Inspection on 15/11/06 for Moorhouse Farm

This inspection was carried out on 15th November 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 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 29/11/05

Moorhouse Farm 14/06/05

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 Key Unannounced Inspection 15th November 2006 09:30 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 Moorhouse Farm DS0000040473.V302820.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. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorhouse Farm Address Moorhouse Lane Ashington Northumberland NE63 9LJ 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) 01670 857727 01670 857733 moorhousefarm@highfield-care.com www.schealthcare.co.uk Southern Cross (Hamilton) Limited Miss Cheryl Opal Glenton Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. None Date of last inspection 29th November 2005 Brief Description of the Service: Moorhouse Farm is a converted single storey farm building made of stone with an apex roof to the front where the staff room and administrative offices are located. Outside the building retains its traditional character; inside the accommodation has been designed to provide access throughout the building. The home is in a residential area of town and shares its grounds with a separate care home, Ashington Grange. Both homes are owned by Southern Cross and retain close links and some shared facilities. There is a small kitchen at Moorhouse Farm where breakfasts, teas and suppers are provided; main meals are cooked in Ashington Grange. Car parking is located to the front and side of the building. There is level access to the building on both sides of the home. Ashington town centre is approximately one and a half miles away and there is a local school and park nearby. Moorhouse Farm provides a large lounge and conservatory and a separate dining room and a quiet lounge. The home provides two bathrooms with assisted bathing facilities 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. The cost of the service provided at Moorhouse Farm is £376.45 per week. Information is provided for service users to enable them to make a decision about moving to Moorhouse Farm. Nursing care is not provided. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place on Wednesday 15 November 2006. The inspection took 6 hours. Time was spent in the main lounge with service users and talking to staff. I spoke with twelve service users two staff and the manager during the inspection. A tour of the building took place with the manager Ms Glenton. What the service does well: What has improved since the last inspection? The entrance to the home has been improved and the desk in the hallway removed which makes the entrance hall lighter and more spacious. This provides a more accessible space for wheelchair users. The hall carpet has been replaced; the redecoration programme within the home is underway and the lounge has been redecorated. Fresh fruit and jugs of fruit squash are provided in the sitting room for service users to help themselves. There are fresh flowers in the hall and sitting room and pleasant pictures, many of which are painted and are created by service users displayed throughout the building. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 6 The home has rescued a stray dog since the last inspection, which service users have decided to keep and who appears to be popular amongst people who live in Moorhouse Farm. The manager has created viewing rooms, which prospective service users can sample before making the decision to move into the care home. 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. Moorhouse Farm DS0000040473.V302820.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 Moorhouse Farm DS0000040473.V302820.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): Standard 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users needs are assessed before moving into Moorhouse Farm and identified needs are met by the service. EVIDENCE: Three care files were looked at during this inspection and the information in care files shows that the needs of people are assessed before they move into the care home. Assessment documents are provided by Care Managers where placement is arranged by the local authority. The manager also assesses each individual including those who make private arrangements and works with staff to develop a care plan for each person to ensure that their needs are met in full. Moorhouse Farm DS0000040473.V302820.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): Standards 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. Service users needs are set out in a plan of care. Health care needs are met in full. Moorhouse Farm has a satisfactory policy for dealing with medication. Residents are treated with respect and privacy is safeguarded. EVIDENCE: Three care files were looked at during this inspection. Information in care files is up to date and accurately reflects the needs of service users. Health and social care needs are documented and are based on activities of daily living. Risk assessments are made to ensure that people are given the opportunity to engage in day-to-day activities safely and with appropriate support. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 10 Care plans are reviewed monthly. Daily records are up to date and inform care plans and reviews. Records show that service users have access to health care professionals. Assessments were in place for pressure care management, moving and handling, catheter care, nutrition, continence, falls and personal hygiene. Time was spent with service users in the sitting room to see how they spend their day and how staff support them. Staff showed that they had the skills to reassure and support service users in the way that they responded to requests for help and in their manner towards people in their care. Staff showed that they treated service users with respect and dignity and this was confirmed by conversations with service users. One person had long fingernails, which required attention, and this was discussed with the manager who agreed that nail care should be addressed. There is a medication policy at Moorhouse Farm and medication is stored appropriately and administered safely by staff who are trained to do so. An observation was made of staff responsible for medication on the day of inspection and showed that they follow the medication policy and observe safety procedures. Controlled drugs are stored and recorded accurately. The refrigerator in the medication cupboard is broken; medication, which needs to be stored in cool temperatures, is currently stored in the large refrigerator in the kitchen. The manager agreed to store medication in a sealed box in the refrigerator until the other is replaced. There is a system in place whereby people may take responsibility for their own medication. Moorhouse Farm DS0000040473.V302820.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): Standards 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. Moorhouse Farm provides limited activities. Links with families, friends and the community are encouraged. People are enabled to exercise some choice in their lives. People are provided with a balanced diet and meal routines are provided flexibly wherever possible. EVIDENCE: There are currently few activities available for service users at Moorhouse Farm as the activities coordinator is allocated only 9hours per week and is currently unavailable. There is an activities programme advertised at the home but there is no one to organise gentle exercise, games or bingo and this is now dependent on available staff having spare time to do so. Any activities which are offered are Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 12 relatively sedate and do not actively engage all service users. Service users spoken to say that there is not much to do in the home. One person said “There’s not much to do, well nothing really, I prefer to sit here amongst the company but we don’t do anything” On the day of inspection two people were reading the newspaper in the sitting room and others watched television. Some people are actively involved in arts and crafts but tend to paint independently in their own rooms and there have been no attempts to provide shared facilities for them or opportunities to work together. A pantomime visit is planned for the weekend, which one or two people were looking forward to attending, other people spoken to did not express enthusiasm and said that they were not keen on leaving the home to go. There is a monthly newsletter shared with another home nearby which acknowledges birthdays and gives some information about forthcoming events including monthly open evenings for relatives, a quiz night at the end of the month and the Christmas party on Christmas Eve. Visitors are welcomed to Moorhouse Farm and on the day of inspection a number of people called in to visit. Service users spoken to say that the food in the home was very nice. On the day of inspection a hot lunch of gammon or toad in the hole was provided with cabbage, mashed potatoes, carrots and gravy. The menu board in the hall had not been updated and the printed menu provided for service users did not reflect what was served for lunch on that day. The menu sheets provided by the kitchen at Ashington Grange stated that gammon should have been served with pineapple, which was missing. None of these measures support service users to make an informed decision about the food they eat each day. Moorhouse Farm DS0000040473.V302820.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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints policy in place and service users complaints are dealt with appropriately. Service users are protected from abuse. EVIDENCE: There is a complaints policy in place at Moorhouse Farm and copies are made available to all service users. There have been no complaints made since the last inspection. Service users said that they were aware of their right to complain and said they would speak to Cheryl Glenton if they had a complaint. 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. A comprehensive induction programme has been introduced for new staff within the home since the last inspection, which covers awareness of abuse and the protection of vulnerable adults. Recruitment procedures within the home protect service users from abuse and staff files examined confirmed that Criminal Record Bureau checks are undertaken and references are followed up. Moorhouse Farm DS0000040473.V302820.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): Standards 19 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a safe well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: Moorhouse Farm is well maintained and clean with a maintenance worker who is there daily and operates an ongoing maintenance and repair programme and a decoration programme. Portable appliance testing is undertaken regularly and maintenance records are appropriately kept. Fire checks are undertaken regularly and records appropriately kept. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 15 Carpets in the hallway have been replaced and the hallway redecorated since the last inspection. Several bedrooms have been redecorated to a good standard since the last inspection. External contractors service equipment and deal with any operational difficulties in the home. Moorhouse Farm provides a pleasant welcome to visitors, the home is clean and odour free and domestic staff ensure that the home is clean and hygienic. Moorhouse Farm DS0000040473.V302820.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): Standards 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. Service user’s 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 recruitment policies and practices. EVIDENCE: Three staff files were looked at during this inspection. Each file contains evidence of written references and records, which show that Criminal Record Bureau checks have been done for each member of staff. In one file for a new member of staff POVA first checks were made while CRB checks are pending. Records in staff files demonstrate that recruitment practices in the home safeguard service users. Observations of staff showed that they had good communication skills and an understanding of the needs of service users. Staff appeared to be clear as to their work role and showed that they could work effectively together to provide care and support to people in their care. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 17 There are 18 care staff at Moorhouse Farm. 12 staff have NVQ level 2 or above. The manager has completed NVQ level 4 and has submitted her assessment file for the Registered Managers Award. Shifts are covered as follows. 8-3pm 1 senior care officer 2 care staff 3-10pm 1 senior 2 care staff 10-8am 2 care staff There is a commitment toward training and development at Moorhouse farm. 12 staff are now qualified to NVQ level 2 or above. The manager and deputy manager have completed NVQ level 4. The manager has submitted work for her Registered Managers Award since the last inspection and is awaiting assessment. Staff files contain records, which show that staff have attended mandatory training and have been given access to specific training, which may be linked to practice issues, or identified during supervision. Moorhouse Farm DS0000040473.V302820.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): Standards 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. Service users live in a home which is run and managed by a person of good character, who is fit to be in charge and able to discharge her responsibilities fully. The home is run in the best interests of service users. Service users financial interests are safeguarded. Staff are appropriately supervised. The health safety and welfare of service users and staff are promoted and protected Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 19 EVIDENCE: The manager has worked hard since the last inspection to develop the skills of her team and to safeguard the interests of service users in Moorhouse Farm. Filing systems within the home have improved since the last inspection and records and administrative systems are in good order. The manager has shown that she has a good understanding of care standards and the regulatory process and is committed to improving standards within Moorhouse farm. Individual accounts are maintained within the home and monies belonging to residents are kept securely in the safe. Records were available and confirmed that mandatory training is provided and that safe working practices are adhered to in relation to fire safety, moving and handling, first aid, food hygiene and infection control. Supervision records in staff files show that staff receive supervision on a regular basis every two months and written records are kept which inform training needs analysis and professional development of staff. Moorhouse Farm DS0000040473.V302820.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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 3 X 3 X 3 X X 3 Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16 (2) (m) (n) Requirement Consultation with service users should take place regarding activities. Routines of daily living and activities should be flexible and varied to suit service users expectations, preferences and capacities. Menu boards should be updated. Menu choices should accurately reflect meals provided to enable service users to exercise choice and control over their lives. Timescale for action 01/02/07 2. OP14 12(2) (3) 01/02/07 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 Work should be done to improve the quality of meals provision from the central kitchen. Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Moorhouse Farm DS0000040473.V302820.R01.S.doc Version 5.2 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. 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