Inspection on 31/01/06 for Miriam Kaplowitch House Care Home

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Miriam Kaplowitch House Care Home 04/04/08

Miriam Kaplowitch House Care Home 05/04/07

Miriam Kaplowitch House Care Home 16/08/05

Miriam Kaplowitch House Care Home 21/03/05

Miriam Kaplowitch House Care Home 23/12/04

Similar services:

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Byars Care Home

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

CARE HOMES FOR OLDER PEOPLE Miriam Kaplowitch House Care Home 470 Mansfield Road Sherwood Nottingham NG5 2EL Lead Inspector Meryl Bailey Unannounced Inspection 31st January 2006 1:00 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 Miriam Kaplowitch House Care Home DS0000002212.V271713.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. Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Miriam Kaplowitch House Care Home Address 470 Mansfield Road Sherwood Nottingham NG5 2EL 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) 0115 962 2038 0115 969 2326 Nottingham Jewish Housing Association Limited Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 named service user with demantia may be admitted as named in application dated 10/10/05 Service users shall be within category OP Date of last inspection 16th August 2005 Brief Description of the Service: Miriam Kaplowitch House is situated in adapted detached premises in a residential area, but close to shopping areas, all amenities and public transport routes. Accommodation and care is offered to the older members of the Jewish community only. Bedrooms are on two floors with a lift to the upper floor level and a choice of communal areas is provided. All meals are prepared in the Kosher kitchens on the premises. Miriam Kaplowitch House Care Home DS0000002212.V271713.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 by one inspector during one afternoon and lasted just over four hours. The inspector looked around the communal areas and saw the shower room, but did not inspect any bedrooms. The evidence was gained through speaking with residents, a visitor and senior staff on duty, from observation and from examining written records. What the service does well: What has improved since the last inspection? Care plans were found to have developed in consistency since the previous inspection. The floor of the shower room had been replaced and work had been carried out to improve the heating system. Also, ventilation had been installed in the manager’s office to make sure that medication was kept cool. Miriam Kaplowitch House Care Home DS0000002212.V271713.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. Miriam Kaplowitch House Care Home DS0000002212.V271713.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 Miriam Kaplowitch House Care Home DS0000002212.V271713.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): 3 Needs of new residents are assessed prior to admission. EVIDENCE: Preadmission assessments were completed for new residents. Applications were considered from prospective residents from all parts of the country and information had been collated from relatives and professionals to determine that the needs could be met within the home. Miriam Kaplowitch House Care Home DS0000002212.V271713.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): 7, 8, 9 and 10 The recording of care plans is improving and demonstrates how needs are met. Some updating is required to ensure changing needs are not neglected. Appropriate steps are taken to monitor and meet health needs. Medication is well organised on behalf of residents, but some practices need improving to safeguard everyone. EVIDENCE: The care plans for three residents were examined and were found to have developed in consistency since the previous inspection. However, some information had not been completed and action plans were not all updated. There were some clear risk assessments included and these were up to date, but the action staff need to take should be updated on the main care plans. Some monthly reviewing had been taking place, but reviewing for January 2006 was overdue. No photographs were found on care plans seen and it is recommended that these be included for identification purposes unless service users object. Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 10 Health was being monitored with regular assessments of risks relating to Nutrition, Pressure Sores and Falling. There was evidence of a risk assessment being updated immediately after a fall with new action in place to reduce the risk. Contacts with doctors and visiting nurses were recorded with advice given and weights were monitored. Since the last inspection ventilation in the room where medication is stored has been improved and the temperature was being monitored. Generally, medication was well organised, but some medication was found with the name of a person who is no longer resident at the home. Staff reported that it had been used for another resident who had run out of stock. This practice must cease and unused medication must be returned to the pharmacist for appropriate disposal. Staff must ensure all residents have sufficient supplies of medication prescribed to them. Residents spoken with said that they felt the staff were very respectful and “most helpful in every way.” Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 and 14 A variety of activities is available, though individual needs may not all be met by these. Contact and relationships with family and community are encouraged and maintained. Also, residents are enabled to exercise choice. EVIDENCE: There were some planned activities for most mornings. On the day of this inspection one staff member had lead a discussion about World War II Spitfires with photographs and model. Other discussion groups and Aromatherapy were planned for later in the week. The latter is provided by two members of the community who are qualified Aromatherapists. Monthly activities including a Sing-along, Bingo and Music and Movement were also provided. Despite this some residents said they were bored and it is recommended that social activities be reviewed individually with each resident as their care plans are reviewed. Family and friends were welcome to visit at anytime and there were strong links with the Jewish community. One relative was present for part of this inspection. Some residents had their own telephones and others said staff make phone calls on their behalf. Administrative staff stated that solicitors were involved with some residents and visited the home from time to time. Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 Any concerns are taken seriously and dealt with, though records of this need to be improved. There are no concerns for the protection of residents, but the staff need to have full access to local procedures in case they are needed. EVIDENCE: The complaints procedure was included in the Residents Handbook and was displayed in the entrance hall. Residents spoken with said they were no longer sure who was in charge at the home, but would discuss any concerns with the staff they knew. A recent complaint had been received in writing from a visiting professional. This had been dealt with, but the investigation was not recorded in detail and the outcome was not clear. The Nottinghamshire Committee for the Protection of Vulnerable Adults policy and procedure file was not available with other policies, but the amendments were present. Anyone left in charge at the home should have full access to this procedure. There have been no concerns expressed about the protection of residents and checks on new staff were pursued. Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 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 the following standard(s): 19, 21 and 25 The home is well maintained and comfortable. The shower facility, heating and ventilation have improved since the last inspection. EVIDENCE: All communal areas and the shower room were seen and all areas were found clean. Since the last inspection the floor of the shower room had been replaced and work had been carried out to improve the heating system. Ventilation had been installed in the manager’s office. Residents said they felt comfortable in their surroundings, having some choice of where to sit, though not all felt they could use all the sitting rooms. There are four separate sitting areas in the home and further seating outside. Some consideration needs to be given to the use of the sitting areas to cater separately for those with Dementia. Miriam Kaplowitch House Care Home DS0000002212.V271713.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, 28, 29 and 30 Staff are employed in sufficient numbers to meet the needs of the current residents and care staff are being supported to undertake vocational training. Protection is given by the recruitment practice. Some additional training is needed. EVIDENCE: The staffing rota showed that there were at least three staff on duty through the day and two at night. Domestic staff for cooking and cleaning, gardener, handyman, and administration staff were employed in addition. There was a training record for each of the staff. There had been some difficulty in providing National Vocational Qualification training as one training provider had withdrawn, but most staff were to commence level 2 in care with another training provider in April 2006. Three staff had recently completed the Intermediate level in Food Hygiene and all had done fire training and First Aid, but further updating was needed in Infection Control and Moving and Handling. The two senior care staff were trained in Understanding Dementia and Parkinson’s. Records were held of security checks undertaken on staff. Appropriate checks were carried out on the member of staff most recently employed. Miriam Kaplowitch House Care Home DS0000002212.V271713.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 and 35 Residents have noticed the lack of a permanent manager, though temporary arrangements are in place. The providers monitor the quality of the service. Financial interests are safeguarded. EVIDENCE: There was no current manager, though a deputy manager was covering the post on a temporary basis. The full time manager post was being advertised. The temporary arrangements were not clear to all residents, as there were comments about not knowing who was in charge. The acting manager was not present during this inspection. The Chairperson of the Nottingham Jewish Housing Association committee was present at the commencement of this inspection and visited the home regularly. She was well known by many of the residents. Monthly quality visits were recorded and submitted to the Commission. Families and solicitors were involved in managing most service users financial affairs. Small amounts of service users’ cash were held securely in a safe within the home. Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 16 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 3 X X X 3 x STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 X X X Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 17 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. 1. Standard OP9 Regulation 13(2) Requirement Timescale for action 31/01/06 2. OP16 17(2) Schedule 4.11 3. OP31 8 Make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines: • ensure all residents have sufficient supplies of medication prescribed to them. • unused medication must be returned to the pharmacist for appropriate disposal. Maintain a clear record of all 31/03/06 complaints made about the operation of the care home and the action taken by the registered person in respect of any such complaint. Appoint a suitable manager and 31/03/06 inform the Commission of the name of the person and the date the appointment is to take effect Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 18 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. 3. Refer to Standard OP7 OP12 OP18 Good Practice Recommendations Consult residents when reviewing care plans and revise individual plans as needs change. Review social activities individually with each resident as their care plans are reviewed. Anyone left in charge at the home should have full awareness of, and access to, the Nottinghamshire Committee for the Protection of Vulnerable Adults policy and procedure file Ensure all staff receive updated training in Infection Control and Moving and Handling 4. OP30 Miriam Kaplowitch House Care Home DS0000002212.V271713.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Miriam Kaplowitch House Care Home DS0000002212.V271713.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!