Inspection on 23/08/06 for Moorfield House

This inspection was carried out on 23rd August 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Moorfield House 05/10/07

Moorfield House 19/12/05

Moorfield House 29/09/04

Moorfield House 17/05/04

Moorfield House 17/03/04

Moorfield House 18/08/03

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

CARE HOME ADULTS 18-65 Moorfield House Giddygate Lane Melling Liverpool Merseyside L31 1AQ Lead Inspector Ms Lorraine Farrar Unannounced Inspection 23rd August 2006 12:50 Moorfield House DS0000043636.V296434.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 Moorfield House DS0000043636.V296434.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. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorfield House Address Giddygate Lane Melling Liverpool Merseyside L31 1AQ 0151 549 2100 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) moorfield.house@craegmoor.co.uk Park Care Homes (No 2) Ltd Ms Clare Reeves Care Home 31 Category(ies) of Learning disability (31), Physical disability (3) registration, with number of places Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 31 LD, of whom 3 may also have PD. That the home do not in the future use bedroom 4 in Cottage 3 as a bedroom. That the home ensure a flashing fire alarm is fitted to bedroom 7 in the main House, in the event that it is occupied by a person with hearing difficulties. That the home ensure that a ramp with an incline of no more than 1:2 is fitted to bedroom 7 in the main House in the event that a person with mobility difficulties occupies this room. 19th December 2005 Date of last inspection Brief Description of the Service: Moorfield House is owned and run by Parkcare Home (no2) LTD, who are owned by Cragemoor Healthcare, an organisation who provide different services for people who need support, across the country. The home is in Melling, a country area near to the local towns of Maghull and Kirby. Although on a country lane, there is public transport to local shops and leisure facilities, within walking distance. The home is registered to provide support and accommodation for 31 adults who have a learning disability. Accommodation is provided over three main living areas, the main House and the Bungalow have Staff 24 hours a day, the Cottages have several hours of Staff support during the day and support from House Staff if needed, at other times. There is one double bedroom, all others are single and four of these are adapted so that they can be used by people who have a physical disability. Each living area has its own Staff team, living and dining areas, laundry, kitchen and bathrooms. The home has large grounds and also has a recreation hall although this is not used at present. Residents are supported to go to local colleges or to work and the home has its own transport. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. This included an unannounced site visit where time was spent reading records and looking at the building. A system called ‘Case tracking’ was used as part of the visit. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom, time is also spent meeting with Residents and with Staff about how they meet the persons needs and choices. Case tracking was used to look at life in the home for three of the people living there. Discussion also took place with 10 Residents and several members of Staff including the Manager. The home contributed to the inspection by filling in a pre-inspection questionnaire and Resident’s and Relatives had the opportunity to give their views by filling in comment cards before the inspection. Eight Residents and seven Relatives completed these and their views have been taken into account as part of the inspection. The weekly fee to stay at Moorfield House ranges from £309.06 to £1919.45. What the service does well: Staff make sure that, before any new people come to live there they meet with Staff who look at what their needs and choices are to make sure the home can meet these. They also invite the person and their Relatives to visit several times so that they can decide whether they would like to live there. A good level of support is provided to Residents in making choices and in living their lives as they want to. People living in the home said that they make their own decisions, can talk to Staff, who listen to them and can spend their time, as they want. The Staff team are working with Residents to find different college courses they are interested in and to find paid or voluntary work. Where new care plans are in place these are working well, Residents all know they have a plan and talk to Staff about them, the plans give clear information about the persons individual needs and choices and how Staff can support them with these. Staff are respectful to Residents and have a good knowledge of the things they do and do not like and how to support them in the way they choose. Staff also Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 6 have basic training to learn how to keep the people living there safe and meet their needs. The people living in the home know who to talk to and are confident to talk with Staff if they are not happy about something. Recently Staff have started to meet weekly on a 1-1 basis with some Residents, this is working really well and gives people the chance to talk about the things they are and are not happy about and make future plans. Parts of the home that have been refurbished look warm and comfortable and the people living there said they were involved in choosing colours and furniture. 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. Moorfield House DS0000043636.V296434.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 Moorfield House DS0000043636.V296434.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&4 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Enough information is obtained about and given to, potential Residents to help everyone decide whether the home can meet the persons needs and choices. EVIDENCE: The care plan and records for one person who had recently moved into the home were looked at. They contained a copy of an assessment the home had carried out and also a copy of the person’s Social Worker assessment. Minutes of a Staff meeting showed that the persons needs and choices had been discussed so that all Staff were aware of these and the support they needed to provide. Records also showed that the person had visited the home four times before moving in and the manager explained they had chosen the colour and helped paint their bedroom during one of these visits. Residents comment cards confirmed they were able to visit the home before deciding whether they wanted to move in, with one Resident explaining “my Mum told me about Moorfield, she took me to visit for tea a few times before I moved in” and another explaining that “ my last keyworker explained to me about Moorfield. He also took me to visit a few times.” Moorfield House DS0000043636.V296434.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 & 9 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home supports Residents to identify their needs and choices and are developing their care plans to reflect this. EVIDENCE: Residents spoken with all knew that they had a care plan, with one Resident explaining “ its about myself, I picked the file”. Staff explained that the home are changing the way they format plans, new plans are in place for everyone living in the Bungalow and one of these was read during the visit. This had a clear section called “ about me” and gave good information and guidelines about the person’s needs and choices and how Staff should support them with these. Whilst looking through the plan with the Resident, he confirmed that the information was correct. The plans also have a section for ‘developmental needs’, which give clear information about things the person needs or would like to learn. These are individual to the person and range from learning about makeup to dealing with medication. These are updated regularly and one read during the visit showed that they have successfully supported the person to achieve their goal. Weekly Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 10 ‘catch up meetings are held with each person living in the Bungalow and a Resident explained “ we sit down and talk with Staff about any problems and where you’d like to go. I think that going really well, they keep check on what your feeling”. The new plan format is in place for the people living in the Cottages and main House but was not fully in use. The weekly catch up meetings had not started for these people. A new Resident’s care plan had clear information about things that are important to him and how to support him with his developmental goals. Discussion with a member of Staff, observing daily life in the home for this person and visiting their bedroom confirmed that the things written in his plan are carried out. However the section for recording health care needs had not been completed, which could lead to Staff not knowing about or, making sure these are met. In their comment cards all Residents said that Staff do listen and act on what they say and one Resident commented they do this “ all the time”. Relatives all said, they are consulted with, if the person living in the home is not able to make their own decisions. Staff explained and a Resident confirmed that a local advocacy group visit the home and hold meetings with Residents. This gives the people living in the home the chance to talk to someone independent, about their views. Each plan has a section stating how the person manages their money and the support they need with this. The Manager explained that the organisation do act as appointee for most peoples benefit money. However where possible the person themselves or their family do this. Discussion with a Resident and records in the home confirmed this. There are records kept of Residents monies, however those case tracked did not have a lot of receipts available and had not always been witnessed by two people. There home should get and keep receipts where possible and have records of monies signed by two people. This will help ensure that money is correctly managed at all times. Individual risks for Residents are identified in their care plan along with guidelines on how to manage these safely. Moorfield House DS0000043636.V296434.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 & 17 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are supported and encouraged to engage in activities of their choice And lead the lifestyles that suit them. EVIDENCE: Of the 8 comment cards completed by people living in the home, 6 said there are always activities arranged by the home that they can take part in and that they always enjoy the meals provided, the other two people said that this is usually true. Comments about activities included, “college, shopping, Monday club, museum, pubs” and “I love the Monday club”. Comments about meals in the home included, “I am dieting so eat low fat meals” and “ my favourite is fish and chips”. All Relatives said in their comment cards that they are always welcomed to the home, are able to visit in private and are kept informed of important matters. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 12 It was evident that the home consults and communicates with Residents and their Relatives. Minutes of meetings held with Relatives and Residents in May 2006 showed that issues discussed were varied and included, new management, care plans and arranging a summer fair. Discussions with 7 of the people living in the home showed that they are all supported to take part in activities that they enjoy and choose. One person explained they go shopping for food each week and share the cooking with the people they live with, they also work, see their family and attend drama and slimming groups. Another explained that they keep their home tidy, work full time and ” enjoy the food, I tell them what I want”. Residents also explained that they attend different places during the day, with one person looking forward to a photography course at college and another attending a local Mainstream Centre. During the visit Residents were engaged in a variety of activities ranging from, meal preparation, socialising and working around their home to working in paid employment. The home have recently acquired a pony, who lives in a field within the grounds, a Resident explained that they have responsibility for and enjoy helping look after her. Another person living in the Bungalow explained they have recently got two cats and are very pleased about this, he also explained some Staff aren’t too keen on cats but were helping with them because, “ its our home and our cats” Weekly ‘catch up’ sheets for the people living in the Bungalow provided clear information about the things the person had enjoyed, the things they would like to do and anything they were unhappy about. Residents should be encouraged to sign these where possible to show that they are in agreement with what has been recorded. Meals times are arranged differently throughout the home based on peoples current skills and choices, some people shop, cook and prepare their own meals, others have support from the Staff team or have main meals made for them, but are involved in other ways with one Resident explaining “ I like making scones”. Records of menus were varied and showed that different meals are made to suit people’s choices. Residents said that they make decisions around the home, when asked who decided when they get up a Resident explained, “ myself” and those present all agreed with this statement. Moorfield House DS0000043636.V296434.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 & 20 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents are generally provided with support to meet their personal and health care needs and to be as independent as possible in these areas. EVIDENCE: In their comment cards 6 of the people living in the home said that they always receive the care and support they need, the other two said that they usually receive this. In answer to the question, are Staff available when you need them, 6 said always, 1 said usually and the 8th sometimes. One person explained, “ Staff are sometimes busy with other people. All said that they always receive the medical support they need and all Relatives said they are happy with the care provided by the home. Two of the care plans read had up to date yearly health planners for the person. These showed that Staff support Residents to make and keep appointments for regular health checks such as the Dentist or for breast screening. An up to date health assessment was in place for one person who needs support around their physical help and a Resident and member of Staff explained the support that Staff provide to them to cope with their mental health. Care plans record the support people need with their personal care, this ranges from little or no support to full support with having a bath etc. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 14 One care plan case tracked had clear developmental goals for supporting the person to learn more skills in this area, including cleaning their teeth and choosing their clothes. However the health care section of their plan had not been completed. Staff were observed offering support with personal care to a resident, this was done discreetly and the Resident confirmed that Staff had discussed and agreed with him the need to rest on his bed for a while. There are separate medication cabinets in the House, Bungalow and all Cottages. Those in the Cottages are a recent addition and one of the people living there said that this was “much better”. A blister pack system is used to storing and giving out medication and the process was case tracked for three people. This was stored and recorded correctly with clear guidelines for Staff on when to use ‘as required’ medication. The Bungalow has a fridge for storing medication, the Senior advised that the temperature of this is taken, however no records of this were available. Staff need to record this on a daily basis to make sure that medication is being stored at the right temperature. Some medication entries were hand written on to the persons medication sheet and had only been signed by one member of Staff. Where entries are handwritten two Staff should sign them to lessen the chance of a mistake being made. Moorfield House DS0000043636.V296434.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 & 23 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents know who to speak to if they are unhappy and are confident their views will be acted upon. EVIDENCE: All of the Residents who completed comment cards said that they know who to talk to if they are not happy about something, with comments including, “I would speak to the Staff” and “ I am happy”. 7 Residents said that they knew how to make a complaint and this was confirmed during the visit in discussion with four Residents. 4 Relatives said that they were aware of how to make a complaint if needed. Weekly ‘catch up’ meetings held with some Residents provide them with the opportunity to talk about anything they may not be happy with. Copies of the homes complaints procedures are displayed in the hallway and the home has copies of adult protection procedures for all relevant local authorities. Training records showed that Staff receive training in recognising and dealing with adult protection issues. Moorfield House DS0000043636.V296434.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 & 30 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Moorfield House provides a comfortable environment to live in. Some areas are decorated to a high standard, others are shabby and in parts not maintained to a good standard of cleanliness. EVIDENCE: Moorfield House provides large grounds, which include space for outdoor activities such as a trampoline, a pond, wild flower field and room for a pony. The Main House has living and dining rooms, a large kitchen which Residents were seen to use and all but one of the bedrooms are single. The remaining bedroom is shared by two Residents. Each Cottage has a living and dining area, single bedrooms, kitchen and bathroom and either there own laundry facilities or a small laundry shared between two of the Cottages. In the Bungalow there is a large lounge, two bathrooms, a dining area and separate garden along with a laundry and domestic kitchen. There has been a lot of work carried out in the home within the past couple of years to improve the environment and this is on-going with a maintenance Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 17 plan in place until the end of 2006. In their questionnaire the Manager stated that 9 rooms had been redecorated with the past year. One of the people living in the Cottages explained her room had recently been decorated and that “ I picked furniture, decoration and sink”. Rooms that have been redecorated are to a good standard with all living areas, individual, suited to people’s need and warm and homely in appearance. However other areas appear shabby, with some bedrooms looking tired and bathrooms in the main House having peeling wallpaper and paintwork. A bedroom for one Resident had been recently decorated, this was clean, in keeping with his identified choices and provided a double bed and plenty of space. However the new flooring was clinical in appearance and made the room appear cold. One Resident explained that they still needed a mirror n their bathroom and that there was currently “not enough room” to sit in their lounge comfortably. The Manager must update the maintenance plan for the home to cover outstanding work, she should also obtain Residents views on work that they consider needs to be carried out or completed. Laundry areas were clean and disposable aprons and gloves are provided if needed. Doors in the hallway of the House appeared grubby and were sticky to touch. The Manager must make sure a cleaning schedule is in place and being followed by Staff. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 18 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): 32,34 & 35 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents are supported by an experienced Staff team, however safety checks are not always carried out by the home to make sure Staff are suitable to work with vulnerable adults. EVIDENCE: The home employs 28 carers, of these 7 have a care qualification (NVQ), the Deputy Manager explained that they have recently applied for 12 more care Staff to undertake this. If these Staff are successful then the home will meet national standards, which state that a minimum of 50 of Staff supporting Residents should be qualified. Throughout this visit Staff were observed to listen and consult with Residents, treat people with respect and act upon their views. In discussions it was evident that the Staff team had a good understanding of each persons individual needs, choices and personality and how to meet these. Residents were positive about the Staff team commenting, “I’m happy with the Staff team” and another that “Staff are great”. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 19 Three Staff files were looked at these evidenced that the home carries out some checks including, references, and interviews before employing new Staff. A file for one new member of Staff did not contain any evidence that the home had obtained a Criminal Bureau Check or checked the Protection of Vulnerable Adults register before employing the person. Training records evidenced the fact that Staff training is a priority in the home with nearly all relevant Staff having recent training in POVA, equal opportunities, medication, fire and infection control. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 20 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 & 42 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Moorfield House has an experienced Manager who manages the home safely. EVIDENCE: The home has had three Managers within the past year, however the current Manager, Mrs Jean Tinsley was previously Deputy Manager and has worked in the home for some years. Mrs Tinsley holds a management qualification and stated that she will undertake a care qualification, this will provide her with further knowledge within her job role. Mrs Tinsley was motivated during the visit and able to explain her plans for developing the home, Residents were positive about her commenting, “she’s alright Jean” and “Jean is a good Manager”. Certificates and records showed that the home carries out checks to make sure the building and environment are safe places to live and work in. Moorfield House DS0000043636.V296434.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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 2 X X X X 3 X Moorfield House DS0000043636.V296434.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 YA6 Regulation 15 Requirement The home must work on care plans to make sure they meet the national minimum standards. This requirement is a previous inspection requirement. The manager must ensure records of fridge temperatures are maintained where they are used for storage of medications. The Manager should update and review the maintenance and redecoration plan, Residents views must be taken into account when doing this. The Manager must ensure a cleaning schedule is in place and followed within the House. The manager must ensure all safety checks are carried out for new Staff before they commence work in the home. Timescale for action 30/10/06 2 YA20 13(2) 30/09/06 3 YA24 23(1)(2) 30/10/06 4 YA30 23(2)(d) 30/09/06 5 YA34 19(1)(b) 30/09/06 Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 23 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 4 5 6 7 Refer to Standard YA34 YA7 YA6 YA20 YA37 YA37 YA32 Good Practice Recommendations The home should look at ways of involving Residents in their recruitment process. This a previous inspection recommendation The Manager should ensure records of Residents monies are signed by two people and receipts obtained where practical. The Manager should offer Residents the opportunity to sign to agree the contents of weekly catch up sheets. The Manager should ensure two Staff sign handwritten entries in medication sheets The Manager should obtain a care qualification The Manager should apply to the CSCI to register as manager of the home. The Manager should ensure 50 of the Staff team hold a care qualification. Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Moorfield House DS0000043636.V296434.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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