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Inspection on 16/10/06 for Moorlands Nursing Home

Also see our care home review for Moorlands Nursing Home for more information

This inspection was carried out on 16th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

One Resident who spoke to the Inspector stated `its alright here, everything is laid on for you but its not as good as being at home`. This Resident went onto say that the food was fine but s/he didn`t take part in any activities, as s/he liked to watch the world go buy. This Resident stated that the `girls are nice and polite` and that s/he tried to do as much for her/him self but the staff were there to ask for help. Another Resident stated that now s/he had settled into the home s/he was fine. This Resident stated that the best thing about the home was that s/he felt safe knowing that someone was there s/he stated that `you just have to ring and someone is there`. This Resident stated that the staff were fine and the food was good especially home made cakes and scones, which s/he particularly enjoyed. This Resident stated that s/he had a telephone in her/his bedroom so that she could keep in touch with family and friends. A third Resident stated that s/he liked the home as s/he found it nice and quiet and the fact that the staff went with her/him to hospital appointments. This Resident went onto say that the food was very good and there were plenty of vegetables, which s/he liked. The daughter of a Resident stated that she was satisfied with the care provided to her Father. The Residents` who were being nursed in bed due to their physical frailty looked clean and comfortable.

What has improved since the last inspection?

Six bedrooms had been decorated and twenty-four bedrooms have had new curtains; new bedding, four pressure relieving mattresses and two hoist slings have been purchased. Crockery including china mugs and new table cloths have been purchased for the dining room.

What the care home could do better:

During the inspection there was no identified requirements or recommendations.

CARE HOMES FOR OLDER PEOPLE Moorlands Nursing Home Northgate Guisborough TS14 6JU Lead Inspector Julia Connor Key Unannounced Inspection 16th October 2006 10:00 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.V314676.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. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 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 Mrs Yvonne Elizabeth Southall Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Five individuals who are under the age of 65 are allowed to reside in the home. 13th February 2006 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.V314676.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took four hours and thirty-five minutes to complete. Six Residents’, one visitor and two members of staff spoke to the Inspector during the inspection. The current fee structure is £350 to £390 a week depending on the level of care the Resident requires. What the service does well: One Resident who spoke to the Inspector stated ‘its alright here, everything is laid on for you but its not as good as being at home’. This Resident went onto say that the food was fine but s/he didn’t take part in any activities, as s/he liked to watch the world go buy. This Resident stated that the ‘girls are nice and polite’ and that s/he tried to do as much for her/him self but the staff were there to ask for help. Another Resident stated that now s/he had settled into the home s/he was fine. This Resident stated that the best thing about the home was that s/he felt safe knowing that someone was there s/he stated that ‘you just have to ring and someone is there’. This Resident stated that the staff were fine and the food was good especially home made cakes and scones, which s/he particularly enjoyed. This Resident stated that s/he had a telephone in her/his bedroom so that she could keep in touch with family and friends. A third Resident stated that s/he liked the home as s/he found it nice and quiet and the fact that the staff went with her/him to hospital appointments. This Resident went onto say that the food was very good and there were plenty of vegetables, which s/he liked. The daughter of a Resident stated that she was satisfied with the care provided to her Father. The Residents’ who were being nursed in bed due to their physical frailty looked clean and comfortable. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 6 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. Moorlands Nursing Home DS0000055586.V314676.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 Moorlands Nursing Home DS0000055586.V314676.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents have their needs assessed prior to them being admitted to the home. EVIDENCE: There was evidence in the Residents’ care documentation that they had been assessed either by the Social Worker or the discharging ward prior to moving into the home. The Manager or her representative carries out a pre admission assessment. Moorlands Nursing Home DS0000055586.V314676.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to the service. The Residents’ health, personal and social needs are recorded in an individual plan of care and their health care needs are met. Residents’ feel they are treated with respect and dignity and their privacy is upheld. The home has a policy and procedure for medication. No Resident currently administers his/her own medication. EVIDENCE: The Manager is currently reviewing care documentation. Three sets of Residents’ care files were audited and all contained an adequate amount of information. There was evidence that the Residents’ or their representative had agreed the plans of care. Doctors, District Nurses, Chiropodists etc are requested to visit the Resident as and when necessary. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 10 There is a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. No Resident currently administers his/her own medication. The Residents’ who spoke to the Inspector stated that the staff always treat them with respect and dignity. One Resident stated that the staff always had a chat with him/her while assisting him/her to dress, which s/he liked. Another Resident stated ‘the home is nice and quiet and the staff come when I ring for them’. This Resident went onto to say that the staff always make sure that they shut the bedroom door when attending to her/his needs. Moorlands Nursing Home DS0000055586.V314676.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ are satisfied that the home meets their social, religious and recreational needs. Residents’ maintain contact with their family and friends and are encouraged to make decisions regarding their everyday lives. Residents’ receive a wholesome appealing diet served in pleasant surroundings. EVIDENCE: There is a company activities organiser as well as two members’ of staff who are responsible for organising activities and trips out. Activities take place on an afternoon. The Inspector was informed that new material to aid the activities is about to be purchased and work is currently taking place to update the recording of what activity a Resident does or does not participate in. One resident stated that s/he did not take part in the activities on offer, as s/he liked to the watch the world go by. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 12 Two other Residents’ stated that they stayed in their bedroom but kept occupied by watching T.V and one of these Resident’s had audio books to listen too. There were visitors’ in the home on the day of the inspection. The Residents’ who spoke to the Inspector stated that their visitors’ were always made welcome; the visitor who spoke with the Inspector confirmed this. Many of the Residents’ had telephones in their bedroom. Many of the Residents’ who spoke to the Inspector said that they were as independent as possible but the staff were available should help be required. The Residents’ and staff who spoke to the inspector were very complimentary about the food served to them. A Resident told the inspector that if you did not want what was being served you just had to ask for something else and it was there. One Resident stated that the food was very good and you get plenty of vegetables’. Other Residents’ stated that the food was good and they always enjoyed the homemade food that the cook prepared for them. The staff stated that the food was good and varied and one member of staff ate at the home and certainly had no complaints. One member of staff stated that whilst assisting Residents’ to eat they had told her they liked the food. Moorlands Nursing Home DS0000055586.V314676.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ are confident that their complaints will be listened to seriously and action taken. There are policies and procedures in place to follow should abuse be reported. EVIDENCE: There is a complaints policy and procedure in place, which outlines the stages the complainant should take to make a formal or informal complaint. Complaints are recorded appropriately and a re available for inspection. The Residents’ and visitor who spoke to the Inspector were confident that should they make a complaint it would be taken seriously and acted upon. Policies and procedures are in place in relation to adult protection and prevention of abuse. The home has a copy of the Teeswide No Secrets Protection of Vulnerable Adults Guidance. There was evidence that training had been given regarding the Protection of Vulnerable Adults. The staff that spoke to the inspector were aware of the action to take should they witness any form of abuse. Moorlands Nursing Home DS0000055586.V314676.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The Residents live in a clean, hygienic and well-maintained environment and have access to comfortable indoor and outdoor communal facilities. EVIDENCE: On the day of inspection the home was clean, pleasant and odour free. The Residents’ and the staff who spoke to the inspector were satisfied with the décor of the home. There is a conservatory and pleasant patio area at the rear of the home. Six bedrooms had been decorated and twenty-four of the bedrooms have had new curtains. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 15 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, 29 and 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The duty rota indicated the appropriate number of staff where present in the home on the day of the inspection. Staff are being trained to NVQ level 2 which should ensure that they can meet the Residents’ needs. The Residents are protected by the home’s recruitment practices and staff receive training to enable them to care for the Residents’. EVIDENCE: An audit of the duty rota showed that there was one qualified nurse and five care assistants’ on duty for the day shift, one qualified nurse and four care assistants’ on duty for the evening shift, and one qualified nurse and two care assistants’ on duty on a night shift. The Manager recorded in the pre-inspection questionnaire that 76 of the care staff had an NVQ level 2 or 3 in care. An audit of three personnel files showed that the home complied with the requirements stipulated in Schedule 2 of the Care Home Regulations 2001. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 16 The training file was audited and showed that training had taken place, for example manual handling, fire and infection control. Staff who spoke to the Inspector confirmed that training takes place. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 17 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, 33, 35 and 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The Manager has the experience to ensure that the needs of the Residents’ are met. There was evidence that quality assurance and quality monitoring takes place. The Residents’ personal finances are safeguarded and there are polices procedures in place for the staff to access. EVIDENCE: The Manager has the experience to ensure that the needs of the Residents’ are met. The Residents’ and staff spoke well of the Manager. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 18 There is a quality assurance and quality monitoring system in place within the home. Monthly regulation 26 reports are sent to the Commission for Social Care Inspection. There is a policy and procedure in place for Residents’ finances. Individual records are kept of all the money a Resident received and spends and receipts are obtained and kept in their individual wallet. The home has Health and Safety policies and procedures in place. The Manager had recorded in the Pre-inspection questionnaire that equipment was maintained as required for example the lift had been serviced on the 13th April 2006 and the emergency lighting on the 15th June 2006. Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 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 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 3 13 3 14 3 15 4 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 Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 Page 20 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.V314676.R01.S.doc Version 5.2 Page 21 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 © 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 Moorlands Nursing Home DS0000055586.V314676.R01.S.doc Version 5.2 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. 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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