Inspection on 15/03/06 for Millfield

This inspection was carried out on 15th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 01/08/05

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 Unannounced Inspection 15th March 2006 10:30a 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 Millfield DS0000005511.V263722.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. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Millfield Address Huddersfield Road Waterhead Oldham OL4 3NN 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) 01616203477 01617850714 Anchor Trust Ms Margaret Thomas Care Home 37 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (20), of places Sensory Impairment over 65 years of age (8) Millfield DS0000005511.V263722.R01.S.doc Version 5.0 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 1st August 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 development programme. Millfield DS0000005511.V263722.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 on 15th March 2006. All of the key standard which were assessed were met, and the key standards which were not assessed on this occasion were met on the last inspection. During the inspection the inspector spoke with some of the residents, a relative, the deputy manager, and the chef manager, carried out a partial inspection of the premises, and examined records. The registered manager was on holiday at the time of the inspection, and the deputy manager was in charge of the home at the time of the inspection. Verbal feedback of the findings of the inspection was given to the deputy manager during, and at the end of the inspection. 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. This is the third inspection in which there have been no requirements or recommendations. Millfield is a well run home. What the service does well: What has improved since the last inspection? The hairdressing room had been refurbished to a very good standard, and the dining rooms, staircases, 1st floor corridor and some bedrooms had been redecorated. There were new curtains at the windows on the staircases and in the dining rooms, and vertical blinds had also been fitted in the dining rooms. The car park had been resurfaced, and at the time of the inspection work was in progress to install railings at the front of the building. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 6 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 DS0000005511.V263722.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 Millfield DS0000005511.V263722.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): The standards in this section were not assessed on this inspection. EVIDENCE: Millfield DS0000005511.V263722.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): The standards in this section were not assessed on this inspection. EVIDENCE: Millfield DS0000005511.V263722.R01.S.doc Version 5.0 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 the following standard(s): The standards in this section were not assessed on this inspection. EVIDENCE: The standards in this section, all of which were met on the last inspection, were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the comments subsequently made by residents, and observations made by the inspector, were positive. Comments from residents who spoke with the inspector included: “the food is really good”; “you get a variety and you’re asked what you want if you prefer something different”; “ The chef is very good”. The deputy manager told the inspector that the chef had recently been a finalist in Anchor’s ‘Chef of the Year Award’, and he made himself aware of residents individual dietary needs. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 11 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): 16 The home operates an effective complaints procedure. Residents are confident that they can talk to staff. EVIDENCE: Anchor have produced a procedure for making complaints for use in its’ homes nationally. A system was in place for recording complaints made to the home, which included a log containing brief details of the complaint, and a record of the action taken by the home. More detailed information was kept on the individual resident’s file. Residents who were interviewed said that they hadn’t had any complaints, but they were confident that the manager or her deputy would be able to deal with them if they ever had any. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home is well maintained, and is furnished and decorated to a high standard. EVIDENCE: The key standards and most of the other standards in this section were met at the last inspection. This inspection therefore focused on any improvements made to the accommodation since the last inspection. Residents who spoke with the inspector commented positively about the accommodation, their comments included: “ It’s lovely, and always very clean”, “They keep the rooms clean, and it always smells fresh”. The home was very clean, and the facilities, décor, and furnishings are of a high standard. As has been found on previous inspections, various improvements had been made to the accommodation since the last inspection. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 13 These included: refurbishment of the hairdressing room; redecoration of the dining rooms, staircases, 1st floor corridor and some bedrooms; new curtains in the dining rooms and staircases, vertical blinds had also been fitted in the dining rooms. Externally, the car park had been resurfaced since the last inspection, and at the time of the inspection work was in progress to install railings at the front of the building. The registered manager pays a lot of attention to detail when organising improvements to the accommodation. Examples of this are the hairdressing room, which has been beautifully refurbished since the last inspection, and previously a bathroom was converted into a therapy room, with a massage facility, spa bath and piped music, and a shower room was upgraded to an equally high standard. Another improvement in recent years was the addition of a conservatory. It is very tastefully furnished and decorated to a very good standard, and provides an excellent view of the garden, which is otherwise largely inaccessible to service users due to the land sloping downwards quite steeply. Millfield DS0000005511.V263722.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 and 28 The staffing levels within the home were sufficient to meet the needs of the residents. The training for staff was suitable for meeting the needs of the residents. EVIDENCE: The information which was obtained for the inspection indicated that staffing levels within the home met the standards and were sufficient to meet the needs of the residents. Residents who spoke with the inspector commented positively about the staff. Their comments included: “They know what they are doing”; “They are very good and friendly, I have no complaints”. The deputy manager stated that 16 of the 22 care staff, (72 ), who were employed at the home, had achieved an NVQ level 2 qualification. All the remaining care staff were undertaking the NVQ training and 5 members of staff were NVQ assessors. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 15 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 and 38 Millfield is a well run home, in which the health, safety, and welfare of residents and staff are promoted and protected, and the best interests of the residents are ensured. EVIDENCE: The registered manager, Maggie Thomas, was on annual leave at the time of the inspection. Mrs Thomas has an extensive level of experience and various qualifications in the care sector and management, and the findings of this inspection indicated that the home continued to be well managed. The deputy manager, Lorraine Young, was in charge of the home at the time of the inspection. Mrs Young has successfully completed the Registered Manager’s Award, and another member of the management team has undertaken the training for the award. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 16 Anchor has an extensive quality assurance/quality monitoring system. They commissioned an independent survey of their services nationally in February 2006. The findings were overall positive, and Millfield was rated highly in a comparison which was made with Anchor’s other services. The home also does surveys in which participants are able to remain anonymous. Those surveyed include residents, staff, and visiting health professionals, and at the time of the inspection a survey of residents’ relatives was in progress. An analysis is also completed of each survey. Meetings for staff and for residents were held regularly. Minutes of the most recent residents meeting were seen, and showed that the main topics of discussion were activities, special celebrations, and food. Computerised and handwritten records are kept regarding residents personal allowance. Records showed transactions, and residents had signed for money given directly to them. Receipts were kept for hairdressing and purchases made on behalf of residents. The deputy manager said that a record of transactions was given to the resident or their relative each month. Training in relation to safe working practices is included in the staff induction programme and updated twice a year or more frequently depending on the needs of individual members of staff, e.g. moving and handling - the deputy manager said that she had devised a special risk assessment for staff who are pregnant. Records were kept of training provided and that which was planned. The standard of cleanliness and organisation of the kitchen and food storage facilities was good. The chef manager had again been awarded the ‘Heartbeat Award’ by Oldham Council’s Environmental Health Department. An examination of the fire precautions records indicated that tests and checks in relation to fire precautions, and fire drills, had been done at the prescribed intervals. Records showed that the passenger lift and service lift had been regularly serviced, and independently inspected as required. Records in relation to fire precautions had been appropriately completed, as had reports of accidents. The deputy manager had also done a quarterly analysis of accidents involving residents, to monitor any patterns, and identify e.g. residents who have frequent falls or behaviour issues, and look at the action taken by staff and reviews of risk assessments. Millfield DS0000005511.V263722.R01.S.doc Version 5.0 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 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 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 4 X X X X X X X STAFFING Standard No Score 27 3 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations Millfield DS0000005511.V263722.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 DS0000005511.V263722.R01.S.doc Version 5.0 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. 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!