Inspection on 31/01/07 for Moorlands Residential Care Home

This inspection was carried out on 31st January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Moorlands Residential Care Home 24/08/07

Moorlands Residential Care Home 23/05/06

Moorlands Residential Care Home 19/01/06

Moorlands Residential Care Home 13/07/05

Moorlands Residential Care Home 16/03/05

Moorlands Residential Care Home 18/06/04

Moorlands Residential Care Home 17/03/04

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 Moorlands Residential Care Home Moorlands 57/61 Stanhope Road Darlington Durham DL3 7AP Lead Inspector Rachel Dean Unannounced Inspection 9:30 31st January – 9 February 2007 th 31/01/07 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 Residential Care Home DS0000000811.V326800.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 Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorlands Residential Care Home Address Moorlands 57/61 Stanhope Road Darlington Durham DL3 7AP 01325 487413 01325 487413 moorlands911@aol.com 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) Mr David Hodgson Smith Mrs Michelle Smith Mrs Michelle Smith Care Home 19 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (1), Old of places age, not falling within any other category (17) Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Rooms 18 & 19 Are to be occupied at all times by independently mobile service users 22nd September 2006 Date of last inspection Brief Description of the Service: Moorlands Residential Care Home is registered as a care home for older people, providing care and accommodation for up to nineteen residents. The home is made up of a converted terrace of town houses and is pleasantly situated, overlooking a park and within walking distance of Darlington town centre. The home’s bedrooms and communal spaces are arranged over four floors, with a passenger lift providing access to three floors. Bedrooms are located throughout the building. Two of the bedrooms are only accessible by stairs and a condition of registration has been made requiring that these rooms are occupied only by people who are independently mobile. Communal space in the home includes two lounges, a dining room and a patio and garden area to the rear of the property. Communal toilets, two bathrooms and a shower room are located throughout the home. At the time of this inspection it cost £334 per week to live at Moorlands. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, undertaken on 31st January 2007 by two inspectors. A second visit was undertaken on 9th February by one inspector, to ensure that some urgent work had been undertaken. During this inspection the inspectors looked around the building, observed the lunch time meal, examined a selection of records, spoke to people living in the home and spoke to visitors, staff and the homes owners and management. Six people who live in the home completed a questionnaire, sharing their views of what it was like to live at Moorlands. What the service does well: What has improved since the last inspection? What they could do better: General maintenance of home still needs to be improved. Some areas continue to look tired and worn, with broken and worn furniture. The standard of cleanliness in the home also needs to be improved. This was mainly due to cleaner being on holiday at the time of the inspection and no additional staffing Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 6 having been arranged to cover this. These things are important so that residents have a nice and safe place to live. Some aspects of infection control need attention, such as the practice of hand soaking soiled laundry and use of communal towels and bar soap in communal toilets. This is important so that residents and staff aren’t put at unnecessary risk from infection. Staffing levels in the home need to be carefully monitored and reviewed by the homes management. Concerns were raised about the cleaner not being replaced when on holiday, care staff being expected to do additional tasks (laundry, cleaning, tea time meal preparation and activities), some highly dependent residents now living in the home and some service user comments about the time staff had to spend with them. Some comments made by people living in the home included ‘they (staff) don’t have time to talk, moral’s low among carers and transfers to residents’ and ‘ there’s rarely anyone available to take you anywhere’. Moorlands owner and manager need to make improvements in these areas and have been required to provide an update on their progress in meeting the requirements and recommendations made in this report to CSCI every two months. 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. Moorlands Residential Care Home DS0000000811.V326800.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 Residential Care Home DS0000000811.V326800.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): 2&3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are provided with information about the home’s terms and conditions, but these do not currently contain all of the information that they should. People have their needs assessed before they come to live at Moorlands and are able to visit the home before admission if they wish to. However, prospective residents should receive written confirmation that the home can meet their needs before admission. EVIDENCE: People are provided with information about the home, including their terms and conditions, when they move in to Moorlands. However, the home’s current terms and conditions or contracts need to be reviewed in light of The Office of Fair Trading’s report on ‘Fair Terms for Care’. This is important so Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 9 that people have clear and fair written agreements about the service they should receive from the home. The home should keep a signed copy of each person’ terms and conditions or contract for its own records. Before people move into Moorlands they have their needs assessed and can visit the home to look round and decide if they want to live there. Records of assessments by the home and other professionals were available in people’s care records. This assessment process helps to make sure that staff at Moorlands know about people who move in to the home and that the home can meet people’s needs. However, admissions to the home must only take place when the home has confirmed to the prospective resident in writing that the home can meet the needs of the individual. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Each person has a detailed plan of their care, which provides staff with detailed information about each person’s needs and preferences. People’s health care needs are met by staff and through the involvement of health professionals where this is appropriate. The management, administration and storage of medication is carried out appropriately, so people receive the medication they need safely. Staff at Moorlands treat people well and in ways that respected their privacy and dignity. EVIDENCE: Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 11 A new service user plan has been developed for each service user. This plan identifies each person’s health and personal care needs. This ensures that staff are clear about what is required of them and the care they need to provide to meet people’s needs. The care plans of four service users were inspected. They were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. They described the ‘finer detail’ of service users requirements that make sure service users really do receive individual planned care and support. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. As part of the inspection the community nurses were asked their opinion of the home. They felt that continence and skin care were currently being handled appropriately at Moorlands. The management and administration of medication is carried out appropriately and audited on a regular basis. Medication administration records were inspected and completed properly. Medication was seen to be stored correctly. During the inspection the interaction between staff and people living in the home was observed. Staff were seen to be treating service users with respect and dignity and this was also reflected within the care plans. Staff were friendly and talked and laughed with the people they were looking after. People who live at the home generally felt that staff treated them well and that they were happy living in the home. Comments made by people who live in the home included, ‘I like it here’, ‘oh, they’re all lovely’, ‘the girls are kind’ and ‘I have nice friends here’. A visitor to the home said ‘the staff are lovely they really do treat older people with care and respect’. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally service users were satisfied with the activities provided at the home. However, due to inadequate staffing levels service users sometimes were not able to exercise full choice and control over how they spent their days. People living in the home can have visitors when they want to and those who are able can go out of the home to use local facilities. However, this is limited to when enough staff are available to accompany people. Routines in the home are flexible, but people’s individual lifestyle choices are sometimes limited due to the availability of staff. Moorlands provides a traditional menu for its residents, with alternatives made available at meal times and snacks provide between meals. EVIDENCE: Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 13 The home does not employ a specific, designated activities coordinator, relying on one of the care staff to coordinate activities in the home. Regular activities include bingo, film afternoons and evenings, a weekly visit from a manicurist, exercise classes and visits from entertainers. The home has access to a mini bus for outings. Service users had mixed views about the activities provided in the home, with some people feeling that they would like more trips out, while other people were happy with the activities provided. Staff felt that sometimes activities couldn’t be a priority, because they were busy doing other care tasks or domestic duties. Comments made about the activities included, ‘we don’t get much games, that’s the point, once we got games nights, but we don’t anymore’ and ‘rather than the musical activities a lot I would personally rather have more mini bus trips’. The home has an open visiting policy, with people being able to visit the home at times convenient to them and their relative or friend. Residents and visitors who were spoken to during this inspection confirmed that visitors could come and go as they want and that there were no unnecessary restrictions on visiting times. Some people living in the home were able to go out alone or with staff (when staffing levels allowed) to visit local shops and facilities. Discussions with the home’s owners, residents and staff working at the home indicated that people working at the home are caring in nature and that they try hard to provide person centred care. The home’s routines around getting up and going to bed were thought to be flexible, as were the arrangements for having visitors. Overall people felt that staff did their best to provide choices and individual care, but that this wasn’t always fully possible because of restraints on staff time and resources. Comments included ‘they (staff) don’t have time to talk, moral’s low among carers and transfers to residents’ and ‘ there’s rarely anyone available to take you anywhere’. The home’s menus showed that a variety of traditional meals are provided, with a main meal and pudding at lunchtime and sandwiches or a cooked alternative in the early evening. No formal alternative is available at lunchtime, but residents confirmed that alternatives were available if you asked for them. The kitchen staff go home after lunch, so care staff are responsible for preparing and serving the tea time meal. Comments made about the food included ‘it’s fair to middling’ and ‘oh, it’s nice’. Observations made during lunch included staff asking people what they wanted (for example, what vegetables they wanted and what portion sizes) and the meals served looked generous and appetising. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy and procedure is in place and records suggested that complaints were being handled appropriately by the home. Service users can be confident that their concerns and complaints are dealt with appropriately. The home has in place policies and procedures that tell staff what to do if they suspect abuse or bad practice. This means that residents can be confident that safeguards are in place to protect them from abuse. EVIDENCE: The home has in place a complaints policy and procedure and a complaints records was available and was inspected. There have been no recent complaints made directly to CSCI about Moorlands or made directly to the owners themselves. Previous complaints appeared to have been investigated appropriately. Policies and procedures for referring appropriate staff for inclusion on the Protection of Vulnerable Adults (POVA) list and for handling adult protection allegations are in place. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Parts of the home are in need of redecoration and refurnishing and a realistic maintenance plan needs to be developed. This is important so that people have a safe and pleasant place to live and work in. Some aspects of hygiene and infection control need to be improved at Moorlands. This is important so that people have a safe and clean place to live and are not put at unnecessary risk of infection. EVIDENCE: Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 16 Moorlands is an older property that has been converted from a terrace of houses. Some areas of the home have been redecorated and refurnished over the last couple of years and provide pleasant and homely accommodation. However, other parts of the home need to be redecorated and refurnished as the decor and furniture is looking worn and shabby. Other maintenance issues were also identified, such as missing pull chords on emergency alarm pulls and some rooms that smelled unpleasantly. The home’s owner and manager need to produce a realistic maintenance system and plan, that helps to identify and prioritises maintenance jobs. This is important so that the home is well maintained and provides a safe and pleasant place for people to live. The home does not have a dedicated laundry assistant, with care staff being responsible for doing the laundry for both the home and the external laundry service. On the day of this inspection the home’s cleaner was on holiday for three weeks and no alternative domestic cover had been arranged. Care staff were being expected to keep on top of the cleaning, in addition to their care work. There was evidence that this was not being effective, with dirty commodes and bathrooms seen during the inspection and cleaning work not being completed as quickly as it should be. Sufficient domestic staff must be provided at all times, to make sure that people live in a clean and hygienic environment. On 29th January 2007 the home was visited by an environmental health inspector, who inspected the arrangements for food storage and preparation. Moorlands owner and manager should make sure that they address the things that were raised during this inspection. For example, some aspects of maintenance and cleaning in the kitchen. Some infection control issues also need to be improved, to make sure that staff and people living in the home are not put at risk of infection. For example, the hand soaking of soiled laundry should stop and the sluicing programme on the washing machine should be used instead. The home should provide specialist laundry bags that dissolve in the wash, to reduce the handling of soiled laundry. The use of bar soaps and hand towels in communal bathrooms should be replace by paper towels and soap dispensers, as these are more hygienic and will minimise the spread of infection. In addition to this all communal nail brushes and toiletries should be removed from communal bathrooms. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels in the home are not always sufficient. They need to be regularly reviewed to make sure that sufficient care and domestic staff are always provided at Moorlands. People living at the home are protected by safe recruitment procedures, that include Criminal Records Bureau (CRB) disclosures. Staff receive training in key areas, including National Vocational Qualifications (NVQs), so that they are competent to do their jobs. However, training is not always provided as quickly as it could be for new staff or for staff who need training updates. EVIDENCE: Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 18 At the time of this inspection the home’s cleaner was on holiday for three weeks, and alternative cover had not been provided. Discussions with residents, relatives and staff confirmed that care staff were doing their best to cover the domestic tasks as well as their usual care duties. However, care staff at Moorlands are also responsible for carrying out the laundry (including the external laundry service) and for the preparation and serving of the tea time meal, because the kitchen staff finish work after lunch. Care staffing levels were being maintained at the following levels: Two care staff and deputy manager in the morning and early afternoon, then two care staff for the afternoon, evening and night shift. Care staff levels in the home must be reviewed regularly, taking in to account the individual dependency levels of the residents, the lay out of the building and additional tasks that care staff are expected to do (for example, laundry, activities, serving and preparation of some meals). Sufficient numbers of domestic staff must also be provided at all times. During this inspection the recruitment records for two new care staff were inspected. These records showed that their recruitment had included an application form, interview and that the necessary checks had been completed before they started work. The two staff files inspected showed that both new staff had received induction training and had a plan in place for the training that they needed. This plan included timescales, although some of these had passed without the training being provided. Planned training included first aid, fire awareness, moving and handling and food hygiene. Discussions with the home’s owner and manager indicated that new dates were being organised and that the training would go ahead. A rolling programme of training needs to be arranged to make sure that staff get the training and updates they need with in reasonable timescales. The home encourages staff to complete NVQ training, with the majority of staff having completed an NVQ. However, training in the needs of people with learning disabilities has still not been provided and would be beneficial, due to the needs of some of the residents living at the home. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has suitably qualified and experienced owners. However, the owners need to bring about sustained improvements in order to demonstrate their capacity to manage the home. Improvements in the homes own quality assurance systems are still needed. This is important so that they become better at identifying problems and making improvements in a more timely way. Safe systems are in place to help service users manage their personal monies, where this assistance is needed. Supervision systems for staff are in place, but supervision sessions don’t always take place as often as they should, particularly for new staff. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 20 Important health and safety checks and maintenance are up to date. However, staff fire training should be updated more frequently and portable appliance testing (PAT) should be carried out. EVIDENCE: Moorlands Residential Care Home is owned and managed by Mr and Mrs Smith, who have run a care home for many years. Mrs Smith is the registered manager of the home and has achieved the registered managers award (RMA) and appropriate care qualifications. Residents, staff and visitors to the home were very complimentary about the owners’ caring nature and approachability. However, the manager is also currently registered as the manager of a domiciliary care agency and there is concern that this additional role is impacting on the managers ability to effectively manage the care home. These concerns have been raised by the large number of outstanding requirements and recommendations identified during previous inspections and the time it has taken to bring about improvements. As a result of this it is required that an alternative manager is registered for the domiciliary care agency, so that the registered manager of Moorlands can concentrate on fulfilling their management responsibilities for the care home. The home’s management must continue to make sustained improvements in the areas identified in this report, to demonstrate to CSCI that they have the capacity to manage Moorlands appropriately. The home’s formal Quality Assurance system is not fully implemented and this needs to be developed. However, the home does have some elements of quality assurance that are already in place. These include resident meetings that are held approximately every three months and regular staff supervision. However, given the concerns raised during this and previous inspections, about the maintenance of the building and domestic staffing levels, there are still some concerns about the provider’s ability to independently identify and address problems within appropriate timescales. The records regarding administration of residents’ personal allowances and monies were inspected. All transactions are recorded correctly and receipts are kept. The personal allowance sheets of some service users were inspected; these had been completed properly and demonstrated a clear audit trail. The cash held on behalf of several residents was counted and tallied with the written records. Systems for staff supervision are in place. However, supervision records showed that only one of the two new staff who started work in October 2006 had received a formal supervision session. Staff should received formal Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 21 supervision once every two months. This is especially important for new staff, to make sure they are doing a good job and understand their new responsibilities. The home’s health and safety policy and procedure has recently been reviewed and has been accepted by the local commissioning authority. The home’s electrical installations certificate and other maintenance certificates (such as the Landlords Gas certificate and servicing of lifting equipment) are up to date. A fire risk assessment has been completed and was last reviewed in October 2006. However, although fire training is provided staff would benefit from refresher fire training or drills more often. Portable Appliance Testing should also be carried out as soon as possible, in line with the environmental health officers recommendation. Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 22 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 2 2 X X X 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 2 X X X X X X 1 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 3 X 2 Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 23 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 OP2 Regulation 5A Requirement The terms and conditions/contracts used by the home must be reviewed in line with The Office of Fair Trading’s report ‘Fair Terms for Care’. The home must provide confirmation to prospective residents, in writing and before admission, that the home can meet their needs. It is required that a regular maintenance audit of the premises is carried out to identify maintenance tasks that need to be done. A maintenance plan must be produced covering how and when identified tasks will be completed. This remains outstanding from the previous inspections - timescale of 31/07/06 not met. Staffing levels must be regularly reviewed, taking in to account the dependency levels of service users, the layout of the building and any additional tasks (such as, activities, laundry and the DS0000000811.V326800.R01.S.doc Timescale for action 30/04/07 2. OP3 14(1)(d) 30/04/07 3. OP19 23(1), 23(2)(b) & (j) 31/03/07 4. OP27 18(1)(a) 30/04/07 Moorlands Residential Care Home Version 5.2 Page 24 preparation and serving of meals) that care staff are expected to do. 5. OP27 18(1) & 23 (2)(d) 24 Adequate numbers of domestic staff must be provided at all times. Effective quality assurance and quality monitoring systems must be put in place and should include consultation with service users and their representatives. This Requirement remains outstanding from previous inspections - timescale of 31/08/06 not met. The manager must be able to discharge their management responsibilities fully. The registration of an alternative manager for the domiciliary care agency must be sought. This remains outstanding from the previous inspection - timescale of 31/10/06 not met. The provider must provide an improvement plan and updates on their progress with this plan on a two monthly basis. Adequate fire training must be provided to staff. Day staff should complete refresher fire training/drills every six months and night staff should complete refresher training/drills every three months. 28/02/07 6. OP33 30/06/07 7. OP31 10(1) 31/03/07 8. OP31 24A 30/04/07 9. OP38 23(4)(e) 28/02/07 Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 25 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 OP19 Good Practice Recommendations The recommendations made by the environmental health officer during his visit on 29th January 2007 should be addressed. The hand soaking of soiled laundry should stop and the sluicing programme on the washing machine should be used instead. Communal nail brushes and toiletries should be removed from bathrooms. The use of bar soaps and hand towels in communal bathrooms should be replace by paper towels and soap dispensers, as these are more hygienic in communal facilities. Training in the area of Learning Disabilities is recommended. This recommendation is outstanding from the previous inspections. Staff supervision sessions should take place on a two monthly basis. It is recommended, in line with the Environmental Health Officer’s recommendation, that regular portable appliance testing (PAT) is arranged to ensure that the electrical appliances used in the home are safe. This recommendation is outstanding from the previous inspections. 2. OP26 3. 4. OP26 OP26 5. OP30 6. 7. OP36 OP38 Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Moorlands Residential Care Home DS0000000811.V326800.R01.S.doc Version 5.2 Page 27 - 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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