Inspection on 24/02/06 for Moorgate Croft Residential Home

This inspection was carried out on 24th February 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 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

Moorgate Croft Residential Home 20/06/07

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

CARE HOMES FOR OLDER PEOPLE Moorgate Croft Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB Lead Inspector Ms Rosemary Reid Unannounced Inspection 07:30 24 February 2006 th 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 Moorgate Croft DS0000066113.V287780.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. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Moorgate Croft Address Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB 01709 838531 01709 835692 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) Rotherham Healthcare Limited Carol White Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager complete an N.V.Q.Level 4 in Management Date of last inspection 13th June 2005 Brief Description of the Service: Moorgate Croft is a registered care home for up to 28 service users in the category of older people. It is owned and managed by Rotherham Healthcare Ltd. There is a registered manager Mrs C White is responsible for the day to day running of the home. The home is situated in the Moorgate district of Rotherham and is accessible by public transport. The company have two other homes on the same site, Moorgate Hollow and Moorgate Lodge. The home is a three-storey purpose dwelling providing accommodation for residents on the upper two floors. All bedrooms are single and have ensuite facilities and the communal areas are located on both floors. There is a centralised laundry and a large function for use of the three homes. There is a coffee shop/restaurant “Olivers’” for use by residents, relatives, visitors and members of the public which also is the centralised kitchen for the three homes Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 24th February from 7:30am to 12:30pm. Ms. Carol White is registered as the manager and she was available throughout the inspection Four staff, three residents were spoken with and the interaction between residents and staff were observed during the inspection. A poster was placed in the entrance of the home to inform residents, staff and visitors to the home that an unannounced inspection was taking place. Records show that there was one complaint and action was taken by management to resolve the issue. There were no complaints received during the inspection and all were satisfied with the delivery of service provided at Moorgate Croft Care Home. Residents said,” The staff are helpful and are good”. “The home is perfect” and had positive comments about the care their relative received. The inspection focused on the requirements from the previous inspection, three residents files were case tracked along with medication, staffing rota, complaints and Adult Protection. Feedback was given at the conclusion of the inspection to the manager What the service does well: What has improved since the last inspection? Since the previous inspection there has been more training for example, dementia, visual and hearing impairment along with mandatory training. Further training is booked for March 2006. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 6 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. Moorgate Croft DS0000066113.V287780.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 Moorgate Croft DS0000066113.V287780.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): These standards were not assessed at this inspection. EVIDENCE: However, at the previous inspection showed there were copies of the Statement of Purpose, which were in the entrance of the home. There was evidence that each bedroom has a Statement of Purpose and Service User Guide with a welcome pack. Each file had a copy of the contract/terms and conditions of residency that is given to each resident. This was confirmed by observation and in discussion with service users. Files showed that a pre admission assessment was undertaken and assessments are undertaken twice a year. Moorgate Croft DS0000066113.V287780.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 The service users health, social and personal care needs had been taken care of by the staff group. The service users or their representative had been involved in the formulation of their care plans. Staff are working to the company’s policies for the administration of medication, which promotes the wellbeing of the residents EVIDENCE: Four care plans were checked. Each service user had a care plan where health, social and personal care needs were documented. There were risk assessments identifying the risks and action to be taken to prevent accidents or incidents. Care plans are reviewed monthly. Relatives spoken with said that the “quality of care was good” and they “were very pleased with the staff and the home.” The residents who spoke to the inspector stated that they were highly satisfied with the care and when there was a problem they had spoken to the manager and it was resolved. Medication records were examined and found to be correct. The company have medication policies and procedures that staff were observed to follow when they administered medication. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 10 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): These standards were not assessed at this inspection. EVIDENCE: Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 11 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 - 18 The home has policies and procedures to protect service users from abuse. Residents and relatives knew how to complain. The home has a clear complaints system, which service users and relatives have used to register their grievances and/or concerns EVIDENCE: Complaints are recorded and the company have taken action to resolve complaints, concerns and issues. No complaints were given to the inspector relatives and residents had only constructive comments to make about the manager and the staff group. There was one record of complaint since the previous inspection, which was about laundry. All staff has received training on Adult Protection matters and this is on going to ensure all new staff have the same training. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 12 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): These standards were not inspected at this inspection. EVIDENCE: Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 13 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 Staffing were employed in sufficient numbers to meet the needs of service users in accordance with agreed staffing levels. A training and development programme was in place, which met the changing needs of service users. EVIDENCE: Rotas were examined which showed that there was sufficient staff on duty. Staff files were examined which showed that two references, CRB and POVA checks are undertaken to ensure that residents are supported and protected by the home’s recruitment policy and practices. Staff had staff induction, which includes Health, and Safety training ensuring that service users are in safe hands at all times. All staff have NVQ2 with 7 staff doing NVQ level 3 promoting staff development and competence. Training has taken place for example Health & Safety, Infection Control, Moving & Handling and First Aid. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 14 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): 31, 38 The health, safety and welfare of service users and staff are promoted and protected. The manager ensured that staff worked as a team and they receive regular staff supervision sessions. EVIDENCE: The manager has achieved the Registered Manager Award. Staff said that they felt supported and valued by her. Staff said they received support and guidance on a daily basis and formal staff supervision sessions take place to enable them to formally discus their role and receive feedback. Risk assessments have been undertaken and health & safety checks were up to date. Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action 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 Moorgate Croft DS0000066113.V287780.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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