Inspection on 01/08/05 for Millfield

This inspection was carried out on 1st August 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

Millfield 22/05/07

Millfield 15/03/06

Millfield 22/03/05

Millfield 21/09/04

Millfield 24/03/04

Millfield 20/10/03

Millfield 31/07/02

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

CARE HOMES FOR OLDER PEOPLE Millfield Huddersfield Road Waterhead Oldham OL4 3NN Lead Inspector Carol Makin Announced 1 August 2005 st 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. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Millfield Address Huddersfield Road Waterhead Oldham OL4 3NN 01616203477 01617850714 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 Ms Margaret Thomas CRH Care Home 37 Category(ies) of DE(E) Dementia over 65 - 9 registration, with number OP Old Age - 20 of places SI(E) Sensory Impairment over 65 - 8 Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to inlude up to 20 OP up to 9 DE (E) and up to 8 SI (E). Date of last inspection 22nd March 2005 Brief Description of the Service: Millfield is a purpose built care home, which is owned by the Anchor Trust. It is located in the Waterhead area of Oldham, and situated on a direct bus route. Accommodation is provided in 37 single bedrooms, all of which have en-suite toilet facilities;one room also has an en-suite shower. Lounges and dining areas are spacious and provide venues for entertainment and recreational activities to take place, and a conservatory provided a good view of the garden and surrounding areas. Various improvements in the homes facilities are being pursued as part of an ongoing develoment programme. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 1st August 2005. All of the assessed standards were met, and the quality of care provided was good. Those standards not inspected on this occasion had been met on the previous inspection. The inspector spoke with some of the residents, the manager, and the acting deputy manager, and carried out a partial inspection of the premises, and examined records. Residents who spoke with the inspector were very complimentary about the service provided at the home. The Commission for Social Care Inspection sent comment cards to 10 residents, 10 relatives and 8 visiting health professionals. At the time of writing this report, 7 residents, 5 relatives, and 7 health professionals had completed and returned the cards. The overall response was positive regarding the service provided at Millfield. Verbal feedback of the findings of the inspection was given to the manager, during, and at the end of the inspection. What the service does well: The accommodation is purpose built, well maintained, and furnished and decorated to a very good standard. There was a pleasant, relaxed atmosphere in the home, and residents were able to bring in furniture and other personal possessions to meet their needs, and make their rooms homely. Residents were complimentary in their comments about the accommodation and the service provided for them in the home. One resident said, “ nothing is too much trouble for the staff”, another resident said that staff were “kind and helpful”. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 6 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. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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) 3,4 and 5 Assessments of prospective residents care needs were completed before they moved into the home. Prospective residents and their relatives have an opportunity to visit and assess the suitability of the home. EVIDENCE: Detailed pre-admission assessments of care needs were in place on the files which were inspected. Prospective residents were seen and assessed prior to admission to the home, by the manager or her deputy visiting them at home or in hospital, and /or by visiting the home, to spend a day there, have a meal, and meet other residents and the staff. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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) 7,8,9 and 10 Residents’ health, personal and social care needs were set out in an individual plan of care, and were met in the home. Procedures for dealing with medicines were appropriate. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: Care plans were in the form of ‘Individual Lifestyle Agreements’. The ‘Agreements’ on the care files which were inspected, had been signed by the residents, and reviewed each month. Risk assessments had also been completed as required. Nutrition profiles had also been completed, which included the resident’s dietary needs and preferences, and their weight. Records showed that residents were weighed within 2 days of admission and subsequently each month. Residents felt that they were well looked after in the home, and that their health and social care needs were met. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 10 The medicine records which were selected for inspection, were found to be in order. Residents said that staff treated them with respect, and their rights to privacy, dignit, and independence were maintained. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15 The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Residents enjoyed the food provided at the home. Activities provided residents with enjoyment and stimulation. Residents were able to maintain contact with relatives and friends EVIDENCE: Residents felt that the routines of daily living within the home were flexible, and enabled them to make choices. They were able to spend time in their rooms when they wished, and choose from a range of activities, which were available to them. A game of ‘armchair bowls’ was in progress during the afternoon of the inspection. Residents who were capable of doing so went out alone. Details of individual preferences (e.g. times of getting up and going to bed), were included in assessment / care planning information on resident’s files. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 12 Residents and a relative who spoke with the inspector confirmed that visiting was able to take place at any reasonable time, and said that visitors were made welcome by the staff. There was general satisfaction with the food at the home. On the day of the inspection the lunch was a choice of steak and kidney pie or poached cod, with potatoes and vegetables. There is a large dining area on each floor. Dining furniture was of a good standard, and tables of four were set with small vases of violets and colour matching serviettes. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 standard(s) 17 and 18 Residents’ legal rights were protected, and staff had sufficient training to protect residents from abuse. EVIDENCE: Residents are included on the electoral roll and are provided with postal votes. The manager said that a small number of residents, who had previously gone to the polling station to vote, had chosen to use postal votes at the general election earlier in the year. Training in relation to the protection of vulnerable adults, was provided for all staff by means of Anchor’s ‘Right’s and Responsibilities’ training, which includes recognition of abuse, and protection of vulnerable adults procedures. Oldham Social Services and Anchor’s own policies and procedures regarding the protection of vulnerable adults were available for staff, and a booklet about ‘Rights and Responsibilities’ is given to all new staff. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 standard(s) 19,20,23 and 26 The home was clean, and the owners were maintaining the property, and providing a good standard of accommodation, for the people who live there. EVIDENCE: The home was clean and free from unpleasant odours. Residents and a visitor who spoke with the inspector confirmed that this was the normal standard of cleanliness within the home. A maintenance programme was available, which included renewal of equipment, furnishings and redecoration of the home over a 3 year period. The accommodation was well maintained, with a good standard of decoration and furnishing throughout. Since the last inspection there had been some redecoration and re-carpeting of bedrooms, and a loop system had been installed in the conservatory and the adjoining lounge on the first floor, to assist people with hearing difficulties. The manager gave information about other planned improvements, which were to be carried out in the next 12 months. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 15 Communal areas were spacious and attractively furnished and decorated. In addition to the dining accommodation already referred to in standard 15, there were 2 lounges and numerous sitting areas, providing a choice of sitting space for residents. All communal rooms were non-smoking. The large dining area on the first floor was also used for activities and entertainment. Residents were pleased with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 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) 29 and 30 Procedures for recruiting new staff were satisfactory for the protection of the residents. The training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The staff files which were inspected, contained POVA first checks and 2 written references, which had been obtained prior to employment commencing. A rolling programme of staff training was in operation, and the following training had been provided during the 12 months preceding this inspection: • • • • • • • • • Health & Safety Continence Values Diet/nutrition Dementia workshops Toe nail care/cutting Lifestyle training Medication (all relevant staff) NVQ workshops Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 17 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) 34 and 37 Accounting procedures, and record keeping were appropriate to safeguard resident’s rights. EVIDENCE: Certificates of insurance were displayed in the home, and detailed business / financial plans were available for inspection. Records required by regulation, which were inspected on this occasion, were up to date and had been correctly completed. Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x x x 3 x x 3 x Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 19 No 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Heritage Whart Portland Place Ashton-under-Lyne OL7 OQD 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 Millfield F54 F04 s5511 Millfield ann v236266 010805 Stage 4.doc Version 1.40 Page 21 - 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!