Inspection on 07/03/06 for Millings The

This inspection was carried out on 7th 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

Millings The 17/05/07

Millings The 13/06/05

Millings The 03/02/05

Millings The 29/07/04

Millings The 22/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Millings The 5 North End Bedale North Yorkshire DL8 1AF Lead Inspector Chris Taylor Unannounced Inspection 10:00 7 March 2006 th 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 Millings The DS0000007856.V278850.R01.S.doc Version 5.1 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. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Millings The Address 5 North End Bedale North Yorkshire DL8 1AF 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) 01677 423635 01677 427220 Clifton St Annes Personnel Care Services Limited Mrs Sandra Yvonne Anderson Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: The Millings is a care home registered to provide accomodation and personal care for 40 people over the age of 65 years. The Millings is situated in the market town of Bedale. The home was formally the rectory which has been converted for its current use. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took 5 hours including preparation time. At the previous inspection service users had requested the next inspection be announced in order that they could make arrangements to speak to the inspector. They also requested the opportunity to comment on the home via survey questionnaires. These were sent out and collated as part of this inspection. Without exception feedback from service users was positive. Time was spent talking to the manager, owners, staff and service users. Records about service users and staff were looked at. What the service does well: 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. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 6 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 Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 7 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): Not assessed on this occasion. EVIDENCE: Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 8 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): 7, 8, 9 and 10 Service users’ health and personal care needs are met. EVIDENCE: Three service user plans were looked at, each identified personal and social care needs and provide staff with information about how the service user wants care and support delivered. Included were risk assessments associated with the prevention of falls, moving and handling and nutrition. Care plans were reviewed regularly and records provide a good picture of daily and significant events. Service users have access to the primary health care team and usually keep the same GP they had before admission. Guidance is sought from the District Nurse, Community Physiotherapist, and the Continence advisor as needed. Service users spoken to say that their health care needs are well taken care of. Staff spoken to had a good understanding of the needs of the service users and there was good interaction observed between the service users and staff. Service users spoke well of the care they are receiving and said “staff are excellent and very helpful”. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 9 Appropriate arrangements are in place for the safe storage and administration of medication. Service users are encouraged to self medicate. Risk assessments are completed and included in the service user plan. Only designated members of staff administer medication and they have completed appropriate training. The community pharmacist audits the system and is available for guidance. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 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): 12, 13, 14 and 15 Service users are supported with their chosen lifestyle. Meals offer both choice and variety and catering for special dietary needs. EVIDENCE: Service users said that they had plenty of visitors to the home and were able to make and receive phone calls. This was evident on the day of the inspection. The activities organiser arranges a variety of events at the home and trips out taking into consideration service users interests and skills. She involves the local community and those service users who participate look forward to her sessions. A hairdresser visits the home regularly as does the local vicar to provide Holy Communion. There is a large garden and patio area. Menu’s examined showed a varied and nutritious diet. There is a choice of food at each meal- time and drinks and snacks are available anytime. Staff discuss menus with service users regularly and ask for new ideas. Hot drinks were seen to be offered as and when service users asked for them. Special medical diets are catered for e.g. diabetics. Meals can be taken in bedrooms but most people tend to use the dining room. Service users spoken to say that the food was very good. Nutritional screening is completed for every service user. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: Millings The DS0000007856.V278850.R01.S.doc Version 5.1 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 and 26. Service users live in a home that is clean, comfortable and well maintained. EVIDENCE: A tour of the premises was made. Everywhere was spotlessly clean and decorated to a high standard. The quality of furniture and fittings was also of a high standard and in keeping with the house and the age and needs of service users. All services users are able to access communal space. There is a vertical passenger lift to all floors and suitably located grab rails. A call bell system is in operation that is cancellable at the point of call. Hoists and moving and handling equipment are available and used accordingly. The three lounges are comfortably furnished and have large windows that look out into the garden areas. All bedrooms are en suite and there are sufficient adapted bathrooms. Staff complete infection control training and infection control polices and procedures issued by the Primary Care Trust. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Service users receive care and support from a well-trained staff team. EVIDENCE: Records confirmed staff training completed and included a rolling programme to ensure staff complete mandatory health and safety training. Additional training is available which relates to the specific needs of service users. Twelve staff hold NVQ level 3 with four completing it and four staff have NVQ level 2 with seven completing it. Three members of staff are trained NVQ assessors. The rota indicates that there are enough staff hours provided and more staff are on duty at key times during the day. The recruitment records of the member of staff most recently recruited were checked and they contained a completed application form, had CRB check and two written references. Staff complete induction and these records were seen. The manager works alongside staff and as such monitors their practice. At every shift change there is handover where specific issues relating to service users are discussed. Polices and procedures are discussed at regular staff meetings. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 14 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 and 33. This home operates with its service users best interest as its priority. EVIDENCE: The registered manager has the appropriate skills and experience and has managed the home for a number of years. Staff and service users speak highly of her and said she is supportive and fair in her approach. The home employs an independent organisation to complete annual quality assurance. Surveys are completed by service users and other interested parties and the results published. From this the management team produce an action plan to address issues raised and make any improvements. The Responsible Individual completes monthly regulation 26 visits and reports of these visits are provided to the CSCI. Residents’ views are also obtained via residents’ meetings and residents’ reviews. Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 15 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 x 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 Standard No Score 16 x 17 x 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x x Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 16 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. 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 Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Millings The DS0000007856.V278850.R01.S.doc Version 5.1 Page 18 - 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!