Inspection on 20/07/06 for Moordale Court

This inspection was carried out on 20th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Moordale Court 23/01/06

Moordale Court 28/10/04

Moordale Court 19/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Moordale Court 4 Moordale Court Lingdale Saltburn-by-Sea TS12 3DX Lead Inspector Neil McKenzie Key Unannounced Inspection 20 and 25th July 2006 11:00 th Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 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 Moordale Court DS0000000064.V300544.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 Adults 18-65. 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. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moordale Court Address 4 Moordale Court Lingdale Saltburn-by-Sea TS12 3DX 01287 652948 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) Moordale Court Company Limited Mrs Pamela Louise Richardson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Moordale Court is registered for the care of three younger adults with a learning disability. It is situated in the small village of Lingdale on the Cleveland/North Yorkshire border, and the three residents currently living at Moordale Court are local to the area. The building is owned by Endeavour Housing and is leased to the Directors of Moordale Court. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was contacted 24 hours before the inspection. The inspection lasted for 7 hours and this included 2 visits to the home. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards for Care Homes. During the visits the inspector spoke to relatives and staff to find out what their views were about Moordale Court. The inspector also spent time speaking to the Home Manager. The inspector spent some more time watching how staff and residents mix with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles medication and money for residents. There was also questionnaire’s sent to the home, residents and relatives and these were looked at to help decide how good a job the home does in meeting the National Minimum Standards. At the time of the inspection the minimum cost to live at Moordale Court was £3,145.40 per month and the maximum £3,289.40. What the service does well: The questionnaire returned from a relative showed they were pleased about the home and the relative who spoke to the inspector said a lot of good things about Moordale Court. For example the relative stated how involved they are with the home, ‘We have been involved with care plans and if we have anything we discuss with the staff, it is like a family unit’. The inspector also noticed how staff supported relatives and residents in a relaxed manner as they helped each other when it was time to get ready for an activity. The home is good at providing personal plans to help residents live their lives to the full in a safe way. This includes individual guidance on the ‘Gentle handling of behaviours’. The residents live in a pleasant home that is well looked after and kept clean and tidy. Residents also have bedrooms that have lots of their personal belongings as well as communal space to spend time in. The inspector also noticed friendly contact from neighbours living next door to the home. Moordale Court DS0000000064.V300544.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. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The care needs, and aspirations, of any prospective service users will be assessed prior to admission. This judgement has been made using available evidence from resident plans of care and care records. EVIDENCE: All three residents living at Moordale Court have done so since the home opened 11 years ago. However, at the time all three residents received detailed assessments carried out in partnership with the local social services department and relatives. The manager said that, should a vacancy arise, a robust procedure of assessment would be undertaken that would also ensure current needs of residents are included. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The quality outcome in this area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Resident’s wellbeing is promoted by their detailed plans of care but this must be strengthened by regular reviews that involve relatives and significant professionals. Support is given to all residents to try to ensure as independent a lifestyle as possible. EVIDENCE: Evidence was in place in the files examined that relatives and residents had been consulted about the content and in particular any risks for a resident that may require actions by staff. As one relative stated, ‘ We have been involved in care plans’. Each care plan also included detail on how best to support a resident with information on, for example, how to assist with any difficult changes in behaviour. For example, individual guidance called the ‘Gentle’ handling of behaviours and a policy for 2 members of staff to assist one resident when outside of the home. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 10 There is evidence from records in care plans that show the home also works hard to reflect the wishes of residents and to help them make choices about their care, and activities. For example, ‘Routine Guidance’ with regard to daily activity plans. Although the home provides care plans for all residents this must be made better by ensuring they have regular reviews that involve relatives and significant professionals from either the Local and or Health Authority. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 14,15,16 and 17 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are supported to take part in a wide range of activity in the home and further a field. Resident’s dietary needs and choices are well catered for and relatives and friends are encouraged to maintain contact. EVIDENCE: All staff work hard at supporting their residents to access appropriate activity. This includes all three residents attending structured day services during the week. In addition to this residents are supported to take part in leisure activity and holiday. This has been made easier by the purchase of a vehicle under the ‘Mobility’ scheme. Residents are said to enjoy going to the pub, shopping and trips to the coast. At the time of the inspection it was observed one resident excited and happy as she prepared to go out for the day with her family. To avoid duplication, menus are prepared taking into account the fact that all three residents eat one meal a day at their day centres. An inspection of the fridge confirmed the availability of fresh ingredients. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 12 Questionnaires returned by family members said they are made welcome in the home and able to spend time privately with their relatives. Evidence was available during the inspection and in residents’ bedrooms and care files of family involvement with activities and the home. As one resident stated, ‘We have been involved with care plans and if we have anything we discuss with the staff, it is like a family unit’. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality in this outcome is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents receive high levels of support based on individual needs with health care improved by the use of personal health action plans and specialist health workers. Residents’ well being is promoted by effective storage and administration of medication. EVIDENCE: It was observed that staff work hard at meeting the emotional and physical needs of residents and this is reinforced by the use of health action books to help residents keep their health appointments. Records in files looked at and discussion with the manager referred to specialist health professionals for support and advice as well as access to general practitioners. For example, one resident attends a specialist health day centre that provides regular advice and training for staff with regard to his health needs and the administration of his medication. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 14 During the inspection the home’s arrangements for receiving, storing, administering, recording and returning resident’s medication were examined and discussed in depth with the manager. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. The manager was able to show and describe how medication is received and disposed of and how this is recorded. One resident has his medication administered during the day at his health centre and the manager introduced a file note to ensure this practice was highlighted on his medication records. Whilst the home is good at looking after resident’s medication and making sure that they get the right medication this would be better if the home had all staff complete an externally recognised certificated training course on the handling of medication. At the time of the inspection certificates for staff completed the training was not available at the home. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Observation confirmed that staff observe and listen to the views of residents and families. Staff understood adult protection issues and relatives confirmed they know how to make a complaint; and this protects residents. EVIDENCE: Those living at Moordale Court are not able to verbally comment on this standard. However, staff demonstrated detailed knowledge and experience of the likes and dislikes of their residents. As on staff member stated, ‘I have got to know residents well and you learn to read what their needs are at all times’. In addition, communication with parents also takes place on a regular basis. As one relative commented, ‘If we have anything we discuss with staff, like a family unit, and as it has gone on the service has improved’. Staff interviewed presented a clear understanding of adult protection and said they had done training on adult protection. There have been no complaints and or investigations with regard to Adult abuse in the past 12 months. A random sample of resident’s personal allowances and records were examined and there were no discrepancies with the balance stated on the transaction sheet and the actual amount contained in the individual money envelope. The transaction should be made more robust by ensuring that there are two signatures recorded on the transaction sheet. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Moordale Court is homely and comfortable as well as clean and hygienic. EVIDENCE: A tour of the home showed residents living in a pleasant, comfortable home that is well looked after and kept clean and tidy. Maintenance and associated records requested by the inspection completed as up to date in the preinspection questionnaire by the manager. Residents also have bedrooms that have lots of their personal belongings as well as plenty of communal space to spend time in. Since the last inspection the home benefits from an upgraded heating system and new double glazing to all windows. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34, and 35 The quality outcome in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are supported by an effective and well-trained staff team and made safe by good recruitment practice. EVIDENCE: The recruitment files of 4 staff were looked at. Files contained application forms that were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for the staff members prior to them starting work in the home. Staff training files also contained evidence that new staff members receive an in house induction and certificates demonstrated that staff also receive training specific to resident needs. As one staff member said,‘ I attend epilepsy study days on a regular basis and have done in house training on challenging behaviour’. At the time of the inspection 75 of the staff had completed National Vocational Qualification (NVQ) in Care. The 3 staff files looked at contained certificates in NVQ. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 18 An audit of the staff rota demonstrated a resident needs led rota with, for example, 2 staff providing on call back up whilst residents attend their day services and 3 staff on duty at other times. As one staff member stated, ‘always 2-3 staff on any shift’. The home is in the process of recruiting 2 new bank staff to support the staff team with holiday and sickness cover. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The quality outcome in this area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is well run and whilst the needs and wishes of residents are central to the provision of care this would be strengthened by regular self- monitoring reviews. EVIDENCE: The registered manager has worked hard to ensure the home is well run, and she feels she is benefiting from recently completing the Registered Managers Award. There is evidence from the way staff, residents and relatives interact that the home is run in the best interests of those living there. However, the home should strengthen the way they monitor their work by introducing monthly and annual reports that include the views of relatives, residents and other professionals. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 20 Health and Safety records completed by the manager in the pre-inspection questionnaire were documented as up to date although the testing of electrical wiring is due in August. In addition a recent fire inspection recommended a new fire alarm system for the home and this has yet to be done. Moordale Court DS0000000064.V300544.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 14(2) Requirement The registered person must ensure resident’s needs kept under review and this involves significant professionals. The registered provider must provide unannounced monthly visits and report that includes the views of relatives and residents. The registered manager must ensure fire inspection recommendations are completed. Timescale for action 31/10/06 2 YA39 26(3) 25/07/06 3 YA42 23(4) 31/07/06 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 YA20 Good Practice Recommendations The registered manager should ensure that all staff who handle medication complete an externally recognised qualification in the handling of medication. Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Moordale Court DS0000000064.V300544.R01.S.doc Version 5.2 Page 24 - 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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