Inspection on 08/11/07 for Moorleigh Residential Care Home Ltd

This inspection was carried out on 8th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Moorleigh Residential Care Home... 17/10/06

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

CARE HOME ADULTS 18-65 Moorleigh Residential Care Home Ltd Lummaton Cross Barton Torquay Devon TQ2 8ET Lead Inspector James Rose Key Unannounced Inspection 8th November 2007 09:00 Moorleigh Residential Care Home Ltd DS0000066280.V335100.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.V335100.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.V335100.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.V335100.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Mental disorder, excluding learning disability or dementia (20), Mental disorder, excluding learning disability or dementia – over 65 years of age (20). Date of last inspection 17th October 2006 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. The weekly cost of care at the home is: Lowest £450.00 to highest £750.00. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over 6.5 hours in November 2007. A pre inspection questionnaire had been completed by the home and evidence was also taken from returned questionnaires from residents. Samples of the care records were examined and four residents were consulted at length in private. Three members of the care team were interviewed individually and three healthcare professionals were asked for their views of the service provided by the home. A complete tour of the building and grounds was competed and the inspection was undertaken with the assistance of the registered manager and the proprietor. What the service does well: What has improved since the last inspection? Some recommendations were made in the last report and the home has responded to all of them. The home makes every effort to assist residents in integrating into the local community and to provide appropriate leisure pursuits. The assessments and care planning process are also being further developed to provide a more client centred approach. More care hours have been provided at weekends to enable activities outside the home. The home has undertaken a substantial programme to fit replacement windows and a new summerhouse has been provided for residents use in the grounds. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 6 Areas of the garden are being relandscaped and an ornamental pool is being refurbished. Non-slip surfaces have been fitted to the floors of the bathrooms on the ground floor and a new dryer has been purchased for the laundry. A computer has been provided for the home for residents use in the lounge. The dining room tables and chairs have been replaced and some new carpets have been fitted and rooms redecorated, this ensures that the home provides a comfortable environment for the residents. 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. The summary of this inspection report can be made available in other formats on request. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 7 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.V335100.R01.S.doc Version 5.2 Page 8 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): 2. Quality in this outcome area is good. Detailed comprehensive assessments are undertaken of all prospective residents to the home prior to admission to ensure the home can meet their needs and offer an appropriate service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management of the home makes every effort to ensure a comprehensive assessment is undertaken of each prospective resident prior to admission. For residents that have been admitted on an emergency basis the completion of an assessments is undertaken as a matter of priority within the first 24 hours. Particular attention is paid to the health needs of residents and a more client centred approach is gong to be developed by the registered manager concerning social needs. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 9 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): 6, 7 and 9. Quality in this outcome area is good. Residents have clear care plans that have been produced in consultation with them and are regularly reviewed. Risk assessments are detailed and are also regularly reviewed, these assist residents in leading an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of four residents were examined as part of the inspection process. These were produced from comprehensive assessments of need and were undertaken with the resident and health professionals where required. Residents signed their care plans to demonstrate their agreement with the contents. Care plans were detailed particularly with regard to health needs and comprehensive risk assessments are in place that include self-harm, and any threats from outside contacts. Residents are supported to undertake an independent lifestyle subject to the agreed objectives and aims in the care plan. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 10 Residents confirmed in conversations that they were consulted in detail about their care plans and felt they were appropriately supported with their social life and contacts outside the home. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. Residents are able to take part in appropriate activities and use the facilities of the local community. They are encouraged to maintain contact with family and friends and the home promotes an independent lifestyle. Particular efforts are made by the home to ensure residents receive a healthy diet that is to their liking. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents do have opportunities for personal development and take part in appropriate activities. The facilities of the local community are well used by the resident in the home. Communal activities are organised in the lounge area of the home, however residents are not pressurised to take part and can stay in their own rooms if they wish. Residents who are working towards independence can undertake cookery lessons in a kitchenette that is available in the home. Tutors visit the home and give lessons in IT and literacy, and promote self-esteem. Some residents Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 12 have regular activities that form part of their care plan and these can be outside the home. There is a range of games available including outdoor games such as bowls, darts and table tennis. If there are any restrictions on the relationships of a resident these are made clear in the care plan that is agreed with the person concerned. Since the last inspection the home has purchased a computer for residents use and is currently arranging more coursed for residents to enable them to become IT literate. The home provides regular weekly trips out and these are now recorded. Since the time of the last report the home has made more care hours available to enable outside activities at the weekends, which need to be accompanied by staff. Particular care is taken in the home to encourage residents to eat a balanced diet and many choices are provided to provide variety. A detailed focus is provide on what foods residents would like and this is discussed with them at residents meeting and individually. Meals are usually taken in the dedicated dining area in the home; they are served at tables that sit up to four persons. New tables and chairs have recently been acquired by the home. One resident remarked in conversation, “The food here is just what I like” and another said “I like it here, the staff help me when I need it and I have lots of friends”. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 13 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): 18, 19 and 20. Quality in this outcome area is good. Residents receive personal support in they way they find the most appropriate and their physical and health needs are met. The administration of medication in the home ensures that residents are appropriately protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are encouraged to maintain appropriate levels of personal hygiene and assistance is provided if required and detailed in the care plan for the resident concerned. Residents confirmed in conversation that they felt they were supported appropriately in the ways that they preferred. If a resident wishes and has the capacity they are able to administer their own medication. This process is undertaken with a detailed risk assessment process. The recordings undertaken by the home of the administration of medication were examined at this inspection and were found to be complete and up to date. All medication was checked and booked in on receipt and a complete issue record was available at the time of the inspection. Unused medication is appropriately recorded and returned to the pharmacist. A suitable system is in Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 14 place for dealing with medication that is subject to the controlled process. Secure appropriate storage is provided for all medication including, that which required low temperatures. The home monitors the use of medication in detail and is well aware of residents needs. Should one of the residents react to their medication inappropriately access to appropriate healthcare professionals is given priority. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 15 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): 22 and 23. Quality in this outcome area is good. Residents in the home felt that if they raised a matter with the staff they were listened to and action was taken without delay. Residents are appropriately protected from abuse and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents have ready access to the home’s complaints process and advised that they felt able to use it and were confident that their concerns would be resolved. The home has a detailed adult protection policy and procedure and carers are trained in its use. At the time of the inspection three carers were interviewed and all of them were clear about this policy and knew what action should be taken if an abuse was discovered. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 16 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): 24 and 30. Quality in this outcome area is good. Moorleigh provides a safe and comfortable environment for residents that is clean and hygienic throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the home was undertaken as part of the inspection process all rooms were seen. The building was well maintained and high standards of hygiene were evident. All the residents consulted advised that they liked their rooms and the facilities provided and said it felt like home. Since the time of the last inspection the proprietors have made a substantial investment in the building and installed replacement windows, new carpets have been fitted where required and some rooms have been redecorated. A new dryer has also been purchased for the laundry. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 17 Non-slip floor surfaces have been provided in the ground floor bathrooms and new furniture has been purchased for the dining area. A computer has been made available in the lounge and further courses are being sourced for residents. Outside a new summerhouse has been purchased with furniture for residents use and parts of the garden are being relandscaped and an ornamental pool is being refurbished. All this work was appreciated and has improved the environment for residents. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 18 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): 32, 34 and 35. Quality in this outcome area is good. The home has an experienced staff group available and residents are supported appropriately. The recruitment practice in the home ensures residents are safe. The home has a training programme in place that ensures that ensures an appropriate service is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Moorleigh has a competent and experienced staff team that provides an appropriate service to the residents. It was clear from observations made during the inspection that residents’ needs were well known to the care team and appropriate interaction was overheard on several occasions between carers and residents. Unsolicited positive remarks were made by many of the residents about their carers. The home undertakes the recruitment of new staff in an appropriate way and three personnel files were examined at this inspection. These were found to be complete and demonstrated that all the necessary checks had been undertaken and residents were in safe hands. Three members of the care team were interviewed individually as part of the inspection process. They all demonstrated a commitment to providing a good Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 19 service and were clear on the adult protection policy and what action should be taken if an abuse was discovered. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 20 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): 37, 39 and 42. Quality in this outcome area is good. Residents’ benefit from a well run home where their views influence the development of the service. Health and safety and the welfare of residents is given appropriate priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of Moorleigh is experienced and qualified and is committed to providing a good quality service to the residents. Residents are consulted individually and at residents meetings. In addition the home has a questionnaire system that residents use and they are also encouraged to complete a medication survey to enable them to express their view of their treatment. Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 21 The health and safety issues in the home are given priority; residents have detailed risk assessments in their care plans, these are regularly reviewed to ensure they are kept up to date and are relevant. The recordings of the fire precautions undertaken by the home were examined and were found to be complete and up to date. The regulations concerning the storage and use of harmful chemicals were in place and dangerous occurrences in the home were reported as required. All equipment is regularly serviced and the water supply is tested for unwanted bacteria. The careful management approach taken by the home ensures residents live in a safe environment. Moorleigh Residential Care Home Ltd DS0000066280.V335100.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 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 3 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 23 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/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 24 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 © 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 Moorleigh Residential Care Home Ltd DS0000066280.V335100.R01.S.doc Version 5.2 Page 25 - 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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