Inspection on 15/11/06 for Morningside

This inspection was carried out on 15th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Morningside 17/10/08

Morningside 02/02/06

Morningside 20/07/05

Morningside 21/10/04

Morningside 27/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Morningside 52 Swanlow Lane Winsford Cheshire CW7 1JE Lead Inspector Ms Julie Porter Key Unannounced Inspection 15th November 2006 08:15 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 Morningside DS0000006595.V309673.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 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. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morningside Address 52 Swanlow Lane Winsford Cheshire CW7 1JE 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) 01606 592181 01606 552719 www.morningside-rest.co.uk Medingate Limited Mrs Kathleen Furby Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability (1) of places Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 31 service users to include: * Up to 31 service users in the category of OP (old age not falling within any other category) * 1 named service user in the category PD (physical disabilities, under the age of 65) The place for a named service user in the category of PD will revert to OP when no longer required for the service user The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2nd February 2006 2 3 Date of last inspection Brief Description of the Service: Morningside is a care home that provides personal care and accommodation for thirty-one older people. The home is privately owned and has been run by the same family for many years. It is a two storey detached Edwardian house set in large grounds in a residential area of Winsford, within easy reach of facilities such as shops, pubs, GP surgery and other amenities. The accommodation consists of 31 single bedrooms, one of which can be used as a double room. Sixteen of the bedrooms have en-suite facilities. There is a passenger lift as well as stair lifts providing access to the first floor. Communal facilities include three lounges, a conservatory leading on to a patio with seating, and two dining areas, one of which is a designated smoking area. There are very large, pleasant grounds planted with trees and bushes, which are well maintained and accessible. The home charges £350 per week for residential care. This information was provided by the manager and submitted to CSCI on 6 November 2006. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 15 November 2006 and lasted 5 hours. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the home owner/manager was also asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were also made available for residents, families, and health and social care professionals to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents and relatives were also spoken with and they gave their views about the service. What the service does well: Information is available to staff about the resident’s life before they moved to the home, and their likes and dislikes. This gives the staff information they can use to chat with and get to know the resident. The home has good links with community health workers and staff continually monitor the residents’ wellbeing to ensure they get the care they need. Comments received from a social worker said, “staff are always willing to listen to ways of meeting specific needs of the individuals that reside in the home.” There is a welcoming friendly atmosphere at the home and families are encouraged families to be involved in their loved one’s care so that residents do not become isolated. The home has an effective complaints procedure so residents know that their views will be listened to. The manager was described as “wonderful, would do anything for you” by one of the residents. The home is clean and well maintained. Equipment in the home is serviced regularly to ensure that residents live in a safe, homely, comfortable environment. The manager has a strong commitment to supporting staff to do National Vocational Qualification (NVQ) training so that they are competent to do their job. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 6 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 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 Morningside DS0000006595.V309673.R01.S.doc Version 5.2 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): 1, 3 Quality in this outcome is good. This judgement has been made using the available evidence including a visit to this service. Information is available to service users and their families so that they know what the home can offer. EVIDENCE: Information is available for the residents and prospective residents in the home about the services that the home has to offer. New leaflets and brochures had been produced and there is a new website for the home on the internet. Two residents spoken with said that they had enjoyed the day when the photographer came, “it was a laugh.” Both residents confirmed that the manager had asked if they wanted to be involved. Evidence was available that the residents and/or families had been consulted and had agreed that their photographs could be published. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 9 Two residents care plans that had recently moved to the home were inspected. Information available was very detailed and both plans contained initial social services assessments. The home’s own assessment of the resident’s physical, emotional and health needs is also included in the files. Both care plans contained information from the residents’ families about their life before they moved to the home. The home does not provide intermediate care. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 10 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, 9, 10 Quality in this outcome is good. This judgement has been made using the available evidence including a visit to this service. Residents’ needs and health care needs are continually monitored to ensure they receive the best possible care. EVIDENCE: Five residents’ care plans were inspected. They showed that the residents and/or families had been involved during the initial stage of planning their care. The home manager continues to monitor the residents’ care needs monthly. Comments were received from one of the residents’ social worker that states, “staff are always willing to listen to ways of meeting specific needs of the individuals that reside in the home.” All residents are registered with local doctors’ surgeries. One resident spoken with said that she was able to continue to be registered with the GP she had before moving to the home. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 11 The home maintains good links with community health services. A record is kept of visits to residents made by doctors, nurses and other health care professionals. All residents’ care plans checked during the visit showed that the residents’ weight is monitored. Risk assessments are done in respect of falls. The care plans identify what equipment should be used to prevent or to treat pressure sores. The home has a policy about administration of medicines. Residents are helped to look after their own medicines if a risk assessment shows it’s safe for them to do this. Three staff are identified to administer medicines and training is available to ensure that it is done properly. Medication storage and the medicines records were checked at the visit and were being maintained appropriately. Throughout the visit, staff were seen to knock on bedroom doors before going in and to treat the residents with respect. However, on the day of the inspection, a doctor was seen discussing personal information in the lounge with residents. Other residents and visitors were able to hear what was being said. This practice does not maintain confidentiality or the residents’ privacy or dignity. A telephone is available for residents to use. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 12 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, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents lead active lives both in and outside the home and are encouraged to make choices so they maintain some control and their independence. EVIDENCE: A number of activities are arranged in the home such as card games, jigsaws, bingo, sing-a-longs, flower arranging, aromatherapy and arts and crafts. During better weather activities are arranged in the grounds of the home or away from the home to local pubs, garden centres or shopping. Records are kept so the manager can see how popular each activity has been. Routines in the home are flexible to suit the needs of the residents. Residents’ families were seen coming and going throughout inspection. The manager confirmed that visitors are always welcome in the home and one visitor spoken with said she was always made to feel welcome and offered a drink. One resident spoken with said that she enjoyed life in the home, it “had saved her life” as she was very lonely living alone. She confirmed that she got up and went to bed when she wanted and although she was no longer able to get to church she enjoyed communion once a month in the home. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 13 Meals and mealtimes are provided to suit the residents. The breakfast and lunch were observed during the visit; both were very social occasions. Residents are encouraged to manage their own finances for as long as possible. When that is no longer possible family, friends or professional advisors take over. Small amounts of residents’ money can be kept by the home for safe keeping if necessary. Accurate records are kept of balances and money spent. Information was available in the home on advocacy services. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 14 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, 18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home has an effective complaints procedure to ensure that residents’ views are listened to. EVIDENCE: There is a written complaints procedure for the home that is available to the residents and their families. The complaints record was checked and showed that one complaint had been received by the home since the last inspection. This had been dealt with appropriately. Two residents were spoken with at length regarding the action they would take if they felt that any aspect of living in the home was not right. Both residents found this funny and explained that nothing was ever wrong. One said that the manager always does whatever he asks. After a long discussion, they confirmed they knew what to do if anything was wrong. The manager takes the protection of the people living at the home seriously. Four staff were spoken with and were aware that some action should be taken if they had any concerns that a resident might be being mistreated. They would need to discuss the matter with the manager or deputy as they were unsure about exactly what action they should take. The staff have not received any formal training on adult protection. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 15 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home is clean and well maintained to ensure that residents live safe, homely, comfortable environment. EVIDENCE: On the day of the inspection the home was clean, fresh and well maintained throughout. The owner continually monitors the quality of the furnishings and fittings of the home. Since the last inspection the garden landscaping has been completed. A ramp to reach the garden, a summerhouse and a greenhouse have been built. During the visit, the inspector toured the building and saw some of the bedrooms. Those seen were well furnished and had been personalised by the resident with small items of their personal possessions. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 16 Residents and visitors were seen moving about the home freely and making full use of the home. Handrails are fitted along the corridors to help residents with mobility and the home has a passenger lift. Bathrooms have equipment to assist residents with bathing and two electric bath hoists have recently been fitted. There were service contracts for this equipment to make sure that it was always safe to use. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 17 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, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. There are enough trained staff to meet the residents’ needs but improvements are needed to process of recruiting staff to make sure that residents are protected. EVIDENCE: The home employs twenty-six care staff and eight domestic/ancillary staff. Occasionally the home has students from the local college on work placement. One student spoken with confirmed that she helps with making cups of tea, cleaning and chatting with residents. The manager confirmed that any student under 18 years of age would not be involved in providing personal care. Nineteen of the homes thirty-four staff have achieved a National Vocational Qualification (NVQ) at level 2 or above. Of the remaining staff a further six have started an NVQ qualification this year. Twenty-one staff hold a current 1st Aid certificate and future training is planned on dementia care, food hygiene and moving and handling. Five staff personnel files were inspected; two files contained all the information required by Schedule 2 of the Care Homes Regulations for Older People. However two staff members and a volunteer did not have Criminal Record Bureau (CRB) disclosures before they had started work in the home. No POVA first checks had been done on these staff before they started work. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 18 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): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The manager is aware of her responsibilities in respect the day-to-day running of the home to ensure the residents are well cared for and kept as safe as possible. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection (CSCI) and has considerable experience in running this home. The owner/manager continuously monitors the performance of the home and residents were seen speaking with her throughout the visit. One resident said the manager was “wonderful, would do anything for you.” Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 19 The manager reviewed the home’s policies and procedures in January 2006. Residents’ satisfaction with the services provided is monitored through the complaints procedure and the informal meetings the manager has with residents and their visitors. The staff meeting minutes show that the staff have the chance to comment about the way the home is run. The quality monitoring that is carried out needs to be formalised and pulled together into a report to show how the home is meeting its aims, as set out in the statement or purpose. Information provided by the manager before the this visit indicated that up to date safety certificates were in place for the following for fire safety equipment, the gas and electrical installations, emergency call systems, the lifts and the hoists. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 20 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 21 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 OP10 Regulation 12(4)(a) Timescale for action Residents must receive 15/12/06 consultations with health care professionals in a manner which respects their privacy and dignity. Staff must receive training 31/01/07 relating to adult protection All staff must have a CRB 31/01/07 disclosure or POVA first check completed before they start working in the home. Volunteers must have a CRB check before they start to work in the home or with the residents. Requirement 2. 3. OP18 OP29 13(6) 19(1)(b) 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 Refer to Standard OP33 Good Practice Recommendations The home should formalise the processes already in place to produce an annual report regarding the success of the home in achieving its aim and objectives. Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Morningside DS0000006595.V309673.R01.S.doc Version 5.2 Page 23 - 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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