Inspection on 21/06/05 for Millbeck

This inspection was carried out on 21st June 2005.

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 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

Millbeck 16/09/08

Millbeck 17/10/06

Millbeck 03/11/05

Millbeck 21/03/05

Millbeck 05/07/04

Similar services:

Middlesbrough Intermediate Care Centre

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

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

CARE HOMES FOR OLDER PEOPLE Millbeck High Street Norton Stockton-on-Tees TS20 1DQ Lead Inspector Jackie Herring Unannounced 21 June 2005 13:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Millbeck Address High Street Norton Stockton-on-Tees TS20 1DQ 01642 360995 01642 530598 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Anchor Trust Mrs Maureen Johnson Care Home 30 Category(ies) of Old age - OP (30) registration, with number of places Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21 March 2005 Brief Description of the Service: Millbeck is a purpose-built, two storey building situated on the High Street in Norton. The home blends in well with the neighbouring properties and has the advantage of having various amenities within walking distance e.g. Post Office, library, shops, pub, medical centre etc. Accommodation comprises 30 individual “flats” each with a lockable front door, letterbox, room-number. Each flat has en-suite toilet and hand basin. The home itself is tastefully decorated and has two lounges, the largest being situated on the ground floor. There are two dining rooms – one on each floor. Millbeck is surrounded by wellmaintained gardens, and seating is provided outside the main entrance where residents can sit and overlook the garden or watch the activity along the High Street. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection, which took place over one inspection day, three and a half inspection hours in total. Residents were engaged in discussions about life in Millbeck, staff and the manager were interviewed and a small number of records were examined. What the service does well: What has improved since the last inspection? What they could do better: Of the standard examined during the inspection, there was very little identified for improvement. Staff and residents said, “Can’t think of anything that would improve what we already have at Millbeck”. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 6 It was identified that the garden could be developed further to enhance the accessibility and use by residents. It was also identified that the records for training could be further developed and a training needs analysis was being developed. 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. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were examined during this inspection. EVIDENCE: Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 10 Residents at Millbeck have their privacy needs and rights upheld and are treated with dignity. EVIDENCE: During discussion with several residents they talked positively about how they were treated by the staff at Millbeck. One resident stated, “my dignity is promoted, my keyworker baths me and helps me with my personal care”. Another resident also said that very personal care was provided by the keyworker. Personal choices and rights were said to be respected and residents described how the staff always knocked on their flat doors before entering. Staff also described how they ensured and discussed the importance of residents having a voice and being listened to and responded to. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 Activities are well managed for residents ensuring social, religious and recreational needs are provided for. Residents are able to control their lives, their independence and make choices. EVIDENCE: Residents stated that they could have visitors when they wanted and during the inspection, visitors were observed to come and go from Millbeck. One resident described how they went out with their daughter every Saturday and another resident described how her family visits almost every day. Residents said that they were able to go out of the home to the local shops and post office. During the inspection, a coffee afternoon was taking place, which the residents looked forward to. Residents stated that coffee afternoons take place twice a week and that it was an opportunity for chatting to other residents. One resident said that they often had a sing-a-long afterwards, which was enjoyed by all. Other activities including a Bingo night once a week, pub nights and race nights were also described. One resident said, “sometimes the days are long, but this is not due to the carers, it is the residents who are not motivated to join in”. One resident described going to a club that they have been attending since 1961. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 11 It was confirmed through discussion with the manager that resident’s religious and spiritual needs of the residents are catered for. Holy communion takes place within Millbeck and residents can attend the local churches if they want to. Residents said that they were encouraged to make decisions about daily life activities, one resident said, “I am well able to control my own life and I do”. Residents gave examples of how their personal preferences were met, “I like my breakfast at 8.30 am and I sometimes have it in bed”. Resident meeting were also described, these were said to be well attended by approximately 50 of the residents, these meetings are minuted and each resident received their own copy of the minutes. It was also confirmed that there was a choice of meals as well as alternatives being available. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 The systems are in place at Millbeck to protect residents from abuse; to protect their rights and residents and staff are provided with information and contact details. EVIDENCE: Residents were confident that if they had any worries or concerns they would be responded to properly by the staff in the home or the manager and they were also aware of the complaints procedure. This was observed to be on display in the main reception and was presented in large bold print. Staff also demonstrated a clear understanding of the complaints procedure and also confirmed that they had attended Protection of Vulnerable Adults training and Knew the procedures to follow. Staff also confirmed that residents received an individual copy of the complaints procedure. Residents confirmed through discussion that they had been able to vote at recent elections, some residents described completing postal votes. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 Millbeck provides a homely and clean environment for the residents. EVIDENCE: The inspector visited several areas of Millbeck during the inspection. It was observed to be well-maintained, very clean, odour free and very homely in terms of décor. Resident said that the home was kept very clean at all times. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Residents are cared for by trained and competent staff and in sufficient numbers to meet their needs. Residents are protected by the robust recruitment procedures. EVIDENCE: A random sample of staff records was examined and they contained all of the required information. During discussion with staff they described the recruitment and selection procedures, which were robust with the appropriate checks being completed prior to commencement of employment. The actual CRB’s were not available for examination at the home, there was an email confirming that the manager could proceed with the appointment. In the two files examined, one had a CRB number the other did not. Both residents and staff believed that there was sufficient staff on duty at any time to meet their needs. The staff structure and skill mix was described as good and appropriate to the home, with there being a senior care worker on duty at all times. The staff said that the training was excellent and said, “everyone is trained for everything”. As well as mandatory training including fire and moving and handling, staff also described client specific training such as diabetes care, osteoporosis, dementia care, they said that where needs were identified, these were responded to and the relevant training arranged. Staff believed that one of the strengths and qualities of Millbeck was the dedication of the staff team and the way in which they team worked. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 15 The manager informed the inspector that a training needs analysis was in the process of being developed and would be introduced in the future. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36 Residents live in a well managed home, where staff undergo the required level of supervision. EVIDENCE: Millbeck was described by the staff as, “a well run and well managed home with a friendly atmosphere and the opportunity to give an opinion and be listened to”. Residents also believed the home was well managed. The manager is undertaking the “fit person” process to become registered with CSCI to become the registered manager and is in the process of completing the Registered Managers Award. Staff said there is a system and structure in place for the care workers supervisions sessions and stated that regular supervisions take place and the appraisal system is also tied into this. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 3 x x x 3 x x Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 13 Requirement Further information must be obtained about the current company policy of not retaining the actual CRB documenation in the home. The details must include date of issue, CRB number, enhanced check, working with adults and POVA check. A competent, , qualified and experienced person is appointed and registered as the manager. Timescale for action 1 August 2005 2. OP31 9 1 August 2005 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. Refer to Standard OP26 OP30 Good Practice Recommendations The garden is to be developed further to increase the accessibility for resident use. The NVQ training should continue ensuring that a minimum of 50 of staff are trained to NVQ level two in care. Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Millbeck B51 B01 S14 Millbeck V234614 210605 Stage 4.doc Version 1.30 Page 20 - 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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