. The home receives good support from the Boot’s pharmacist who does a three monthly audit of the homes medication. All Senior Care Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which have recently been updated and are used as an integral part of the staff induction programme. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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,and 15 The home provides a good programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities, which the staff encourage the residents’ to pursue. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs EVIDENCE: The Care Manager stated that the residents are consulted regarding the dayto-day running of the home through residents meetings and by feedback from their key-workers. The key-workers also identify interests that the residents wish to pursue. A regular programme of musical evenings, board- games, Keep Fit, Bingo, Art and Craft sessions and church services, are organised within the home. Also the care manager has organised trips to West Midlands Safari Park, Pub lunches, and visits to Merry Hill Shopping Centre, which are very popular. Not many resident have good contact with their relatives however a small number of residents go out with their family on a regular basis. Family and friends are welcomed at the home and are invited to attend parties and other celebrations. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 12 The observations made and the comments received from the residents and their relatives confirmed that particular attention is given to the resident’s individual preferences regarding meals. The home has produced very attractive and clear menus. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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 home has a satisfactory complaints system and the residents’ feel their views are listened to and acted upon. The home has comprehensive policies and procedures regarding protection from abuse, which includes a whistle blowing policy EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence and a notice on the notice board in the hall and a copy is placed in every bedroom. The home has a complaints book in which all complaints are recorded. It was noted that the home has received one formal complaint since the last inspection all other minor complaints are dealt with appropriately and quickly. The home has comprehensive policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a Whistle-Blowing policy. These issues are also covered in the N.V.Q. training, which the Staff is undergoing. Also all staff have received an internal training programme on these issues. There have been no incidents that have needed to be recorded or reported. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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 The standard of the environment within the home is high and there is a rolling programme of maintenance providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. The garden needs to be maintained to a higher standard. EVIDENCE: The home is long established and was purpose built in order to provide appropriate accommodation for older people. The home is maintained to a high standard, and provides a very comfortable homely and safe atmosphere. It was noted that 15 bedrooms, kitchen, 2 offices and the staffroom have been redecorated since the last inspection. However in was also noted that the garden need some attention and in particular, trees and shrubs that are blocking out the light to a number of bedrooms should be pruned back The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to be conscious of the dangers of cross infection. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 15 It was noted that a number of the lounge doors do not have Magnetic catches fitted and are kept closed. This proves very difficult for residents with walking frames or wheelchairs to navigate. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 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) 27,28,29, and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs this is evident from the positive relationships which have been formed between staff and residents. The home has good policies and procedures regarding the recruitment of staff. There is a good training programme in place that ensures that the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates an efficient procedure and the Local Authority has registered with the Criminal Records Bureau in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has introduced a programme of N.V.Q. training has now exceeded the minimum standard. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Aging Process, Moving and Handling, First Aid, Protection From Abuse, Infection Control and Fire Prevention. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 17 Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 18 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) 33,35,37 and 38 The home is a well managed one, where residents interests and welfare are well protected and promoted. EVIDENCE: The routines and activities within the home are flexible and built around the needs of the residents’. There was also evidence to show that staff, consult with the residents’ regarding the choice of meals and activities within the home. There are regular resident unit meetings where residents are consulted about menus and entertainment etc. Also the Key-Worker system in operation is designed to ensure residents’ wishes are responded to. The home is operating a good system to assist residents’ with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 19 All the records and administrative procedures within the home that was, inspected were found to be well ordered and maintained. However it was noted that the regulation 26 visits are not being carried out. The home has a good heath and safety policy and all staff are aware of their responcibilities regarding these issues and all of staff have received training. Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 20 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 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 3 x x x 3 2 3 3 Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 21 YES 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 OP 21 Regulation 23 (2) b Requirement The registered person must ensure the refurbishment of toilets on Hanover, Windsor and Stuart Units must take place (Times scale not met 01/08/05 The registered person must ensure that a copy of the report of the monthly regulation 26 visits to the home is sent to the commission. (Timescale not met 0112/04) The registered person must ensure that the garden and ground are well maintained Timescale for action 01/08/05 2. OP 36 26 (2) c 27/07/05 3. OP 19 23 (2) b 31/12/05 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 19 Good Practice Recommendations That magnetic door catches are fitted to all doors from the lounges Merry Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor, St Davids Court Union St Wolverhampton WV1 3JE 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 Hill House E56 000036001 Merry Hill House v225681 AI 060605 Stage 4.doc Version 1.30 Page 23 - 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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