Inspection on 14/06/05 for Moorhouse Farm

This inspection was carried out on 14th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Moorhouse Farm 17/11/08

Moorhouse Farm 15/11/06

Moorhouse Farm 29/11/05

Moorhouse Farm 30/11/04

Moorhouse Farm 15/06/04

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 Moorhouse Farm Moorhouse Lane Ashington Northumberland NE63 9LJ Lead Inspector Jackie Burke Unannounced 14 June 2005 09:30 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 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. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Moorhouse Farm Address Moorhouse Lane Ashington Northumberland NE63 9LJ 01670 857727 01670 857733 moorhousefarm@highfield-care.com Highfield Home Properties Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant CRH 24 Category(ies) of OP Old age [24] registration, with number of places Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30/11/04 Brief Description of the Service: Moorhouse Farm is a converted farm building of single storey stone construction with an apex roof where an administrative office and staff room is located. Externally the building retains its traditional character, inside the accomodation has been modified to provide access throughout the building. The home is situated in a residential area of town and shares its grounds with a separate care home, Ashington Grange. Both homes are owned by the same company and retain close links and some shared facilities. There is a small kitchen in Moorhouse Farm where breakfasts and teas are provided, main meals are catered for by Ashington Grange. Car parking is located to the front and side of the building giving level access to the home. Grassed areas to the front of the building are accessible for service users and visitors. Ashington town centre is approximately one and a half miles away and there is a local park and school nearby. Moorhouse Farm provides a large lounge and conservatory and a separate dining room and a quiet lounge. The home provides two bathrooms and an adapted shower room. There are six communal toilets in the home and all rooms are single occupancy. Commodes are used overnight. Residential care is provided at Moorhouse Farm and the home is registered for up to 24 older people. Nursing care is not provided. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a report of an unannounced inspection, which took place on 14 June 2005. The inspection took four hours and the inspector spoke with the manager, seven residents and three staff on duty in the home. A tour of the building was undertaken during this unannounced inspection. Lengthy discussion took place with the new manager who has recently been appointed following the departure of the previous manager. Ms Glenton was advised to apply for registration with CSCI and this is now in hand. There have been a number of staff changes which have taken place over recent weeks and two senior care staff left at short notice during the week of Ms Glenton’s appointment; this period of uncertainty has had an impact on morale however has been managed well by Ms Glenton who has sought to minimise the disruption to service users. What the service does well: What has improved since the last inspection? What they could do better: Moorhouse Farm have yet to provide separate bank accounts for each resident which is an outstanding requirement from the last two inspections. The conservatory and lounge area require refurbishment of carpet, furniture and décor following the creation of the new dining room. There is a limited choice of meals over weekends, which should be reviewed. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 6 Fresh fruit & drinks should be available in the dining room for residents to help themselves as they wish. 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. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 standard(s) 3 Service users moving into the home have had their needs assessed and are assured that these will be met. EVIDENCE: People considering moving to Moorhouse Farm have their needs assessed by a care manager and the manager before admission. Three care files were examined and contained satisfactory assessment information linked to risk assessment and care planning. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 standard(s) 7-10 Each service user has a care file, which contains information relating to health, personal & social care needs. The health care needs of residents are met fully. Moorhouse Farm has a satisfactory policy for dealing with medication. Residents are treated with respect and privacy is safeguarded. EVIDENCE: Three care files were examined which contained assessment information, care plans and risk assessments in addition to review documents which indicate that the needs of residents are recorded and that their health care needs are being met. In one file records had not been fully updated and this was discussed with the manager. Ms Glenton acknowledges that there are a number of files which require some updating following the change in staffing in the home. The impact of recent staff changes has had some bearing on recording within care plans, however care plans are being updated. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 standard(s) 12-15 Lifestyle and needs are identified during assessment and activities and routines are developed accordingly. Moorhouse Farm provides a good standard and variety of activities. Links with families, friends and the community are encouraged. People are enabled to exercise choice in some areas of their lives. People are provided with a balanced diet and meal routines are provided flexibly wherever possible, however choice is limited at weekends. EVIDENCE: On the day of the inspection it was the 100th birthday of one resident in Moorhouse Farm and a great deal of effort had been made to celebrate this event with decorations, birthday cards, flowers and a party. There was an atmosphere of anticipation in the home and residents were looking forward to the celebration. One resident said that “staff are very helpful and you only have to ask and they will do anything for you”. Discussion with the manager and observations confirm that there are a range of activities planned with a summer fair taking place this weekend and entertainment evenings planned. A new activities coordinator is due to start work in July and a suggestions box has been introduced to determine what activities residents would like to do. Two residents spoken with said that they often went out with visitors and one person hopes to go out independently again when his mobility improves. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 11 Moorhouse Farm maintains links with the local community and visitors were welcomed to the care home as the inspection took place. Service users confirmed that they are encouraged to exercise choice in respect of preferred activities and where they would like to spend time. People said that they choose when they get up and when they go to bed and can choose main meals during the week from the menu. A four- week menu programme is in operation and service users are given a choice of menu options on a daily basis, however close scrutiny of the menu indicates that there is no choice available on Sundays. Main meals at Moorhouse Farm are provided by the kitchen located in Ashington Grange and consequently vegetables appeared overcooked as they had lain in the warming trolley prior to serving on the day of inspection. Residents commented positively on the food at Moorhouse Farm. Breakfast, tea and supper are prepared in the kitchen located in the home and residents are encouraged to contribute to tea- time menu planning and recipes. Special diets can be accommodated if required. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 People are confident that their complaints will be dealt with appropriately. People are protected from abuse. EVIDENCE: Discussion with the manager and examination of records confirmed that there is a complaints policy in place and copies are made available to all service users. Records examined confirm that the complaints procedure has been followed. Discussion with the manager took place regarding a complaint, which had gone directly to head office, which ought to have been included in complaints records kept at Moorhouse Farm. Residents spoken to were aware of their right to complain and two people said that they would speak to Cheryl if they had anything they wanted to complain about. The manager demonstrated an awareness of abuse and whistle blowing and confirmed that the home has policies and procedures in relation to abuse and whistle blowing and that POVA training has been accessed. The recruitment procedures within the home protect service users from abuse and files examined confirmed that CRB checks are undertaken and references taken up. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 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 standard(s) 19 & 26 Service users live in a safe well- maintained environment The home is clean, pleasant and hygienic. EVIDENCE: Observation during the inspection and discussion with maintenance staff confirmed that the building is well maintained and clean. Portable appliance testing is undertaken regularly and maintenance records are appropriately kept. A tour of the premises supported this and all areas are free from odour clean and tidy. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 & 30 The needs of service users are met by the numbers and skills of staff. People are supported and protected by recruitment policies. Staff are trained and competent to do their jobs. EVIDENCE: Discussion with the manager and examination of records relating to training and recruitment practice was undertaken. Moorhouse Farm has gone through considerable change recently as the previous manager resigned and moved to another care home and two senior care staff resigned at short notice during the first week of the current manager’s appointment. Discussion with service users took place and residents said that for them nothing had really changed and they felt that things were better as there had been an atmosphere in the run up to changes taking place. None of the residents approached felt that their care had suffered although two people commented that they missed familiar faces of staff, who had worked in the home for as long time. All residents spoken to commented positively regarding the appointment of the new manager. Staff numbers have been maintained in relation to current occupancy levels and there are 13 care staff employed in Moorhouse Farm. 11 staff members are qualified to NVQ level 2 and the remainder are scheduled to begin NVQ studies in the near future. The training coordinator for the company has office accommodation in Moorhouse Farm and there is a commitment to training within the home. Mandatory training is currently underway to meet the shortfall created by staff vacancies. Cheryl Glenton recognises the value of training and is committed to commence NVQ Level 4 Registered Managers Award. New appointments have been made Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 15 to fill recent vacancies and records examined confirm that appropriate checks have been made and the recruitment policy observed. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 & 38 The home is run in the best interests of service users. Service users financial interests are not being fully safeguarded. The health, safety and welfare of service users and staff is protected. EVIDENCE: The needs of people living in Moorhouse Farm have been safeguarded during a difficult period of considerable change within the home and the manager is committed to ensuring that the home runs in the best interests of the residents. Discussion with the manager indicated that separate bank accounts have not yet been set up for residents within the home despite this having been an outstanding requirement from the last two inspection reports and this must be treated as a priority. Records were available and confirmed that mandatory training is provided and that safe working practices are adhered to in relation to moving and handling, first aid, food hygiene and infection control. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 x x 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 Standard No 16 17 18 Score 3 3 3 x x 3 x 2 x x 3 Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 18 Yes 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. 2. Standard OP35 OP7 Regulation 20(1)(a) 17(3) (a) Requirement Separate bank accounts are required for each resident Records in care files should be kept up to date and accurately reflect the needs of service users. Menus need to be reviewed to provide a greater degree of choice at weekends Timescale for action 01/09/04 01/09/04 3. OP15 16(2) (i) 01/09/04 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 OP15 Good Practice Recommendations Fresh fruit and drinks should be made available in the dining room for service users to access as they wish. Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Moorhouse Farm B53-B03 S40473 Moorhouse Farm V226698 140605 Stage 4.doc Version 1.30 Page 20 - 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. 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