Inspection on 23/08/05 for Merryfield House Nursing Home

This inspection was carried out on 23rd August 2005.

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

Merryfield House Nursing Home 08/12/06

Merryfield House Nursing Home 09/06/05

Merryfield House Nursing Home 11/10/04

Merryfield House Nursing Home 29/04/04

Similar services:

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

St Vincents

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

CARE HOMES FOR OLDER PEOPLE Merryfield House 33 New Yatt Road Witney Oxfordshire OX28 1NX Lead Inspector Kate Harrison Unannounced 23 August 2005 rd 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. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Merryfield House Address 33 New Yatt Road Witney Oxfordshire OX28 1NX 01993 775776 01993 705976 merryfieldhome@aol.com Mrs Kuldip Kaur Dhanani Mr Hakam Dhanani Jill Timms Care Home (CRH) 24 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) Category(ies) of Care home with nursing (N) registration, with number of places Old age, not falling within any other category (OP) 24 Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1: Admission of one resident only under the age of 65 in the PD category at any one time. Date of last inspection 9th June 2005 Brief Description of the Service: Merryfield house is a care home with nursing, providing care and accommodation for 24 residents. The home is situated in a residential area of Witney, close to amenities, and is surrounded by its own grounds. The building is a converted and extended older property, with a passenger lift to the first floor of the original building. The extension is at ground level, and is connected to the main house by a covered corridor which also provides a small seating area. The majority of the rooms are for single accommodation and five rooms can be shared. The home has a laundry and kitchen on the premises. Care is organised by the registered manager and the deputy manager, and the nursing, care and housekeeping staff provide the services. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over mid morning and early afternoon, and the inspector saw all areas of the home. The home’s lunchtime routine was observed, and the inspector spoke to residents and visitors about their experiences of the home. The inspector also saw residents’ and staff records, and discussed policies and procedures with the registered manager. The registered manager explained that the delays which were preventing the planned extension to the home were not of the home’s making, and that the extension was planned to go ahead next year. This report reflects the inspector’s findings on the day. What the service does well: What has improved since the last inspection? Staff know how to care for individuals from the day of admission, as primary care plans are developed from the pre-admission assessment giving care staff information about the key needs of the individual. Care plans are further developed over the first weeks at the home. Extra measures are in place to improve the security of residents’ information. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 6 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. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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 Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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) X Standard 6 does not apply to Merryfield, as intermediate care is not provided, and Standard 3 was assessed at the previous inspection in June 2005. EVIDENCE: Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 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) 10. Residents are treated with respect, and their right to privacy and dignity is upheld. EVIDENCE: The home has a written policy detailing how staff should behave to acknowledge all residents’ privacy, dignity, choice, fulfilment, rights and independence, which is reviewed annually. A summary of the policy is also displayed on the carers’ notice board. The inspector saw the home’s induction programme and spoke to a senior carer who explained how the induction period for new staff is seen as a key period of passing on the home’s philosophy of care regarding respect for the resident. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 10 The inspector spoke to three residents about their experiences at the home. All said that they were treated with respect by the staff. One resident said that private phone calls could be easily made and that the mail was delivered unopened. Another said that staff knocked on her door if they wanted to enter, and that she was addressed by her preferred name. The inspector also read a letter and card from relatives of a resident who had recently died, saying how actions taken by the staff during the resident’s stay impressed them. The inspector considers that the actions taken by the staff showed a deep respect for the resident. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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) 14 and 15. Residents are encouraged to remain independent and to keep control of their lives. Residents are served wholesome food and drink throughout the day. EVIDENCE: Residents are supported to manage their own financial affairs for as long as possible, and can use advocates if they need to. Relatives or other representatives usually handle residents’ financial affairs when they can no longer manage alone. Residents bring personal possessions with them if they wish to do so. The inspector saw the menus showing details of a variety of meals over two weeks. Fresh juices are offered daily as well as other drinks throughout the day. A new cook has been at the home for several months and has improved the quality of the food. Residents told the inspector that they enjoyed the day’s lunch, which the inspector saw to be a good beef stew with fresh broccoli and boiled potatoes. Staff were available to help residents to eat if they needed support. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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. The complaints procedure is easy to follow and complaints are listened to and followed up promptly. EVIDENCE: The home’s complaint’s procedure is easy to use, by residents, relatives or other interested persons. The manager is experienced in managing complaints and takes complaints seriously. All complaints are recorded and are responded to within 28 days. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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) X Both key standards were assessed at the last inspection. EVIDENCE: Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_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) 29. The home’s recruitment practices protect residents. EVIDENCE: The inspector assessed two staff files and saw evidence that appropriate references, criminal record bureau clearance, and proof of identity had been acquired. In one file it was not clear that a gap in employment history had been explored, though the manager explained the individual’s situation and it was clear that the gap had been explored at interview. The inspector recommends that the registered manager ensures that written evidence be available in application forms regarding gaps in employment history. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 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 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) 35 Residents’ and relatives’ petty cash is well managed. EVIDENCE: Residents are asked to complete the ‘Personal Effects’ form after admission, showing five options on how they wish to manage their petty cash. When residents or their relatives choose to ask the home to manage petty cash this is kept separately and records are kept of all transactions. Petty cash and records of transactions are kept securely. Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 x x x x x x 3 x x x Merryfield House H57_H08_S27164_Merryfield House_V244414_230805_stage 4.doc Version 1.40 Page 17 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 None at this inspection. 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 The inspector recommends that the registered manager ensures that written evidence be available in application forms regarding gaps in employment history. 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