Inspection on 23/01/06 for Moordale Court

This inspection was carried out on 23rd January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Moordale Court 20/07/06

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 Christine Moon Announced Inspection 23rd January 2006 14:00 Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 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.V258993.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 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.V258993.R01.S.doc Version 5.1 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.V258993.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 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.V258993.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place over one afternoon spent in the home, timed so as to meet those who live there on their return home. In addition, discussion took place with both the Registered Manager and Care Staff. The manager has completed and returned Pre-Inspection documentation and this was used to inform the Inspection. The Inspection concentrated on ensuring that those Key Standards not assessed at the last Inspection, were covered. 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. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 6 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.V258993.R01.S.doc Version 5.1 Page 7 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 care needs, and aspirations, of any prospective service users will be assessed prior to admission. EVIDENCE: All three people living at Moordale Court have resided there since the home opened ten years ago. However, at that time all three residents received detailed assessments carried out in partnership with the local social services department. The Manager said that, should a vacancy arise, a robust procedure of assessment would be undertaken. In addition, she would be mindful of the need to ensure that current residents were comfortable with any prospective resident. Families would also be involved in any consultations. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 8 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): 9 Support is given to all residents to try to ensure as independent a lifestyle as possible. Risks are identified and appropriate strategies put in place. EVIDENCE: All staff at Moordale Court demonstrate a high level of awareness of the need to both encourage and support their residents to achieve their maximum potential and independence. Alongside this, robust risk assessment is in place. For example, outside of the home two members of staff are required to assist one user of the service, and this policy is strictly adhered to. The manager said that should the need for additional staff be required in order to promote independence and provide support, then additional staffing is provided. In view of this, all three residents are given equal access to social activities. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 9 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): 14 and 17 Staff work hard to ensure a variety of leisure activities are available to residents. A healthy and balanced diet is provided to those living in the home. EVIDENCE: All staff work hard at supporting their residents to access appropriate leisure facilities. This has been made easier by the purchase of a vehicle under the ‘Mobility’ scheme. Residents are said to enjoy swimming, pub meals, theatre trips and to especially trips to the coast. Two female residents are said to love shopping trips. The manager said that she hopes to be able to arrange a holiday for residents later in the year. Issues around the provision of healthy and nutritious food were discussed and the manager said that she and her staff are aware of the need to ensure that a balanced diet is provided. To avoid duplication, menus are prepared taking into account the fact that all three residents eat one meal a day at their day centres. A check made of the food diary confirmed that good, wholesome food, with plenty of fruit and vegetables, is provided on a daily basis. An inspection of the ‘fridge confirmed the availability of fresh ingredients. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 10 Meals are always served at the table, and this is seen as social time, when residents sit down together. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 11 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): These Standards were not assessed at this Inspection. EVIDENCE: Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 12 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 Observation confirmed that all staff observe and listen to the views of residents and their families. EVIDENCE: Those living at Moordale Court are not able to verbally comment on this Standard. However, all staff demonstrated a detailed knowledge and experience of the likes and dislikes of their residents. In addition, consultation with parents also takes place on a regular basis. The manager said that observation of residents is a key part of informing the provision of care. Again, staff have a high level of awareness of both care needs, and of how residents respond to issues in their daily lives. All appear to love participating in activities outside of the home, and since the acquisition of a vehicle, it has been noticed that an increased number of outings has been beneficial to all three residents. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 13 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 Moordale Court is homely and comfortable, as well as clean and hygienic. EVIDENCE: At the time of the Inspection, the home was seen to be homely and comfortable. Plans are in hand to provide new carpets in the hall, stairs and bedrooms and this will greatly enhance the décor of the home. In addition, some redecoration of bedrooms is planned during the current year. On the day of the Inspection, two upstairs bedrooms were rather cold. However, the manager is currently dealing with this issue in consultation with Endeavour Housing. On the day of the Inspection, the home was seen to be clean and hygienic. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 14 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): 34 and 35 A robust recruitment policy is in place. Staff are appropriately trained to meet care needs. EVIDENCE: The home has a robust recruitment policy. Following receipt of an application form, two references are obtained, plus a verbal check. CRB (Criminal Records Bureau) and Pova (Protection of Vulnerable Adults) disclosures are also obtained. Currently, the manager and staff feel that the staff team works well together, and all staff are said to be very flexible in respect of responding to the needs of those living at Moordale Court. The manager has a high level of awareness of the need to access and promote staff training. Currently three staff are qualified to at least NVQ Level 2. One more is in the process of doing Level 2, and the most recent member of staff is to commence Level 2 soon. The Senior Carer is currently undertaking the A1, Assessor’s course. The Registered Manager hopes to complete the Registered Manager’s Award later this year. Additional training, for example in the safe handling of medicines and any specialist training required for the care of residents, has been undertaken by staff. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 15 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 The home is well run, and the needs and wishes of residents are central to the provision of care. EVIDENCE: The recently appointed Registered Manager has worked hard to ensure that the home is well run, and that robust policies and procedures underpin all care provided. She herself feels that she is benefiting from the study she is undertaking to complete the Registered Manager’s Award. There is no doubt that the home is run in the best interests of those living there. There is a friendly, welcoming and supportive atmosphere, and, at the time of the Inspection, it was clear that residents are relaxed and comfortable in their home. Interactions between residents and staff were seen to be positive and supportive. Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 16 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 x ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x 3 X X X X X X Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 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 YA24 Regulation 23(2)(p) Requirement The Organisation must continue to make arrangements to ensure that heating in upstairs bedrooms is adequate. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Moordale Court DS0000000064.V258993.R01.S.doc Version 5.1 Page 18 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.V258993.R01.S.doc Version 5.1 Page 19 - 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. 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