Inspection on 07/07/05 for Morris Care Centre

This inspection was carried out on 7th 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

Morris Care Centre 06/11/08

Morris Care Centre 21/11/06

Morris Care Centre 23/02/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Morris Care Centre Holyhead Road Wellington TELFORD TF1 2EH Lead Inspector Patricia Scott Unannounced 7 July 2005 13:30 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. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Morris Care Centre Address Holyhead Road Wellington Telford Shropshire TF1 2EH 01952 245521 01952 245523 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) Morris & Co Limited Mrs Andrea Emma Kathleen Heath Care home with nursing (N) 77 Category(ies) of 51 x Old age, not falling within any other registration, with number category (OP) of places 6 x Terminally Ill (TI) 5 x Leaning Disability (LD) 15 x Physical Disability (PD) Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must comply with the Staffing Notice as issued by Shropshire Health Authority dated 14th January 2002. 2. The home may accommodate a maximum of 77 Service users 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. Date of last inspection 24th March 2005 Brief Description of the Service: The Morris Care Centre Wellington is registered with the Commission for Social Care Inspection to provide accommodation, personal and nursing care for 77 people Wrekin Court and Wellington Court make up the 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 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 Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 7th July 2005 commencing at 13.30. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records (including care plans for 4 service users). The statement of purpose was used to assess how far the home’s objectives to be able to meet service user requirements and expectations were being met. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. This inspection also focused on requirements made following a previous complaint investigation by CSCI into concerns regarding care provision to an individual service user. It was conducted in Wrekin Court only. The Commission does not currently have any concerns regarding this home. What the service does well: The staff provide appropriate health and personal care very professionally and do it well. Communication between staff and service users about their care needs is very good. After appropriate risk assessment, service users are not discouraged or unduly restrained from undertaking activities solely for fear that for example, they may hurt themselves. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 6 Through discussions with the manager and staff, the principles that should govern life as stated in the statement of purpose, focus on the importance of promoting service users’ independence through enabling them to make their own decisions and fostering their individuality. From this recognition flows a style of management which enables service users to make decisions for themselves, choose the way in which they spend their time, build friendships with whom they wish, and find satisfaction in living in the home environment. 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. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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 Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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) 1,3 The homes statement of purpose and service user guide is good providing service users and prospective users with details of the services the home provides enabling an informed decision about admission to the home. Pre-admission needs assessments are thorough ensuring that service users who move into the home are assured that their needs will be met. EVIDENCE: The statement of purpose and service users guide have been updated for 2005. The information provides details of needs assessment to be conducted prior to admission and examination of care plans in Wrekin Court confirmed that this process had been carried out. In carrying out pre admission assessments whether the service user is privately funded or not the margin for error in Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 9 meeting needs will be less than just relying on the care management referral process. A service user who had been recently admitted was spoken with. She stated that the transition between the home and her own home were well planned and that she had settled in well. She said she had received great support from the staff in coming to terms with the move. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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 standard(s) 7,8, 9,10 There is a clear, consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. Personal and healthcare support in this home is offered in such a way as to promote and protect service users’ dignity and privacy in their daily life. EVIDENCE: 4 care plans were case tracked in Wrekin Court. The handover between staff on the ground floor unit was discreetly observed as they spoke about the care they provide. Staff used this opportunity to discuss issues about service user care and find solutions to dilemmas raised such as the social restrictions of required health care and risk management versus quality outcomes. The care spoken about mirrored the content of the plans. Staff were very knowledgeable about the client group they were caring for on this shift. On other floors staff were seen to approach service users respectfully and speak to them in a dignified manner. Service users on all floors showed signs of well being by their relaxed manner and being able to assert their own wishes e.g. have breakfast before personal care the next day rather than after it. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 11 Three visitors spoken with voiced their satisfaction with the care provided to their relative. Care plans looked at were consistently completed and had all the useful information in them that is necessary to enable staff to provide the right care for that individual in a way that meets their wishes and preferences. The information that was read showed that individuals receive the level of care which their own situation requires. Regular monitoring and review of a service user’s condition takes place to ensure that the correct treatment and care is being given. Service users spoken to stated that they were happy with their care. Appropriate assessment of bed rails is made with ‘mesh’ rails being used if there is a risk of entrapment. The care plans detail regular evaluations of the safety status of these rails. The home demonstrated its ability to work with a service user who had minimal needs to be as self-caring as possible. Enabling and encouraging the person rather than ‘doing for’ them. Standard 9 was only assessed for the system regarding homely remedies. The nursing procedure was seen and the GPs statement of authorisation for specific medications and creams had been reviewed. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 Staff have an excellent understanding of the service users support and leisure needs and use this to assist them to exercise choice and control in their lives. EVIDENCE: There is no strict imposition of rules or routines within the home. A service user’s visitor commented that their friend likes to spend time in her room and that staff are respectful of this. They stated that staff pop in from time to time and that she isn’t left for long periods. The call bell was within reach. Individuality is maintained as service users have their own rooms, places to withdraw to from busy active communal areas, opportunities to prepare food and drink for themselves and choice over when they get up and go to bed. Activities are displayed on notice boards and are varied e.g. ‘extend’ exercise class, flower arranging, summer gathering in the garden, art class. A shop is available. Of particular note was a display in the foyer about service users’ memories of the seaside and holiday trips of the past. The products of the art class were also on display. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 13 As mentioned above staff are very aware of the need for service users to maintain their outside contacts and social interaction. As an example of this was the quandary for staff in selecting the most appropriate wound dressing that would enable a service user to spend more time out without it being a detriment to the healing process of the wound. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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 standard(s) 16 The home has a complaint procedure that ensures complaints are dealt with promptly and effectively. Service users and their friends can be assured that what they say will be heard and dealt with. EVIDENCE: The review of the complaint made to the home in August 2004 was taken into account. The home had been reported by various parties to be functioning well with good standards of documentation, care and accommodation. However, there were a number of specific areas in the review report where the home appeared to have failed to meet some standards in relation to a particular individual. These areas were reviewed at this inspection and the findings are detailed in each relevant section of this report. There has been one other complaint since the last inspection, made to the home, regarding provision of a Sunday meal. This had been dealt with in the time scales of the homes’ procedure and responded to in full. The quality team carries out an audit trail of all complaints in the home to identify any trends and to address any failings. The Chief Executive of Morris Care records a comment on each complaint seen. Compliment letters were seen attached to the notice boards in Wrekin Court. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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 standard(s) 19 The standard of the environment within this home is very good providing service users with an attractive and homely place to live. EVIDENCE: A general tour of some bedrooms and communal spaces demonstrated that the home is purposely designed each with its own lounge/kitchenette and dining area. These were all in a good state of repair and comfortably furnished. Seating for two is provided. Individual rooms are personalised. Service users stated that their rooms are kept clean and that they can spend their time where they wish. Many people tend to congregate in the large comfortable foyer and watch the coming and goings of staff and visitors in the home. The monthly report on the overview of the home details routine decoration and maintenance of the building due to be carried out. Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 18 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 N/A 3 N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 N/A COMPLAINTS AND PROTECTION 3 N/A N/A N/A N/A N/A N/A N/A STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 19 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 Regulation Requirement none were made 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. 1. Refer to Standard Good Practice Recommendations none were made Morris Care Centre E56 E01 S22283 Morris Care Centre V237372 UI 070705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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. 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