Inspection on 21/02/06 for Moormead House Nursing Home

This inspection was carried out on 21st February 2006.

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

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

Other inspections for this house

Moormead House Nursing Home 15/02/07

Moormead House Nursing Home 12/07/05

Moormead House Nursing Home 13/01/05

Moormead House Nursing Home 25/08/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Moormead House Nursing Home 67 Moormead Road Wroughton Swindon Wiltshire SN4 9BU Lead Inspector Karen Mandle Unannounced Inspection 21st February 2006 10:45 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 Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 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. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Moormead House Nursing Home Address 67 Moormead Road Wroughton Swindon Wiltshire SN4 9BU 01793 814259 01793 879243 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 Steven Barry Sharp Mrs Zandra Amelia Sharp Mr Steven Barry Sharp Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Terminally ill (1) of places Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No more than 21 service users in receipt of nursing care at anyone time No more than 1 service user in receipt of terminal care at anyone time Staffing levels as specified in the Notice of Proposal dated 14 November 2002 12th July 2005 Date of last inspection Brief Description of the Service: Moormead House is registered to provide accommodation and care with nursing, for up to 21 people aged 65 and over. One place may also be offered to any adult who is terminally ill. Accommodation is provided on two floors with a passenger lift in between. There are nineteen single rooms, and one shared room. Five of the rooms have en-suite facilities. A communal lounge is located on the ground floor. This also incorporates a dining area. Some seating is provided outside the front of the house. At the rear, there is an enclosed garden area with a patio.The home is privately owned, by Mr Steven and Mrs Zandra Sharp. Mr Sharp is also the registered manager of the home. A registered nurse is on duty at all times. They are supported by at least three care assistants in the morning, two in the afternoon, and one at night. The home also employs catering, housekeeping and maintenance staff. The home is in Wroughton, a village approximately one mile from Swindon. It is situated close to the village centre. This offers local amenities, including shops, pubs, and a health centre. There is a bus stop close to the home and some parking on site as well as street parking close by. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 10.45 and was completed at 2.30pm. Arlene Davis RGN assisted the inspector and showed the inspector around the home. During the tour the inspector was able to visit all the bedrooms and bathrooms. Later during the inspection the inspector was able to visit independently with many of the service users gaining their views and opinions of the service provided by the home. The care records were reviewed, as was the medication procedure. A sample of employment records was seen. All the staff were helpful during the inspection process. What the service does well: What has improved since the last inspection? The home had now obtained a copy of the most recent Health Protection Guidelines. The pressure relieving equipment used when service users are sat in chairs is now recorded in their care records. The home continues to make improvements to the bathrooms as planned. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 6 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. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 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 Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 A clear admission procedure is in place and all needs are assessed during the pre admission assessment. Service users and families can visit the home prior to admission. EVIDENCE: All service users are fully assessed by the Registered Manager prior to admission to Moormead House ensuring that through the assessment process the home is able to meet the nursing needs and social needs of the service user. A carer will also accompany the Registered Manager with the pre admission assessment to provide an introduction of the care team to the service user and to assist with the assessment. The assessment is documented and kept on the service user file. Service users and representatives are encouraged to visit the home prior to admission. The Registered Manager encourages non-appointment visits as to provide an opportunity for the prospective service user and family to see the home as it is on a daily basis. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, and 9 The health care needs of the service users are monitored and appropriate action taken when health care needs change. The care plans fully address all aspects of care. The medication procedure was safe apart from countersigning the medication records. EVIDENCE: Each service user is provided with a care plan. Three care plans were reviewed. The care plans are detailed and address current and long-term health care needs ensuring all care needs are fully identified and addressed. The care records provided evidence of monthly reviews taking place or when care needs of the service user change. Risk assessment was in place for pressure damage and nutrition, which again were regularly reviewed. All service users are registered with a local GP. A GP visit was taking place during the afternoon of the inspection, which takes place every second Tuesday. A good record of all GP visits and other health care professionals who maybe involved with the service users healthcare needs was seen. Service users who were able to communicate were complimentary of the care Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 10 provided. A range of manual handling and pressure-relieving equipment was seen. A registered nurse is on duty at all times ensuring the nursing needs of the service users are supported. The medication procedure was assessed. The method of administration was safe, apart from hand written orders to the medication administration record which should be signed by two competent members of staff. The amount of medication used was limited providing evidence of medications reviews taking place by the attending GP. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 The home provides activities, which are appropriate to the service user group. Service users were complimentary of the food provided and a good choice of food was offered. EVIDENCE: Activities are provided most days by an allocated activities person from the care team. A one-to-one visit was observed taking place during the morning. A record is maintained of the activities. Service users confirmed with the inspector that they could do as they wished with some service users choosing to spend time in their bedrooms whilst others were seen in the communal lounge spending time with other service users. A service user informed the inspector that she often went out with friends, which was fully supported by the home. Trips out of the home are arranged for those service users who are able to participate. Service users were complimentary of the food provided. The hot meal of the day was observed which provided two good choices of the main meal. Both meals were well presented. Service users requiring assistance with their meals were seen being fully supported on a one-to-one basis by the care staff. The menus were varied and appropriate to the service user group. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 A complaints policy and procedure is in place. The procedure is made available to service users and visitors. A vulnerable adults procedure is in place. EVIDENCE: A complaints policy and procedure is in place, which is available in the entrance hall of the home for service users and families. The home is able to investigate complaints. Four service users confirmed that if they had any concerns or complaints they would talk to a member of staff who they felt sure would listen to them. Mr Sharp (Provider and Registered Manager) remains very much part of the care team and would be informed by the staff of any complaints or issues. A procedure is in place for dealing with any allegations of abuse. Mr Sharp felt confident with local procedures and how to use them. The majority of staff had received training in “abuse awareness”. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Moormead House provides a comfortable and homely environment for service users to live in. The bedrooms are well furnished and homely. The home was clean throughout to a good standard. Infection control issues are managed appropriately. EVIDENCE: Moormead House appears as a domestic home from the exterior and provides a homely environment inside. The furnishings are domestic as is the décor. It is understood that the current providers have invested both time and money into improving the environmental standards of the home. A bathroom still remains to be refurbished with plans in place to do this. The communal room was light and well furnished which was used by the majority of the service users during the day. A garden is provided to the rear of the home, which is suitable for wheelchair users. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 14 All the bedrooms were visited which were homely with personal items around. Service users were complimentary of their bedrooms. One shared bedroom is provided. The home was clean to a good standard throughout. Infection control issues are addressed. Hand-washing facilities are provided through out the home for the staff as were disposable aprons and gloves. The laundry facility was clean and organised. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 The staff provided met with the staffing level required by the Commission. The procedures for the recruitment of staff are robust and provide the necessary safeguards to offer protection to the service users. EVIDENCE: Moormead is required to work to a staffing level as a condition of registration. The home was working to this level. A registered nurse is on duty at all times supported by a team of carers. The rotas seen also provided evidence of the staffing level being maintained. The home has been assessed and is able to provide placements to student nurses. The home benefits from a stable staff group many of which have worked at the home for several years and understand the procedures of the home. The employment records of two members of staff were reviewed. Both contained all required documents and evidence of police checks taking place prior to employment. A new member of staff when asked confirmed that she had been provided with a good induction. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 Health and safety issues are addressed. The home is well maintained and provides a safe living environment for service users. EVIDENCE: The fire records indicated that the fire alarm system was tested weekly and the emergency lighting tested monthly. The staff had been provided with fire training by Mr Sharp, however it is recommended that once a year an expert in fire training should be sought to provide mandatory training to all staff and Mr Sharp provides the interim training. All accidents are recorded. Electrical appliances throughout the home are tested annually and regular servicing of the hoists takes place. The home is well maintained. However the footplates should not be removed from the wheelchairs. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 13(5) Requirement The Registered person will ensure that the footplates of wheelchairs remain on the wheelchairs at all times. Timescale for action 21/02/06 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. 2. 4. Refer to Standard OP9 OP21 OP38 Good Practice Recommendations The Registered person should ensure that two members of staff countersign all handwritten medications orders ensuring the accuracy of the order. The homes action plan for up-grading of bathrooms should be completed within the timescales set. The Registered person should provide fire training by an expert once a year, which can be supported 6 monthly by the current fire training arrangements. Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Moormead House Nursing Home DS0000015931.V278672.R01.S.doc Version 5.1 Page 20 - 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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