Inspection on 02/02/06 for Morningside

This inspection was carried out on 2nd 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

Morningside 17/10/08

Morningside 15/11/06

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 Unannounced Inspection 10:00 2 February 2006 nd 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.V267738.R01.S.doc Version 5.0 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.V267738.R01.S.doc Version 5.0 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 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.V267738.R01.S.doc Version 5.0 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 20th July 2005 2. 3. Date of last inspection Brief Description of the Service: Morningside is a care home providing personal care and accommodation for thirty-one older people. The home has been privately owned and 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, conservatory leading on to a patio area 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. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five hours on 2 February 2006 and involved a tour of the building, a review of records and conversations with residents and staff in the home. Lunch was taken with the residents as part of the inspection. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 6 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.V267738.R01.S.doc Version 5.0 Page 7 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): None of these standards were reviewed as they were fully met at the last inspection. EVIDENCE: Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 8 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): 8,9 & 11 Residents’ health needs are monitored to ensure they stay in good health. Policies and procedures are in place to ensure residents are cared for with respect up to and including the time of their death. EVIDENCE: During the inspection the Doctor was seen visiting the home to monitor the health of the residents registered with him, and the community nurse visited one resident needing nursing support. The home manager one of her deputy’s reviews residents care plans on a monthly basis, or early as the need arises. Residents can manage their own medication subject to the homes risk assessment. The home has a policy regarding care of the dying which supports residents to stay in the home for as long as the home can provide care for them. This was last reviewed in January 2006. There is a procedure instructing staff of the action they need to take following death of a resident, which protects the residents and staff, this was reviewed by the manager in October 2006. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 9 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 -15 Residents are able to exercise choice about how they live their lives in the home and are encouraged to keep in touch with family and friends. Mealtimes are seen as social occasions. EVIDENCE: Seven residents were spoken with during the morning of the inspection and lunch was eaten with eight residents, all residents were talkative and spoke positively about their life in the home. The home is very busy with staff, residents and visitors coming and going, one resident said she enjoyed just watching people. This included a group of female residents watching the progressing building work going on in the garden. Lunch was a social occasion; residents were given choices and opportunity for more if they wanted, the food was tasty and good quality. Residents spoke enthusiastically about the activities in particular the bingo sessions and during the afternoon of the inspection a volunteer was observed spending time with residents, chatting and doing manicures when requested. Leaflets were available in the home regarding the local advocacy service. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 10 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 The home has a written complaints procedure and verbal complaints including the outcomes are recorded to demonstrate that the home is monitoring its performance and the welfare of the residents. EVIDENCE: Residents spoken with were more than capable in making their wishes known, all said that if they were unhappy with any aspect of their care they would complain either to the staff or the manager. Improvements have been made in the recording of all complaints including verbal complaints made by residents. The home has developed a system of recording the complaint, the investigation, and the outcome and also demonstrates that staff monitor the situation following a complaint. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 11 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 -26 The home was fresh clean and well maintained to ensure the residents live in a comfortable homely environment. EVIDENCE: The homeowner continuously monitors the environment and the fabric of the home and has a year on year development plan for the facilities. The home was fresh and clean thorough out, since the last inspection the kitchen has been finished and is now fully operational and was inspected by Environmental Health on 23 January 2006 and was satisfactory. Two toilets have been decorated and re-tiled and the dining room is in the process of being painted. The far end of the garden has been recently sold and builders were at the home landscaping the gardens to give easy access to the gardens and seating areas in warmer weather. One resident enjoys spending time outside and has a love of gardening, the home manager stated that part of the garden will be used to promote this interest by erecting a greenhouse and shed. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 12 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): None of the standards were assessed as they were fully met at the last inspection. EVIDENCE: Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 13 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): 31,35, 37 & 38 The residents’ best interests and welfare is important to the staff in the home. EVIDENCE: The home manager has owned and managed the home for a number of years and is registered with the Commission for Social Care Inspection, she has recently achieved the Registered Managers Award. Evidence has been seen during the last inspections that the owner/manager continues to monitor the fabric, furnishing and services available in the home. Employers Liability insurance was on display and valid until 01 June 2006. Environmental Health inspected the home in January 2006 and the premises were satisfactory. The home was inspected by the Fire officer on 25 January 2006 and previous requirements had been met. Service contracts were in place for the servicing of equipment in the home for example stair lifts; mobile hoists bath hoists and the passenger lift. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 14 The home will when requested support the residents in managing their personal allowances. A sample of residents’ records was reviewed in relation to cash and valuables held on their behalf and good accounting procedures were seen. The manager reviews all policies and procedures annually. Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 3 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 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X 3 3 Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Morningside DS0000006595.V267738.R01.S.doc Version 5.0 Page 17 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.V267738.R01.S.doc Version 5.0 Page 18 - 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!