Inspection on 30/09/05 for Moorfield House

This inspection was carried out on 30th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Moorfield House 01/04/08

Moorfield House 03/04/07

Moorfield House 15/02/06

Moorfield House 18/02/05

Moorfield House 20/08/04

Moorfield House 10/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Moorfield House 132 Liverpool Road Irlam Gtr Manchester M44 6FF Lead Inspector Joe Kenny Unannounced Inspection 30th September 2005 10:00 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 Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Moorfield House Address 132 Liverpool Road Irlam Gtr Manchester M44 6FF 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) 0161 775 3348 Mr Stephen Brown Mrs Mary Brown Mrs Mary Brown Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th February 2005 Brief Description of the Service: Moorfield House is a large Victorian building providing personal care and accommodation for up to twenty (20) service users within the category of old age (OP), not falling within any other category. The home is registered in the name of Mr and Mrs Brown. Mrs Brown is also the registered manager of the home. The home is located in Irlam, on the corner of Moorfield Rd and Liverpool Rd. The home is close to local shops and the main Warrington to Manchester bus route. The home comprises of 16 single bedrooms and two double bedrooms. Twelve of the single bedrooms offer en-suite facilities and are located on the ground floor. Parking facilities are available to the rear of the property. A landscaped raised patio area and conservatory had been constructed to the front of the home since the last inspection. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of the home was conducted as an unannounced visit and was carried out on the 30 September 2005. The inspection looked at requirements and recommendation from the last inspection, examination of records, a tour of the home and discussions with residents, staff and the management team. During the visit a number of relatives were visiting and brief discussions were held with them in relation to their experiences of the home. There were twenty residents accommodated at the home on the date of the inspection and one resident in hospital. Documents relating to the aims and objective of the service were available to all residents and relatives. The procedures for admission to the home included trial visits for prospective residents and gathering of information to support plans of care. The manager, deputy manager and a dedicated team of care staff monitor arrangements for health and personal care. Meals and menu arrangements continue to be of a good quality and individual preferences were taken into account at each meal. Programmes of activity are structured on relation to when the occupational therapist visits as she leads craft and exercise sessions. Outside of these times residents are free to organise how they spend their day. The home was found to be clean and free of malodours. Training and supervision is monitored and coordinated by Mr and Mrs Brown and by the deputy manager. There was a good training programme in place for staff, including induction, NVQ qualifications and specialist courses. The arrangements for day and night cover met the needs of the service users. The Management approach created an open and positive culture. The inspection only looked at a limited number of standards, so this report should be read together with the most recent published report in order to get a full picture of how the home is meeting the needs of residents living there. What the service does well: Comment by residents and relatives were positive in respect of staff, the standard of care and appreciation of the quality of meals and menu plans in the home. Residents stated that they were happy with the care provided by staff and the support provided in relation to ongoing health care. Staff continue to maintain informative care plans, which set out care needs and record evidence of support provided to individuals. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 6 The records are informative and included sections to be completed in respect of specific health issues where monitoring sheets may be used. The home continued to demonstrate a commitment to training and development for all staff. This was evident in relation to NVQ award programmes and in house training conducted by the registered owners. 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 DS0000008336.V253620.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 The home’s admission process ensure residents and relatives are given the information necessary to make and informed choice prior to moving to the home EVIDENCE: The homes statement of purpose and service users guide is available to all persons enquiring about the care and support offered at the home. The registered manager continues to take the lead in assessing and facilitating admissions to the home. Meetings are held with family member to gather information on the needs of the resident referred. Prospective residents are given the opportunity to visit the home prior to making a decision about moving there. Residents had a written statement of terms and condition relating to their placement and relatives are actively encouraged to continue in the care and support of their relative. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9, and 10 Residents’ health and personal care needs was well documented by the home. Procedures relating to the administration of medication, protected residents. EVIDENCE: Service users’ care plans ensure that aspects of care and support provided by staff are recorded on a daily basis. Care plans are reviewed regularly, both formally and on a monthly basis by staff. Care plans have been developed so as to incorporate risk assessments into the plan of support. The records informed staff of the level of support required by individuals One resident was receiving the support of the District Nurse service and there was evidence that her general practitioner had recently attended to prescribe a course of medication. The resident was observed to walk from her room in very loose fitting slippers. Staff indicated that the resident had been provided with Velcro slippers but choose not to wear them. The home must monitor wearing of appropriate foot wear in terms of any identified risks to the resident. The district nurse visits two other residents to monitor bloods and to assist in Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 10 pressure relieving support as a preventative measure. The district nurse service has provided the home with equipment and pressure relieving cushions to support these residents. The home has also set up specific monitoring charts to monitor fluid intake, oral care and records of turning routines during the night hours. The records relating to turning routines for one resident were examined and it was noted that evidence of regular turns were not being maintained every night. Records must be sustained to evidence compliance to the agreed plan of support. Where residents have a fluid intake chart the home must quantify the volume of liquids taken in order to measure daily consumption. One resident also preferred to lock her door at night. The manager was advised to ensure night staff have a master key with them at night in the event of them needing to access the room immediately, i.e. in an emergency. The master key is currently available in the office. The procedures for the administration of medication was examined and found to be in order, with exception to a record of balances of medication for an identified resident. The home must ensure balances of medication held on the premises are up to date. All staff completed a training and assessment plan prior to undertaking duties for the administration of medication. Procedures relating to recording and safe keeping of the key to the medication system were being followed by staff Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, and 15 The care and support offered to residents respected their wishes, expectations and preferences. The support offered to residents matched their social, personal and dietary interests and needs. EVIDENCE: The home continues to use an occupational therapist who attends and holds an event each fortnight. Relatives visiting the home commented that they were happy with the care provided to residents. Service users can receive visitors in the privacy of their own rooms or in the lounges. The home continues to provide a varied and balanced variety of meals through menu plans. The home retains a record of meals served and alternatives are offered as requested. There were ample provisions available in the home at the time of the inspection. Meals are served in the dining room and in the lounge dining facility to the front of the building. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Procedures relating to dealing with complaints and adult protection are established and provide safe guards to protect residents. EVIDENCE: The home’s complaints procedure is posted in the home and is also referred to in the home’s Statement of Purpose and Service Users Guide. The procedure required an amendment in relation to the correct address of the Commission for Social Care Inspection. The information was provided to the deputy manager who indicated that the procedure would be amended. No complaints had been received by the home by the Commission since the last inspection The procedure relating to adult protection is in accordance with the guidelines developed by Salford Local Authority. On the date of the inspection the inspector observed a member of staff receiving training and support in relation to the topic of adult abuse. This included use of a video and discussions with the member of staff. This programme of training is forwarded to all staff and the deputy manager stated that all staff had been give the opportunity to read the document, evidence of this must be retained by the home. The home had taken positive steps to address training in relation to this topic. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and26 Residents live in a clean, safe and well maintained environment which offers appropriately furnished individual and communal facilities. EVIDENCE: On the date of the inspection the person contracted, by the home to carry out maintenance and repairs was on site. The deputy manager confirmed that all repairs once identified are recorded and a detail list of required repairs is forwarded to the maintenance person for his attention. Since the last inspection a conservatory has been built and was being decorated on the date of the inspection. A raised patio area had been constructed to the front of the house. The patio area looks onto the gardens and main road. On inspection of the area, the home is advised, that the rail around the patio, be heightened for the safety of residents accessing this area. A sample of bedrooms were inspected, all rooms viewed were clean, personalised and were suitably furnished to meet the needs of residents. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 14 Communal areas were clean and offered residents a comfortable, warm and safe environment. The foyer continues to be used by some residents during the day as their chosen area to sit. This area is bright and suitably furnished and the arrangement of furniture did not obstruct routes into and out of the home. All other areas were found to be clean, well ventilated and no malodours were noted. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 15 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 and 30 Programmes of recruitment, training and supervision ensure staff have the skills, knowledge and support necessary to meeting the care needs of residents. EVIDENCE: The information relating to staff working at the home had not changed since the last inspection. The home continued to employ a stable and skilled staff team who were aware of the needs of the residents living there. There continues to be an emphasis on staff development through training. The registered owners of the home deliver programmes of in house training. In the period since the last inspection, staff had received training in First Aid and in Moving and Transferring residents. During discussion with residents and brief discussions with relatives, all confirmed that the level of care and support offered by staff was appreciated and carried out in a caring way. The staffing structure consisted of the registered manager, Mrs Brown, deputy manager, Ms Wilma Prichard, six designated night care assistants and ten care assistants. The home continues to use work experience staff and volunteers. The homes policy clearly states that work experience staff and volunteers are not directly involved in hands on personal care of residents. Work experience staff were observed to be involved in social care activities. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 16 The rotas for the period covering the inspection indicated, 74 hours management support and 325 day care hours were provided. 56 of the total staff team had achieved or were completing NVQ awards. The deputy manager confirmed that regular meetings are held with staff to discuss any care issues or work related issues. The home is again required to evidence that a formal system of supervision and records of supervision is sustained at a minimum of six sessions per year. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 17 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): 33, 36, 37 and 38 The residents benefit from a well run home. The health, safety and welfare of residents was promoted and protected by the management and staff team. EVIDENCE: Residents and relatives spoke positively of the support and care offered at the home. Relatives were observed to be made welcome when visiting and residents were supported in a caring manner by staff on duty at the time of the inspection. Staff demonstrated that they were aware of resident’s needs and assisted residents in a manner which respected their privacy and dignity. Records were available to evidence that procedures were in place to ensure the home identified and monitored health and safety issues. This related to Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 18 procedures on tests and checks on fire safety, safety of appliances and equipment and records to evidence the support offered to individual residents The deputy manager stated that residents had been consulted about issues relating to life in the home through a questionnaire. The home must incorporate the findings of this survey in the homes statement of purpose. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 19 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 3 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X 2 3 3 Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 20 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 OP7 Regulation 15 Requirement The records relating to turning routines must be sustained to evidence compliance to the agreed plan of support. The home must monitor wearing of appropriate foot wear in terms of any identified risks to the resident. Timescale for action 23/12/05 2 OP7 15 23/12/05 3 OP7 15 Fluid intake chart the home must 23/12/05 quantify the volume of liquids taken in order to measure daily consumption. The home must ensure balances of medication held on the premises are up to date. It is recommended that the hand rail around the patio, be heightened for the safety of residents accessing this area. The homes complaints procedure required amending n relation to the correct address of the Commission for Social Care Inspection. DS0000008336.V253620.R01.S.doc 4 OP9 13 23/12/05 5 OP20 12 23/12/05 6 OP16 22 23/12/05 Moorfield House Version 5.0 Page 21 7 OP18 12 The home must evidence that all staff have read and signed the tracking sheet relating to adult protection guidelines. The home must incorporate the findings of quality assurance and monitoring survey in the homes statement of purpose. 23/12/05 8 OP33 4 23/12/05 9 OP36 18 The home is required to evidence 23/12/05 that supervision is sustained at a minimum of six sessions per year. 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 Night staff are advised to have a master key to bedrooms with them at night in the event of them needing to access the room immediately, i.e. in an emergency. Moorfield House DS0000008336.V253620.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 DS0000008336.V253620.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!