Inspection on 04/03/08 for Moorfield House

This inspection was carried out on 4th March 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Moorfield House 6 Kenton Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4NB Lead Inspector Suzanne McKean Key Unannounced Inspection 4th March 2008 09:00 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 DS0000071058.V357192.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorfield House Address 6 Kenton Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4NB 0191 213 5757 0191 284 2672 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) Southern Cross BC OpCo Ltd Position Vacant Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 35 The maximum number of service users who can be accommodated is: 35 2. Date of last inspection Brief Description of the Service: Moorfield House is a purpose built care home. It is situated in Gosforth, which is in the outskirts of Newcastle upon Tyne. The home provides nursing or residential care to 35 residents. Accommodation is over three floors. There is lift access to each floor. All 35 bedrooms are for single occupancy. Twenty-one bedrooms offer en-suite facilities. Not all of the rooms achieve the space standards that are specified in the national minimum standards but additional private space is provided in the communal areas throughout the home. The home is staffed 24 hours per day by qualified nurses and care assistants. Ancillary staff are employed for catering, domestic, maintenance and laundry duties. The fees for the home are £393 to £658 per week. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 15th May 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals, including surveys. The Visit: An unannounced visit was made on 20th December 2007 and a further visit was made on 18th January 2008. During the visit we: • Talked with people who use the service, relatives, staff, the manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. • Sent out 10 relative and 10 resident surveys to find out what people thought about the service. • Sent out three surveys to visiting professionals. We told the manager what we found. What the service does well: The company has good systems and processes for managing the home. The Manager has a clear view of how the home could continue to improve taking into account the views and needs of the residents and in their best interests. The home is furnished in a comfortable style with a good homely atmosphere. There is a choice of communal areas for the residents to sit which offer Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 6 different environments for them to spend their time. The bedrooms are well decorated and personalised to suit the resident’s tastes and lifestyles. The staff are knowledgeable about the needs of the residents and treat them with respect and in a friendly and helpful manner. 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. The summary of this inspection report can be made available in other formats on request. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 (the home is not registered for intermediate care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed pre admission assessments are carried out taking into account the views of the resident and their representative before a placement is offered. This means the resident can be confident that their need can be met. EVIDENCE: The care plans contain the necessary information to make sure that the home can meet the needs of the prospective resident before they are offered a place. The Manager is involved in the decisions and in the majority of instances he visits the residents herself prior to their admission. The care plan of a recently admitted resident was detailed and contained the information the staff would need to make sure that they could care of them safely and well. A relative said that she had visited the home before her relative had moved in and that the staff had been open and honest about what would be available and how the home is organised. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have their needs met by staff who are skilled in providing the care in a sensitive and dignified way. This is supported by the documentation and care plans. EVIDENCE: Each resident has an individual care plan, which begins with the pre-admission assessment and is then developed into the care plan. There are risk assessments for the prevention of falls, nutrition, wound care, moving and assisting, continence promotion and mental health status. There is a significant amount of information in the care plans including good daily records and records of professional visits and the outcome of these. However, not all of the care plans had assessments that were detailed enough to show how the care should be given and for some of the assessments there was not an associated plan of the care to be given to address the assessed needs. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 10 The care staff are involved in making sure that the necessary information is in the care plans by keeping the nursing staff informed. This includes the welfare of the residents and their activities and events on a day-to-day basis. The care plans showed that the residents have access to all NHS services and facilities. There was a good range of pressure relieving mattresses in use for the prevention of pressure sores. The care plans are being changed to the new organisations documentation and this should result in improvements to the way they are organised. The manager is aware of the way the care plans need to be developed. Throughout the visit staff were treating residents with respect and maintaining their dignity. Personal care was given in privacy, staff used residents’ preferred name at all times. Residents were complementary about the staff in the home and felt that they were able to have privacy in their own rooms and the staff respects that this. A relative said that they felt that the care staff always did their best for the residents. Medication administration records were examined. These were being kept well and there were no omissions in the records of medication administration. The home has now introduced the monitored dose system supplied by Boots, which has significantly improved the way that the medicines are managed. Medication requiring cool storage were stored in a drugs fridge. The temperature of which is monitored. Eye drops were correctly labelled. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a flexible routine and people living in the home are helped to take part in activities and maintain contact with family and friends taking into account their individual wishes, abilities and interests. EVIDENCE: A divertional therapist / activities co-ordinator is employed in the home. She has worked there for a number of years and knows the residents very well. She is enthusiastic about her job and well liked by residents. There was an activities programme displayed on the wall. There were newspapers and books available in the home and some were in the lounges. The activities programme identifies the weekly opportunities and the monthly themes. There did seem to be a good variation of activities on offer, however, one of the surveys returned from a resident suggested that more activities were needed. Although this was only one it might suggest that it would be useful to look at the choices of the residents to make sure that they are suitable and individualised. Relatives and friends appeared comfortable and relaxed in the home, when spoken to they were complementary about the home and the staff. The Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 12 manager organises relatives meetings to gives them information about the homes and explain any changes to the home. The kitchen was clean, tidy and well organised. Although the Cook was not actually in the kitchen during the serving of the lunch it was still well organised. A list of those residents requiring special diets was available. The menu was varied and residents were offered choices. The food being served on the day of the visit was either spaghetti Bolognese or mince; potatoes, peas and fresh carrots were served with them according to the resident’s choice. A selection of drinks was available. Assistance given to people living in the home was given in a quiet and respectful manner. The dining room was well organised and the tables were well set up with cloths, condiments and table decorations. The residents were complementary about the food and were seen enjoying both of the choices leaving empty plates. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents and their representative have good information about how to complain and there is a company policy and procedure. There are procedures are in place to safeguard residents from abuse. EVIDENCE: The residents are given the complaints procedure in their bedroom as part of the directory of service. Residents are regularly consulted through a series of meetings. A relative visiting the home was aware of the complaints procedure but had not needed to use it. Adult Protection procedures are available in the home. The staff have received training in Adult Protection. There have not been any incidents requiring the intervention of the adult protection team. The home has not been involved in any protection of vulnerable adult procedures since the last inspection but the manager is aware of the way in which this would be managed. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe environment with good communal areas, and bedrooms that are personalised and comfortable. Only the repair of the out of use bathing facilities is now required to bring all of the areas of the home up to the necessary standard. EVIDENCE: The location and layout is suitable for the residents who live there. There are lounges and dining rooms on each floor. Residents were able to use all of the communal areas of the home and there was a range of television and audio equipment available for their use. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 15 The corridors are quite narrow but are kept clear and they are well decorated and light. The residents have been encouraged and supported to bring personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. Several of the bedrooms have been refurbished, and some of the bedroom furniture has been replaced. There has been recent redecoration, and the home is now nicely decorated and in particular toilet areas. Two of the bathrooms are out of order. This results in there being only two baths and one shower that can be used. One of the baths was broken on the day and the plumber was called and arrived during the visit. However this bathroom still needed to be redecorated and the floor replaced where it was damaged. Although this has been improved since the last inspection it is still not sufficient for the number of the residents. The staff were working in a way which promotes good infection control practices. There was sufficient equipment for the staff to use. The waste bins are now foot operated. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager makes sure that there is enough staff on duty that have appropriate skills and experience to care for the residents safely. EVIDENCE: The staffing during the visit was: • The manager was at a meeting for some of the day but returned to the home in the afternoon. • One qualified nurse. • Five carers • Two domestics • A handyman • One cook and two catering assistants The staff recruitment files were examined. They contained all of the required information. The manager has followed good recruitment practice in line with the company policies and procedures including references and criminal records checks of all staff working in the home. Staff training records showed that 50 of the homes staff are trained to NVQ level 2 and there is an ongoing process of ensuring that staff are offered the opportunity to complete this course. Records showed that statutory training Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 17 was up to date. There was evidence of some recent vocational training, however this programme is still ongoing and is not yet fully up to date. For example, staff are still to receive training in challenging behaviour. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed taking into account the needs and wishes of the residents and in live with safe working practices. However, she needs to apply for registration with the Commission for Social Care Inspection. EVIDENCE: Ms Tetlow has been relatively recently appointed to the post of manager. She is supported by the deputy manager. She is a registered nurse with experience working with older people and has completed additional post registration training to maintain her registration and ensure that she has the skills to carry out the role. She has the Registered Managers award. She has not as yet Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 19 applied to the Commission for Social Care Inspection to be the registered manager for the home but is aware of the necessity to do so. Records for safe working practices in relation to first aid, food hygiene, moving and handling and infection control were in place and were satisfactory. Regular meetings are held for both resident’s relatives and staff. The records of these contain a wide selection of appropriate topics. These meetings are generally on a monthly basis but vary according to the issues in the home. The attendance is good. Staff supervision records indicated that staff are receiving supervising at the appropriate timescales of six per year, the contents of these were not examined on this occasion. However the Manager confirmed that she is satisfied that he is able to use them to make sure that the staff are able to carry out their work safely and effectively. The manager takes the necessary action to ensure the health and safety of the service users through regular tours of the building, risk assessments and recording of action taken to respond to hazards. The staff are aware of the need to maintain a safe environment in the home. This is supported by the policies and procedures examined and by discussion with the Manager. Accidents are recorded effectively, accident analysis is completed and the Manager is records separate analysis of specific incidents in the home. There are records in place to show the way people living in the home receive support to manager their finances. Individual records support these with receipts being kept for purchases made and money received into the home from relatives. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 care plans must show resident’s health needs and be kept up to date to show how the care is planned and provided. The residents must have access to sufficient and suitable bathing facilities. The manager must apply to be registered with the Commission for Social Care Inspection. Timescale for action 01/07/08 2. OP21 23 01/09/08 3. OP31 8 01/07/08 Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 22 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. Refer to Standard OP30 OP12 Good Practice Recommendations Review vocational training for staff with a particular emphasis on challenging behaviour and dementia care. Social activities should be reviewed to make sure that they are appropriate to the individual residents choices and abilities. Moorfield House DS0000071058.V357192.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Stree Newcastle upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000071058.V357192.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. 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!