Inspection on 30/01/08 for Morton Cottage Residential Care Home

This inspection was carried out on 30th January 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

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

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

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

Morton Cottage Residential Care... 19/07/06

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 Diane Jinks Unannounced Inspection 30 January 2008 09:30 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.V358205.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.V358205.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.V358205.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. 6th September 2007 2. 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. 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 two lounges, one lounge/dining room and a separate dining room on the ground floor. A guide to the services and facilities provided by the home is available on request from the manager. The scale of charges range from £373.00 to £434.00 per week (January 2008). Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. The assessment of this service took place over several days. It involved assessing information supplied by the manager of the service and included a visit to the home. The manager was spoken to during the visit as well as several of the people who live at Morton Cottage. A selection of records, policies and procedures were looked at and helped to inform the inspection process. What the service does well: What has improved since the last inspection? What they could do better: People living at Morton Cottage do not have detailed information recorded about their care needs and preferences. This means that they may not always be recognised as individuals and may not always be treated with respect and dignity. Continued: Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 6 Although some areas of the home have been upgraded and redecorated, there are still areas that require attention, particularly the communal bathrooms and toilet areas. The poor condition of some of these facilities may put at risk the health and safety of people using this service. Some of the people living at the home indicated that they are not happy with the bathrooms and toilets and ‘wished they would do something about them’. The manager does not have a planned system in place for ensuring that the home is maintained to a high standard and this is something that needs to be developed and implemented quickly. Another major shortfall at the home is the lack of social and leisure activities for the people who live there. People have not been consulted about their interests and people are not encouraged or supported in living a full and stimulating lifestyle. 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. The summary of this inspection report can be made available in other formats on request. Morton Cottage Residential Care Home DS0000064307.V358205.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.V358205.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager usually obtains information about prospective residents care needs, prior to them moving into the home. This helps to ensure that the home will be suitable and able to meet their needs and expectations. EVIDENCE: The manager has reviewed and updated the information booklet about the home. This helps to make sure that people thinking of moving into the home are given accurate information about the services provided. A sample of four care files was looked at during this visit. The files showed that each person has received an assessment of their care needs and requirements. Assessments have been undertaken by social workers and by the home. This information is generally obtained prior to admission to the home. The information recorded is inconsistent in quality and depth. Some records provide very detailed information about the level of support required by an individual, others provide only basic information and may not be up to date or accurate. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The care and support needs of people living at the home are not recorded in detail nor with any consistency. This means that people using this service may not always have their needs and requirements met in the most appropriate way. EVIDENCE: The delivery of care does not reflect the home’s statement of purpose. Following our (Commission for Social Care Inspection) last visit to Morton Cottage, the manager was required to make improvements to the individual care plans of people who live at the home. Although the manager has recently started to address this matter, very little progress has been made to make sure that people in the home have a detailed and accurate plan of their care and support needs. Four care files were looked at during this visit, as well as three care plans that the manager has updated. The three new plans generally provide detailed information about individual needs and choices. There are still some gaps in these plans that may leave people at risk from harm or injury. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 10 The four care files looked at all contain admission assessments. Not all of them are up to date, particularly for people receiving respite care. This means that their current needs may not always be recognised and met. Assessments identify that people may be prone to falls, have poor appetites, need assistance with medication or mobility or suffer from conditions that may on occasions cause aggressive or challenging behaviour. This information is generally not properly transferred into individual care plans and there are no individualised procedures for staff to follow. Very little information is recorded to identify the tasks that people need assistance with and the tasks that they can manage for themselves. This means that people using this service are not always treated as individuals and their dignity and independence is compromised. One person living at the home commented: ‘everyone at the home is most pleasant and kind and the staff are hard working. I would like a bath more than once a week but the staff are hard pushed.’ Handling and risk assessments have generally been completed. These documents are readily available for staff to access. This helps to ensure that accidents or injuries to people living and working at the home are minimised. Daily records are kept in relation to each person living at the home. Significant events are recorded in them including visits by the doctor, district nurse or optician. This demonstrates that people living at Morton Cottage have access to a variety of health care professionals. Medication records were sampled. They were up to date and accurately completed. The medication was stored safely and in a clean and organised manner. On the day of the visit to the home there were no people responsible for their own medication. Staff responsible for the administration of medication have undergone training to help ensure that this task is undertaken safely. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People using this service are not supported to maintain their hobbies, interests and contact with the local community. This places severe restrictions on their independence, choices and lifestyle. EVIDENCE: The arrangements in place for social and leisure activities were none existent at the last inspection and we asked the manager to make improvements. We asked the manager to consult the people using this service in order to obtain their views and preferences. The manager has produced an improvement plan, which says that activities will be made part of the care staff role, using a daily rota system. It also states that people using the service will be asked what kind of activities they would like to do. This has not been done and there have been no improvements made. On the day of this visit people were sat in chairs in the lounges, mainly dozing off. The television was on in one room, one person had a visitor and another was seen reading her book. We spoke to some of the people who live at the home. They told us that they have not been consulted and that the home does not provide or offer any leisure activities. One person said; ‘there is nothing to do at the home apart from sit – it is a long day’ and another commented, Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 12 ‘there are no activities at the home. This has not improved at all. We used to have a lady who did come into the home. She used to do chair exercises, organise games, read the newspaper, picture quizzes and skittles – nothing happens now. I have not been asked about my interests.’ The serving of lunch was observed in one of the dining areas. Staff talked to residents and offered assistance where required, for example helping to the table or cutting up food. People were offered both hot and cold drinks. Menus have been reviewed and new dishes have been added to them. People living at the home have noted the different dishes. Most of the people spoken to enjoy the variety but there are some people who do not like the changes. The manager is undertaking further work on the menus to ensure that there is a choice of both traditional and alternative meals available. Before the new dishes were included on the menu, people living at the home were able to sample the new dishes and express their views at a ‘food taster’ day. Their relatives and friends were also invited to attend this event if they wished. The people spoken to during the visit say that the food is usually very good. There are some differences in the quality and variety of foods available during the week and at the weekend. Comments about this included ‘there is not so much variety of vegetables at the weekend’ and ‘the meal is often cold. Prior to lunch being served, staff took people to the toilet and then helped them to the table. All of the people observed at lunchtime had a plastic apron put on them. Staff did not appear to ask people if this was what they would like; it was a very routine task. People living at the home were asked about this. They say that ‘staff sometimes ask if we want one on, other times it’s just put on.’ This does not promote the dignity of people using this service. Where people needed more assistance with mobility, staff used the equipment provided and demonstrated good techniques. These procedures could be improved by better interaction between the staff and people needing assistance. Explaining procedures as they occur helps to reduce any anxieties people may have. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are policies, procedures and staff training in place in respect of dealing with complaints and safeguarding adults. This means that people using this service are generally protected from harm and abuse. EVIDENCE: We have not received any complaints or concerns regarding this home. The manager stated that she has not received any complaints either. There is a complaint process in place at the home and discussions with people using this service confirm that they know who to address any concerns to. People feel that any concerns would be dealt with appropriately. The home has a safeguarding adults procedure and a copy of the local authority’s multi-disciplinary guidance for reference. Staff are provided with training in this subject. This helps to make sure that people using this service are protected from harm and abuse. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 25 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home does not provide a safe and pleasant environment for people to live in and maintenance is not approached in a planned way. This means that the health and well being of people using this service is compromised. EVIDENCE: Following our last visit to the home, the manager was asked to develop a detailed maintenance plan for the general upkeep of the home. The manager stated in her improvement plan that this would be done to ensure improvements to the environment. However, a detailed programme of routine maintenance and renewal for the home has not been developed. Notes of a recent meeting she has held show that some priorities have been set for January and February 2008 and some of the work has been carried out. There are three communal bathrooms at the home, but the manager stated that only one of them is used. This bathroom is in need of urgent refurbishment and decoration. Both taps in the bath are constantly running. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 15 The bath seat is stained and corroding, causing a risk of cross infection. The manager’s improvement plan states that bathrooms and toilets are scheduled for refurbishment in Early 2008. There have been little or no improvements made to these areas. Comments from people using this service indicate that they are dissatisfied with the condition of the bathrooms and toilets. One person in particular felt that this was an area ‘that really let the home down’ they added ‘I wish they would do something about the communal facilities’. There are no planned dates or quotes for the work to the bathroom and toilets, although new toilets have been purchased. When we visited the home all internal fire doors were wedged open. The manager said that the reason for this was due to an electrical fault on the system operating the door closers. The fire maintenance company had visited the home the previous day to look at the system and the manager was waiting for them to contact her regarding the repair/replacement of this. The manager said that the system had only failed on the previous day and that it would be repaired as soon as possible. The wedged doors were discussed with the manager as being unsatisfactory, particularly the arrangements should a fire occur. We asked the manager to ensure that the kitchen and laundry doors were not wedged at all as these are areas of high risk. The laundry door was one of the doors wedged open. On our arrival at the home it was noted that piles of laundry were left on the floor and not contained in a laundry bag. Some of the bathroom and toilet areas did not have soap, hand towels or paper towels available. These shortfalls demonstrate poor infection control practices and raises the risk of cross infection. Most of the bedrooms were looked at during this visit. One room had bare wires hanging out of the wall. The manager states that they are not live and that they are from an old system. She was advised to remove and at least ensure they are sealed off safely until they can be removed. Another room has a very hot radiator, even though there is a cool touch surface on it. The bed is placed against the radiator and places the person potentially at risk of burning. Bedroom 27 remains out of use. There has been no progress on the refurbishment of this room. The ceiling remains cracked and severely bowed following a water leak. It is used generally as a storeroom but it is not tidy. The room is kept locked. The carpet has been replaced in the hallway outside this room. There is some unevenness to the flooring in this area, which could present a trip hazard and needs attention. There are some areas of the home that have been upgraded and redecorated. The home has recently had a new kitchen installed and one of the dining rooms has been refurbished. This provides a pleasant area for people to eat their meals in. Extra heating has been put in this room to increase comfort and this is protected by fixed covers. The main staircase has been redecorated and some of the bedrooms. New fire exit signs have been installed and the fire extinguishers have been secured to the walls. The manager has had an independent health and safety assessment carried out for the home. The report identifies some areas requiring attention, including the replacement of window restrictors and suggestions for improvements to the communal toilet and bathroom areas. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Staff receive some training to help them understand and meet the care needs of people using this service. There is no planned approach to training and this may mean that staff do not always have the required skills. EVIDENCE: On the day of the visit to the home there were 26 residents and 4 care staff on duty. One member of staff and one resident were absent from the home for part of the morning due to an accident and a trip to the hospital. The manager was on duty and the proprietor was cooking as the cook was off sick. There is a maintenance man employed at the home and there were two domestic staff on duty for the morning. Some of the people living at the home were spoken to during our visit. They say that the staff are very nice and treat them well. They also commented that they are very hard working. One person said, ‘staff are very helpful but I think that they all go for their breaks together, sometimes they are not very prompt at assisting with things.’ There appeared to be enough staff on duty to meet the care needs of people living at the home. The staff were very busy all day and had little time to spend socialising with the residents. One new member of staff has recently been appointed. The recruitment file was looked at. The manager has ensured that all the necessary checks have been made, including Criminal Record Bureau checks and written references. This help to make sure that only suitable people are appointed. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 17 The manager has not yet produced a staff training and development plan to help ensure that all staff keep up to date with their skills and knowledge. Some training has taken place, including manual handling training and National Vocational training (NVQ). Three night care assistants are currently undertaking NVQ qualifications and sixteen other staff already have NVQ 2 or 3 in Care. The manager states that new staff induction is to be obtained via an external training company. This company is also involved in the home’s NVQ programme. Six staff at the home have undertaken some training in dementia. This helps to ensure that staff have the knowledge and understanding in order to meet the needs of people with this condition. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 36 and 38. Standard 35 was not assessed on this occasion. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Health and safety matters are not always responded to appropriately and this potentially places people living and working at the home at risk from harm or injury. EVIDENCE: The manager has not ensured that all the requirements and recommendations we made at the last inspection of this service have been considered and addressed. The manager was asked to submit a plan to us by 19th November 2007, indicating how she intended to improve the service, but this was not submitted until 24th December 2007 following a reminder letter. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 19 The manager has not ensured that the improvements identified in this plan have been implemented as required. This puts the health, safety and well being of people using this service at risk. There have been some improvements to the record keeping arrangements. Notifications have been submitted to us and the accident book is completed satisfactorily. Staff have received some instruction on the reporting and recording of accidents, including the arrangements for reporting matters to us. Handling plans in respect of people using this service have been developed and are kept up dated. Copies of the plans are kept in each individual bedroom so that staff are able to refer to the document easily. Where bed rails are in use, assessments have been undertaken but there are no written records to confirm that safety checks are frequently undertaken. There are areas of the home that require attention and upgrading – particularly bathrooms and communal toilets. This will help to improve the general environment and reduce the risk of cross infection and risk of injury. The home has an up to date fire risk assessment. Fire alarm systems, electrical installations and gas safety checks and servicing have been carried out. Recommendations made by the fire authority in August 2007 have not yet been implemented. The manager needs to give these matters some attention to make sure that the work is completed within the set timescale. A staff meeting took place in November 2007 where the manager outlined the process for staff supervision. Staff supervision has not commenced and staff do not have their practice monitored nor do they have the opportunity to discuss their career development needs. The quality assurance system in place at the home has not progressed, although people living at the home have been consulted on the menus and food available/provided by the home. Some changes have been made, with plans to make further amendments to the menu. There is no maintenance plan or clear budget plan for the development and upkeep of the home. This means that the best interests and general well being of people using this service may be significantly compromised. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 20 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 2 1 2 X X 2 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X X 1 X 2 Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 23 Requirement 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. (Previous timescales of 30/09/06, 01/05/07 and 31/10/07 not met). 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. (Previous timescale of 30/09/06, 01/05/07 and 01/12/07 not met). A detailed plan of care must be developed for each person using this service, taking into account the needs and risk assessments. This will help ensure that people using this service are supported safely and the care needs and DS0000064307.V358205.R01.S.doc Timescale for action 31/03/08 2. OP33 24 30/04/08 3. OP7 15 31/03/08 Morton Cottage Residential Care Home Version 5.2 Page 22 outcomes identified are being met properly. (Previous timescale of 31/10/07 not met). 4. OP12 16 People using this service must be consulted about their social and recreational activities and interests. A programme of suitable and stimulating activities at the care home must be available for people living at the home. (Previous timescale of 31/10/07 not met) Bathrooms and bathing equipment must be kept clean, hygienic and free of hazards at all times. This will help to minimize the risks that they present to people living in the home. (Previous timescale of 31/10/07 not met). Care needs assessments must be reviewed and up to date. They must clearly identify the current care needs and reflect the preferences and choices of people using this service The policies, procedures and staff training in respect of infection control must be reviewed and updated. This will help ensure that people living at the home are not from the risks associated with poor hygiene practices. 31/03/08 5. OP26 23 31/03/08 6. OP3 14 31/03/08 7. OP26 13 31/03/08 8. OP36 18 Staff employed at the home 31/05/08 must be supervised and have their care practices monitored on a frequent basis. This helps to ensure they are working to the policies and procedures in place at the home and helps to identify any training and development needs they have. DS0000064307.V358205.R01.S.doc Version 5.2 Page 23 Morton Cottage Residential Care Home 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 OP30 Good Practice Recommendations It is recommended that a comprehensive staff training and development programme be in place at the home. This will help ensure that staff are able to fulfil the aims of the home and meet the changing needs of people living in the home. Morton Cottage Residential Care Home DS0000064307.V358205.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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