Inspection on 05/02/06 for Morris Feinmann House

This inspection was carried out on 5th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Morris Feinmann House 10/01/07

Morris Feinmann House 25/08/05

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 Inspection 5th February 2006 16:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Morris Feinmann House Address 178 Palatine Road Didsbury Manchester M20 2YW Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 445 3533 0161 448 1755 heather@morrisfeinmannhome.com Morris Feinmann Trust Mrs Heather Flora Naylor Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 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. 25th August 2005 7. Date of last inspection Brief Description of the Service: The Morris Feinmann Home provides nursing and social care for up to fiftyseven (57) residents on a long or a short-term basis. Registration is currently for thirty-three (33) receiving care only and twenty-two (22) residents 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 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 DS0000021565.V279255.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was unannounced, was carried out on Sunday 5 February 2006, and lasted for 4 hours. During the inspection, 15 residents, 8 visitors and 8 staff were spoken with. Though some care plans and other documentation was reviewed most of the inspection was spent with residents, relatives and staff so that a picture could be established of what it was like to be a resident at the home. A tour through the home was undertaken as part of this. The home have undertaken all 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 previous reports. What the service does well: What has improved since the last inspection? Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 6 The home have reviewed how they assess and record social care needs so that staff will be able to more appropriately respond to residents needs. A programme of radiator protection should ensure that residents do not get accidentally burned. 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 DS0000021565.V279255.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 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 the following standard(s): 3. Assessments are carried out prior to any person moving into the home. EVIDENCE: At the previous inspection it was identified that assessments in the home, which were in depth, were nursing orientated. Whereas this was obviously appropriate on the nursing unit, it only slightly addressed the social needs of residents particularly on the residential units where social care needs assume a greater importance. Since that report the senior management team in the home have been developing a detailed social needs assessment tool and the inspector was informed that training in the use of this was programmed to commence the week after the inspection. The outcome of the introduction of this assessment tool will be reviewed at the next inspection to ensure that all the residents needs both physical and social are being met. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 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 the following standard(s): 7. The current care plan format currently used does not identify clearly all needs. EVIDENCE: At the time of the inspection the home had developed a social care plan template that will be used to develop a full care plan including social care needs using the assessment tool mentioned previously. The aim will be to ensure that both physical and social care needs of the residents are clearly identified with their plans to enable staff to offer support in the most appropriate way. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. The home enables resident choice and self determination. EVIDENCE: Residents in the residential areas of the home said that the home met their needs and they were happy with the care they received. They said they had control over their day in the home, from what time they got up to what time they went to bed. Those residents who do not want to be checked by staff at night had a request on their door such as “ do not come in at night and certainly not in the morning, if I want you I will ring my buzzer”. Residents were seen coming and going about the home during the inspection. Those in the nursing wing had some control over their day as staff waited until they were awake before getting them up and one resident was heard to ask to go to bed after the evening meal and staff were seen to do this. The home has a good programme of activities six days a week through a number of activities organisers who work throughout the home including the nursing unit. This varied from trips out, to bingo sessions and one to one activities. Relatives spoke of how much their mother appreciated what was available. As the home caters for Jewish residents this is reflected in a number of religious services held in the home. Records did show that discussion took place with residents about how much they practiced and wanted to continue practicing their religion. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 11 A number of visitors were seen in the home and they confirmed that they could visit when they wished and were always made to feel welcome. Those visiting the nursing unit said that they could, with the residents agreement, get involved in care tasks such as assisting the resident they were seeing with a meal. Close links with the community were maintained and the home has a number of volunteers and an excellent news magazine. Residents spoke about going out regularly with family and friends and these varied from visits home to attending orchestral concerts. The homes ethos encourages residents to bring in personal possessions and the relatives of one newly admitted resident were seen to be doing this. The home serves kosher food and the menus showed that there is always plenty of choice. Residents and visitors spoke highly of the meals. At the evening meal served during the inspection there were three main choices available. Residents did choose prior to the meal what they wanted but if they changed their mind when this was served this was readily accommodated, and if the resident did not want the main choices other lighter options were suggested and made available. The atmosphere in the main dining room is not so much of a care home, more a restaurant, and residents were clearly treated as customers with respect by dedicated staff. The chef on duty knew the wishes of the residents and spoke about the current work being undertaken to review menus. Residents in the nursing wing were assisted and encouraged by staff with their meals in a relaxed caring manner. The tables in both areas were laid with table clothes, condiments, cutlery and flower arrangements. It was noted prior to the end of the inspection that supper was about to be served and this consisted of sandwiches as well as a hot drink. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Information on complaints handling needs updating. Staff would benefit from updating training about adult abuse recognition and reporting to ensure protection of residents. EVIDENCE: The home has a complaints procedure with both informal and formal stages that is on display throughout the home. However this does not mention that complaints can be referred directly to the Commission. This must be added. Complaints are all logged and details of investigations and the outcome are fully recorded. No complaints have been made direct to the Commission since the last report. A visitor to the home told the inspector they had reported that their mother, who was a resident, had reported to them that she had been hit by a member of night staff and they had reported this although they could not be sure how reliable their mother was with the information she had shared. No evidence of this report by relatives was found to be recorded, as the relatives stated they were told it had been, was found by the inspector and senior staff were not aware of this until the inspector informed them. The homes management, who were not aware of the report, were now investigating this complaint under appropriate procedures. The home should review the need for further staff training in the recognition and reporting of suspected adult abuse. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 The ongoing programme of fitting radiator gaurds should prevent residents accidentally being burned by a radiator in the home. EVIDENCE: A written programme was now in place to ensure that all radiators in the home be fitted with guards to ensure that residents cannot accidentally receive burns from a radiator. Those identified as presenting the most risk are being protected first. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. The home is well staffed but the deployment of these staff particularly at night must be reviewed to ensure equitable care throughout the home. The commitment to training ensures that residents are cared for by knowledgeable staff. EVIDENCE: The home was found to be staffing the nursing unit in excess of the minimum requirements of the staffing notice issued on the 8 January 2002 as they said that they believed the dependency levels on this unit needed this level of staffing. This was found to be delivering in the words of one visitor “fabulous care”. Residents and relatives commented that they perceived that the level of care and response dropped slightly at nighttime on the residential areas, as there was less staff than they felt there should be. The registered manager must review staffing allocations in the home to ensure that the good levels of staff on duty are used most effectively to continue to meet resident’s needs. Since the last inspection the home have reviewed how they meet their statutory duty in relation to Criminal Records Bureau (CRB) checks. All staff had a training programme and those on duty were able to confirm what training they had recently undertaken. Discussions with registered nurses showed that the home enabled them to keep up to date with ever advancing best practice. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X X X X X X 3 X STAFFING Standard No Score 27 3 28 X 29 30 X 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP16 Regulation 22(7)(a) Requirement Complaints documentation must contain the address and telephone number of the Commission. The registered manager must review staffing allocations in the home to ensure that the good levels of staff on duty are used most effectively to continue to meet resident’s needs. Timescale for action 01/06/06 2. OP27 18(1)(a) 01/06/06 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 OP18 Good Practice Recommendations The home should review the need for further staff training in the recognition and reporting of suspected adult abuse. Morris Feinmann House DS0000021565.V279255.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection CSCI, Local office 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 DS0000021565.V279255.R01.S.doc Version 5.1 Page 19 - 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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