This inspection was carried out on 13th 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.
CARE HOMES FOR OLDER PEOPLE
Moorlands Nursing Home Northgate Guisborough TS14 6JU Lead Inspector
Julia Connor Unannounced Inspection 13th February 2006 10:40 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 Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Moorlands Nursing Home Address Northgate Guisborough TS14 6JU 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) 01287 630777 01287 630374 Mr George Dixon Mrs Susan Olive Ellis, Mrs Angela Catherine Allick, Mr Michael Dixon Miss Rachel Margaret Dewdney Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Five individuals who are under the age of 65 are allowed to reside in the home. 7th July 2005 Date of last inspection Brief Description of the Service: Moorlands is a care home providing both nursing and personal care for older people. It is a two storey purpose built home providing both single and shared accommodation for 29 Residents. There are 21 single bedrooms and 4 double bedrooms. The single bedrooms are a minimum of 10 sq.m and the double bedrooms are a minimum of 16 sq.m. There is a passenger lift giving access to the upper floor. There is a large lounge, conservatory and a communal dining room on the ground floor. Moorlands is situated close to local shops and amenities. There is a car park at the rear of the home. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection commenced at 10.40 a.m. and concluded at 2.00 p.m. Four Residents, one visitor and two members of staff were spoken to during the inspection. Seven Residents’ returned comment cards regarding the home and the care they received. What the service does well: What has improved since the last inspection?
Residents’ and/or family members are now involved in the planning and reviewing of the care provided. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 Page 6 The conservatory is now only used by the Residents’ who smoke therefore the amount of smoke has reduced dramatically. The personnel files now contain the required information. 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.
Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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 Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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): 3 Residents’ have their needs assessed by professionals prior to their admission to the home, which the Resident and/or their family member participate in. EVIDENCE: Four Residents’ files were audited and there was evidence that the Resident had been assessed by the appropriate professional prior to being admitted to the home; and that the Resident and/or their family member had been involved in the assessment. The Manager or her representative also carries out a pre admission assessment. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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 and 10 The Residents’ health and personal care needs are recorded appropriately and Residents’ feel that they are treated with respect and dignity and that their privacy is respected. EVIDENCE: The assessments audited contained the required information. Care plans were written once a need had been identified within the assessment process. Risk assessments had been written once a risk had been identified in the assessment process or following an evaluation of a care plan. Care plans are reviewed as stipulated. There was evidence to show that the Resident and/or their representative had been involved in the assessment, planning or review of their care. The Residents’ who spoke to the Inspector stated that the staff were kind and caring and that they where treated with respect and that their privacy was maintained, for example one Resident stated that the staff walked with her to the toilet but then left her alone until she called for help to return to the lounge. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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): 13 and 14 Residents are able to maintain contact with family and friends; and are encouraged to make choices in their every day lives. EVIDENCE: The Residents who spoke to the Inspector stated that they maintained contact with their family and friends. On the day of the inspection there was a daughter visiting with her Mother, as well as other visitors’ in the home. The Residents’ who spoke to the Inspector stated that there were encouraged to make their own decisions regarding their every day lives. One Resident stated that she would prefer to be in her own home but knew that she could not care for herself. She stated that she still had control over her life for example she could sit in her bedroom and read or she could go into the lounge and mix with the other Residents’. She stated that she did as much for herself as she could but knew that the staff was there should she require assistance. Another Resident stated that he felt that he still maintained control of his life, but the staff was kind, caring and available to offer help. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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): 18 There are polices and procedures in place to follow should abuse be reported. EVIDENCE: Policies and procedures are in place in relation to adult protection and prevention of abuse. The staff that spoke to the Inspector explained the action to take should they witness any form of abuse taking place within the home. The home has a copy of the Teeswide No Secrets Protection of Vulnerable Adults Guidance. Residents’ who spoke to the Inspector stated that they felt safe in the home and would speak to a family member of ‘the nurse’ if they had any concerns. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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): 19 and 26 Residents live in a well-maintained environment, which is clean and hygienic. EVIDENCE: The home is well maintained. There is a maintenance programme in place. The Residents who spoke to the Inspector were happy with the décor of the home. Only those Residents who smoke use the conservatory; staff now have their own area where they are allowed to smoke. On the day of the inspection the home was clean and hygienic. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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, 28 and 29 Residents’ needs are met by the number of staff on duty. Staff has been trained to NVQ level 2 which should ensure that they can meet the Residents’ needs. The Residents’ are protected by the home’s recruitment procedure. EVIDENCE: An audit of the duty rota was carried out. There is one trained nurse and five care assistants on the morning shift, one trained nurse and four care assistants on the afternoon and evening shift and one trained nurse and two care assistants on the night shift It was recorded in the pre-inspection questionnaire that 90 of the staff have an NVQ Level 2 or 3 in care. Four personnel files were audited; all contained the required information as stipulated in Schedule 2 of the Care Homes Regulations 2001. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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 and 38 There is no Manager currently in post; therefore the General Manager is supervising the home. The health, safety and welfare of Residents and staff are promoted. EVIDENCE: The Inspector was informed that a Manager had been recruited and would commence employment on 1st April 2006 and would apply for registration with the Commission for Social Care Inspection. The last Manager recorded in the pre-inspection questionnaire that equipment was maintained as required, for example the hoists’ were serviced in August 2005 and the fire equipment was serviced in September 2005. There are Health and Safety Policies and Procedures in place. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 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. 1 Refer to Standard OP31 Good Practice Recommendations The proposed Manager should apply for registration with the Commission for Social Care Inspection prior to taking up the post. Moorlands Nursing Home DS0000055586.V250123.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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