Inspection on 13/03/06 for Metfield Grange

This inspection was carried out on 13th March 2006.

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

Metfield Grange 10/05/07

Metfield Grange 23/08/06

Metfield Grange 21/09/05

Metfield Grange 20/09/04

Metfield Grange 05/05/04

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 Metfield Grange 59 Hartwood Road Southport Merseyside PR9 9AW Lead Inspector Elaine White Unannounced Inspection 10:30 13 March 2006 th 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 Metfield Grange DS0000005335.V280066.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. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Metfield Grange Address 59 Hartwood Road Southport Merseyside PR9 9AW 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) 01704 538691 Mrs Belinda Wallace Mr D R E Wallace Mrs Belinda Wallace Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 13 OP Date of last inspection 21st September 2005 Brief Description of the Service: Metfield Grange is a small, friendly, family run residential home, which provides personal care and support for 13 elderly people. Both Mr and Mrs Wallace are registered as Managers/Owners and live on the premises. Both are involved in managing the day to day running of the home, working hands on with both the residents and staff, providing supervision, support and direction. Nursing care is provided by the nursing care service, when required. The home is located within a quiet residential area, within easy reach of the town centre of Southport. A local bus route provides access to all the amenities of the coastal resort. These include a large shopping area, cinema, theatre, parks and lake. The accommodation comprises of 3 double rooms and 7 single rooms. There is a stair lift, which provides access to the first floor. There is a communal lounge and a dining room located on the ground floor. All areas are provided with emergency call points. Access is provided to front and rear landscaped gardens. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. There have been no additional visits to the home since the last inspection. The inspection involved examination of records, discussion with staff, a relative and residents and a tour of the home. Comments received were favourable regarding the home, the caring nature of the staff, standard of accommodation and pleasant atmosphere in place. Case tacking methods were used, which focused on a small group of residents whom were randomly chosen for this purpose. What the service does well: Metfield Grange has a very pleasant relaxed, homely atmosphere. The managers live on the premises with their family. The routine of the home is based very much around residents’ wishes and relatives are encouraged to become involved and visit when they like. The care is delivered by staff who are enthusiastic, motivated and there is a stable team who have worked at the home for many years. The home continues to be fully occupied and twelve service users were accommodated at the time of the inspection. One double room has single occupancy. Assessments of need are completed prior to admission to ensure the home can meet the residents’ needs and care plans are reviewed monthly. The home is very well maintained and colour schemes attractive. The manager ensures all areas are decorated to provide a pleasant, homely environment. All areas were observed to be clean. The manager, Mr Wallace and the deputy manager are qualified in NVQ Level 4. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The home has made progress in organising the staff files however further improvements are required, which were discussed with the managers during the inspection. A POVA first check must be obtained prior to employment and new staff must be supervised until a satisfactory CRB (Criminal Record Bureau) check has been obtained for each employee, as these are no longer transferable documents. Staff files must contain all the necessary Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 7 documentation required in Standard 29 of the NMS and Schedule 2 of the Care Standards Act 2000. Staff training records are being brought up to date and are to be made available on staff files for future inspections. Risk assessments must be in place to assess the safety of the residents who use the stair lift. A copy of the new Liverpool and Sefton’s protection of vulnerable adults procedures should be obtained for staff reference. 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. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 8 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 Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 9 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): 3. Pre admission assessments are carried out by the manager to ensure that the home can meet the needs of the residents. EVIDENCE: All residents have an individual care file. Assessment documentation for three residents including one new resident was seen and had been completed and contained information on the care needs required. Observation and discussion with the new resident, staff and the managers confirmed she had settled into the home and is occupying one of the shared rooms. Facilities are in place i.e. screening, to provide privacy for her personal care. The resident commented “I am satisfied with my room and they are all very kind”. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 10 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): 7,9. Residents health, personal and social care needs are addressed in care plans and care needs are met effectively. Medicines are administered according to the home’s policy and procedure. EVIDENCE: Care plans viewed where found to contain up to date information on the residents needs. All care plans are reviewed monthly to monitor changing needs and the action required to meet those needs. Observation throughout the inspection demonstrated the caring approach and relaxed atmosphere present. Residents interviewed confirmed that they are happy with the care provided. “They are all very kind”; “All the staff are very helpful”. Discussion took place with a visiting relative who visits the home every week and commented, “Linda and Dave are great. There is always a lovely atmosphere”. A medication policy and procedure is in place and available to staff for reference. All medication is securely stored and signed for on administration. It has been recommended that all care staff be provided with medication Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 11 training to update them on procedures and the manger confirmed that this is to take place on 10th April 2006. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 12 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): 12,13. There is a sociable, relaxed and pleasant atmosphere in the home and residents interviewed were happy with the daily routines. Social activities are provided and visitors are made welcome. EVIDENCE: A pleasant, relaxed, homely and comfortable atmosphere was present during the inspection. Residents chatted freely with each other, the care staff on duty and the managers. Relatives are made welcome and call in freely. One visiting relative said, “I call weekly and I am always made welcome”. Residents are provided with activities in the home, which include bingo, karaoke nights and gentle exercise sessions. Relatives are encouraged to join in and one relative commented, “The bingo is fun”. Some residents are able to go out shopping with their relatives, attend local clubs or go to the pub to watch the football. A recent survey completed by the home to obtain feedback from relatives and residents provided positive comments regarding the activities in place and some ideas for improvements, which the managers are to address. “Trips out would be and idea”, “More bingo”. (Residents). Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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 the following standard(s): 18. Abuse policies and procedures are in place to protect the residents. EVIDENCE: Policies and procedures are in place and are made available to staff for reference. The managers and deputy manager have recently attended an abuse training course and further training is planned for the care staff and is to be included in the training plan. It was recommended that a copy of the recent update of Liverpool and Sefton’s Protection of Vulnerable Adults procedure be obtained for reference. The manager is appointee for one resident’s financial affairs and this has been approved with the social worker and regularly visits the home to review the care provided. Records are made of all financial transactions, receipts obtained and regularly audited by the deputy manager. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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 the following standard(s): 19,22,24. The home offers very comfortable ‘homely’ accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: A tour of the premises demonstrated the home continues to provide a high quality, well-maintained, comfortable, homely and clean environment for the residents. The grounds are kept tidy, safe and attractive. The front and rear gardens are accessible, with the exception of two steps at the front entrance. Since the last inspection improvements have included – new carpets in bathroom, hall and stairs and decoration of a number of rooms. A large, comfortably furnished, smoke free lounge area is used daily by the residents. The residents were observed to be relaxed and comfortable within their environment. A number of residents rooms viewed were found to be Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 15 comfortable and clean and contained their own personal possessions. One double room viewed has a screening facility for use of the residents for personal care privacy. A stair lift provides access to the first floor and risk assessments should be in place for residents who use this. An assessment of the premises by a suitably qualified person has been recommended to demonstrate the home meets the needs of the residents. This has been incorporated within the recommendations of this report. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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 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): 29,30. The home’s recruitment and selection procedures and records need to be more robust and the necessary information obtained. EVIDENCE: Residents and relatives spoken to provided positive comments regarding the staff employed, the management of the home and the care provided. Since the last inspection the home has made progress in organising the staff files however further improvements are required, which were discussed with the managers during the inspection. A POVA first check must be obtained prior to employment and new staff must be supervised until a satisfactory CRB (Criminal Record Bureau) check has been obtained for each employee, as these are no longer transferable documents. Staff files must contain all the necessary documentation required in Standard 29 of the NMS and Schedule 2 of the Care Standards Act 2000. A training programme is in place and all statutory training, such as manual handling and first aid is in the process of being brought up to date for all staff employed. Manual handling training is to take place in March 2006. Staff are to receive a training update on safe handling of medication in April 2006. Abuse and infection control training is also included in the home’s training plan. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 17 Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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 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): 33,35. The home is managed in the best interest of the residents. EVIDENCE: Both Mr and Mrs Wallace are the registered managers and are in day-to-day contact with the staff, residents and visitors as they live on the premises. A pleasant, homely atmosphere is present and the residents and visitors spoken to confirmed this. As it is a small home and the owners live on the premises they are regularly available to discuss anything with the relatives and residents. Both residents and a relative interviewed said they would discuss any issues with the managers should they have any. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 19 The home has conducted a recent quality review survey to obtain the views from residents, relatives and other professionals involved in their care. Surveys viewed showed the feedback was positive and suggestions made for improvements are to be addressed by the home’s manager. Comments included – “Trips out would be an idea”, “More bingo”, “All good”, (Residents). “I am very happy with the home. The bingo is fun”, “There is always a lovely atmosphere”, “Linda and Dave are great”, (Relatives). “I wish all the care homes were like this”, (chiropodist). “The staff are very supportive and caring”, (Social worker). The manager is appointee for one resident and the social worker monitors this regularly during her visits. Records are made of all financial transactions, receipts obtained and regularly audited by the deputy manager. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 3 X 3 X X STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19 Requirement The registered manager must ensure that the correct recruitment and selection procedures, including POVA First and Criminal Record Bureau Checks are followed and staff files contain the information to demonstrate this. Timescale for action 31/05/06 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. 2. 3. 4. Refer to Standard OP22 OP30 OP18 OP22 Good Practice Recommendations The home to be assessed by a suitably qualified occupational therapist. The home should provide a training plan to demonstrate training planned and in place. A copy of Liverpool and Sefton’s policy on abuse should be obtained. The home to provide risk assessments for the safe use of the stair lift. Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Metfield Grange DS0000005335.V280066.R01.S.doc Version 5.1 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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