Inspection on 19/07/06 for Morton Cottage Residential Care Home

This inspection was carried out on 19th July 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

Morton Cottage Residential Care... 15/01/09

Morton Cottage Residential Care... 17/07/08

Morton Cottage Residential Care... 30/01/08

Morton Cottage Residential Care... 06/09/07

Morton Cottage Residential Care... 04/12/05

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 Morton Cottage Residential Care Home 210 Wigton Road Carlisle Cumbria CA2 6JZ Lead Inspector D Jinks Unannounced Inspection 10:00 19th July 2006 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 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morton Cottage Residential Care Home Address 210 Wigton Road Carlisle Cumbria CA2 6JZ 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) 01228 515757 01228 521876 Morton Cottage Residential Care Home Ltd Mrs Amanda Jane Longford Care Home 32 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (32) Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users to include: up to 32 service users in the category of OP (Old age, not falling within any other category) up to 6 service users in the category of DE(E) (Dementia over 65 years of age) 1 service user in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age) Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, and when a shared space becomes vacant the remaining service user must have an opportunity to choose not to share, by moving to a different home if necessary. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4th December 2005 2. 3. Date of last inspection Brief Description of the Service: Morton Cottage is owned and operated by Mrs April Dixon with Mrs Amanda Longford as the registered manager. The home is registered to provide accommodation for up to 32 older people, 6 of whom may have varying forms of dementia. The property is a large detached house on the outskirts of Carlisle. Accommodation for the residents is on two floors with a passenger lift accessing the first floor. There are 24 rooms for single occupation and 4 that can be shared by 2 people. All the bedrooms have en-suite toilet and washbasin facilities and there are communal toilet and bathing facilities throughout the home. There are three lounge/dining rooms and a quiet lounge on the ground floor. The home produces a guide to the services and facilities provided by the home and this is available on request from the manager. The scale of charges range from £363.00 to £422.00 per week (July 2006). Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home was made and included discussions with the manager and the registered person as well as some of the staff working at the home. The views of some of the people living in the home were obtained through discussions with them during the visit and the completion of questionnaires. Comments from relatives and community nurses were also received via questionnaires. The manager of the home completed a detailed questionnaire about the home and the services that it can provide. What the service does well: What has improved since the last inspection? What they could do better: Some areas of the process for employing new members of staff need to be reviewed to ensure that all the necessary checks are carried out prior to employment. This will help to protect the people living at the home from being cared for by unsuitable people. There area very few activities at the home for people to join in if they wish. The manager needs to consult people living at the home on their social and leisure interests, this will enable her to ensure that a suitable programme of activities is made available to the people living there. There are several areas of the home that require extensive refurbishment and redecoration to bring them up to the standards in other parts of the home. The Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 6 manager has been asked to update her renewal and maintenance plan for the home to make sure that these areas are dealt with quickly. 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. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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): 1 and 3 (Standard 6 is not applicable to this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective service users with appropriate information about the home to help them decide whether the home is able to meet their needs. Pre-admission assessments are undertaken or obtained prior to admission. This also helps to ensure that the home will be suitable for the service user. EVIDENCE: A sample of service user care files were looked at during this visit. Pre-admission assessments are carried out and assessments have been obtained from social care and health care professionals where applicable. In the case of one of these service users, detailed, additional information was provided by a relative. The manager ensures that the home carries out an admission assessment. The assessment format used by the home would benefit from a review to ensure that full details of the prospective service user’s needs are recorded within this document. There is a Statement of Purpose and Service User Guide at the home - this was being updated in order to accurately reflect the details of staff and services at the care home. The Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 9 home does not provide intermediate care services but respite care is provided by the home. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are generally set out in a plan, which is generated from the assessment. The information contained in the plans does not consistently contain sufficient detail. This means that potentially, service users may not have all of their needs met appropriately. EVIDENCE: Service user records contain care needs assessments, detailed care plans and some risk assessments. Daily notes are kept in respect of each person living at the home recording any significant events in the life of the resident. The records confirm that people living at the home have access to doctors, community nurses, opticians, chiropodists and assistance to attend hospital appointments. The care plans have been reviewed each month and updated when necessary to reflect the service user’s changing needs. The risk assessments include arrangements to help a service user to continue smoking whilst maintaining a safe environment for everyone and mobility and nutritional assessments had been completed. Arrangements for staff to follow when moving and handling less mobile residents did not consistently contain Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 11 sufficient details to ensure the safety of all. Bed rails had been fitted to the beds of two service users. Discussion with the service users involved confirmed that they have requested the bed rails for specific reasons, but adequate records have not been kept. Where assessments indicate that service users may need their nutritional intake monitoring, this has not always been done on a regular or detailed basis. These matters were discussed with the manager. Care plans at the last inspection were noted as having improved - the sample of plans looked at during this visit included more recently admitted service users. These did not contain the same detail as residents who moved into the home last year. This was also discussed with the manager during the visit, as this information must be recorded in a detailed and consistent manner. The home has policies and procedures in relation to the administration of medicines. Not all of the staff are given responsibility for the administration of medication and only the staff that have received accredited training in the safe handling of medication are able to carry out this task. If people wished to take care of their own medication the manager will carry out a risk assessment to ensure the safety of all concerned and a secure lockable storage space is provided in the person’s own room. At the time of the inspection there were no service users responsible for their own medicines. Samples of the records relating to medication administration were looked at during the visit. Arrangements are in place at the home for the recording of receipt and returns of medicines from the pharmacy and individual service user records had been accurately maintained. Medication was securely stored and records included a photograph of each service user to aid identification. People living at the home said that the staff are very kind and very helpful. This was observed during the visit to the home. Staff were not only helpful to the residents but also to any visitors to the home. Where two service users share a room screens have been provided to help ensure privacy. Some comments were received that indicate improvements could be made to the arrangements for ensuring adequate privacy for people living at the home. One room at the home is accessible from two corridors. This was used as a shortcut during the visit. The manager was asked whether this was a normal practice. She indicated that she would like to think not and didnt think that staff usually used this as a ‘shortcut’. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not always meet the social and leisure expectations and preferences of people living at the home. This potentially places limitations on the independence, autonomy and choice for the people living at the home. EVIDENCE: There were no activities observed at the home on the day of the inspection. Staff were seen chatting with residents and the TV was on for those who wished to watch it. Details of the hobbies and interests of people living at the home had not always been recorded or acted upon. Service users said that there used to be trips out and some activities, but there had been nothing recently. There used to be an activities worker at the home who organised events and activities for people living at the home. Relatives and friends of people living at the home are able to visit any time and are made most welcome. Residents are able to see their visitors in their own room or in one of the communal areas as they wish. People living at the home are encouraged to maintain their independence in relation to their personal care and this is reflected in their care plans. During the visit menus were looked at. The content of them was discussed with the cook and the manager. The meals are varied and include fresh fruit, vegetables and salads. Service users are provided with a choice at each Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 13 mealtime with further alternatives available if required. The menus did not always contain sufficient details such as the sandwich fillings and contents of each meal. This should be included so that service users are fully aware of the choices available to them. The cooks supervision records indicate that aids and adaptations to assist service users with eating are obtained where necessary. The cook is kept informed of any residents requiring a special diet such as a diabetic or soft diet. The cook has also attended training courses in food hygeine, diabetes awareness and diet and diabetes in order to keep up to date with such matters. Service users indicated that the food was good and confirmed that there is always a choice of food available. Drinks (hot and cold) and snacks were available throughout the day. The weather was particularly hot on the day of this visit. Staff ensured that residents were supplied with plenty of drinks including water and fruit squash. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager takes complaints and comments seriously, listening to and acting upon what staff and service users may tell her. This helps to protect the best interests of people living at the home. EVIDENCE: The home has a suitable complaints process and people living at the home and their relatives are aware of the process. The people participating in the inspection had not had cause to make a complaint. People living at the home knew who to direct any comments and concerns to and indicated that staff usually listen and act upon their comments. The manager ensures that records are kept of any comments or complaints that have been received. The records show that issues are investigated and any necessary action has been taken. People making comments or complaints are kept informed of the progress and the outcome of any investigation. Records are kept in a hard back book. It would be better if the comments, complaints etc were recorded individually to help ensure that each incident is kept confidential. The home has policies and procedures in relation to adult protection and staff are made aware of these during their induction training. Some but not all staff have participated in adult protection training and this subject is also covered during the induction period. There is a whistle-blowing policy in place at the home. Discussions with staff indicate that they are aware of this process and would not hesitate to discuss any concern that they may have regarding the mis-treatment of service users, with the manager, the Commission or social services. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 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 the following standard(s): 19, 21, 22 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The maintenance and renewal plan for the home has not been followed. This has been due to several recent incidents at the home including major flood damage. This means that there are several areas of the home that have been poorly maintained. EVIDENCE: On the day of the visit to the home there was a slight odour in the main entrance area. Five bedrooms were out of service due to a burst pipe and service users had been moved temporarily to other rooms in the home until the flooring and carpeting had been repaired and replaced. This also put one of the bathrooms out of operation. The laundry door was seen to be wedged open as it was a very hot day and the laundry room is small and hot with very little ventilation. The boiler is also in this tiny room and the manager needs to look at how this can be dealt with. Since the last inspection one of the double rooms has been changed to a single room, making more space for wheelchair users and handling equipment. One of the rooms on the first floor has an unpleasant odour and the ensuite Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 16 bathroom in this room needs urgent refurbishment. The ceiling in this room and several others in the vicinity require attention as the ceiling is sagging and cracked in places due to a previous leak from a water tank in the loft area. The manager indicated that this corrider and several rooms along it were due for redecoration. There are three communal bathrooms at the home. One of the bathrooms upstairs had a new mattress stored in it - this reduced the amount of space for staff and service users, potentially causing problems where moving, handling and transferring of service users may take place. A further bathroom on this floor is not currently in use despite the advice of an inspector at a previous inspection that at least two bathrooms should be in use. The bathrooms have equipment to assist people into and out of the bath. Toilets have been raised to help with mobility problems but there are no grab rails to assist service users further with their mobility. Bathroom doors do not have locks on them and one bathroom did not have toilet paper, soap or paper towels available. All the bedrooms at the home have en-suite toilets and hand wash basins. Service users have personalised their rooms with photographs, ornaments, pictures and items of their own furniture. There are handrails throughout the corridors in the home and emergency call bells are sited throughout the home. Some radiators have also been covered to help ensure the safety of people living at the home. Due to the exceptionally hot weather, the manager had purchased new fans to help keep the residents and the home cool. In general the home was clean and tidy. The areas that were affected by the flooding have been refurbished and are in use again. The home did have a maintenance and renewal plan. This has not been followed due to several major incidents occuring at the home over the last 18 months – flood damage in January 2005, a leaking water tank in the loft, burst pipe in June 2006. There are now several areas of the home requiring urgent attention, refurbishment, redecoration and painting. The fire officer’s visit and the environmental health officer’s visit had highlighted a few items needing attention. The manager has complied with these requirements. Staff at the home have received some training in infection control and the subject is also covered in the induction training. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 17 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, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not follow safe recruitment practices ensuring that all new staff are properly checked prior to employment at the home. This potentially places service users at risk from harm. EVIDENCE: A sample of staff files were looked at during the visit. All had completed application forms, references have been obtained and their identity has been checked. The records indicate that Criminal Record Bureau (CRB) checks are carried out. Newly recruited members of staff have been employed prior to receipt of references, CRB and Protection of Vulnerable Adult (POVA list) checks. This was discussed with the manager during the inspection and she was advised of the process. Staff training records indicated that induction training takes place although it is not clear whether this meets the requirements of the Skills for Care national induction and foundation training specifications. Other training includes manual handling, infection control, medication, food hygeine, diabetes awareness, first aid, dementia care, protection of vulnerable adults, fire training and National Vocational Qualifications (NVQ) 2 & 3 in care have been gained by ten members of staff employed at the home. The manager is also undertaking training in order to keep her skills and knowledge up to date. Staff have been occasionally supervised and records have been kept but the frequency is not in line with requirements. The manager and responsible individual have recently completed supervision and appraisal training and are preparing to carry out appraisals with the staff. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 18 Some of the staff spoken to had not completed adult protection training but said that they had participated in many other courses. The manager and the registered person were described as very supportive and encouraged the staff with training and qualifications. They also said that staffing levels were usually alright. Staff help each other out with covering shifts particularly during holiday or sickness periods. The rotas indicated that sufficient staff were on duty during the day time periods. The staffing levels at night are variable. Some nights there are two staff on duty and others three staff, this is due to a member of the night staff covering the day shifts. Service users indicated that they usually received the care and support they needed and that staff were usually available when needed, although one service user thought that there should be more staff on duty at night. The registered persons has considered the numbers and needs of the people currently living at the home and felt that the staffing levels generally meet the needs of the service users. This situation was discussed with the registered people and needs to be carefully monitored to ensure that service user needs continue to be met properly. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health safety and welfare of staff and service users are generally protected and promoted. The manager has systems in place to help ensure that the property of service users is safeguarded. EVIDENCE: The manager is skilled and experienced. She has already obtained an NVQ at level 4 and is now undertaking the Registered Managers Award. She has undertaken other training to help keep her skills and knowledge up to date. The most recent training has been in appraisal and personal development and evidence was seen to confirm that the manager is preparing to implement this with her staff in the near future. The home does not have an annual development plan for quality assurance. Service users, staff and relatives are asked to complete quality questionnaires Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 20 from time to time. The manager actions any issues that are brought to her attention, usually by meeting with the person. Recording systems at the home were kept in an organised and tidy fashion. Accident records had been completed where necessary and where required the manager usually informs the Commission of any significant events which affect service users or the home. The manager is not responsible for any service users finances. Where necessary written records are kept and a record is kept of all the possessions a person brings into the home with them at the time of admission. Fire records are kept as required including the frequency of staff training and attendance. Training records indicate that staff at the home receive training in manual handling, first aid, infection control and food hygeine. Food stored in the fridge had been recovered/resealed and stored appropriately but had not been labelled and dated. This was discussed with the manager for attention. Central heating systems, electrical wiring, water temperatures and emergency call bell systems had all been recently checked. The passenger lift stopped with a jolt, although it had only been serviced in April 2006 - this was discussed with the registered persons as it required attention. Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 21 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X 2 2 X X X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 22 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 OP3 OP38 Regulation 13(4) (5) (7) (8) Requirement Timescale for action 31/08/06 2 OP7 15 3 OP12 OP14 16 (2) (m) (n) The registered person must ensure that the health, safety and welfare of service users and staff are promoted and protected. Risk assessments for all safe working practice topics must be carried out. Significant findings and their solutions must be consistently recorded. Where forms of restraint are used (for whatever reason) the circumstances and the nature of the restraint must be accurately recorded. The manager must ensure that 31/08/06 each service user has a plan of care, which are of a consistent standard and set out in detail the action, which needs to be taken by care staff to ensure that all the needs of service users are met. 30/09/06 The manager must consult service users about their social interests and make arrangements to enable them to or maintain their contacts and social activities within the community. The manager must also consult service users about DS0000064307.V294360.R01.S.doc Version 5.2 Morton Cottage Residential Care Home Page 23 4 OP19 23 5 OP21 23 6 OP26 16 (2) (j) (k) 23 (2) (d) 19 7 OP29 the programme of activities arranged by the home and provide facilities for recreation, including having regard for the needs of the service users. The registered person must review the maintenance and renewal plan for the home to ensure that the areas requiring refurbishment and redecoration are attended to as a priority. Timescales for action must be included in the plan. The registered person must ensure that there are provided at appropriate places in the premises sufficient numbers of toilets, hand washbasins and bathrooms for use by service users. The registered person must ensure that all areas of the home are kept clean, hygienic and free from offensive odours. The manager must ensure that there is a robust recruitment and selection process at the home that meets the requirements of legislation. Staff must not be appointed or confirmed in post until satisfactory checks (CRB and POVA) and references have been obtained. The registered person must ensure that a system is established and maintained for reviewing and improving the quality of care provided by the home, including an annual development plan for the home. Food products must be stored and covered correctly and must be clearly labelled and dated. 30/09/06 31/08/06 31/08/06 31/08/06 8 OP33 24 30/09/06 9 OP38 13, 16 31/08/06 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 24 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 OP3 Good Practice Recommendations It is recommended that the manager undertakes a review of the document used by the home to record the preadmission assessment of service users to ensure that all relevant details are fully recorded accurately. It is recommended that the menus are reviewed to ensure that full details of each meal choice are fully and accurately described. For example the type of sandwich fillings, soup or cereal available. It is recommended that the manager reviews the process of recording complaints, their investigation and outcomes to help improve the confidentiality and protection of complainants. It is recommended that the registered person obtains an assessment of the premises and facilities by a suitably qualified person (e.g. Occupational therapist) to ensure that service users have the specialist equipment and environmental adaptations required to meet their needs. It is recommended that the arrangements for ventilation in the laundry room are assessed and actioned in line with health and safety requirements. It is recommended that the arrangements in place for the provision of waking night staff are monitored at frequent intervals. The numbers of staff on duty should reflect the numbers and needs of the people living in the home. 2 OP15 3 OP16 4 OP22 5 6 OP26 OP27 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Morton Cottage Residential Care Home DS0000064307.V294360.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!