Inspection on 26/04/05 for Moorview

This inspection was carried out on 26th April 2005.

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

Moorview 03/02/09

Moorview 10/11/06

Moorview 26/01/06

Moorview 23/11/04

Moorview 25/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Moorview Station Road Robin Hoods Bay North Yorkshire YO22 4RA Lead Inspector Brian Hallgate Unannounced 26 April 2005 08:30 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 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 Stationary 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. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Moorview Address Station Road, Robin Hoods Bay, North Yorkshire, YO22 4RA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01947 880490 01947 880490 Moorview House Limited None CRH 16 Category(ies) of Learning disability (0) registration, with number of places Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd November 2004 Brief Description of the Service: Moorview provides care and accommodation for up to 16 adults with learning disabilities. The home is situated on the main road into Robin Hoods Bay from both Whitby and Scarborough. It is a short walk from the village centre and local shop. The premises comprise two lounges, two dining rooms, two kitchens, 14 single bedrooms and a double room. There are three bathrooms and a shower room. Toilets are located close to the communal areas and the bedrooms. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over three and a quarter hours and was an unannounced inspection which commenced at 8.15am. A tour of the home was made with the manager and a number of records were inspected. Fifteen service users were spoken to. They were observed interacting with each other, the manager of the home and three members of the care staff. The manager, a senior support worker and a support worker provided information on the care of the service users. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 3 The homes Statement of Purpose and Service User guide provide service users and prospective service users with details of the services the home provides enabling an informed decision about admission to the home by service users and relatives. EVIDENCE: There are copies of an up to date statement of purpose and service users guide to the home available. All service users have been given a copy of the service users guide and these were seen on the case files inspected. There were care management assessments completed before admissions to the home were arranged in the service users files seen. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 There is a clear and consistent care planning and review system in place to adequately provide staff with the information they need to meet the needs of the service users. EVIDENCE: Fifteen of the 16 service users were spoken to and observed during the inspection. Those able to communicate verbally were very satisfied with what they did on a daily basis. Some service users are involved in the community with their work at the day centre. They informed me about how they visited older people in their own homes and undertook shopping and laundry services for them. They were very proud of the work they did for these older people. Those who could made decisions on what they wished to do spoke in depth about their leisure activities. Some service users, because of their complex needs, require assistance from staff to make some choices about their daily lives. The files examined showed very comprehensive care plans with the dates of their reviews and copies of the notes of their day centre reviews which staff from the home attend. There was evidence of risk assessments being undertaken and recorded in respect of different areas of risk in service users lives. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The health needs of service users are met with evidence of referrals to other health professionals when required. EVIDENCE: Thirteen of the service users are able to attend to their personal care needs. Three service users require assistance with personal care from the staff. Staff were observed to provide personal support to service users who required it and prompt service users who needed some assistance before they left the home for their day care provision. All service users are registered with a GP and access to specialist medical services is obtained through either the GP or the Learning Disabilities Health Team. There was evidence in the files examined that service users had visited dentists, opticians, health clinics and speech therapists. One service user informed me how she tested her blood and injected herself with insulin on a daily basis. Medication is kept in a locked cupboard. A monitored dosage system is used. The medication and records checked were up to date and in order. Staff administering medication have attended an accredited medication course. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home have satisfactory complaints and abuse procedures and there was evidence that staff listen to service users. EVIDENCE: Staff were observed to listen to service users and ask them what they wished to do. There was evidence in the records that some service users enjoyed going out into the community and some preferred to stay in the home. No complaints had been made to the home since the last inspection. There is a suitable complaint procedure with acceptable time scales and complaint forms that can be completed. There is a policy and procedure on abuse. The manager and staff spoken to were fully aware of the action to take in the event of suspected abuse. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The standard of the environment of the home is good and provides service users with a clean and homely place in which to live. EVIDENCE: There are two lounges, three dining areas, two kitchens on the ground floor. The home is adequately decorated. One service user has painted two of the dining areas with support from staff. There is a friendly, homely relaxed atmosphere within the home. It is clean and hygienic. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 34 The service users receive a good standard of care from the motivated staff, despite the difficulties in completing their national care awards. EVIDENCE: There is no registered manager of the home at the present time. The home is managed by the general manager for the two homes belonging to the company. She is still registered as the manager of the other home. The general manager stated that she would submit an application to be registered for this home by the 19th May 2005. Four support workers have been undertaking work towards their NVQ Level 2 in care. The assessment centre they are registered with has been having problems with keeping assessors and the staff have been unable to progress their work. The general manager is now finding an alternative assessment centre in the hope that the staff can complete their awards. The general manager now ensures that all newly appointed staff have two written references and a CRB check before commencing employment. There was some difficulty in getting CRB checks returned through an umbrella organisation. Information was given on how to undertake POVA first checks in specific circumstances to ensure there was sufficient staff to care for the service users. Staff spoken to appeared knowledgeable and competent in their work and had worked in different care situations before commencing employment in the home. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39 and 42 The home provides a safe home for the service users and reviews its performance by seeking the views of service users and others. EVIDENCE: The general manager is working towards her NVQ Level 4 award in management and then proposes to complete the necessary units to obtain NVQ Level 4 in care. She has a comprehensive knowledge of the needs of people with learning disabilities and provides good leadership to the staff team. There is a quality monitoring scheme based on questionnaires being completed by service users if they are able, relatives, visitors and staff. This is undertaken annually and the results published internally. Improvements are implemented if necessary. Arrangements were in place for the protection of service users. The fire alarm weekly test, service of the fire alarm system and fire fighting equipment, hot water temperatures at a bath and a service users sink, the gas safety certificate and the electrical safety certificate were all in order. All records examined were up to date. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 15 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 Moorview x x x Standard No 31 32 33 34 35 Score x 2 x 3 x Version 1.20 Page 16 J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc 14 15 16 17 x x x x 36 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 1 x 3 x x 3 x Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 17 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. 1. Standard 37 Regulation 8 Requirement The registered provider must ensure that an application is made to the CSSI to appoint a registered manager Timescale for action 19/05/05 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. Refer to Standard 32 37 Good Practice Recommendations The manager should provide a plan on how 50 of care staff will obtain an NVQ Level 2 in Care award by the end of 2005. The manager should obtain NVQ Level 4 awards in Management and Care by the end of 2005. Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Moorview J53_J04_S7659_Moorview_V221243_260405_Stage 4.doc Version 1.20 Page 19 - 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. 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