Inspection on 16/02/06 for Merrymeet

This inspection was carried out on 16th February 2006.

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

Merrymeet 09/11/06

Merrymeet 27/10/05

Merrymeet 04/03/05

Merrymeet 16/06/04

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

CARE HOME ADULTS 18-65 Merrymeet 5 & 7 Tootal Grove Salford Gtr Manchester M6 8DN Lead Inspector Val Bell Unannounced Inspection 16 February 2006 10:00 th Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 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 Merrymeet DS0000008353.V275620.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 Adults 18-65. 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. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Merrymeet Address 5 & 7 Tootal Grove Salford Gtr Manchester M6 8DN 0161 737 5606 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) Mr Bradley Rawlinson Mrs Joan Rawlinson Mr Peter Christopher Kelly Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates a maximum of 9 younger adults requiring care by reason of mental disorder (excluding learning disability or dementia) and 5 named older people requiring care by reason of mental disorder (excluding learning disability or dementia). When any of the named older people leave, the category of registration will revert to that of younger adults requiring care by reason of mental disorder. The home must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Care staffing levels must not fall below the minimum levels specified by the previous regulatory authority 27th October 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Merrymeet is a care home providing personal care and accommodation for a maximum of fourteen adults with enduring mental ill health. The home does not specifically offer a rehabilitation service, although personal development and learning independent living skills are encouraged. The home I situated in the Eccles area of Salford, in a residential area. The premises are in keeping with the local community. The home is close to local facilities and public transport routes. At the time of inspection there were fourteen residents living in home and two of the residents were in hospital. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted during daytime hours on 16th February 2006. During the inspection various records, including care plans were examined. Conversations were held with residents, staff and management. The nine requirements and two recommendations made at the previous inspection had been addressed. What the service does well: What has improved since the last inspection? Improvements had been made to care plans and risk assessments by introducing regular reviews and by changing the way that health, dietary and personal information was recorded. Although the home had not received any complaints, the appropriate systems had been implemented as required. The manager had completed NVQ 4 training and care staff were due to attend training in the protection of vulnerable adults from abuse. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 6 The manager had taken prompt action to ensure that the damaged light fitting in a toilet area was repaired. 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. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the Standards in this section were assessed at this inspection. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10 Robust procedures for the consistent monitoring, review and update of care plans ensured that residents changing needs could be identified and met. EVIDENCE: The four requirements made under this section at the previous inspection had been addressed. Thorough reviews had been undertaken on half of the care plans and the manager was monitoring the remainder. The manager stated that care staff would be reviewing the remaining care plans as part of their NVQ training. Residents’ health appointments and their outcomes were being clearly recorded and changes in need had been taken into consideration when the care plans had been reviewed. All risk assessments had been updated and this provided evidence that residents were able to make important decisions within a risk assessment process. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 10 The manager stated that staff made sure that residents had all the information they needed to make informed decisions and this was confirmed in conversation with several residents. An advocacy service was available to residents. Confidential information was being appropriately recorded and securely stored. The home provided support to residents in managing their own finances. Personal details sheets had been added to care plans and these were being updated regularly. Two copies of these were held to facilitate providing information to hospitals if residents had to be admitted. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 The homes lively activity programme had positive outcomes for the resident’s personal growth and fulfilment. EVIDENCE: The requirement made under Standard 17 at the previous inspection had been addressed by recording residents meal choices and special diets daily in the diary. Residents had access to a variety of in-house and community based activities. Residents said that they had attended a carol service at the cathedral and had also enjoyed a Christmas disco. In-house activities included bingo, birthday parties and buffets to which residents could invite family and friends. Outdoor activities included trips out, walks and visits to the local pub. The manager had taken positive action by meeting with local residents to promote neighbourly relationships. This had resulted in positive outcomes for Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 12 the residents. One of the residents said that she had received a bouquet of flowers from a local builder on her birthday. The home was commended for this as an example of best practice. There was evidence that support was in place for a resident to understand their sexuality, as referrals to the appropriate professionals had been made. Two residents were attending support groups as identified in their assessment of need and one resident was receiving support to find suitable employment. Individual residents were taking responsibility for household tasks according to their assessment of need. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 A safe system for the administration of medication offered protection to the residents’ health and welfare. EVIDENCE: In response to a good practice recommendation made at the previous inspection the local pharmacy had been consulted for advice on how to record incoming medication appropriately. The outcome was that medication was being checked and signed into the home on a weekly basis. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The homes systems for complaints and protection ensured that residents could be confident that their personal interests and safety were protected. EVIDENCE: The home had not received any complaints. A new format for recording complaints had been introduced to comply with the requirements of the Data Protection Act 1989. The complaints procedure had been posted on the homes notice board. Ten places had been booked on a local training course for the protection of vulnerable adults from abuse and residents had been invited to attend along with care staff. This would develop residents understanding of their human and civil rights. This was commended as an area of best practice. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Regular environmental maintenance offered protection to the residents’ welfare and safety. EVIDENCE: The broken light fitting in a toilet had been repaired as required at the last inspection. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Robust recruitment procedures and the homes training programme ensures that knowledgeable and skilled staff will be employed to provide the appropriate care to people living in the home. EVIDENCE: Care staff were studying to achieve NVQ level 2 in care. Additionally, specific training according to staff development plans was ongoing. Care staff had recently completed a 12-week course on the control of infection. A carer told the inspector that she had found the learning useful in her day-today work. An induction programme was in place for newly recruited staff. Although no new staff had been recruited recently the manager described the recruitment process and this covered all the required pre-employment checks. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The home values feedback on the quality of the service received by residents. This enables the home to continually make improvements that are in the best interests of residents. EVIDENCE: The manager had completed his course of study for the NVQ level 4. The home had received a health and safety inspection in January 2006 and had been awarded bronze status. Requirements had been made for the flooring and kitchen cupboards to be replaced. The work was in hand at the time of this inspection. Yearly satisfaction surveys had been conducted with residents, their families, staff and health and social care professionals. New surveys were due to be undertaken soon. Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 3 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X X X Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations Merrymeet DS0000008353.V275620.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. 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