Inspection on 12/02/09 for Moorleigh Villa

This inspection was carried out on 12th February 2009.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Moorleigh Villa 13/02/07

Moorleigh Villa 17/01/06

Moorleigh Villa 28/06/05

Moorleigh Villa 28/10/04

Moorleigh Villa 02/06/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Moorleigh Villa 280 Gibson Lane Kippax Leeds West Yorkshire LS25 7JN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sean Cassidy     Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Moorleigh Villa 280 Gibson Lane Kippax Leeds West Yorkshire LS25 7JN 01132863247 01132872989 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Brampton Meadow Limited Name of registered manager (if applicable) Mrs Beverley McHale Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Moorleigh Villa is located in the village of Kippax on the outskirts of Leeds. It is a domestic style property set in the grounds of Moorleigh Nursing Home. Catering and laundry services are provided by the nursing home. It is within easy walking distance of the Health Centre, local shops and amenities. The village has bus route links with Leeds, Castleford and Wakefield. The home provides care for a maximum of four older people with low to medium care needs. The home has four single bedrooms, fitted with washbasins. There are two communal toilets, one of each floor and there is an assisted bathroom on the ground floor. There is a lounge/dining room on the ground floor and a small kitchen that is used to prepare snacks and drinks. The home is cosy, well maintained and decorated and furnished in a domestic style. A Care Homes for Older People Page 4 of 24 0 Over 65 4 care home 4 Brief description of the care home ramp provides wheelchair access from outside and a stair lift is fitted in the home. The home shares gardens and car parking with the nursing home, the gardens are well kept and are suitable for use by residents. The weekly fees charged at the time of the inspection raged between £398.89 and £420. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The accumulated evidence used in this report has included: A review of the information held on the homes file since its last inspection. An AQAA (Annual Quality Assurance Assessment was not sent to the service prior to inspection) Surveys received from service users, relatives and staff. An unannounced visit to the home, which lasted four hours. This included a full tour of the premises. Care Homes for Older People Page 6 of 24 Evidence gained by direct observation, talking with people who use the service and management. Inspection of records including care plans risk assessments, medication administration records,and the homes policies and procedures. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are properly assessed before admission. They are also provided with suitable information to assist them with making their choice to move in. Evidence: The care files seen showed evidence that people are assessed before they are admitted to the service. The home has developed a Service User Guide and a Statement of Purpose that highlights clearly what the service offers each individual. There are no intermediate care services provided at this service. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are clearly set out in the care documentation. Health care needs are also well monitored and met. Evidence: Two care files were inspected. These contained good information to assist carers with providing care packages to those people living in the home. The care plans were very person centred in their approach and i was able to clearly understand the care needs for each individual. Care plans were reviewed monthly and showed evidence that people were involved with the process. Staff spoken to were very aware of the care needs of each individual. Each file contained risk assessments in areas such as falls, nutrition and tissue viability. These were updated monthly and were changed when needed. People were weighed regularly and action was seen to be taken when a persons weight decreased. One person had been referred to the dietician when it was identified that weight had Care Homes for Older People Page 11 of 24 Evidence: been lost. It was clear from the documentation that people are regularly reviewed by their general practitioner and other health professionals. People were seen to be treated with respect and dignity when staff were interacting. Two people spoken to praised the staff working at the home. They said, Staff are lovely. They help me when i need it. They are always kind and helpful. They cant do enough for me. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensures people are provided with opportunities to get involved with activities that interest them. Evidence: The care documentation showed that when people are assessed on admission to the home, a record is made of their likes and dislikes. Evidence was seen that showed people were encouraged to maintain these interests. An example of this was a person who is very interested in drawing was assisted and encouraged to continue this by the staff working at the home. Staff were aware of peoples interests and the files showed lots of evidence as to how they were encouraged to maintain these. The records showed that staff spent time reading with individuals, listening to music, doing crosswords and assisting movement to music exercises. Two people said they enjoyed the interaction they had with staff and it gave them a good laugh. One person said, They are always getting me involved with one thing and another. Sometimes i am not in the mood to get involved and thats alright. Care Homes for Older People Page 13 of 24 Evidence: The activity records are thorough and provide the reader with a good insight how each person spent their day. The staff said the gardens are always accessed in the good weather and people enjoyed the opportunity to get out. Files showed evidence that peoples spiritual needs are promoted by the home. One person was a regular church goer before coming to the home and this has been supported during their stay. Peoples rooms were seen and they were nicely decorated and personalised. One person said, This is a lovely little home. Very welcoming. The lunch time meal was observed and appeared to be enjoyed by the two people in the home at the time. They were provided with appropriate assistance with their meals. There was good conversation between the member of staff and the people who lived there. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints and safeguarding measures implemented by the home help to protect the people who live there. Evidence: The complaints policy was displayed at the entrance of the home and also within the Service user Guide that is given to people when they are admitted. There have been no complaints made since the last inspection. The safeguarding policy is available to staff if they need to refer to it. There have been no safeguarding referrals made since the last inspection. The staff spoken to showed a good awareness of safeguarding issues and how they would manage a safeguarding incident if it occurred. They had received recent training in this area as well. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peopel live in an environment that suits their needs and is well maintained. Evidence: Certain areas of the home have recently undergone a redecoration programme. The overall environment is decorated to a good standard. People are encouraged to take their own belongings when they are admitted and the rooms showed evidence that this happened. The home does have an annual redecoration programme. People spoke to said they were pleased with the home and that it suited their needs. The home was tidy and clean. There were alcohol gels around for staff to use regularly. They were observed performing this task. This helps minimise the potential risk of cross infection. Care Homes for Older People Page 16 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive their care packages from a staff group that are recruited and trained to a good standard. Evidence: The staffing rota was inspected. Evidence was seen to show there was always one member of staff on duty to assist people with their care needs. Staff spoken to said that this was sufficient to ensure the needs of people were met. There was one concern identified which was raised with the person in charge and the manager at a later date. Staff leave the home unattended for a short period of time during the day. They go across to the sister home Moorleigh Nursing Home to put washing in the laundry. This is not safe practice. People should not be left unattended in the care home. The manager was advised that a system must be introduced that ensures people are not left unattended. The recruitment files of the two most recent employees were inspected. These showed the home adopts a good recruitment and selection procedure. Staff training is structured and supportive. The files showed people have access to training that supports them to perform their roles safely. Care Homes for Older People Page 17 of 24 Care Homes for Older People Page 18 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home works well with ensuring outcomes for people are well met. Improved quality assurance systems are needed to ensure the quality of care is assessed and improved. Evidence: The home is a small four bedded unit that is based in the grounds of the sister home Moorleigh Nursing Home. The registered manager is also the provider for both of these services. She is not included in the numbers and does not work any shifts in the home. The staff spoken to said that she is readily available and calls regularly to the service to ensure the home is running well. There were no Regulation 26 visits available for inspection. These should be completed as they provide evidence that a quality review is being carried out by someone other than the registered manager. The person in charge was unable to provide evidence that the home has a recognised quality assurance system that provides evidence that Care Homes for Older People Page 19 of 24 Evidence: standards in the home are being regularly reviewed and improved. Staff said that there is a policy that the service does not look after anyones money. If they needed something then they would pay for it and pass on the bill for payment. The health and safety checks of the home were seen and these were up to date. The chair lift used in the home is assessed regularly. The handyman carries out all the fire checks and hot water temperature checks. Care Homes for Older People Page 20 of 24 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 15 All care plans must include 31/03/2007 information which is detailed enough to reflect the diversity of each person?s needs and show how those needs are to be met. Staff must do regular routine 31/03/2007 checks of the building to make sure everything in the home is working correctly so that repairs can be carried out speedily. 2 19 23 (2) b 3 21 23 (2)( c ) ( j Hand washing facilities must 20/02/2007 ) be in working order to reduce the risk of cross infection. Completed 9 (2) (b) (i) 10 (3) The manager must complete 31/08/2007 the NVQ4 award in management. Written records must be up 31/03/2007 to date and sufficiently detailed for the care and protection of service users. There must be a photograph on record of each member of staff and each service user. The home must have a landlord?s gas safety 31/03/2007 4 31 5 37 17 (1)(a)(3)(a) 6 38 17(3)(a) Care Homes for Older People Page 21 of 24 certificate which shows that checks have taken place annually. Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 27 18 The staffing levels in the care service should be reviewed to ensure people are not left unattended in the care home at any time. This will reduce the risk of any person being harmed as a result of no supervision by staff. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!