Inspection on 10/08/05 for Moorland House

This inspection was carried out on 10th August 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 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

Moorland House 09/08/06

Moorland House 21/11/05

Moorland House 15/12/04

Moorland House 15/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Moorland House Station Road Hathersage Hope Valley S32 1DD Lead Inspector Ray Coonan Unannounced 10 August 2005 1.00pm 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. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Moorland House Address Station Road Hathersage Hope Valley Derbyshire S32 1DD 01433 650582 01433 650795 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) Methodist Homes for the Aged Florence Efua Nyarko Doku CRH PC Care Home only 33 Category(ies) of 33 Places OP Old Age registration, with number of places Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus One (1) Day Care Place Date of last inspection 23/12/04 Brief Description of the Service: The home is a large Victorian building, which has been extended and is situated close to the facilities of Hathersage village. There are two floors, which have several levels. The home is registered for up to 33 residential beds for older people. All bedrooms are single. Support services are available locally, including GP and other health services. The home is lookinging to change its present registration to a care home for up to 48 older people, including nursing residents. New extensions are in the process of being built, and the current home will be upgraded and refurbished as part of the same process. Because of ongoing building works the home is currently providing a service to 27 residents. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of 4 hours on the 10th August. The first part of the visit was specifically looking at the new build bedrooms on the South Wing extension. This was to assess their viability for use so that some residents could be transferred and allow the upgrading of the established part of the Home to proceed. Because the general environment is in such a state of transition the overall premises were not assessed at this point. However, during the visit the Home’s care planning services were examined, including a variety of documentation such as care plans. There was also the opportunity to speak with several residents and staff, either individually or in small groups, and the manager, Florence Doku, was present throughout the visit. Some groups of standards, such as those relating to Staffing and Management of the Home were not assessed on this occasion, but will be covered at the next inspection following the completion of the alterations to the Home. What the service does well: What has improved since the last inspection? What they could do better: Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 6 The maintenance of care plans needs to be more closely monitored. 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. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 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 Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 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) 1,3 and 5. The Home had clear admission criteria and processes so that prospective residents were given a wide range of information on the services available and were appropriately involved in assessing their needs. EVIDENCE: The Home had a comprehensive Statement of Purpose and this has been recently been updated so as to reflect the Home’s proposed new registration, which will include an element of nursing care for residents. The Home’s philosophy of care is clearly laid out and the services available are suitably described. The Home also has a satisfactory service user guide, which is under review. Examples of the assessment process for prospective residents were viewed and these were well structured and thorough. Assessment information was kept in a separate file and there were clear procedures for direct contact from the Home before any admission and the collation of other information such as community care or health assessments was also evident. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 9 The manager stated that trial visits to the Home were offered and with any admission the first 2 weeks were viewed as an initial trial period for both parties. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 10 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) 7,8,9, and 10. The Home has a warm and responsive atmosphere combined with an organised approach to assessing and promoting the general care needs of the residents. This was undermined to an extent by some inconsistent development of care plans. EVIDENCE: Each resident had an individual care plan and a sample of these was viewed during the visit. These were generally well organised and accessible using a standard format that included, apart from the actual care plan, information on daily routines and preferences. There was a real sense of each resident as an individual through the establishment of personal assessments and profiles and risk assessments were also evident regarding such areas as mobility and skin integrity. The plans were wide ranging in their assessment of need, included spiritual and social factors, and were kept under review. From discussions with residents and evidence on files it was clear that residents and/or their representatives would be involved in the care planning process. However, a care plan for one resident, who had been at the Home since March of this year, had not been developed at all. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 11 The general physical and emotional health needs of residents were also appropriately covered in care plans and a separate file for each resident was maintained detailing medical records and appointments. There were clear policies and procedures in place for the handling and administration of medicines and care files contained forms for detailing responsibility when residents kept and administered their own medication. Residents spoken to were very positive regarding the attitudes and care practice of staff at the Home. Staff were viewed as warm and friendly without being condescending and “do everything so willingly”. One resident also said that since coming to the Home she had never laughed so much. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 12 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) 12,13,14 and 15. Residents are provided with a stimulating range of activities at the Home and were encouraged to express their opinions and wishes. Contacts with the local community and families and friends were also appropriately facilitated. Residents were provided with varied meals of a good nutritional standard. EVIDENCE: The Home has an activities coordinator who was described as “very creative” by one resident and “open to ideas”. There was a consensus amongst residents spoken to that a good range of social activities were provided. A monthly programme was developed in consultation with residents and this included quizzes and art and craft activities. It was also confirmed that regular trips out, locally and further a field, were organised as the Home has its own minibus with a lift for wheelchairs. Residents also stated that they used local facilities in the village accompanied by family or volunteers. A recent garden party was said to be well attended by the local community and successful in raising funds for the Home. Regular services were also held in the Home. The Home had T.V., music facilities available and also lots of reading material. There was no sense of any undue emphasis on routines at the Home and comments from residents backed up documentation, which indicated that they Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 13 were actively consulted and their views and wishes respected. Regular resident meetings were held at the Home. Menus were seen to be varied and nutritious and residents commented positively on the standard of meals provided, stating that their specific dietary needs or preferences were taken into account and that alternatives were available if requested. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 14 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) Standards in this section were not assessed on this occasion. EVIDENCE: Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 15 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. The Home continues to be upgraded and extended in a safe and responsible manner, though the ongoing work is disruptive for residents and staff. EVIDENCE: As stated earlier because of ongoing building work to the Home, which is proceeding on a phased basis, the Home’s environment was not assessed in any detail. Newly built rooms on one wing are shortly to be occupied by some residents in order to enable further improvements to existing parts of the room and another extension area. These rooms were viewed and felt to be ready for occupation following some minor works to be completed. Residents do not have any accessible garden areas at the moment. Comments from some residents indicated that they were finding the situation stressful but on the whole they were philosophical about the changes and confirmed that they were kept informed regularly as to the progress of the work programme and stated that staff were supportive and sensitive to their feelings. Discussions with management and building contractors demonstrated a satisfactory awareness of residents’ interests and health and safety issues. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 16 The Environmental Health Officer recently inspected parts of the building and has recommended that the kitchen floor surface should be replaced. The Home was also advised to undertake a risk assessment concerning Radon Gas. Finally it was also noted that the kitchen area required repainting. Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 17 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) Standards in this section were not assessed on this occasion. EVIDENCE: Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 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 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) Standards in this section were not assessed on this occasion. EVIDENCE: Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 19 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 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 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 Standard No 16 17 18 Score x x x x x x x x x x x Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 20 no 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. 3. Standard 7 19 19 Regulation 15 13 23 Requirement All residents must have a fully developed care plan. The recommendations of the Environmental Health Officer must be acted on. The kitchen must be repainted Timescale for action 30 September 2005 31 October 2005 30 November 2005 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 Good Practice Recommendations Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby DE1 3QT 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 Moorland House C52-C02 S20057 Moorland House V244141 100805 Stage 4.doc Version 1.40 Page 22 - 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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