Inspection on 17/02/09 for Midhurst Road

This inspection was carried out on 17th February 2009.

CSCI found this care home to be providing an Excellent service.

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

Midhurst Road 03/08/06

Midhurst Road 06/12/05

Midhurst Road 27/05/05

Midhurst Road 01/03/05

Midhurst Road 30/09/04

Midhurst Road 16/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Midhurst Road 21 Midhurst Road Sheffield South Yorkshire S6 1EY     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anne UrwinBrown     Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Midhurst Road 21 Midhurst Road Sheffield South Yorkshire S6 1EY 01142855345 01142213274 tracey.payne@sheffcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : South Yorkshire Housing Association care home 42 Number of places (if applicable): Under 65 Over 65 42 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Midhurst Road is a residential care home for older people; it is registered to provide personal care and accommodation for 42 service users. South Yorkshire Housing Association provides the accommodation, and Sheffcare provide the care. Midhurst Road is situated in the North East of Sheffield in the district of Foxhill. Local public transport is available a short walk from the home. The home comprises of two levels with lift access to the upper level; and has four wings, two based on each level. The home is accessible for wheelchair users. The home is well decorated; all of the bedrooms are en-suite providing single accommodation. There are a suitable number of lounges and dining rooms. The homes gardens are very well maintained with views across the countryside and the home has a car park. Copies of the last Commission For Social care inspection report were kept in the entrance for service users and their families to read. The weekly fees range from: £320 to £355. This information was provided on 17th February 2009. Care Homes for Older People Page 4 of 26 Brief description of the care home The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 stars. This means that the people who use the service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit: We looked at: Information we have received since the last visit. How the service dealt with any complaints & Care Homes for Older People Page 6 of 26 concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The Visit: An unannounced visit was made on 17th February, 2009. The visit lasted a total of seven hours. During the visit we: Talked with people who use the service, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? What they could do better: Hand written entries in the medicines administration record should be signed by two staff members to ensure that the entries are correct. Work tops in the dining areas should be replaced where the surfaces are stained and Care Homes for Older People Page 8 of 26 damaged. A review of staffing levels should be carried out to ensure that there are enough staff on duty at busy periods of the day and that cover for sickness and annual leave is adequate. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good assessments are carried out so that people can be assured that their needs will be met at Midhurst. Evidence: Before each person moves into the home a detailed pre-admission assessment is completed to ensure that staff are able to meet their needs. Information from the assessment and from relatives and/or care management plans is also used to prepare an individual plan outlining each persons care needs. Good information was available in individual records to show that the person and families are involved in the assessment process. The home understands the importance of having good information about peoples needs before agreeing a placement. Three people said that staff knew about their needs when they came to live at the home. One person said I found it difficult to make a decision about coming to live here, but I am very happy here and there is a nice atmosphere and the staff are so kind. Care Homes for Older People Page 11 of 26 Evidence: Intermediate care is not provided at Midhurst. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are met and supported effectively by the good systems for care planning. Evidence: Each person has a personal plan in place that clearly outlines their care needs and how these are met to suit their individual needs. Personal support is responsive to the varied and individual needs and preferences and good information was available in individual plans about how needs are met by staff. Assessment tools are used to identify changes in peoples needs. Regular reviews are undertaken and provide good information about the support being provided and any changes in peoples support needs. Healthcare information is well recorded and evidence was available that good systems are in place to ensure that healthcare needs are well met. Evidence was available that peoples privacy and dignity is respected and that staff are sensitive to individual needs. One person said Staff could not be kinder, they know what I need help with and are always around when I need them. I feel much better since I cam to live here. One relative said that the support provided is excellent and staff are good Care Homes for Older People Page 13 of 26 Evidence: at keeping in touch if there are any issues. There is in place an effective medicines policy that supports good procedures and practice. Staff training has been provided for all staff responsible for administering medicines. Medicines records are well completed and contain required entries. One hand written entry on the medicine administration record was not double signed. Arrangements for the storage of medicines are satisfactory. Care plans show good evidence of peoples wishes, choices and decisions. Policies and procedures take account of equality and diversity principles and staff showed an awareness of these during the inspection. They were sensitive to peoples individual needs and demonstrated good practice with regard to respect for peoples dignity and privacy. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to make choices about their routines and lifestyle. Social, emotional, cultural and recreational needs are met in a way that suits individuals. Evidence: There are good opportunities provided for people to make choices about their daily routines and lifestyle. People have opportunities to take part in planned activities that suit their needs and interests. Good information about peoples social care needs is recorded in care plans to show residents preferences about activities and routines are identified. The notice boards in the home list the activities planned and the activity organiser works two and a half days per week. Residents said that they enjoyed the opportunities to join in arranged activities. One person said that there are plenty of things going on and we are asked about our preferences. It is nice to have a choice to attend group activities or to spend time in my own room. The food was well presented and residents said it was very good. Alternatives were available at each meal time. Portion sizes varied according to preferences and staff demonstrated that they knew what people like. All the residents were complementary Care Homes for Older People Page 15 of 26 Evidence: about the food and appeared to enjoy it. Kitchen staff have undertaken appropriate Food Handling training. Drinks are provided regularly through the day and there is a varied selection offered. There was tea, coffee, or cold drinks of either juice or milk. There were biscuits provided. Fruit was also available. The bedrooms are of a very high standard, they are personalised according to the taste of the resident. Residents said they were happy with their rooms and that they had a lot their own personal items around them. Residents have visitors at any time and are able to use their own rooms, or the lounges to see them. The relatives said that they are welcomed into the home. Residents said they were happy with the arrangements for visitors. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the good systems in place at Midhurst for dealing with complaints and safeguarding. Evidence: There is a written complaints procedure that outlines the route for making a complaint and the action that is taken by the organisation in dealing with complaints. Systems are in place for recording complaints, and only one complaint has been made in the last year. Records of complaints are also kept in individuals records. Staff are regularly reminded about the procedures for dealing with complaints at staff meetings. People living in the home said that they felt confident that they could raise any issues about the quality of the service and were satisfied that these matters would be taken seriously. There are written procedures for dealing with safeguarding matters. No safeguarding referrals have been made since the last inspection. The manager said that all staff have completed safeguarding training. Whistle blowing procedures and appropriate staff recruitment checks also contribute to making people living in the home safe. Staff were able to describe the appropriate action to be taken in the event of an allegation being made. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Midhurst provides a comfortable, well maintained and decorated environment that suits the needs of the people living there. Evidence: The home is clean, well decorated and odour free. The building is purpose built and designed to suit the needs of the people living there and provides comfortable accommodation. It is light and spacious with wide corridors and good sized rooms. The lounges and dining rooms are well designed. There is a conservatory overlooking the garden that provides a comfortable, quiet sitting area. Residents said that they are happy with the quality of the accommodation provided. One person said that she finds her room very comfortable and all the facilities are available that she needs. She said I have been able to bring things in from my previous home and it makes me feel more comfortable having my own bits and pieces. I have found the home a nice place to live. Maintenance records are kept to show that action is taken to address any repairs. Staff said repairs are carried out promptly. There is an ongoing programme of redecoration and refurbishment. The new manager said that he is trying to get worktops in the dining rooms replaced and has identified other work including touching up paintwork Care Homes for Older People Page 18 of 26 Evidence: throughout the building. Work on redecoration of the upper corridors and four bedrooms has been completed as well as the new conservatory. Two dining areas have new furniture. Bathrooms and toilets are tidy and clean. All bedrooms are fitted with en-suite accommodation, which is much appreciated by the people living in the home. There are appropriate aids and adaptations fitted to suit the needs of the people living in the home. Liquid soap and paper towels are available in bathrooms and toilets to minimise risks of cross infection. Bedrooms are well decorated and furnished offering spacious accommodation. People are encouraged to bring in items from their previous homes. Staff showed that they were aware of good health and safety practice during the inspection. The central heating system and electrical testing of equipment is carried out at appropriate intervals. The laundry was clean, well organised and equipped. Staff working in the laundry are aware of infection control procedures. There is sufficient appropriate laundry equipment. Infection control procedures are in place and staff training is provided. Care staff do most of the laundry and at times have found that this affects the time they have to spend with people living in the home. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient appropriately trained and qualified staff available to meet the needs of the people living in the home. Evidence: Staffing levels are generally sufficient to meet the needs, activities and aspirations of each individual living in the home. At times staffing levels are affected by sickness and leave and staff said sometimes it is very busy in the mornings when they are trying to get people up, serve breakfast and keep up with laundry. People living in the home said that they were happy with the staff and they spoke warmly about the level of support they received. One person said staff could not be kinder, they are all wonderful and I am very happy living here, but sometimes I think the staff have too much to do. There was evidence that existing staff work flexibility to cover holidays and sickness. There are two care staff posts vacant that the manager hopes will be filled without any delay. Staff recruitment procedures are clear and define the process to be followed. Computer records showed that procedures are followed and the manager recognises the importance of effective recruitment in protecting people living in the home. Appropriate checks including reference, Criminal Records Bureau and POVA checks are carried out and records confirmed this. Care Homes for Older People Page 20 of 26 Evidence: All staff receive relevant training to ensure that they are equipped to meet peoples needs. Over fifty per cent of the staff have achieved national qualifications in care and four other staff are working towards completing their training. Training is focused on achieving better outcomes for people living in the home. Staff said that they get enough training opportunities and are well supported by the senior staff. Individual training records are in place and are kept up to date. These show staff have access to appropriate training opportunities to maintain and develop their skills. Staff meetings are held regularly and a staff supervision programme is in place. Staff said that they feel well supported by the senior staff. Induction training is provided for all new staff and a buddy system is in place to support new staff. Staff said that this works well and new staff have enough information about the job when they first start work. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well managed home and are encouraged to put forward their views about the service. Evidence: The manager has only recently been transferred to Midhurst Road. He has the experience and qualifications in care and management to run the home. There is in place job descriptions that set out clearly the responsibilities of the manager and the staff. The manager understands the need to keep up to date with practice and to develop management skills. He is well supported by an experienced senior staff team. Staff said that they felt well supported throughout the process of change of manager. Staff receive regular formal supervision and staff meetings are held at appropriate intervals. Records show the frequency of supervision and minutes were available to show the discussion at meetings. Staff said that they feel well supported and that there is a open atmosphere that encourages them to put forward their views about the Care Homes for Older People Page 22 of 26 Evidence: operation of the home. The home has a clear statement of purpose that sets out the aims and objectives of the service. There is evidence that the manager and the senior staff team are involved in regularly reviewing and monitoring practice and compliance with the plans, policies and procedures of the home. There is an effective quality assurance system in place. Questionnaires are used to seek the views of people using the service, their relatives/representatives and other stakeholders about the quality of the care and support provided at Midhurst. Information from these questionnaires is used to plan future development of the home. Questionnaires are also used by the Housing Association who own the building to gather information about the suitability of the premises. People are encouraged and supported to retain control of their own money. If people are unable to manage their money clear information is kept in their individual records about the reasons for this. All transactions relating to money held are clearly recorded and appropriate procedures for managing residents money are in place so that staff are clear about their responsibilities. Lockable storage is provided in each persons room so that they can keep money or valuables safely. Health and safety policies and risk assessments are in place and records show that staff receive appropriate mandatory training at regular intervals. Regular checks and servicing of fire equipment are carried out and records show staff have received appropriate fire training. Good records are kept of all accidents and there was evidence that these are monitored by senior staff. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 9 20 Hand written entries in the medication administration charts should be signed by two members of staff. Worktops on the kitchen units in the dining rooms that are marked and damaged should be replaced. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!