Inspection on 01/11/05 for Micron House

This inspection was carried out on 1st November 2005.

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

Micron House 05/03/08

Micron House 10/05/06

Micron House 21/06/05

Micron House 27/09/04

Micron House 19/04/04

Micron House 25/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Micron House Micron House 41 Halesowen Road Netherton Dudley West Midlands DY2 9QD Lead Inspector Mrs Cathy Moore Unannounced Inspection 1st November 2005 10:45 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 Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Micron House Address Micron House 41 Halesowen Road Netherton Dudley West Midlands DY2 9QD 01384 230504 01384 230504 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) Mrs Gail Benita Butcher Mrs Gail Benita Butcher Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user (female) identified in the variation report dated 6 July 2005 may be accommodated at the home in the category MD(E). This will remain until such time that the service users placement is terminated. 21/06/05 Date of last inspection Brief Description of the Service: Micron House is registered to provide personal care to a maximum of ten older people. It is located in Netherton ,near Dudley. It is situated in a favourable position, as it has a number of amenities and facilities close by. Next to the home is a good sized park, a library and an arts centre. Further down the road are a number of shops including a supermarket, newsagent, butchers, a bakery and a post office. Nearby is an Age Concern centre and the main Netherton health centre where district nurses and local doctors are based. The home is on a main bus route leading to Cradley Heath in one direction and Dudley in the other. Micron House is a large traditional detached property. The ground floor houses the lounge, dining area, a conservatory, toilet, assisted bathroom, laundry, kitchen and bedrooms. The first floor houses the office, further bedrooms and a toilet. The home provides six single bedrooms, four of which have en-suite facilities and two double bedrooms. There is a generous sized rear garden which is on two levels. Ramped access is available from the top to the bottom of the garden. The home has a small car park at the rear which can accommodate three cars; further car parking is available in a public car park opposite the home. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out as the second of the homes two routine inspections for this year. The inspection was carried out by one inspector between 10.45 and 12.50 hours. Four residents’ were spoken to during the inspection. Three resident files were briefly viewed to look at terms and condition documents and care plans. Medication systems were assessed. The newest staff members’ file was examined to determine compliance with recruitment processes. The staff training matrix was examined and a number of staff training certificates. Systems in respect of quality assurance, activities and staff supervision were also assessed. Not all standards were assessed during this inspection. For a full overview of service delivery this report must be read together with the last inspection report dated the 21 June 2005. What the service does well: The registered provider is also the manager and is involved in the direct running of the home. On the day of the inspection she was on shift as the person in charge and involved in the direct care of the residents’. Micron House is located in a favourable position next to a park and close to many facilities and amenities including a library, shops and a main bus route. The home is well maintained. It is warm, welcoming and has a friendly atmosphere. Micron House has never received many requirements. All but one of the requirements made following the last inspection have been met. Residents’ comments about the home included; “ I couldn’t hope for a better place”. “ They really look after me. The staff are really nice. I have settled in well”. “ I am happy and settled here”. A letter from a relative received by the Commission was very complimentary and included the following;” Mrs Butcher and her team of carers ensured that Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 6 my mother’s needs during her six month stay were totally met. We cannot praise the carers highly enough for enabling my mother to maintain her dignity and feel ‘wanted’. 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. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 the following standard(s): No standards in this section were assessed during this inspection. EVIDENCE: No standards were assessed during this inspection. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 the following standard(s): 9,10 Residents’ are protected by the homes procedures and practices for dealing with medication. Residents’ feel that they are treated with respect and their right to privacy is upheld. EVIDENCE: The home has a valid contract with their pharmacy provider. A medication audit is due to be carried out on the 10 November 2005. The home does not have numerous medications. At the present time no controlled medications are being prescribed and no resident self medicates. Medications are administered via a monitored dosage system. Medication records were examined it was positive that there are no staff signature gaps. It is also positive that all staff who have a responsibility for medications have received accredited medication training. The home has a medication policy which includes procedures for medication errors and homely remedies. There were no photos attached to residents’ medication records. The manager confirmed that she would address this. Medication administration was not observed during this inspection. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 10 The home has a number of policies and procedures aimed to promote privacy and dignity. One resident confirmed that staff all call her by her preferred name and treat her with respect. It was noted in one resident’s care plan that, “ she likes to spend time on her own and have her own privacy”. A letter from a relative stated, “ We cannot praise the carers highly enough for enabling my mother to maintain her dignity”. The home has a payphone in the hallway to enable residents’ top make private phone calls. One resident phones her husband at least daily. A cordless phone is also available if residents’ wish to use this. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 the following standard(s): 12. Generally residents’ are satisfied with their lifestyle. Further development is needed in respect of activity recording. EVIDENCE: A number of residents’ are fairly independent and are able to get up and go to bed on their own. Others require assistance. The manager confirmed that the staff do try at all times to ensure that daily routines are flexible to meet individual needs. One resident sometimes chooses to stay up and watch the television until late. The home is relatively small. Activity provision is sometimes planned an example being the external provider that visits the home every six weeks or so. In-house activities include bingo, watching television and ‘fish and chip nights’. Other activity provision is varied. Unfortunately, there were no records available to demonstrate activity participation. A number of residents’ go out with their families regularly. One resident recently went to Blackpool with her family. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 the following standard(s): No standards were assessed in this section during this inspection. EVIDENCE: No standards were assessed in this section during this inspection. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 the following standard(s): No standards in this section were assessed. EVIDENCE: No standards in this section were assessed. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 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): 27, 28,29,30. Resident needs are met by the number and skill mix of staff. Residents’ are in safe hands. Residents’ are protected by the home’s recruitment processes. Generally staff are trained and competent to do their jobs. EVIDENCE: At the time of the inspection 9 residents’ were living at the home. Staffing rotas’ were examined. The following staffing levels are generally provided. A.M 2 staff P.M 2 staff Night 1 waking staff member plus one on call. When the home has a resident needing more care a staff member sleeps in the home to assist if needed the waking staff member. Residents’ commented positively about the staff. One said, “ The staff are lovely”. 50 of the staff have achieved N.V.Q level 2. A number have achieved level 3 or are working towards this. Only one staff member has been employed since the last inspection. Her file was examined. There was a completed application form, two written references Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 15 and an Enhanced disclosure complete with a POVA list check. Her file contained a recent photograph and at least two sources of identity. It was pleasing to see a completed induction folder to the prescribed standards which belonged to the newest staff member. An in-house induction checklist was also available to look at. A training matrix was provided by the registered manager. The majority of staff have received all of the required mandatory training. The newest staff member however, is lacking this training. The registered person actively encourages staff to attend training. She even finances their taxi fares for them to attend their training. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 16 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): 31,33,35,36 Residents’ live in a home which is run and managed by a person who is fit to be in charge. The manager has not to date however, achieved the care component of the required qualification. Further developments and work is needed to ensure that the home is run fully in the best interests of the residents’. Generally staff are supervised. Supervision records however are not adequate. EVIDENCE: The manager has been approved as a fit person to run and manage the home. The manager is also the registered owner and has day to day involvement with the running and operating of the home. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 17 It is pleasing that the manager has attained a management qualification. She has yet to attain the required care award. It is positive that the home has applied for re-accreditation of the Investors’ In People award. The manager is able to demonstrate that has undertaken some work to self audit against the National Minimum Standards. The manager confirmed that she is looking to secure a new quality assurance/ monitoring system to meet standard 33. Two of the nine residents’ money held in safe keeping was examined and checked against the balances. These were correct. Money is held in sealed envelopes which are checked during staff handovers. Receipts are retained for any expenditure. Two signatures verify each transaction. All money is held securely in a safe. It was positive to identify evidence on staff files to demonstrate that staff are receiving one to one supervision. Records to demonstrate this supervision however, are basic and do not cover all of the required topics detailed throughout standard 36. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 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 2 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 2 x x Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 19 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 OP9 Regulation 13(2) Requirement The registered person must ensure that a photograph is attached to each residents’ medication record. The registered person must ensure that a record is made of each residents’ activity participation. The registered provider/ manager must secure adult abuse awareness training for all staff. Timescale for action 01/12/05 2 OP12 16(2)(n) 01/12/05 3 OP18 13(6) 01/01/06 4 OP27 18(1)(a) 5 OP31 9(2)(i) (Timescale of 21/08/05 not met). The registered person must 01/01/06 ensure that the newest staff member receives all of the required mandatory training. The registered provider must 01/01/06 find and enrol onto a suitable course in order for her to achieve N.V.Q level 4 or equivalent in care. Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 20 6 OP33 24 7 OP36 18(2) 8 OP38 24(4) The registered person must ensure that quality assurance system/ monitoring processes are established and implemented to meet the whole of standard 33. The registered person must expand upon the staff supervision records to encompass all areas covered throughout standard 36. The registered person must provide evidence to the CSCI of recent staff fire/ fire drill training. 01/02/06 01/01/06 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Micron House DS0000025033.V261079.R01.S.doc Version 5.0 Page 22 - 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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