Inspection on 20/07/05 for Morningside

This inspection was carried out on 20th July 2005.

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 02/02/06

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 Julie Porter Unannounced 20 July 2005 10:00 th 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 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 F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Morningside Address 52 Swanlow Lane Winsford Cheshire CW7 1JE 01606 592181 01606 552719 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) Medingate Limited Mrs Kathleen Furby Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Physical disability (1) MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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). 2 3 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. Date of last inspection 21/10/04 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 F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours on the 20th July 2005 and a tour of the building was undertaken. Records kept in the home were also checked. There were twenty nine people living in the home on the day of the inspection The inspection was able to discuss with five residents living in the home what their live was like living in the home; three family members were spoken with regarding the care of their loved ones and all staff on duty were available. What the service does well: What has improved since the last inspection? The owner of the home has a year on year development plan for the facilities in the home. Although not fully completed on the day of the inspection the kitchen was in the latter stages of refurbishment. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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 standard(s) 1-6 Residents have their care need assessed before moving into the home to make sure their needs can be met there. Information provided to them and their relatives is thorough and helps with the decision making. EVIDENCE: A statement of purpose and service user guide is available and provides information about the home and the service it provides. Contracts that detail the terms and conditions of living in the home have been provided to the residents. The manager of the home meets with all prospective residents before they move into the home and discusses with them and their families their care needs before they move into the home to make sure they can meet them. Four residents spoken with said that they knew about the home before they moved there and that they had made the decision to move there. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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 standard(s) 7-11 Residents at the home are cared for by a team of staff who know them well. Information about their needs is recorded and reviewed monthly. EVIDENCE: Care plans included information about the residents’ lives before they moved to the home including their likes and dislikes and hobbies. Their families had been encouraged to be involved in providing information and contributing to the care needs of their loved ones. Changes to the needs of the resident were well recorded and the care plans provided information about daily events and immediate changes in each residents health and wellbeing. All care plans are being updated monthly. Care plans provided information about health care professionals such as dentists; opticians; chiropodists; doctors; district nurses who were also involved in the residents’ care. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 10 Hospital out patients appointments are recorded well providing information on the treatment goals and action to be taken, residents’ are supported to attend appointments either by the homes’ staff or their by their family. A family spoken with on the day confirmed it was their choice to take their mother to hospital appointments, that it was their wish to continue to be involved as much as possible and that the home had encouraged this. Four residents spoken with were complimentary about the time they had spent in the home making comments like “staff are wonderful” “I have everything I need” “living here means my family don’t need to worry”. Staff were seen speaking with residents about their care, encouraging conversations with each other and knocking on doors and waiting for an invitation before entering bedrooms, residents confirmed this always happened. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 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 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. EVIDENCE: All the residents spoken with said they could chose how they lived their lives in the home, that they could have company if they wanted or spend time alone. They spoke enthusiastically about the activities in the home and one resident was pleased having won at a game of bingo. Residents were seen reading, watching T.V, knitting and chatting with staff and other residents. A resident had continued his love of gardening since moving to the home and had been encouraged to plant summer baskets and pots for the patio area. Family and friends are encouraged to visit the home at any time, three family members said that they were always made to feel welcome and were seen enjoying morning coffee with their mothers. Information is shared with relatives with the agreement of the resident and one relative commented that the relationship between him and the home was “fabulous” that he felt the home provided “excellent care for his mum”. One residents family said that they had known the home before their relative had moved there as they were local to the area and that his mother would not entertain moving to any other home in the area. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 12 Residents said the food in the home was “beautiful” “you just ask and you get what you want”. On the day of the inspection the chef was working in difficult circumstances in a limited cooking area because the kitchen was not in use due to a complete re-fit. Choices for breakfast and evening meal were still available and prepared by the homes’ chef, lunch had been arranged through meals on wheels. Residents were less than complimentary and said they “couldn’t wait for things to get back to normal”. Residents and family confirmed that they had been consulted about the arrangements and had been kept informed regarding the progress of the work. Meal times were flexible to suit individuals preferences and seen as relaxed and informal occasions. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 13 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 standard(s) The home has a complaints procedure; records of how complaints are dealt with need to be improved so that the home can demonstrate that the complaints procedure is effective. EVIDENCE: The last complaint recorded on file was received by the home in 2002, in conversation with a relative they said that they had had cause to complain to the management of the home recently and that they had been satisfied by the action taken by the home. The nature of this complaint was not included on the complaints log and without a full record of all complaints the home cannot demonstrate how effective they are in dealing with complaints. All the residents spoken with knew how and to whom they should complain if they were unhappy with any aspect of living in the home. They all felt sure that they would be listened to and said that staff encourage them to speak up for themselves. See requirement 1 All staff employed at the home have either got or are working towards NVQ qualifications including adult protection, in discussion with the staff on duty on the day they said they felt confident in reporting concerns and were able to discuss the process for reporting. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 19-26 The home is clean and well maintained, so the residents live in a comfortable homely environment. EVIDENCE: There are staff employed by the home for cleaning, and to assist in the kitchen, the home was clean and fresh throughout. Due to the kitchen refurbishment and the alternative cooking area in place in one of the dining rooms there was some disruption to the residents facilities, all residents spoken with were understanding and positive about the improvements being made to the home. One resident spoken with said that she had lived at the home for some time but still had her own house which she may sell, and that she was discussing with her family and the homes staff to move some of her personal possessions from her house. Other residents’ bedrooms seen had personal items of furniture and photographs. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 15 The conservatory at the rear of the property looks out onto a raised patio with ramped access to a large garden that provides residents and visitors with opportunities to sit out and walk around in safety. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-30 The staff have worked at the home for considerable time and know the residents well, the training program for the home includes mandatory and specialist training and they have developed a good knowledge of residents needs. EVIDENCE: All the staff spoken with on the day of the inspection were enthusiastic about the training and support offered by the home. All staff have either got or are working towards a qualification at NVQ level, other mandatory training is in place in the home. In discussion with staff they were aware of the individual needs residents and spoke with confidence about the care they would have to give to meet those needs. Personnel, training and supervision records were seen during the inspection and demonstrated that the home follows good practice in relation to recruitment and that staff are supervised on a day to day basis as well as formally as part of their development. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33 & 36 & 38 The residents’ best interests and continuing independence is important to the staff and manager of the home as they support individuality and value comments of the people who live there. EVIDENCE: The home manager/owner is well known to the residents, they spoke to her using her first name and freely talked about life in the home during her recent absence. The atmosphere was relaxed and jovial between residents, staff and visitors to the home. When questioned regarding the meal arrangements the residents were given full and frank explanations regarding the delay in resuming normal service in respect of meals. The manager has not yet achieved the registered manager award but is in the process of doing so. See recommendation 1 MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 18 Two deputy managers work in the home and have regular contact with the owner manager should she not be available. They are in charge of the running of each shift and ensure the staff are supervised. Residents and visitors spoke well about all the staff working in the home, one resident commented “you only have to ask” and a relative stated that he “could not praise the staff enough” “they do a fabulous job” Regular tests of the fire alarms; emergency lighting and servicing of the lift; hoists and stair lift are done. Accident records were seen and were in order. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 3 3 3 3 3 x x 3 x 3 MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 20 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 16 Regulation 22 Requirement All complaints must be recorded, investigated and a record kept of the action taken Timescale for action 30/09/05 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. Refer to Standard 31 Good Practice Recommendations The registered manager should achieve the registered managers award by 2005. MORNINGSIDE F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire 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 F51 F01 S6595 Morningside V239702 200705 Stage 4.doc Version 1.40 Page 22 - 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!