CARE HOMES FOR OLDER PEOPLE
Moorgate Lodge Nursing Home Nightingale Close Rotherham South Yorkshire S60 2AB Lead Inspector
Ms Rosemary Reid Unannounced Inspection 09:00 24 February 2006
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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 Lodge Nursing Home DS0000066111.V287768.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 Lodge Nursing Home DS0000066111.V287768.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Moorgate Lodge Nursing Home Address Nightingale Close Rotherham South Yorkshire S60 2AB 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) 01709 838531 Rotherham Healthcare Limited Claire Louise Brayshaw Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56), Physical disability (56) of places Moorgate Lodge Nursing Home DS0000066111.V287768.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service may admit persons 60 years of age and over. Date of last inspection 1st June 2005 Brief Description of the Service: Moorgate Lodge is a care home with nursing for older People and provides care for up to 56 service users. It is owned by Rotherham Healthcare Ltd which is a family owned business and the “responsible individual” is Mrs G Oliver. The registered manager is Mrs Claire Bradshaw. The home is approximately one mile from Rotherham town centre and is accessible by public transport. The home comprises of a purpose built brick building made of three levels with forty-three single and four double bedrooms. There is a passenger lift to all floors. The company also have two other homes on the same site, Moorgate Croft and Moorgate Hollow and operates a centralised kitchen and laundry for all three homes. Moorgate Lodge Nursing Home DS0000066111.V287768.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 2006 from 9:00am to 2:45pm. The home was at the point of being sold and the home in the transitional period of the management of the sellers winding down business and the new owners had not taken over. Six staff, six residents, two relatives were spoken with along with observation of the interaction between residents and staff. In discussions all people said that they felt it was an uneasy time until the new owners were in place. A meeting for resident and relatives had taken place to discuss the change of ownership to answer any fears that residents and or relatives might have. The new owners have confirmed that they will be positive changes for example individual telephone number for the home, decoration of the reception and corridors, renewal of some equipment. 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. At previous inspections comment cards had been received at the Commission’s office, all of which were satisfied with the delivery of service provided at Cherry Trees. All of the relatives spoken with had positive comments about the staff group and were highly satisfied with the care given by staff at Moorgate Lodge. The comments from staff indicated that they felt supported by the manager. The inspection focused on the one requirement and one recommendation from the previous inspection, six residents’ files from each of the units were case tracked along with medication, staffing rota, the environment and Adult Protection. A tour of the building was undertaken with no offensive odours found. What the service does well:
Six service users were spoken with and each one stated that they were satisfied with the service. One resident said “I have no complaints at all” I love my room and the food is good.” “The staff are really good to me.” One relative said that she was extremely pleased with the care that was given The Statement of Purpose and Service User Guide is provided to residents so that they are made aware of the service they can expect. Residents are asked to sign a contract/statement of terms and conditions and a copy is given to the resident and a copy is kept on file. The residents at Moorgate Lodge say they are satisfied with all aspects of care for example “friendly staff who will do
Moorgate Lodge Nursing Home DS0000066111.V287768.R01.S.doc Version 5.0 Page 6 anything for you” and “I enjoy my meals here”. Two service users really liked their bedrooms and enjoyed being able to go to their bedroom in an afternoon to read, write letters or watch television. The home has an activities organiser and there is a range of interests for service users to take part in and out of the home. All staff files show that induction and training take high priority and that staff are equipped with the knowledge required to meet the needs of residents. 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. Moorgate Lodge Nursing Home DS0000066111.V287768.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 Lodge Nursing Home DS0000066111.V287768.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 that a pre admission assessment was undertaken and assessments had been completed for example risk, tissue viability. Residents’ needs are assessed and the home has a continual assessment document. It recommended that nutritional assessments be undertaken. Pre-admission assessments are undertaken in the service user’s own home or in hospital. Each file had a copy of the contract/terms and conditions of residency that is given to each resident/representative. Moorgate Lodge Nursing Home DS0000066111.V287768.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 care plan system is clear and provides staff with direction that they need to meet service users needs. Staff are working to the policies for the administration of medication, which promotes the wellbeing of residents. There are policies and procedures in place along with training to assure service users and their representatives that residents will be treated with care, sensitivity and respect. EVIDENCE: A total of six care files were examined all of which had been updated to reflect residents changing needs. Staff are reviewing care plans monthly to ensure that residents assessed and changing needs are in the care plan and the goals are met. Where possible relatives are involved in the development of the care plan. For example, three relatives spoken with confirmed that they were involved with their relative’s care. Medication policies and procedures are in place, which promotes safe handling and administration of medication. Moorgate Lodge Nursing Home DS0000066111.V287768.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 Lodge Nursing Home DS0000066111.V287768.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 which promotes residents’ rights. 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 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 were records of complaints made since the previous inspection and the action taken. All staff has received training on Adult Protection matters and this is on going to ensure all new staff have the same training. During staff interviews it was evident that they understood and respected the legal right of residents at Moorgate Lodge. There was evidence that some residents had used legal services. Moorgate Lodge Nursing Home DS0000066111.V287768.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 Lodge Nursing Home DS0000066111.V287768.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): These standards were not assessed at this inspection. EVIDENCE: At the previous inspection showed that the number and skill mix of the staff met residents’ needs, staff are have had induction and trained to do their jobs. Moorgate Lodge Nursing Home DS0000066111.V287768.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 registered manager Mrs Claire Brayshaw has been in post for over two years. She has achieved the Registered Managers 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 have been started. There are records for tests and repairs to the equipment and infrastructure, which confirmed the home’s systems and equipment, was found to be satisfactory. Moorgate Lodge Nursing Home DS0000066111.V287768.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 N/A 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 X 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 Lodge Nursing Home DS0000066111.V287768.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 Lodge Nursing Home DS0000066111.V287768.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
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