Inspection on 06/11/08 for Morris Care Centre

This inspection was carried out on 6th November 2008.

CSCI found this care home to be providing an Excellent service.

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

Morris Care Centre 21/11/06

Morris Care Centre 23/02/06

Morris Care Centre 07/07/05

Morris Care Centre 24/03/05

Morris Care Centre 05/11/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Maple Lodge

Polesworth Group 32 Station Road

Heathlands

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Morris Care Centre Holyhead Road Wellington Telford Shropshire TF1 2EH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pat Scott     Date: 0 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Morris Care Centre Holyhead Road Wellington Telford Shropshire TF1 2EH 01952245521 01952245523 carecentre@morriscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Morris & Co Limited care home 77 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability old age, not falling within any other category physical disability terminally ill Additional conditions: The Home may accommodate a maximum of 77 Service user`s of whom there can be a maximum of 5 Younger Adults with a Learning Disability, 58 Older People 15 Younger Adults with a Physical Disability and 6 people suffering from a terminal illness. The home must comply with the Staffing Notice as issued by Shropshire Health Authority dated 14/01/02. Date of last inspection Brief description of the care home Wrekin Court and Wellington Court make up the Morris Care Centre at Wellington, which is one of a group of nursing homes run by Morris Company Care Division. The home is situated on the outskirts of Wellington with local bus services close by. The home has two shared rooms and seventy three single occupancy bedrooms all with en suite facilities. The communal areas are spacious, tastefully decorated and well Care Homes for Older People Page 4 of 25 Over 65 0 51 0 0 5 0 15 6 Brief description of the care home furnished. The garden areas are easily accessible for service users and are well maintained. Ample car parking spaces are available at the front and side of the premises. Morris Care make their services known to prospective service users in: The Statement of Purpose, Company Brochure and web site which also contain their contact e mail address. The inspection report is mentioned in the statement of purpose and is available in the home. Morris Care fees are reviewed annually and service users are notified one month in advance. The additional charges to service users are clearly laid out in the admission agreement. Fees for Morris Care Centre are: £720-£740 per person per week. All service users pay monthly by standing order. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is *THREE star excellent service. This means the people who use this service experience excellent quality outcomes. We, the commission, used a range of evidence to make judgements about this service. This includes: information from the manager in the annual quality assurance assessment (AQAA), staff records kept in the home, medication audits, survey results from people who use the service, discussion with the manager, tour of the premises, previous inspection reports, quality assurance processes, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has an robust assessment process so that people wishing to be admitted to the home can be confident that their needs will be addressed. The manager reviews staff training so that the service has the capacity to meet individual needs. Evidence: Information is available about the home in a document called the statement of purpose which is up to date for 2008. The information reads with clarity so people who may wish to use the service can understand the facilities and care the home can provide. Another document called the service users guide is also available and provides clear information regarding the accommodation, staffing, fee structure and how to make a complaint to the service. Care Homes for Older People Page 10 of 25 Evidence: The service conducts pre-admission assessments which document all comprehensive questions asked about the persons needs. The manager visits all new residents on a daily basis and admission questionnaires are also completed. Examples seen of these show that new people have the opportunity to comment on their introduction to the home. The manager reviews staff training so that the home can be confident that the staff have updated skills, abilities and qualifications to meet the assessed needs of new people. For example, the manager has accessed information to train staff in understanding ethnic communities. Surveys returned to us stated that people had enough information to make a decision about the home. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs and risk assessments are set out in their individual plans of care which ensures that all care needs have been addressed and will be fully met. The manager understands the need to comply with safe medication systems and staff practice ensures that the homes procedures are complied with and that residents health matters are safely addressed. The actions of staff and their approach to care ensures that people are treated with respect and their right to privacy is upheld. Evidence: Each resident at the home has a care plan. The practice of involving residents in the development and review of the plan is recorded where they are able. The plans are good in that they are person centred and reflect the actual care being delivered as they are updated on a monthly basis. The manager conducts a care plan audit on a regular basis. The record of this task shows that action plans are in place to address Care Homes for Older People Page 12 of 25 Evidence: any omissions with the individual staff concerned. Risk assessments have been completed for the use of bed rails for individual people. These again are person centred by ascertaining agreement from all parties concerned in the decision making process to use them. The service surveys residents about their satisfaction with the service they are receiving. The manager has consulted with the Primary Care Trust for a full review of medicine management in the home. This has resulted in a change of practice whereby monitoring of the effect of medicines will be specific in the care plans. A relative spoken with about the end of life care for her husband stated that staff communicate well with her and that all his needs are attended to. Issues regarding dissatisfaction with care for other people have been addressed by the manager with regular communication and review to resolve perceived problems. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff support people to keep in touch with family, friends and representatives so that they have appropriate relationships. People state they are as independent as they can be, and the service demonstrates that they lead their life in a chosen way so that they have the opportunity to make the most of their abilities and interests. The food in the home is of good quality so that the dietary needs of people are met. Evidence: Menus seen are nutritionally balanced and food and drinks are readily available. The residents we talked with were unanimous in their praise of the food. Beautiful and lovely were some of the comments. They said that there was sufficient choice, that the food was good and we saw a printed menu for the day in the foyer and dining room. Some residents said they prefer to take meals in their rooms and they have chance to make comments about them in surveys or directly to staff. The service conducts four monthly audits on the hospitality service in the home and has achieved the platinum award in healthy eating. Care Homes for Older People Page 14 of 25 Evidence: The policy which the home adopts is one of a person centred approach to activities, where as well as providing structured, organised activities, they try and find out what the individuals need or would like to do and provide some of these things. Recent events enjoyed include bonfire night, visit to Ironbridge and Whittington Castle. A second social life co ordinator is employed which has improved the activity service. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaints procedure that is up to date and accessible so that anyone associated with the service can complain or make suggestions for improvement. Evidence: People spoken to and who commented in our surveys say they would go to the manager or one of the staff if they had a problem. All expressed confidence that issues would be dealt with. Concerns spoken about by people had been promptly dealt with and a satisfactory outcome reached. There is a good level of accessibility to the management at this home which ensures that concerns can be dealt with very quickly. The manager provides communication channels such as resident meetings, complaint, comments and compliment information, day to day contact and care plan reviews. Numerous written booklets are available in the foyer to provide advice about the services of external agencies such as Shropshire County Council, Age Concern etc. Adult protection is covered after recruitment and discussed at supervision. Staff training records seen show that staff are provided with regular updates in adult protection. Care Homes for Older People Page 16 of 25 Evidence: The management is clear about when incidents need external input and who to refer the incident to. Links with external agencies are satisfactory and include the commission, police and adult protection teams. There has been one recent incident resulting in a referral through the safeguarding procedures which is now resolved. People who use the service and their supporters state within surveys that they are satisfied with the service provision, and feel safe and supported. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home reviews the premises, with input from residents so that people feel they live in a comfortable, clean home with modern furnishings and facilities which suit their individual needs and preferences Evidence: Residents tell us they like their environment and individual bedrooms. There is a programme of regular maintenance and areas identified by the service as needing renewal have this planned for January 2009. A quiet room has been created off the dining area. The home has a dedicated laundry service and staff are trained in infection control. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff get access to training,supervision and support they need from the manager so that people receive planned care. Staff in the home are trained and recognise the importance of care planning so that peoples changing needs are identified and acted upon Evidence: There are NVQ, qualified and experienced staff employed to provide care to people at the home. Care staff without NVQ qualification have received all mandatory training and completed the common induction standards. The staff have good managerial support to develop their experience in the service they are delivering. People using the service tell us that staff working with them provide safe and appropriate support. A relative commented, the family cannot fault any member of staff at any time. Other concerns aired to us tell us of staff appearing rushed in their work and sometimes having a negative attitude or lack of patience. The manager agreed to address these comments through team and resident meetings so that any specifics can be shared and understood. Care plans show that there is understanding of the person centred way of delivering care and support which is supported by training. Two staff personnel files were selected for inspection. All the necessary identity checks Care Homes for Older People Page 19 of 25 Evidence: have been carried out. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is based on openness and respect. The service has quality assurance surveys in place so that people are assured that the overall conduct of the home is taking into account their views. Peoples opinions are more central to how the home develops and reviews its practice, and the service is developing appropriate ways of making sure they get things right. So, people have confidence in the care home because it is run and managed well. Evidence: The managers practice is resident focused and customer satisfaction is high on the agenda. This is evidenced by the commitment to conducting surveys, resident meetings that are minuted, staff surveys and meetings, a monthly newsletter, company management meetings, training reviews. The manager and her staff have attended many training events and updates to Care Homes for Older People Page 21 of 25 Evidence: complement their roles within the home. Staff files seen record all training activity. Through discussions with the manager, she demonstrates that she is confident in her ability to lead a staff team whilst being fully aware of the individual needs of the people living at the Morris Care Centre. The home actively encourages people, where able, to manage their own money. Accurate records are kept and audited. Equality and diversity for service users is promoted throughout the home within the assessments, care plans and activities and training. Equality for staff is promoted through the opportunities for training at all levels. Quality assurance takes place throughout the service in both a formal and informal manner. Meetings, surveys, audits, day to day contact all provide records to show that resident satisfaction is at the heart of the service. The manager and her deputy with administrative support implement plans for improvement. The provider produces a monthly report to the manager to demonstrate that the overall conduct of the service is being managed well. It covers areas such as; interviewing residents, relatives, staff, catering, complaints, health and safety. The home keeps records to show that the health and safety of service users is promoted and protected. The service conducts fire drills, has regular alarm tests and reviews its fire risk assessment. The Fire and Rescue Service conducted an inspection following a recent fire incident. It noted that the procedure in place was followed by staff and that they acted appropriately. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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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