Inspection on 09/11/06 for Molyneux Park Rest Home

This inspection was carried out on 9th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Molyneux Park Rest Home 06/06/08

Molyneux Park Rest Home 24/05/07

Molyneux Park Rest Home 28/02/06

Molyneux Park Rest Home 22/11/05

Molyneux Park Rest Home 15/02/05

Molyneux Park Rest Home 27/04/04

Molyneux Park Rest Home 14/10/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Molyneux Park Rest Home 38 Molyneux Park Road Tunbridge Wells Kent TN4 8DY Lead Inspector Helen Martin Key Unannounced Inspection 9th November 2006 13:00 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 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 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. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Molyneux Park Rest Home Address 38 Molyneux Park Road Tunbridge Wells Kent TN4 8DY 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) 01892 544322 Mr Colin Wallis Mrs Sheila Wallis Mr Colin Wallis Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Molyneux Park Rest Home is registered to provide personal care and accommodation to sixteen older people. It is owned by Shelia and Colin Wallis. The home is located in a quiet residential area of Tunbridge Wells near to local shops. There is a nearby bus service into the centre of Tunbridge Wells; the town contains a large shopping centre and local facilities. The main line railway station is near the town centre. Accommodation at the home is on three levels with access to upper floors via stair lifts, there are ten single and three double rooms, one double room is used as a single. Communal areas consist of a lounge, dining room and conservatory. Three of the single rooms are equipped with en suite facilities. There is a staff call system and each room has a television point. A small garden and patio to the rear of the building with a lawned area are available for residents to use. The home provides care staff, working a roster, which gives 24-hour cover. Staff are also employed for catering and domestic duties. Current fees for the home range from £311.20 to £350.00 per week. Additional costs include hairdressing, toiletries, chiropody, a television licence if under seventy-five and newspapers and magazines. Full information about the fees payable, the service provided and the home’s Statement of Purpose are available from the owners. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 9th November 2006. The visit included talking with the owners, two care staff, the cook and four people who live in the home. Some judgements about the quality of life within the home were taken from observation and conversation. Some records were looked at. A tour of the premises was undertaken. The home has given the CSCI a completed pre-inspection questionnaire and this information has been used within this report where appropriate. Postal surveys from residents, their relatives and health and social care professionals have not been received by the inspector at the time of writing this report and therefore could not be used within this inspection process. Although the home is registered for sixteen places, currently there are fourteen residents with one vacancy. This is because one previously shared room is currently being used for one person. Comments made by residents spoken with included that they are happy with the activities, the food is good and they get a choice, members of their family can visit and were able to look around the home before they moved in, they like their room and can bring their own furniture, they can choose what time to get up and go to bed and the routines of the home are flexible, the staff and owners are very good and help them with the stair lift, they are never afraid to ask them for anything. What the service does well: Residents benefit from living in a clean, tidy and well-maintained environment. The owners are experienced and competent to run the home. Prospective residents and their representatives have the information they need in order to decide whether to move into the home. They are assessed to ensure that the home can meet their needs. Residents are treated with respect. Arrangements are in place to maintain their privacy and dignity. The views of residents and their representatives are listened to and receive appropriate consideration. Residents are able to exercise choice over their lives. They benefit from activities that they enjoy and are able to keep in contact with their family and friends. They receive good quality meals. They are protected from potential abuse. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 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. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 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 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 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, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Prospective residents and their representatives have the information they need in order to decide whether to move into the home. They are assessed to ensure that the home can meet their needs. EVIDENCE: Previous inspection identified that the home has a statement of purpose and service user’s guide that includes a resident’s charter; this was fully inspected at the announced inspection in November 2005. The owner said that the service that the home provides had not altered and therefore documentation had not changed. Prospective residents and their representatives have the opportunity to look around the home before making a decision whether to move in. One resident spoken with said that their relative had seen the home on their behalf. Two individuals were viewing the home at the time of this visit. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 9 Prospective residents are assessed before they move in, in order to ensure that the home is suitable to meet their needs. The owner mentioned that there are currently no self-funding residents and the local authority has undertaken all assessments prior to admission. The owner stated that all residents are provided with a contract detailing terms and conditions of accommodation. The home does not provide intermediate care. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 10 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, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to this service. Residents are treated with respect and their privacy is upheld. Their health, personal and social care needs are not fully reflected in care plans. Residents are not fully protected by the procedures in place for the administration of medication. EVIDENCE: Previous inspection identified that care plans should be expanded upon, particularly in the areas of recording of daily activities and risk assessment. During this visit the owner explained that they continued to be in the process of developing more comprehensive care plans. Those seen did not fully reflect the changing health and social care needs of residents. Newer documentation included details about medical appointments, risk assessments, personal information and contacts. A daily recording book for each resident was kept in the care plan folder. The owner stated that care plans were reviewed on a monthly basis, although written evidence of this was not within all folders seen. Documentation was not detailed. Previous inspection identified that information in general, would be more easily accessible if it were put into an Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 11 indexed folder. It was noted during this visit that information continued to be kept in a way that was difficult to follow and damaging to documents. Care plans included information on consultation and referral to medical professionals, such as GP, optician and district nurse. Discussion took place regarding the weight and nutritional needs of one resident. The owner explained that the home is taking effective action. Although a diary of all residents’ meals and choices is kept, it was agreed at the time of this visit that a specific detailed record of food and fluid intake for this resident would be recommenced. Specific records to monitor residents’ weight continue not to be fully maintained. The owner indicated that residents are due to be weighed soon and that records would be completed. During the inspection, staff were seen to treat residents respectfully, attend to their needs in privacy and respond quickly when asked. Residents spoken with were all happy with their care. Arrangements are in place for the administration of medication. Medication is kept in a small lockable cupboard; the home does not have space for a dedicated medication room. Records for the administration of medication are maintained. These are kept with photographs of residents and a signature list of staff who administer medication. A nomad system is used and due to space restrictions the supplying pharmacy delivers on a weekly basis. Currently the home does administer some controlled drugs; these are supplied and stored with other medication. The home does not provide a controlled drugs cupboard or register. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 12 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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Residents are able to exercise choice over their lives. They benefit from activities that they enjoy and are able to keep in contact with their family and friends. They receive good quality meals. EVIDENCE: Residents are able to make choices within the constraints of group living and their own abilities. Residents spoken with said that they were able to choose whether to spend time in their rooms or in the communal areas. Such areas comprise of the lounge, dining room and conservatory. Some residents were in the lounge, watching television in their rooms, or going to and fro. Comments made by residents spoken with included that they can choose what time to get up and go to bed and that the routines of the home are flexible. Staff spoken with demonstrated a good understanding of residents’ choice within the home. Some activities are available. Those spoken with were happy to watch TV, read, do occasional quizzes and games and chat. It was mentioned that they were happy with the activities provided. One resident said that they were looking forward to their birthday party tomorrow, which the home was organising. Another stated that they enjoyed a trip out to the Ashdown Forest Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 13 in the home’s minibus. Staff said that a regular physical motivation session takes place. Residents are encouraged to keep contact with their relatives and friends if they wish. Visitors are welcome in the home at any reasonable hour. They can sit with their relatives in their rooms, the communal areas of the home or in the visitors’ room, although this is very small. Previous inspection identified that the home would consider relocating the room if any redevelopment should take place. The conservatory can also be used to receive visitors. One resident described how they looked forward to a trip out with their relative. Comments made by residents spoken with included that they enjoyed visits from members of their family. Residents manage their own finances or are assisted by their representatives. Comments made by residents spoken with included that the food is good and they get a choice. It was mentioned that the cook would always make something especially if they requested it. It was evident that one resident enjoyed the food a great deal describing steak and kidney pudding with fruit flan yesterday, a roast lamb dinner today and that they were looking forward to fish and chips tomorrow. The cook demonstrated a good knowledge of individuals’ likes and dislikes and residents spoken with confirmed this. On request the home has provided one individual with German sausages. Special diets can be catered for, such as diabetes. The day’s menu is written on a board in the dining room. A diary is kept to record residents’ meals and choices. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 14 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, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to this service. The views of residents and their representatives are listened to and receive appropriate consideration. They are protected from potential abuse. EVIDENCE: At the time of this visit, residents were at ease talking with staff who listened to their views and concerns. The manager said that no complaints had been received, although the home had the facility to record these should this be the case. Comments made by residents spoken with included that the staff and owners are very good and that they are never afraid to ask them for anything. The home has a complaints procedure available to residents. Staff have access to the home’s and the most recent Kent and Medway Adult Protection procedures. Procedures are in place to protect residents from potential abuse. Since the last inspection an adult protection alert has been investigated and since closed, although recommendations were made regarding staff training. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 15 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, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including visits to this service. Residents benefit from living in a clean, tidy and well-maintained environment, although some residents would benefit from the eradication of offensive odours in all bedrooms. EVIDENCE: The home is warm, clean and well maintained. There is a small garden and lawn area that residents are able to access in good weather. Communal facilities are well decorated and homely and include a dining room, lounge and conservatory area. The owner described plans to redecorate the dining room and replace the carpet as it is worn in places. As the property is a converted older style house, bedrooms vary in size and shape. All bedrooms seen were attractively decorated and had been personalised. Comments made by residents spoken with included that they liked their room and could bring their own furniture and possessions to the Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 16 home. All current residents are accommodated singly with the exception of two who choose to share. On admission, a choice of room is offered if possible. It was evident that residents are offered a choice as this becomes available. One individual spoken with said that they are very pleased that they were able to move rooms as they now have more space for their own furniture. Another mentioned that they were offered a single room when they use to share and were happy to move. The owner explained that only one room is currently shared, and although the occupants have been offered single rooms, they want to continue to share. Three bedrooms have ensuite facilities, one contains a shower cubicle and one has a designated bathroom. There are two communal bathrooms one on the ground and one on the first floor. Rooms on the top floor all have individual facilities. Bedrooms are located on the ground, first and second floors; stair lifts now provide access to each floor. Since the last inspection an additional stair lift has been provided to reach the top stairs of the third floor. Comments made by residents spoken with included that the staff and owners help them with the stair lift; they could go to and from their rooms when they wanted to. Since the last inspection a radiator in the lounge and one in the dining room have been provided with guards, therefore protecting residents from hot surface temperatures. The owner explained that all radiators within the home were now either guarded or a low surface temperature design. All the areas of the home seen were clean and tidy. Previous inspection identified that one room contained a slight odour. During this visit it was noted that one bedroom contained an offensive odour. The owner explained that the carpet was due to be cleaned and/or replaced shortly. A small laundry area is situated near to the kitchen and food storage areas in the basement of the home. Although this is not ideal, the building does not currently allow for another location for the laundry. The laundry area, kitchen and food storage cupboard all have doors, which lead into a small lobby. There are two other doors leading from the small lobby, one for a cupboard for the storage of cleaning equipment and one for the staff toilet. The home received a silver good hygiene award from Tunbridge Wells Borough Council Environmental Health Department in 2005 and in July 2006. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 17 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, 30. Quality in this outcome area is poor. This judgement has been made using available evidence including visits to this service. Increased staffing numbers and updated staff training and qualifications would better protect residents. It was not possible to fully assess whether residents are protected by the staff recruitment procedure, as documentation was unavailable for inspection. EVIDENCE: There were sufficient staff on duty to meet residents’ care needs at the time of this visit. The owner said that staff vacancies identified during previous inspection have been filled; however following this, additional staff have left and this has caused further staff shortages. The home employs a cleaner and a cook, although they are not available a weekends. One owner has been providing meals at the weekends for some time. They also work many hours in the direct care of the residents. As a result of this staff shortages do not directly affect residents, although time for the management and administration of the home may be compromised. Consequently there is little back up in case of illness or holidays. Care staff on duty were very committed to their role and knowledgeable about the running of the home, but recruitment should be pursued again in order to increase the number of staff available for shifts. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 18 Staff spoken with and observed were confident and competent and managed all their required tasks without compromising the needs of residents. Comments made by residents spoken with included that the staff and owners are very good. The recruitment procedure in place within the home aims to ensure that suitable staff are appointed to meet the needs of residents. The owner and staff described an appropriate recruitment procedure, including application, interview, criminal records bureau check, proof of identification and two references. The home undertakes an equal opportunities and health check survey from applicants. The owner explained that qualifications were checked together with any gaps in employment, which were recorded. It was not possible to evidence the recruitment procedure within the home, as documentation was not available for inspection. It was mentioned that the cook had updated their food hygiene training since the last inspection. The owner said that staff training in continence and documentation, following recommendations made from an adult protection investigation, are in the process of being arranged. A list of training undertaken has been kept, including moving and handling, medication, the protection of vulnerable adults, health and safety and challenging behaviour. It was said that the training provided previously by an outside agency is no longer available and as a result many courses are in need of updating. The owner stated that fire prevention and first aid courses were not up to date. Induction training was described, although the content of this was unclear as documentation was unavailable for inspection. A training matrix is not maintained and course certificates are not kept by the home. One member of staff has an NVQ level 2 qualification, which they obtained before commencing work at the home. Apart from this, it continues to be the case that no other staff have obtained or enrolled for NVQ courses. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36, 37, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to this service. The owners are experienced and competent to run the home, although residents’ quality of life would be improved by additional time for management and administration. Appropriately supervised staff and a review of record keeping would better protect residents. EVIDENCE: The owners have had many years experience of running a care home and are competent to do so. There has been no change of ownership and management of the home. One owner has been providing meals at the weekends for some time. They also work many hours in the direct care of the residents. As a result of this staff shortages do not directly affect residents, although time for the management and administration of the home may be compromised. The Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 20 employment of additional day care staff would provide the owner with more dedicated management and administrative time. The atmosphere is open and friendly and very much that of a family run service that treats residents as individuals; residents said they feel at home. A member of staff said that the staff group works as a team and supports each other; there is ample opportunity during the working day to consult the owner or each other about any problems or concerns about residents. Staff spoken with said that although the owner supervises their work as they do it, formal recorded supervision sessions continue not to be in place. The owner described the home’s quality assurance system. It was stated that surveys were due to be sent to residents, their relatives and/or representatives and health and social care professionals shortly. It was said that the home provides a suggestion box, although this is never used. Residents are at ease speaking with staff and the owners. It was confirmed that discussions with residents took place on a regular basis, although these were not formalised or minuted. Written policies and procedures are located in a communal area and are accessible to staff and others. The owner said that these were reviewed on a regular basis and samples were seen. Whilst information seen was relevant, not all documentation was dated appropriately. Residents all manage their own finances or receive support from relatives, solicitors or representatives. Lockable facilities are provided. Records of accidents and incidents are recorded appropriately. Discussion took place with the owner regarding the submission of notifications to the CSCI. It was evident that not all those incidents that should have been reported had been. It was agreed at the time of this visit that this would be undertaken in future. Other records looked at as part of this site visit have been mentioned previously within this report where appropriate. Information provided within the home’s pre-inspection questionnaire generally indicated the regular testing and maintenance of systems within the home, although information regarding some electrical equipment and wiring was unclear. Issues regarding staff training have been mentioned previously within this report. Fridge, freezer and hot food temperatures are recorded daily. Storage for food and cleaning chemicals is appropriate. The home received a silver good hygiene award from Tunbridge Wells Borough Council Environmental Health Department in 2005 and in July 2006. No bars of soap were seen in communal bathrooms; these were only kept in en-suites and one bathroom for one designated resident. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 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 3 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 2 28 1 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 1 2 2 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP7 OP37 Regulation 15 Requirement …the registered person shall, after consultation with the service user, or a representative of theirs, prepare a…service user’s plan as to how…their needs in respect of their health and welfare are to be met. In that, care plans must fully reflect all of the changing health and social care issues of residents and be completed in sufficient detail in order to evidence that their needs are being met. Issues regarding care plans were included within recommendations during the previous inspection of 28th February 2006. The registered person shall…keep the care home free from offensive odours… In that, all areas of the home, including all residents’ rooms must be kept free from offensive odours. Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 23 Timescale for action 15/12/06 2 OP26 16(2)(k) 15/12/06 3 OP28 OP30 OP38 18(1)(c) The registered person shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home. In that, training and qualifications for care staff must be reviewed as an urgent priority; staff must be provided with appropriate updated courses, care staff must enrol upon NVQ training. The home must supply a plan of action to the CSCI by 15/12/06. This must include the dates of undertaken and planned appropriate courses and updates for all staff. Issues regarding NVQ training have been repeated from the last inspection dated 28th February 2006 and previous inspections. 15/12/06 4 OP29 OP30 17(2)(3) 15/12/06 The registered person shall maintain in the care home the record specified in Schedule 4. …They shall ensure that the records… are kept up to date and are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. In that, documentation regarding the recruitment and training of staff must be made available in order to evidence robust procedures. 5 OP36 18(2) The registered person shall ensure that persons working in the care home are appropriately supervised DS0000023987.V308752.R01.S.doc 15/12/06 Molyneux Park Rest Home Version 5.2 Page 24 In that, formal recorded supervision sessions must be provided for all care staff at least six times a year. This requirement has been repeated from previous inspection dated 22nd November 2005 and 28th February 2006. 6 OP37 OP38 37 The registered person shall give notice to the Commission without delay of the occurrence of the death of any service user…the outbreak…of any infectious disease…any serious injury …serious illness …any event…which adversely affects the well-being or safety of a service user, any theft or burglary or accident…any allegation of misconduct by the registered person or any person who works at the…home… In that, the Commission must be notified without delay of all events as detailed within Regulation 37. 15/12/06 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 OP7 Good Practice Recommendations It is strongly recommended that the information in care plans be expanded upon and that care plans be indexed and put in ring binders so that information is in order and easily accessible. DS0000023987.V308752.R01.S.doc Version 5.2 Page 25 Molyneux Park Rest Home 1. In that, a requirement has now been made regarding information within care plans – see above table of Statutory Requirements. 2. It was noted during this visit that information continued to be kept in a way that was difficult to follow and damaging to documents. This recommendation has been repeated from previous inspection dated 28th February 2006. 2 OP8 Although a diary of all residents’ meals and choices is kept, it is strongly recommended that a specific detailed record of food and fluid intake for one resident should be recommenced. It is recommended that when residents are weighed their weight be recorded on a chart. In that, specific records to monitor residents’ weight continue not to be fully maintained. The owner indicated that residents are due to be weighed soon and that records would be completed. This recommendation has been repeated from previous inspection dated 28th February 2006. 4 OP9 It is recommended that, if the home administers controlled drugs on a regular basis, they should: 1. Provide and maintain an appropriate controlled drugs register. 2. Store controlled drugs within a designated controlled drugs cupboard. 5 OP27 OP31 It is strongly recommended that staff recruitment should be pursued: 1. In order to provide back up in case of staff illness or holidays 2. To relieve the owner to ensure that sufficient time is provided for the management and administration of the home. 3 OP8 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 26 6 OP30 It is recommended that the home should develop a training matrix in order to evidence that staff have undertaken appropriate and updated training. It is recommended that when written policies and procedures are reviewed, documentation should be dated appropriately. It is recommended that the home should review their testing and maintenance of electrical equipment and wiring to confirm that this is undertaken at appropriate intervals. 7 OP37 8 OP38 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Molyneux Park Rest Home DS0000023987.V308752.R01.S.doc Version 5.2 Page 28 - 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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