CARE HOME ADULTS 18-65
Moorleigh Residential Care Home Ltd Lummaton Cross Barton Torquay Devon TQ2 8ET Lead Inspector
Stella Lindsay Key Inspection (unannounced) 17th October 2006 10:45 Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 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 Moorleigh Residential Care Home Ltd DS0000066280.V317056.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 Adults 18-65. 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. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Moorleigh Residential Care Home Ltd Address Lummaton Cross Barton Torquay Devon TQ2 8ET 01803 326978 01803 311980 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) Moorleigh Residential Care Home Limited Jeanette Bailey Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (20) Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27/10/05 Brief Description of the Service: Moorleigh provides residential care for up to 20 people in the category of mental disorder, over or under the age of 65 years. The presenting problem must be a mental health problem, though residents may also have physical frailty or health problems. The Statement of Purpose makes it clear that a rehabilitation service is not offered. Long term care is offered, and staff and managers aim to help residents meet goals and aspirations in an informal manner. Most residents are long-stay, but short stays can be offered to people unless they put at risk the well being of longer stay residents. The detached building provides accommodation over two floors. The home has two double rooms and sixteen single rooms. A large lounge is available which has a dedicated area set aside for dining. There is a separate smoking room, and a comfortable room available for private meetings of all sorts. There is a kitchenette on the first floor, suitable for individuals to do baking or other craft activities. At the front of the home there is an off road parking area. CCTV cameras are in place for security. There is a pleasant garden, with seating, a barbeque, and mature trees. The home is in walking distance of the local shops in the centre of Barton, Torquay. A mini-bus is available. Fees range from £450, according to assessed need. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one and a half days in October 2006. It involved a tour of the premises, and discussion with ten residents, three staff on duty, the Registered Manager, Mrs Jeanette Bailey, and the Responsible Individual for Moorleigh Residential Care Home, Mr Chris Kerslake. Care records, staff files, the medication system, and health and safety records were examined. Comment cards and surveys were received by post from residents, staff, health and social service professionals and other visitors to the home, and their views are represented in the text. The Registered Manager provided supporting information prior to the inspection. While this was the first inspection since the registration of the Manager and the company, Moorleigh Residential Care Home Ltd., Mr Kerslake has been providing this service for over 25 years, and his daughter, Mrs Bailey, has been working with him for many years. All key standards were inspected. What the service does well:
The home has a good record of careful assessment and consideration of the needs of new residents before offering accommodation, and good planning for people moving in. All residents have care plans, and had been involved in their production. These were found to be checked and updated regularly, with alterations in different colours, to alert staff. Advice and encouragement is given with regards to personal hygiene, and help to those who need it. Residents bathing requirements are very varied, but where two or more baths a day are needed, this is available. Health care is accessed for physical health problems promptly, and recorded. The home has a thorough complaints procedure, which details how the Registered Manager will deal with any complaint, including investigating and gathering evidence. It recognises that complaints at this home may be connected with behavioural problems. The Manager has a good record of dealing thoroughly with any matter brought to her attention, and residents confirmed that they are confident she will deal with issues. The house has a variety of spaces so that people can choose whether or not they wish to be sociable. There are two rooms which can be used by residents for meeting with visitors or for one to one work or activities with staff. These are a comfortable room separate from the main house, by the laundry, and also the kitchenette on the first floor. There is also a smoking room, to allow the rest of the house to be safe and smoke free. Of the 16 care staff employed, nine had qualifications at least to the level of NVQ2. This is a good achievement, showing commitment to having a competent and well-qualified staff to provide good and reliable care. There is a
Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 6 core of staff who have worked at the home for many years, providing continuity for the residents. The Registered Provider and Manager have achieved the Registered Managers’ Award and are close to completing NVQ4 in Health and Social Care. What has improved since the last inspection? What they could do better:
One resident said that what the home needs is someone with ideas of more things to do, indoors and outside. Another said that there should be more staff Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 7 available to drive the minibus, and that a Sunday afternoon drive would be good. The staff should promote and enhance their knowledge of local events, associations, self-help groups and leisure activities, and management should ensure that more time is available for these activities, in order to motivate the residents and enhance their lives. There should regularly be enough staff at weekends to enable residents who need to be accompanied on outings, to local events, sporting fixtures, or leisure facilities. Some residents need motivation and enablement, and have no family able to provide this. 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. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager has consistently ensured that care is taken to assess needs prior to admission, and to make good arrangements for introducing new residents. 2 EVIDENCE: A new Statement of Purpose and Service User Guide has been produced, reviewed on 10th April to assure accuracy. It includes the home’s philosophy, and arrangements for dealing with difficulties that may arise. A new resident was expected immediately following this inspection. The referral had first been received five weeks earlier; a meeting had been called to discuss the person’s needs and associated risks. The health professional involved had been to Moorleigh to speak to the staff team about the best way of meeting the person’s needs, and was expected to return after the admission to discuss progress and any issues that might arise. Staff confirmed that they are given sufficient information before new people arrive, in order to be prepared for them. An advocate for this client had been identified, and referrals to day services were to be made. The management team was planning to provide the initial one to one care personally, while assessing the new resident’s comfort with the new arrangements. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 10 The Manager has long experience of dealing with residents’ mental health problems and challenging behaviour, and has a stable staff team to help meet these needs. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. 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. Care plans have been compiled in consultation with residents to promote agreement, and risk assessments are regularly revised to ensure their safety. 6,7,9 EVIDENCE: The care plans of four residents were examined. All were completed with good useful detail, produced from comprehensive assessments of need in consultation with the resident and with health professionals. Residents’ had signed at various points throughout the process. Aims and objectives were included. When alterations are made to care plans, these are printed in red, to alert staff. Care plans include potential problems, and intervention that might be needed. Triggers to a deterioration in mental health are recorded in blue, and action required by staff is in blue, for rapid understanding and clarity in what might be a stressful episode. Risk assessments include self-harm, and threats from outside contacts. The Manager and chairman of the Residents’ Committee have persevered in the face of initial lack of support from other residents. The Residents’ Meeting
Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 12 has become a regular part of life at Moorleigh. A planned meeting took place during this inspection. Social events were planned, and agreement reached about inviting friends. Menus were discussed. Residents who previously had avoided this contact now make contributions. Residents are consulted about changes and events in the house, and management have made it clear that they prefer people to give their opinions. The home does not act as appointee for any resident. If required, the Manager will make purchases or pay for services on behalf of a resident, and send a bill to the person who handles their finances. Information about a local advocacy service was displayed on the notice board in the dining room. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 – 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents could benefit from help to motivate them to become more engaged in events in the community and to enjoy a greater variety of leisure pursuits within and outside the home. 12,13,14,15,16,17 EVIDENCE: Residents are encouraged to participate with each other in the social activities of daily life, though they can stay in their rooms if this is their preference. Residents who enjoy cookery or who wish to work towards independent can do cookery with staff using the kitchenette on the first floor. Tutors to the home have been successful in teaching skills, including IT and literacy, and promoting self-esteem. Residents were pleased to show the inspector photos of the presentation of diplomas they were awarded for completing a course in mathematics in the home. Other courses have followed. Some residents have regular activities. One is a regular dog walker. One plays football on Fridays. Another attends a Church meeting on Wednesdays.
Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 14 Staff are available for in-house activities, but not frequently for accompanying residents to outdoor activities, particularly at weekends. The Manager is consulting with residents and will introduce in-house activities. One resident told the inspector they enjoy bingo, and is pleased to have friends within the home. Several said they were pleased that weekly outings to the supermarket in the minibus had been started. They also said that they would like to get out in the bus for drives just for fun. They felt it was a shame to have the minibus and not use it much. No holidays had been arranged. A relative who returned a comment card to the CSCI was dismayed that their family member got no holidays or trips out. Not all would benefit, but outside leisure pursuits should be enabled for those whose lives would be enriched in this way. Transport can be provided for meeting relatives, and for appointments of all sorts. One resident has used the local Narcotics Anonymous Support Centre. Food and eating are an issue for many of the residents at Moorleigh. Management and staff ere aware of problems, and balancing advice with personal choice. For breakfast there is a choice of cereals, porridge, prunes or fresh fruit. For lunch there is a main course, but if a resident does not like what is on offer, an alternative can be arranged. Menus are discussed generally, and were considered at the Residents’ Meeting, where it was agreed that pizza would be offered. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. Staff understand the residents’ care needs and are adept at encouraging positive habits, and painstaking attention is given to the safety and effectiveness of medication. 18,19,20 EVIDENCE: Advice and encouragement is given with regards to personal hygiene, and help to those who need it. Residents bathing requirements are very varied, but where two or more baths a day are needed, this is available. Health care is accessed for physical health problems promptly, and recorded. Checks and care for diabetes are in place and properly recorded. Moorleigh has a policy and procedure for the administration and recording of medication, which was seen to be carried out with great care. The home has a policy and procedure with regard to residents self-medicating, but no residents are currently assessed as competent to manage their own medication. Concordance is discussed with the resident and included in their care plan. The Manager has developed a survey for residents, asking about their medication. This showed that some wanted more information about their medication, and why they needed it. Some wished for improved medication
Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 16 reviews, feeling that they were prescribed too much medication. The Manager has referred this back to the appropriate medical professionals. High discipline is maintained with security, with appropriate storage, and a book kept for staff signing when they take responsibility for the keys, every time it changes hands, however briefly. There were no Controlled Drugs in use at the time of this inspection, but there is a suitable system for their management if required. Monitoring the residents’ mental health is a central element of this service, and staff observe for signs of non-concordance, or any development of symptoms. Care plans include potential problems, triggers, and appropriate intervention by staff. The Manager call for assessment and support from health professionals, when necessary. Health professionals who returned comment cards stated that staff at Moorleigh demonstrate a clear understanding of the care needs of residents, and that management take appropriate action if they can no longer manage the care needs of any resident. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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. Sound procedures are in place, and matters of concern are dealt with in a thorough manner. 22,23 EVIDENCE: Moorleigh has a Complaints procedure, recently reviewed by the Registered Manager. It is published in the Statement of Purpose and displayed on the notice board in the dining room. It details how the Registered Manager will deal with any complaint, including investigating and gathering evidence. It recognises that complaints at this home may be connected with behavioural problems. The process for interviewing interested parties and recording contributions as well as a summary, conclusion, and any action to be taken is clearly presented. The Manager has a good record of dealing thoroughly with any matter brought to her attention. The home has a policy on Adult Protection which is detailed and includes the procedure to follow if an allegation of abuse were made. Staff had received training in awareness of abuse, and know who they should inform of any allegation. If a resident has a tendency to make allegations, this is recorded in their care plan, with advice to staff about lone working. Staff monitor the residents’ emotional well-being, eating and taking their medication, and the managers contact health professionals when concerns arise. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. 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. Moorleigh has the space and facilities to suit the residents, and is kept safe, clean and comfortable. 24,28,30 EVIDENCE: The house was looking smart since its external painting of last year. The garden was looking well tended, with sturdy garden furniture beside the lawn, and a barbeque. A new office had been built, to aid the smooth running of the establishment. An attractive green fence had been erected, to provide security for the new office and staff quarters, and this had the effect of giving better shape to the garden. Redecoration is a continual process. A handyman is employed two days per week. The smoking room was in better order, and the lounge was more inviting with some new furniture and lampshades, and newly decorated walls. Good locks have been provided and fitted to all bedroom doors, so that residents can have privacy without danger of locking themselves in, and can also secure their rooms while they are absent. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 19 There are two rooms which can be used by residents for meeting with visitors or for one to one work or activities with staff. These are the comfortable room separate from the main house, by the laundry, and also the kitchenette on the first floor. Laminated floors have been laid in parts of the house, to aid hygienic cleaning. A cleaner is employed six days per week, and was well aware of the areas that needed particular attention. The bathrooms are attractive, and hot water is always available. A new shower, thermostatically controlled, had been installed, to increase choice and availability of bathing facilities. The lack of bath plugs was initially surprising, but the inspector was informed that a resident habitually removes them. Residents are given plugs of their own to enable them to be independent and able to choose when they bathe. Likewise, it is not possible to keep bathrooms supplied with liquid soap, so the staff ensure that bars of soap are replaced frequently, to avoid becoming a source of infection. The house is well kept. It is recommended that the bath-side that is carpeted be covered instead with a cleanable surface. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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 competent staff group have been retained, recruitment practice is safe, and the training effort has increased, to ensure that good care is consistently provided. 32,33,34,35,36 EVIDENCE: Staff are known as Care Assistants, or Senior Care Assistants, and this is considered to be appropriate to their role. They also cook, and provide social activities. Of the 16 care staff employed, nine had qualifications at least to the level of NVQ2. This is a good achievement, showing commitment to having a competent and well qualified staff to provide good and reliable care. The inspector was pleased to note that Moorleigh is retaining and increasing its staffing, providing consistency for residents. Each weekday two care staff plus a senior are employed as well as a cleaner, and a maintenance worker as required. The Registered Manager, the Service Provider, and the Home Co-ordinator are all family members, and are fully involved in the daily work of the home. They work at Moorleigh on most days, and are on-call at night and at weekends. Another family member is Health Care advisor to the home. At night there is one awake carer and one on
Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 21 sleeping duty. This is a good level of staffing and seen to meet the needs of the residents, except at weekends. The two care staff on duty at weekends are not able to take out residents who need to be accompanied on outings, who need motivation and enablement, and have no family able to achieve this. The home has a sound policy and procedure with regard to the appointment of staff. Files of two recently appointed staff were examined, in order to ensure that the system is being maintained. The proper process had been followed, and two written references, proof of identity and a CRB clearance had been obtained in each case. The home employs a distance learning training programme, and used it to provide in-house training for their staff. They find this to be useful at Moorleigh, as staff can work at their own pace, can relate their learning to the residents and to their own work situation, and share with their colleagues. Training received has included principles of health and safety, principles of food hygiene, basic first aid, infection control, diet and nutrition, and the protection of vulnerable adults. Training had been provided on ‘coping with aggression in the workplace’. The Manager stated that she was seeking ‘breakaway training’ for the staff, as it would strengthen staff insight into triggers for challenging behaviour, and include legal issues around the use of physical intervention. She had obtained information for staff about specific conditions and medications pertaining to current residents. All dates and times of staff studies are recorded. The Registered Manager uses individual supervision sessions with staff to ensure that they understand new policies, understand their training, and are aware of risk assessments. Records are kept which show that staff have received 4 or 5 sessions already this year, which is very good performance. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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. The management team is committed, experienced, qualified, and intent on meeting all regulations and providing a sound and responsive service. 37,39,42 EVIDENCE: Moorleigh Residential Home is a Limited Company, with Mr Christopher Kerslake registered with the Commission for Social Care Inspection as the Responsible Individual. Mrs Jeanette Bailey was registered as the Manager in March 2006. Both have achieved the Registered Managers’ Award and are close to completing NVQ4 in Health and Social Care. They have built up their experience of providing care for this client group over many years. They employ a professional agency to ensure they are updated and advised on all matters concerning employment and health and safety practice. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 23 The office has been upgraded, two new computers installed and networked so that the management team can use the computers at the same time, for the added convenience and more efficient running of the service. Every staff member who returned a staff survey said they were entirely satisfied with the support they are given in their work. A self-monitoring system is in use. Residents have been asked for their views in various ways, including a survey questionnaire. They were also given a Medication Survey, to encourage them to have an interest in their own medication, and to express their views (see standard 20). The Service Provider has produced an Annual Development Plan. This includes the intention to continue gathering feedback to measure development, and to use the results to determine the areas in which the home needs to strengthen its performance. The Home Co-ordinator keeps records of residents’ food choices, to help assess likes and dislikes. A Lead Senior Care Assistant has been appointed. His tasks include regular checks on systems and standards within the home, and has been found that the accuracy of record keeping has improved overall. The Manager ensures safe working practices at Moorleigh, where a good level of safety awareness was evident in the arrangements of daily life. In-house training had been provided, as described in the previous section. Training programmes with practical applications need additional input. At the time of this inspection the Lead Senior Care Assistant was taking part in a four day First Aid at Work training course, and the Registered Manager was booked to do the same, in order that a fully qualified first aider will be available at all times. The Registered Manager stated that she would be training as a trainer for Moving and Handling training. Practical training is essential to complement the theoretical input the staff have received. Fire safety awareness has been taught. The Home retains two consultancies to advise on all aspects of health and safety, including fire risk assessments and fire precautions. The fire precaution system was serviced professionally on 09/06/06, and is checked weekly by either the Registered Provider or Manager. There is a call bell system. Most residents do not require a call bell, but one can be supplied to any of the bedrooms when needed. Accidents to residents had been recorded, whether they occurred in the home or in a public place, which is good practice in case of any repercussions. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 2 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 3 X 3 X X 3 X Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider and Manager to consider carrying out. No. 1 2 3 Refer to Standard YA13 YA14 YA33 Good Practice Recommendations Staff should support residents’ integration into the local community. The Manager should assess and provide for leisure pursuits for the residents outside of the home, on an individual basis. There should be sufficient staff at weekends to enable activities outside the home. Moorleigh Residential Care Home Ltd DS0000066280.V317056.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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
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