Inspection on 25/08/05 for Morris Feinmann House

This inspection was carried out on 25th August 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 Feinmann House 10/01/07

Morris Feinmann House 05/02/06

Morris Feinmann House 03/02/05

Morris Feinmann House 21/09/04

Morris Feinmann House 24/03/04

Morris Feinmann House 10/11/03

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 Morris Feinmann House 178 Palatine Road Didsbury Manchester M20 2YW Lead Inspector Leslie Hardy Unannounced 25 August 2005 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 Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Morris Feinmann House Address 178 Palatine Road Didsbury Manchester M20 2YW 0161 445 3533 0161 448 1755 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 Feinmann Trust Responsible Individual - Ms Helen Lister Mrs Heather Flora Naylor CRH Care home N Nursing 57 57 Category(ies) of OP Old age registration, with number of places Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The maximum number of service users within the overall total of 57 requiring nursing care shall be 22. The maximum number of service users requiring personal care only shall be 35. The Levy wing accommodates only service users requiring nursing care. Minimum nursing staffing levels as set out in the Notice issued under Section 25(3) of the Registered Homes Act on 8 January 2002 shall be maintained. That a First level Registered Nurse trained in General Nursing will be in charge of each shift. In addition to the General Manager the service provider employs an identified full time First level Nurse trained in General Nursing who is responsible for the clinical supervision of the nursing staff in the home. The service 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 03 February 2005 Brief Description of the Service: The Morris Feinmann Home provides nursing and social care for up to fiftyseven (57) service users on a long or a short-term basis. Registration is currently for thirty-three (33) service users receiving care only and twenty-two (22) service users receiving care with nursing. The home admits Jewish service users aged over sixty years from the local community, other areas of Britain and from abroad. The home is divided into three wings and a central area. The Palatine and Spath wings comprise of both nursing and residential care beds and the Levy nursing wing is solely for high dependency nursing care. The central area comprises of the administration block, hallway and reception. A separate ‘annex’ of three flats situated in the grounds of the home are currently occupied by three residential service users. The home is situated in a residential area of Didsbury, set back from a main road. Extensive car parking areas are provided. Lawned areas, gardens and mature trees and shrubs surround the home. Bus routes to the city centre and surrounding towns pass the home with bus stops a hundred yards from the main entrance. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was unannounced, was carried out on Thursday 25th August, and lasted for 6 hours. During the inspection, 14 residents, 3 visitors and 12 staff were spoken with. Since the appointment of a new manager in early 2004 the way the home delivers care has been restructured. The registered nurses, during the day, are solely on the nursing unit, leaving carers headed by team leaders to deliver care in the care only part of the home. This was found at this inspection to have lead to a higher standard of nursing care and documentation being delivered, and a fully sense of job satisfaction and enthusiasm was found amongst the registered nurses. The care only part of the home, again run by enthusiastic and committed staff, was found to be still developing to its full potential, and a number of improvements are made in this report to aid this development. The home have undertaken all but 2 of the improvements from the last inspection report. During this inspection only a selection of key National Minimum Standards were assessed therefore to gain the full picture of how the home meets the needs of residents, this report should be read with the previous and any future reports. What the service does well: Good nursing assessments and care plans ensure that residents requiring nursing care receive this to a high standard. The development of separate nursing and care teams means that staff can focus on the individual needs of residents and ensure that skills are used to the best advantage of residents. All this means that residents are accorded appropriate respect and as one resident said “the staff maintain my dignity at all times.” The standard of accommodation ranges from the good to the excellent and all is well maintained and kept very clean and presentable. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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 Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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) 3 The manager needs to fully address the area of assessment in the care only part of the home so that it achieves the standard now available in the nursing care part of the home. EVIDENCE: The residents receiving nursing care had full nursing assessments undertaken by the home and by the funded nursing care team from the local NHS Primary Care Trust (PCT). The home’s own assessment, called a “profile”, was found to be updated regularly. These assessments showed that the home was able to meet the nursing needs of the residents. The profile tool, and a version of the PCT funded nursing care assessment was used as an assessment tool in the care only part of the home. These tools were nursing needs orientated and contained little social need assessment. A requirement had been made in the two previous inspection reports for the assessments to include social care needs. Staff members stated that they were aware this needed to be undertaken, and that they needed training in this area. The manager needs to address this area urgently and continue to encourage the team leaders to use skills they have which could be passed on. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 9 This will ensure that residents needs are identified, usually with their involvement, and these needs are met. As one resident said, “I have told the staff I will tell them when my needs change.” It is important that the current needs are agreed and recorded. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 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 and 10 Residents were treated as individuals and respected as such. The home needs to fully develop care planning in the care only part of the home to the same level as those in the nursing part of the home so that residents needs are fully identified and met, and the meeting of these is recorded. The home medication handling practices ensure the safety of residents. EVIDENCE: The assessments mentioned previously were used to formulate care plans for residents. Again because the assessment process in both parts of the home was more around nursing needs the plans in the nursing part of the home more fully met the needs of residents with mainly nursing needs. The lack of social care plans, as raised in previous reports, meant that social care plans were not formulated and though this affected both groups, more fundamentally affected those with just care needs Again this was recognised by staff. The care plans in the nursing unit were full, but it is recommended that each is personalised so that each residents current needs are identified. Plans were found to be more regularly reviewed on the nursing unit. The daily statement recording seemed to be more fully developed on the nursing unit where a fully picture of residents behaviour was written. These Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 11 were regularly updated by staff who sat with residents while they undertook this process. This needs to be fully developed on the care only units to reflect the care that is actually delivered by staff. Both units undertook full assessments of risks posed residents’ needs and these were found to be reflected in care plans. The home accessed specialist staff from the NHS as was needed. Over the past 15 months the practices in handling medication have improved greatly so that current practices for the receipt, storage, administration and disposal of medication ensured that this was undertaken in a safe manner that protected residents. The home maintained the dignity of residents and respected their privacy. Residents confirmed that staff only entered their room after knocking and being invited in. Staff tended to residents behind closed doors whenever personal care was required. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 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) None of these standards was assessed at this inspection. EVIDENCE: Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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) None of these standards were assessed at this inspection. EVIDENCE: Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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, 24, 25 and 26. The home provides a very clean, well-maintained and comfortable environment for residents. The recent risk assessment of radiators ensured that action would be taken quickly if a risk of residents receiving accidental burns were identified. EVIDENCE: The home is well maintained and 2 rooms were being completely refurbished at the time of the inspection. The nursing area showed slight signs of wear, were wheelchairs had hit doors and skirting. The redecoration of this area that was planned will remedy this. The homes handyperson responded quickly to miner problems. A risk assessment by a health and safety professional of all the unprotected radiators in the home had been undertaken. A plan to protect all the radiators in the order of identified risk was now in place, along with a commitment to protect radiators when rooms, such as the current 2, are refurbished. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 15 The home was kept very clean and odour free. Advice from the local PCT infection control team had been acted on to ensure an appropriate safe environment for residents, but the home need to purchase a bed pan disinfection machine or macerator as recommended by infection control and required by these standards. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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 28 29 and 30 The home is appropriately staffed by a knowledgeable staff team who receive regular updating training. Recruitment procedures to protect residents are in place. EVIDENCE: The home was always staffed to at least the minimum levels required by the current staffing notice and usually staffed well above these levels. This ensures that all residents, but particularly those on the nursing unit receive a high level of one to one care. The home have maintained the number of carers with NVQ Level 2 and above over the minimum required 50 . This will ensure that residents are cared for by appropriately skilled staff to deliver a good quality of care. The home had appropriate recruitment policies in place to safeguard residents. The files of recently appointed staff members contained the required information. The home should however develop a monitoring system for obtaining and disposing of Criminal Records Bureau (CRB) checks as currently there is not one in place which could put residents and the home at risk by not updating checks. Staff were knowledgeable about the residents and knew what their needs were and how these were met by the home. Staff stated that they regularly attended training events but staff did not have clear training plans and recording of events attended was unclear. The home is required to keep a Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 17 clear training plan and records. The home had a induction programme which meets the required standard. As individual members of staff keep their personal record these were not available. It is recommended that the home keep a copy on file once the programme is completed which will provide confirmation that programmes which explain the needs of residents and how to met these have been undertaken. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 35 and 38 The home is well managed by a manager who leads a committed competent and well motivated staff team. This ensures a good level of care is provided to residents. EVIDENCE: The home is well managed by a competent manager who is assisted by a care manager, a registered nurse with good nursing skills and competence. The manager was undertaking the registered managers award, although she was finding this difficult with the ongoing pressures of managing the home. As it is required that the manager obtains this qualification the registered person should review with her how this will be achieved. Residents were able to articulate when the home failed to deliver the care they require. Regular residents meetings are held with senior staff, although some residents were sceptical about there worth and did not attend. The home undertake appropriate servicing of equipment and facilities. This is regularly audited by an external company. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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 x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 3 x x x x 3 Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 20 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. 2. Standard 3 7 Regulation 14 15 Requirement A social care assessment must be carried out. (previous timescale of 01/07/05 not met. A social care plan must be formulated for each service user. (previous timescale of 01/07/05 not met. A written programme for the protection of all radiators must be implemented and work actioned. The home should develop a monitoring system for obtaining and disposing of Criminal Records Bureau (CRB) checks Timescale for action 30/10/05 30/10/05 3. 25 13 30/10/05 4. 29 19 30/10/09 5. 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 30 Good Practice Recommendations The home is required to keep a clear training plan and record for each member of care staff, including induction. Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Morris Feinmann House F55 F05 S21565 morris feinmann v244228 250805 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. 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